Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Issue title: Advances in the Role of Music in Neurorehabilitation: Addressing Critical Gaps in Clinical Applications
Guest editors: Dr. Michael Thaut
Article type: Case Report
Authors: Sheridan, Conora; b; c | Thaut, Corened | Brooks, Dinaa; c; e | Patterson, Kara K.a; b; d; e; *
Affiliations: [a] Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada | [b] KITE - Toronto Rehabilitation Institute, University Health Network, Toronto, Canada | [c] School of Rehabilitation Science, McMaster University, Hamilton, Canada | [d] Music and Health Science Research Collaboratory (MaHRC), University of Toronto, Toronto, Canada | [e] Department of Physical Therapy, University of Toronto, Toronto, Canada
Correspondence: [*] Address for correspondence: Kara K. Patterson, Department of Physical Therapy, University of Toronto, 160-500 University Avenue, Toronto, Ontario M5G 1V7, Canada. Tel.: +1 416 946 8459; E-mail: [email protected].
Abstract: BACKGROUND:Traumatic brain injury has multiple impacts on gait including decreased speed and increased gait variability. Rhythmic auditory stimulation (RAS) gait training uses the rhythm and timing structure of music to train and ultimately improve slow and variable walking patterns. OBJECTIVE:To describe the feasibility of RAS gait training in community-dwelling adults with traumatic brain injury (TBI). A secondary objective is to report changes in spatiotemporal gait parameters and clinical measures of balance and walking endurance. METHODS:Two individuals with a TBI participated in nine sessions of gait training with RAS over a 3-week period. At baseline, post-training and 3-week follow-up, spatiotemporal parameters of walking were analyzed at preferred pace, maximum pace and dual-task walking conditions. Secondary outcomes included the Community Balance and Mobility Scale and the 6-Minute Walk Test. Feasibility was assessed using reports of physical fatigue, adverse event reporting, and perceived satisfaction. RESULTS:Both participants completed all 9 planned intervention sessions. The sessions were well tolerated with no adverse events. Participant 1 and 2 exhibited different responses to the intervention in line with the therapeutic goals set with the therapist. Participant 1 exhibited improved speed and decreased gait variability. Participant 2 exhibited reduced gait speed but less fatigue during the 6MWT. CONCLUSIONS:RAS was found to be a safe and feasible gait intervention with the potential to improve some aspects of gait impairments related to gait speed, gait variability, dynamic balance and walking endurance. Further investigation including a pilot randomized controlled trial is warranted.
Keywords: Traumatic brain injury, gait, rehabilitation, rhythmic auditory stimulation
DOI: 10.3233/NRE-208016
Journal: NeuroRehabilitation, vol. 48, no. 2, pp. 221-230, 2021
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
[email protected]
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office [email protected]
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
如果您在出版方面需要帮助或有任何建, 件至: [email protected]