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Gait training for adults with cerebral palsy following harmonic modification in rhythmic auditory stimulation

Authors
 Soo Ji Kim  ;  Ga Eul Yoo  ;  Yoon-Kyum Shin  ;  Sung-Rae Cho 
Citation
 ANNALS OF THE NEW YORK ACADEMY OF SCIENCES, Vol.1473(1) : 11-19, 2020-08 
Journal Title
 ANNALS OF THE NEW YORK ACADEMY OF SCIENCES 
ISSN
 0077-8923 
Issue Date
2020-08
Keywords
cerebral palsy ; gait function ; harmonic complexity ; rhythmic cueing
Abstract
This study aimed to investigate the differences in gait outcomes of young adults with cerebral palsy (CP) following rhythmic auditory stimulation (RAS) with different types of cueing. A total of 13 ambulatory adults with CP were recruited. The participants were assigned to receive either RAS with simple chords or RAS with complex chords. Each participant received 30-min individual sessions three times per week for 4 weeks. In the simple RAS group, basic chords were used for cueing. In the complex RAS group, the diversified chords were adopted from patients' preferred music. At pre- and posttest, spatiotemporal and kinematic parameters and the range of motion (ROM) for each joint during a gait cycle were collected. After RAS, cadence, velocity, and stride length significantly increased, but no significant group effect was found. Meanwhile, regarding kinematic parameters, a significant interaction effect between time and group was observed with the angle of plantar flexion in the preswing phase and ROM in the ankle. The complex RAS group showed increased maximal ankle plantar flexion in the preswing phase. These results demonstrated that the primary agent for gait control is rhythm, while perception of music facilitates patient engagement in walking differently depending on the level of musical elements.
Full Text
https://nyaspubs.onlinelibrary.wiley.com/doi/full/10.1111/nyas.14306
DOI
10.1111/nyas.14306
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Cho, Sung-Rae(조성래) ORCID logo https://orcid.org/0000-0003-1429-2684
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179725
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