Individualization of Music-based Cueing During Gait in Parkinson's Disease.

Individualization of Music-based Cueing During Gait in Parkinson's Disease. An Exploratory Cross-over Trial

Spatio-temporal correction of the step is a key component of gait rehabilitation in Parkinson's disease. Walking rehabilitation techniques using visual or auditory cueing of the cadence or step length have been tested to prevent or correct the lack of consistency of the step. An auditory cue of the duration of the step, encouraging it to be extended according to patient own capacities during gait has been proposed. The cue is integrated into music and is presented in an open-loop approach.

The present study aimed to evaluate the effect of the individual music-based cueing of the step length on gait in Parkinson's disease.

Inclusion Criteria:

• Age ≥ 18 years
• Idiopathic Parkinson's disease based on UKPDSBB criteria
• 10-meter walking comfortable speed between 0,30 and 1,10 m/s
• Capacities to walk with shoes during at least 20 minutes without assistance
• Signature of informed consent

Exclusion Criteria:

• Non-affiliation to Social Security
• Person under protection (e.g. under protection of justice)
• Auditory disorders without treatment
• Cognitive disorders that limit the understanding of the study according to the medical investigator
• Other neurological or orthoêdic disorders that addect walking
• Participating in another Category 1 or 2 interventional clinical study for the duration of the trial