Page 32 - NAMAH-Jan-2023

Effects of Musical Cueing in Gait Kinematics

Aradhana Deogharia

Abstract
Swinging of the arm is biologically rhythmic when paired with normal walking. Rhythmic
Auditory Stimulation uses the physiological effects of auditory rhythm on the motor system
to improve the movement control in rehabilitation of adaptive gait patterns in patients with
significant gait deficit due to neurological impairment. Most people with Parkinson’s disease
experience walking difficulties as the disease progresses and eventually have a profound impact
on daily living activities with subsequent loss of independence. This rhythmic musical cueing
technique is very effective in gait kinematics for patients with Parkinson Disease. Social dancing in
a group is also very effective to improve balancing and emotional well-being with social support.

score areas were mobility, emotional well-
being and social support. She is concerned
regarding her walking pace, balance and
ability to participate in some daily living
activities. A three-day per week individual
session of musical cueing is included in her
treatment plan along with group dancing
class.

To understand what is musical cueing we need
to understand the two important components
of gait kinematics:

During our Thursday evening session, Mrs. i. Gait cycle
Nilima, a 74-year-old lady diagnosed with It is also called ‘Stride’ and can be measured
early-stage PD came to our therapy centre in both time and distance. The cycle is the
for musical cueing exercises. After primary sequence that each limb goes through
counselling and need-assessment, her lowest repetitively as we ambulate. There are two

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