Gait and balance impairments are common after stroke. This study aimed to evaluate the effect of a music-based rhythmic auditory stimulation (RAS) in combination with conventional physiotherapy on gait parameters and walking ability in subacute stroke. This single-blind, historical controlled trial, included 55 patients who had suffered a stroke within the three weeks prior to enrolment. Patients from 2018 ( = 27) were assigned as the historical control group whereas 2019 patients ( = 28) received music-based RAS three times a week. Both groups received 11 h of conventional physiotherapy per week during hospitalization. Primary outcomes were gait and balance parameters (Tinetti test and Timed Up&Go test) and walking ability (Functional Ambulation Category scale). Secondary outcomes were trunk control, assistive devices, functional independence (Functional Independence Measure, Barthel index), and stroke severity and disability (modified Rankin scale, National Institutes of Health Stroke Scale). Results: No between-group differences were identified for gait and balance parameters nor for secondary outcomes. Significant between-group differences were observed in the Functional Ambulation Category: the intervention group (Δmean ± SD; 3.43 ± 1.17) showed greater improvement ( = 0.002) than the control group (Δmean ± SD; 2.48 ± 1.09). Compared with conventional physiotherapy alone, our results suggest that the walking ability of subacute stroke patients might be improved with music-based RAS combined with conventional physiotherapy, but this treatment is not more effective than conventional physiotherapy in obtaining gait and balance gains.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923168PMC
http://dx.doi.org/10.3390/ijerph18042032DOI Listing

Publication Analysis

Top Keywords

gait balance
20
conventional physiotherapy
20
subacute stroke
12
walking ability
12
music-based rhythmic
8
rhythmic auditory
8
auditory stimulation
8
ability subacute
8
control group
8
music-based ras
8

Similar Publications

Introduction: Parkinson's disease (PD) is characterized by muscle stiffness, bradykinesia, and balance disorders, significantly impairing the quality of life for affected patients. While motion pose estimation and gait analysis can aid in early diagnosis and timely intervention, clinical practice currently lacks objective and accurate tools for gait analysis.

Methods: This study proposes a multi-level 3D pose estimation framework for PD patients, integrating monocular video with Transformer and Graph Convolutional Network (GCN) techniques.

View Article and Find Full Text PDF

Neuronal ceroid lipofuscinosis type 2 (CLN2) is a rapidly progressive neurodegenerative disorder leading to premature mortality. Ambulatory CLN2 patients typically receive standard of care treatment through biweekly intracerebroventricular (ICV) enzyme replacement therapy (ERT) involving recombinant human tripeptidyl peptidase 1, known as cerliponase alfa (Brineura, Biomarin Pharmaceuticals). This study longitudinally assessed the impact of ICV cerliponase alfa ERT on gait, and postural control across a two-year span in two siblings diagnosed with atypical CLN2 disease.

View Article and Find Full Text PDF

Background: We aimed to determine the differences in physical fitness between older adults with and without indicators of possible sarcopenia and the associations between possible sarcopenia and fear of falling.

Methods: Individuals aged >75 years living in Harbin City, China in 2023 were recruited through a local community center. The presence of possible sarcopenia was defined using the Asian Working Group for Sarcopenia 2 criteria via grip strength measurement, with cut-off points of >28 kg for men and >18 kg for women.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess the long-term physical performance and activity levels of older men who have survived radical prostate cancer compared to matched controls.
  • The research included 109 men aged 70 and older who had received robotic surgery or radiation therapy, and their results were compared to 327 men from the general population.
  • Overall, survivors showed similar physical performance and activity levels as controls, with only minor differences in grip strength and balance that might not be clinically significant, indicating that cancer treatment likely did not adversely affect their functional status.
View Article and Find Full Text PDF

Background: The modified Balance Error Scoring System (mBESS) incorporates nondominant leg stance for a ceiling effect, but that may not be the worse balancing leg. Updated recommendations call for single- and dual-task tandem gait, but limited research has explored these effects on the mBESS.

Purposes: To compare mBESS performance between dominant and nondominant legs during single and dual tasks and to determine 1-week test-retest reliability.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!