Effect of rhythmic auditory cueing on gait in cerebral palsy: a systematic review and meta-analysis

Shashank Ghai,1 Ishan Ghai,2 Alfred O. Effenberg1 1Institute for Sports Science, Leibniz University Hannover, Hannover, Germany; 2School of Life Sciences, Jacobs University, Bremen, Germany Abstract: Auditory entrainment can influence gait performance in movement disorders. The entrainment can inc...

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Autores principales: Ghai S, Ghai I, Effenberg AO
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Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:10d3aa2c82b1434e9c587e38061d27eb2021-12-02T08:51:22ZEffect of rhythmic auditory cueing on gait in cerebral palsy: a systematic review and meta-analysis1178-2021https://doaj.org/article/10d3aa2c82b1434e9c587e38061d27eb2017-12-01T00:00:00Zhttps://www.dovepress.com/effect-of-rhythmic-auditory-cueing-on-gait-in-cerebral-palsy-a-systema-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Shashank Ghai,1 Ishan Ghai,2 Alfred O. Effenberg1 1Institute for Sports Science, Leibniz University Hannover, Hannover, Germany; 2School of Life Sciences, Jacobs University, Bremen, Germany Abstract: Auditory entrainment can influence gait performance in movement disorders. The entrainment can incite neurophysiological and musculoskeletal changes to enhance motor execution. However, a consensus as to its effects based on gait in people with cerebral palsy is still warranted. A systematic review and meta-analysis were carried out to analyze the effects of rhythmic auditory cueing on spatiotemporal and kinematic parameters of gait in people with cerebral palsy. Systematic identification of published literature was performed adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses and American Academy for Cerebral Palsy and Developmental Medicine guidelines, from inception until July 2017, on online databases: Web of Science, PEDro, EBSCO, Medline, Cochrane, Embase and ProQuest. Kinematic and spatiotemporal gait parameters were evaluated in a meta-analysis across studies. Of 547 records, nine studies involving 227 participants (108 children/119 adults) met our inclusion criteria. The qualitative review suggested beneficial effects of rhythmic auditory cueing on gait performance among all included studies. The meta-analysis revealed beneficial effects of rhythmic auditory cueing on gait dynamic index (Hedge’s g=0.9), gait velocity (1.1), cadence (0.3), and stride length (0.5). This review for the first time suggests a converging evidence toward application of rhythmic auditory cueing to enhance gait performance and stability in people with cerebral palsy. This article details underlying neurophysiological mechanisms and use of cueing as an efficient home-based intervention. It bridges gaps in the literature, and suggests translational approaches on how rhythmic auditory cueing can be incorporated in rehabilitation approaches to enhance gait performance in people with cerebral palsy. Keywords: entrainment, spastic diplegia, hemiplegia, ataxia, rehabilitation, balance Ghai SGhai IEffenberg AODove Medical Pressarticleentrainmentspastic diplegiahemiplegiaataxiarehabilitationbalanceNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 43-59 (2017)
institution DOAJ
collection DOAJ
language EN
topic entrainment
spastic diplegia
hemiplegia
ataxia
rehabilitation
balance
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle entrainment
spastic diplegia
hemiplegia
ataxia
rehabilitation
balance
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Ghai S
Ghai I
Effenberg AO
Effect of rhythmic auditory cueing on gait in cerebral palsy: a systematic review and meta-analysis
description Shashank Ghai,1 Ishan Ghai,2 Alfred O. Effenberg1 1Institute for Sports Science, Leibniz University Hannover, Hannover, Germany; 2School of Life Sciences, Jacobs University, Bremen, Germany Abstract: Auditory entrainment can influence gait performance in movement disorders. The entrainment can incite neurophysiological and musculoskeletal changes to enhance motor execution. However, a consensus as to its effects based on gait in people with cerebral palsy is still warranted. A systematic review and meta-analysis were carried out to analyze the effects of rhythmic auditory cueing on spatiotemporal and kinematic parameters of gait in people with cerebral palsy. Systematic identification of published literature was performed adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses and American Academy for Cerebral Palsy and Developmental Medicine guidelines, from inception until July 2017, on online databases: Web of Science, PEDro, EBSCO, Medline, Cochrane, Embase and ProQuest. Kinematic and spatiotemporal gait parameters were evaluated in a meta-analysis across studies. Of 547 records, nine studies involving 227 participants (108 children/119 adults) met our inclusion criteria. The qualitative review suggested beneficial effects of rhythmic auditory cueing on gait performance among all included studies. The meta-analysis revealed beneficial effects of rhythmic auditory cueing on gait dynamic index (Hedge’s g=0.9), gait velocity (1.1), cadence (0.3), and stride length (0.5). This review for the first time suggests a converging evidence toward application of rhythmic auditory cueing to enhance gait performance and stability in people with cerebral palsy. This article details underlying neurophysiological mechanisms and use of cueing as an efficient home-based intervention. It bridges gaps in the literature, and suggests translational approaches on how rhythmic auditory cueing can be incorporated in rehabilitation approaches to enhance gait performance in people with cerebral palsy. Keywords: entrainment, spastic diplegia, hemiplegia, ataxia, rehabilitation, balance 
format article
author Ghai S
Ghai I
Effenberg AO
author_facet Ghai S
Ghai I
Effenberg AO
author_sort Ghai S
title Effect of rhythmic auditory cueing on gait in cerebral palsy: a systematic review and meta-analysis
title_short Effect of rhythmic auditory cueing on gait in cerebral palsy: a systematic review and meta-analysis
title_full Effect of rhythmic auditory cueing on gait in cerebral palsy: a systematic review and meta-analysis
title_fullStr Effect of rhythmic auditory cueing on gait in cerebral palsy: a systematic review and meta-analysis
title_full_unstemmed Effect of rhythmic auditory cueing on gait in cerebral palsy: a systematic review and meta-analysis
title_sort effect of rhythmic auditory cueing on gait in cerebral palsy: a systematic review and meta-analysis
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/10d3aa2c82b1434e9c587e38061d27eb
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AT effenbergao effectofrhythmicauditorycueingongaitincerebralpalsyasystematicreviewandmetaanalysis
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