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Detrended fluctuation analysis of gait dynamics when entraining to music and metronomes at different tempi in persons with multiple sclerosis.

Scientific reports
January 1, 1970
Lousin Moumdjian et al. (7 authors)
Clinical TrialJournal ArticleMulticenter StudyResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to understand the dynamic interaction of step synchronization to auditory stimuli (music and metronomes) at different tempi in persons with multiple sclerosis (PwMS) and healthy controls, focusing on gait dynamics.

Results Summary

The study found no group differences between PwMS and healthy controls, but higher gait dynamics (measured by alpha) when walking to music compared to metronomes and at higher tempi (+8%, +10%). This suggests better precision and adaptation when synchronizing steps to music and faster tempi.

Population

28 persons with multiple sclerosis (PwMS) and 29 healthy controls.

Effective Dosage

6 tempi (0-10% in increments of 2%).

Duration

Not specified.

Interactions

None mentioned.

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
synchronizing walking to auditory stimuli such as to music and metronomes
increase
step frequency
persons with multiple sclerosis (PwMS)
-
positive clinical effects have been reported
#1
synchronizing walking to auditory stimuli such as to music and metronomes
decrease
perception of fatigue
persons with multiple sclerosis (PwMS)
-
positive clinical effects have been reported
#2
walking to music
increase
gait dynamics
28 PwMS and 29 healthy controls
-
significantly higher alpha
#3
walking to music and metronomes at tempi +8, +10%
increase
gait dynamics
28 PwMS and 29 healthy controls
-
significantly higher alpha
#4
Abstract

In persons with multiple sclerosis (PwMS), synchronizing walking to auditory stimuli such as to music and metronomes have been shown to be feasible, and positive clinical effects have been reported on step frequency and perception of fatigue. Yet, the dynamic interaction during the process of synchronization, such as the coupling of the steps to the beat intervals in music and metronomes, and at different tempi remain unknown. Understanding these interactions are clinically relevant, as it reflects the pattern of step intervals over time, known as gait dynamics. 28 PwMS and 29 healthy controls were instructed to walk to music and metronomes at 6 tempi (0-10% in increments of 2%). Detrended fluctuation analysis was applied to calculate the fractal statistical properties of the gait time-series to quantify gait dynamics by the outcome measure alpha. The results showed no group differences, but significantly higher alpha when walking to music compared to metronomes, and when walking to both stimuli at tempi + 8, + 10% compared to lower tempi. These observations suggest that the precision and adaptation gain differ during the coupling of the steps to beats in music compared to metronomes (continuous compared to discrete auditory structures) and at different tempi (different inter-beat-intervals).

Medical Subject Headings (MeSH)
Acoustic StimulationAdultAgedAuditory PerceptionFemaleGaitHumansMaleMiddle AgedMultiple SclerosisTime PerceptionWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations13
Citations/Year2.6
Relative Citation Ratio1.29
NIH Percentile59.8%
Research Impact Scores
APT Score0.75
Weight Score1.69
Normalized Score0.66
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