Music training and functional gait performance in Parkinson's disease

xiv, 176 leaves : ill. ; 29 cmMusic is a powerful stimulus for movement. This thesis examined the effects of music on walking performance. First, the effect of music salience (familiarity and enjoyment) and tempo on walking performance was examined amongst healthy young adults. Subsequently, the safety and efficacy of incorporating salient music into a comprehensive walking program was investigated amongst people with mild to moderate Parkinson’s disease (PD). Music was found to be effective in influencing walking performance; furthermore the magnitude of change was influenced by the salience of music to the listener. Walking performance and motor symptom severity were significantly improved amongst people living with PD following a 13-week music-accompanied walking program. These findings imply that music may be a safe, effective, and enjoyable alternative to the traditional auditory cues currently used in gait rehabilitation programs. These results also have implications for intervention participation and adherence and as a consequence patient mobility and quality of life

Walking with Music Is a Safe and Viable Tool for Gait Training in Parkinson's Disease: The Effect of a 13-Week Feasibility Study on Single and Dual Task Walking

This study explored the viability and efficacy of integrating cadence-matched, salient music into a walking intervention for patients with Parkinson's disease (PD). Twenty-two people with PD were randomised to a control (CTRL, n = 11) or experimental (MUSIC, n = 11) group. MUSIC subjects walked with an individualised music playlist three times a week for the intervention period. Playlists were designed to meet subject's musical preferences. In addition, the tempo of the music closely matched (±10–15 bpm) the subject's preferred cadence. CTRL subjects continued with their regular activities during the intervention. The effects of training accompanied by “walking songs” were evaluated using objective measures of gait score. The MUSIC group improved gait velocity, stride time, cadence, and motor symptom severity following the intervention. This is the first study to demonstrate that music listening can be safely implemented amongst PD patients during home exercise

"Left neglected," but only in far space: spatial biases in healthy participants revealed in a visually guided grasping task

Sherpa Romeo green journal: open accessHemispatial neglect is a common outcome of stroke that is characterized by the inability to orient toward, and attend to stimuli in contralesional space. It is established that hemispatial neglect has a perceptual component, however, the presence and severity of motor impairments is controversial. Establishing the nature of space use and spatial biases during visually guided actions amongst healthy individuals is critical to understanding the presence of visuomotor deficits in patients with neglect. Accordingly, three experiments were conducted to investigate the effect of object spatial location on patterns of grasping. Experiment 1 required right-handed participants to reach and grasp for blocks in order to construct 3D models.The blocks were scattered on a tabletop divided into equal size quadrants: left near, left far, right near, and right far. Identical sets of building blockswere available in each quadrant. Space use was dynamic, with participants initially grasping blocks from right near space and tending to “neglect” left far space until the final stages of the task. Experiment 2 repeated the protocol with left-handed participants. Remarkably, left-handed participants displayed a similar pattern of space use to right-handed participants. In Experiment 3 eye movements were examined to investigate whether “neglect” for grasping in left far reachable space had its origins in attentional biases. It was found that patterns of eye movements mirrored patterns of reach-to-grasp movements.We conclude that there are spatial biases during visually guided grasping, specifically, a tendency to neglect left far reachable space, and that this “neglect” is attentional in origin.The results raise the possibility that visuomotor impairments reported among patients with right hemisphere lesions when working in contralesional space may result in part from this inherent tendency to “neglect” left far space irrespective of the presence of unilateral visuospatial neglect.Ye

Functional improvements associated with upper extremity motor stimulation in individuals with Parkinson's disease

Sherpa Romeo green journal. Open access article. Creative Commons Attribution License (CC BY) appliesBackground: While traditional neurotherapy promotes motor function in people living with Parkinson’s disease (PD), the benefits may be limited by compounding physical, cognitive, and attentional barriers. Since the nontraditional exercise of ice-skating is proving to positively influence motor function and postural control, the purpose of this study was to explore whether the addition of an upper body sensory-driven motor coordination task (stickhandling) would provide upper extremity neuromotor benefit among people with moderate PD. Methods: Seven non-PD control (CTRL) and 22 PD (14 ON-ICE, 8 OFF-ICE) participants completed three trials of a reaching-to-eat (fine motor) task and a button-push (gross motor) task, PRE-and POST-completion of two dynamic – either on- or off-ice – stickhandling tasks. Reaching-to-eat and button-push scores were compared between time periods (PRE, POST) and groups (CTRL, PD ON-ICE, PD OFF-ICE). Results: CTRL participants demonstrated higher scores when compared to the PD groups. Both PD groups demonstrated an improvement in reaching-to-eat and button-push scores immediately following the intervention. Conclusions: These findings suggest that sport-derived exercise programs may provide neuromotor benefit to people living with PD.Ye

