Cochen De Cock, Valérie, Dotov, Dobromir, Damm, Loic, Lacombe, Sandy, Ihalainen, Petra, Picot, Marie Christine, Galtier, Florence, Lebrun, Cindy, Giordano, Aurélie, Driss, Valérie, Geny, Christian, Garzo, Ainara, Hernandez, Erik, Van Dyck, Edith, Leman, Marc, Villing, Rudi, Bardy, Benoit G. and Dalla Bella, Simone (2021) BeatWalk: Personalized Music-Based Gait Rehabilitation in Parkinson’s Disease. Frontiers in Psychology, 12. pp. 1-9. ISSN 1664-1078
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Abstract
Taking regular walks when living with Parkinson’s disease (PD) has beneficial effects on
movement and quality of life. Yet, patients usually show reduced physical activity compared
to healthy older adults. Using auditory stimulation such as music can facilitate walking but
patients vary significantly in their response. An individualized approach adapting musical tempo
to patients’ gait cadence, and capitalizing on these individual differences, is likely to provide
a rewarding experience, increasing motivation for walk-in PD. We aim to evaluate the
observance, safety, tolerance, usability, and enjoyment of a new smartphone application. It
was coupled with wearable sensors (BeatWalk) and delivered individualized musical stimulation
for gait auto-rehabilitation at home. Forty-five patients with PD underwent a 1-month, outdoor,
uncontrolled gait rehabilitation program, using the BeatWalk application (30 min/day, 5 days/
week). The music tempo was being aligned in real-time to patients’ gait cadence in a way
that could foster an increase up to +10% of their spontaneous cadence. Open-label evaluation
was based on BeatWalk use measures, questionnaires, and a six-minute walk test. Patients
used the application 78.8% (±28.2) of the prescribed duration and enjoyed it throughout the
program. The application was considered “easy to use” by 75% of the patients. Pain, fatigue,
and falls did not increase. Fear of falling decreased and quality of life improved. After the
program, patients improved their gait parameters in the six-minute walk test without musical
stimulation. BeatWalk is an easy to use, safe, and enjoyable musical application for individualized
gait rehabilitation in PD. It increases “walk for exercise” duration thanks to high observance.
Item Type: | Article |
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Keywords: | Parkinson’s disease; cueing; rhythmic auditory stimulation; physical activity; gait rehabilitation; precision medicine BeatWalk; |
Academic Unit: | Assisting Living & Learning,ALL institute Faculty of Science and Engineering > Electronic Engineering Faculty of Science and Engineering > Research Institutes > Hamilton Institute |
Item ID: | 15708 |
Identification Number: | 10.3389/fpsyg.2021.655121 |
Depositing User: | Rudi Villing |
Date Deposited: | 22 Mar 2022 12:12 |
Journal or Publication Title: | Frontiers in Psychology |
Publisher: | Frontiers Media |
Refereed: | Yes |
Related URLs: | |
URI: | https://mu.eprints-hosting.org/id/eprint/15708 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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