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

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Ghai, S.; Ghai, I.; Effenberg, A.O.: Effect of rhythmic auditory cueing on gait in cerebral palsy: A systematic review and meta-analysis. In: Neuropsychiatric Disease and Treatment 14 (2018), S. 43-59. DOI: https://doi.org/10.2147/NDT.S148053

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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.
License of this version: CC BY-NC 3.0
Document Type: article
Publishing status: publishedVersion
Issue Date: 2018
Appears in Collections:Philosophische Fakultät

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pos. country downloads
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1 image of flag of Germany Germany 57 76.00%
2 image of flag of India India 3 4.00%
3 image of flag of China China 3 4.00%
4 image of flag of Pakistan Pakistan 2 2.67%
5 image of flag of France France 2 2.67%
6 image of flag of Switzerland Switzerland 2 2.67%
7 image of flag of South Africa South Africa 1 1.33%
8 image of flag of Turkey Turkey 1 1.33%
9 image of flag of Netherlands Netherlands 1 1.33%
10 image of flag of Algeria Algeria 1 1.33%
    other countries 2 2.67%

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