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Effect of Rhythmic Auditory Stimulation on Hemiplegic Gait Patterns

Title
Effect of Rhythmic Auditory Stimulation on Hemiplegic Gait Patterns
Authors
Shin, Yoon-KyumChong, Hyun JuKim, Soo JiCho, Sung-Rae
Ewha Authors
정현주김수지
SCOPUS Author ID
정현주scopus; 김수지scopus
Issue Date
2015
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
0513-5796JCR Link1976-2437JCR Link
Citation
vol. 56, no. 6, pp. 1703 - 1713
Keywords
Gaitrhythmic auditory stimulationhemiplegia
Publisher
YONSEI UNIV COLL MEDICINE
Indexed
SCI; SCIE; SCOPUS; KCI WOS scopus
Abstract
Purpose: The purpose of our study was to investigate the effect of gait gaining with rhythmic auditory stimulation (HAS) on both kinematic and temporospatial gait patterns in patients with hemiplegia. Materials and Methods: Eighteen hemiplegic patients diagnosed with either cerebral palsy or stroke participated in this study. All participants underwent the 4-week gait training with HAS. The treatment was performed for 30 minutes per each session, three sessions per week. HAS was provided with rhythmic beats using a chord progression on a keyboard. Kinematic and temporospatial data were collected and analyzed using a three-dimensional motion analysis system. Results: Gait training with HAS significantly improved both proximal and distal joint kinematic patterns in hip adduction, knee flexion, and ankle plantar flexion, enhancing the gait deviation index (GDI) as well as ameliorating temporal asymmetry of the stance and swing phases in patients with hemiplegia. Stroke patients with previous walking experience demonstrated significant kinematic improvement in knee flexion in mid-swing and ankle dorsiflexion in terminal stance. Among stroke patients, subacute patients showed a significantly increased GDI score compared with chronic patients. In addition, household ambulators showed a significant effect on reducing anterior tilt of the pelvis with an enhanced GDI score, while community ambulators significantly increased knee flexion in mid-swing phase and ankle dorsiflexion in terminal stance phase. Conclusion: Gait gaining with HAS has beneficial effects on both kinematic and temporospatial patterns in patients with hemiplegia, providing not only clinical implications of locomotor rehabilitation with goal-oriented external feedback using HAS but also differential effects according to ambulatory function.
DOI
10.3349/ymj.2015.56.6.1703
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일반대학원 > 음악치료학과 > Journal papers
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