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

"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

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

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