TY - JOUR
T1 - Effects of external rhythmical cueing on gait in patients with Parkinson's disease: a systematic review
T2 - A systematic review
AU - Lim, I.
AU - van Wegen, E.
AU - de Goede, C.
AU - Deutekom, M.
AU - Nieuwboer, A.
AU - Willems, A.
AU - Jones, D.
AU - Rochester, L.
AU - Kwakkel, G.
N1 - <html><body>Lim,I., van,W.E., de,G.C., Deutekom M, Nieuwboer,A., Willems,A., Jones,D., Rochester,L., and Kwakkel,G. (2005): Effects of external rhythmical cueing on gait in patients with Parkinson’s disease: a systematic review. Clin.Rehabil., 19:695-713.</body></html>
PY - 2005/10/1
Y1 - 2005/10/1
N2 - To critically review studies evaluating the effects of external rhythmical cueing on gait in patients with Parkinson's disease. Articles published from 1966 to January 2005 were searched by two physiotherapists in MEDLINE, PiCarta, PEDRo, Cochrane, DocOnline, CINAHL and SUMSEARCH. To be included, articles had to investigate the effects of external rhythmical cueing (i.e., auditory, visual or tactile cueing) on gait parameters in patients with idiopathic Parkinson's disease. Both controlled and noncontrolled studies were included. Based on the type of design and methodological quality a meta-analysis or best-evidence synthesis was applied. Twenty-four studies (total number of patients = 626) out of the 159 screened studies were evaluated in this systematic review. Two out of 24 were randomized controlled trails (RCT), both of high methodological quality. One RCT did not focus specifically on external rhythmical cueing of individual patients with Parkinson's disease, but on group exercises in general, including walking with cues. All other studies were pre-experimental studies. Best-evidence synthesis showed strong evidence for improving walking speed with the help of auditory cues. Insufficient evidence was found for the effectiveness of visual and somatosensory cueing. Only one high-quality study, specifically focused on the effects of auditory rhythmical cueing, suggesting that the walking speed of patients with Parkinson's disease can be positively influenced. However, it is unclear whether positive effects identified in the laboratory can be generalized to improved activities of daily living (ADLs) and reduced frequency of falls in the community. In addition, the sustainability of a cueing training programme remains uncertain
AB - To critically review studies evaluating the effects of external rhythmical cueing on gait in patients with Parkinson's disease. Articles published from 1966 to January 2005 were searched by two physiotherapists in MEDLINE, PiCarta, PEDRo, Cochrane, DocOnline, CINAHL and SUMSEARCH. To be included, articles had to investigate the effects of external rhythmical cueing (i.e., auditory, visual or tactile cueing) on gait parameters in patients with idiopathic Parkinson's disease. Both controlled and noncontrolled studies were included. Based on the type of design and methodological quality a meta-analysis or best-evidence synthesis was applied. Twenty-four studies (total number of patients = 626) out of the 159 screened studies were evaluated in this systematic review. Two out of 24 were randomized controlled trails (RCT), both of high methodological quality. One RCT did not focus specifically on external rhythmical cueing of individual patients with Parkinson's disease, but on group exercises in general, including walking with cues. All other studies were pre-experimental studies. Best-evidence synthesis showed strong evidence for improving walking speed with the help of auditory cues. Insufficient evidence was found for the effectiveness of visual and somatosensory cueing. Only one high-quality study, specifically focused on the effects of auditory rhythmical cueing, suggesting that the walking speed of patients with Parkinson's disease can be positively influenced. However, it is unclear whether positive effects identified in the laboratory can be generalized to improved activities of daily living (ADLs) and reduced frequency of falls in the community. In addition, the sustainability of a cueing training programme remains uncertain
KW - Acoustic Stimulation
KW - Cues
KW - Gait Disorders, Neurologic/physiopathology
KW - Humans
KW - Parkinson Disease/physiopathology
KW - Photic Stimulation
KW - Touch
UR - http://www.scopus.com/inward/record.url?scp=27144556410&partnerID=8YFLogxK
U2 - https://doi.org/10.1191/0269215505cr906oa
DO - https://doi.org/10.1191/0269215505cr906oa
M3 - Article
C2 - 16250189
SN - 0269-2155
VL - 19
SP - 695
EP - 713
JO - Clinical rehabilitation
JF - Clinical rehabilitation
IS - 7
ER -