Novel exposure to concurrent music compromises locomotor performance in Parkinson's disease

xi, 113 leaves ; 29 cm. --The effect of concurrent music on gait was investigated amongst Parkinson‟s disease (PD) patients and age-matched control subjects. Ten people (mean age 66.6 ± 6.5 years) with idiopathic Parkinson‟s disease and ten healthy age-matched (mean age 65.4 ± 6.3 years) control subjects completed steady state gait, dual task and obstacle negotiation trials in two differing test conditions; no music and whilst listening to music. Testing conditions were counterbalanced between subjects. The gait performance of PD patients was detrimentally affected by concurrently listening to music during steady state gait and obstacle negotiation, an effect that was further compounded in the dual task context. These findings imply that listening to music concurrent to gait may increase the attentional cost for PD patients. The findings of these studies have implications for patients, who may be at greater risk of falls in multi-task situations

Obstacle crossing among people with Parkinson disease is influenced by concurrent music

Open accessMultitasking situations exacerbate gait impairments and increase the risk of falling among people with Parkinson disease (PD). This study compared obstacle negotiation among 10 subjects with PD and 10 nonparkinsonian control (CTRL) subjects in two test conditions differentiated by the presence of music played through a personal music player. Subjects walked the length of a 10 m walkway at a self-selected pace, crossing a 0.15 m obstacle placed at the midpoint of the walkway. The results indicated that subjects with PD crossed the obstacle slower than CTRL subjects and that concurrent music differentially altered obstacle crossing behaviors for the CTRL subjects and subjects with PD. Subjects with PD further decreased obstacle-crossing velocities and maintained spatial parameters in the music condition. In contrast, CTRL subjects maintained all spatiotemporal parameters of obstacle crossing with music. The alterations to crossing behaviors observed among the subjects with PD support our previous suggestion that listening to music while walking may be an attentionally demanding task.Ye

Quality and safety of South African hand sanitisers during the COVID-19 pandemic

Health agencies recommend using hand sanitisers as protection against the coronavirus. Thus far, the emphasis on hand sanitiser studies is limited to an analysis of disinfectant content only. This study aims to provide an extended analysis of 60 off-the-shelf alcohol-based hand sanitisers by using gas chromatography to report on alcohol content and the presence of impurities, a recombinant yeast estrogen screen to assess estrogenic activity, and an investigation into labelling compliance with the South African National Standard. Fifty hand sanitisers had an alcohol content of ≥60% v/v alcohol; however, most contained skin irritants and substances that could harm human and environmental health. Estrogenic activity was detected in 29 hand sanitisers and none of the products complied with all the labelling requirements. Since off-the-shelf hand sanitisers in South Africa are not regulated and monitored, evidence-based public awareness programmes on hand sanitiser quality and safety should become a priority.The UNICEF program for Youth Empowerment and Health/Economic Responses to COVID-19 (YEaH) as well as the UNESCO – TWAS (The World Academy of Sciences) for the Advancement of Sciences and the Inter Academy Partnership short-term funding project.http://www.tandfonline.com/loi/cije20hj2024Plant Production and Soil ScienceSDG-03:Good heatlh and well-bein

Assessing visuospatial abilities in healthy aging: a novel visuometor task

Sherpa Romeo green journal: open accessThis study examined the efficacy of a novel reaching-and-grasping task in determining visuospatial abilities across adulthood. The task required male and female young (18–25 years) and older adults (60–82 years) to replicate a series of complex models by locating and retrieving the appropriate building blocks from an array. The task allows visuospatial complexity to be manipulated independently from the visuomotor demands. Mental rotation and spatial visualization abilities were assessed. The results showed that the time taken to complete the tasks increased with increased mental rotation complexity. Patterns of hand use were also influenced by the complexity of the models being constructed with right hand use being greater for the less complex models. In addition, although older adults consistently performed the visuomotor tasks slower than the younger adults, their performance was comparable when expressed as the percent change in task demands. This is suggestive that spatial abilities are preserved in older adults. Given the ecologically validity, the described task is an excellent candidate for investigating: (1) developmental; (2) sex-based; and (3) pathology-based differences in spatial abilities in the visuomotor domain.Ye

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Deletion of SERF2 in mice delays embryonic development and alters amyloid deposit structure in the brain

In age-related neurodegenerative diseases, like Alzheimer's and Parkinson's, disease-specific proteins become aggregation-prone and form amyloid-like deposits. Depletion of SERF proteins ameliorates this toxic process in worm and human cell models for diseases. Whether SERF modifies amyloid pathology in mammalian brain, however, has remained unknown. Here, we generated conditional Serf2 knockout mice and found that full-body deletion of Serf2 delayed embryonic development, causing premature birth and perinatal lethality. Brain-specific Serf2 knockout mice, on the other hand, were viable, and showed no major behavioral or cognitive abnormalities. In a mouse model for amyloid-β aggregation, brain depletion of Serf2 altered the binding of structure-specific amyloid dyes, previously used to distinguish amyloid polymorphisms in the human brain. These results suggest that Serf2 depletion changed the structure of amyloid deposits, which was further supported by scanning transmission electron microscopy, but further study will be required to confirm this observation. Altogether, our data reveal the pleiotropic functions of SERF2 in embryonic development and in the brain and support the existence of modifying factors of amyloid deposition in mammalian brain, which offer possibilities for polymorphism-based interventions. </p