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The Immediate Effect of Attentional, Auditory, and a Combined Cue Strategy on Gait During Single and Dual Tasks in Parkinson’s Disease
Open accessAbstract
Objective To compare the effect of rhythmic auditory and attentional cues, and a combination of both cues on gait, in people with Parkinson's disease (PD) during single and dual tasks. Design A repeated-measures study requiring participants to perform single and dual-motor tasks under different cueing conditions. Setting Human movement analysis laboratory. Participants Fifteen participants with idiopathic PD and a comparison group of 12 healthy participants. Interventions Three cueing strategies were compared: a rhythmic auditory cue (walking in time to a metronome beat), an attentional strategy (asked to focus on taking big step), and a combination cue (asked to walk in time to a metronome beat while taking big steps). Main outcome measures Walking speed, step amplitude, and step frequency. Results Walking speed of PD participants improved significantly compared with noncued walking in the single- and dual-task condition with the attentional (P Conclusions The attentional strategy and the combination of a rhythmic auditory cue with an attentional strategy were equally effective, and improved walking speed and step amplitude significantly during both single and dual tasks. The combination cue, however, may still be a useful alternative in situations of increased attentional demand, or where problems exist with executive function.
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“whereas the use of an internal cue such as “think about taking larger steps” significantly reduced step frequency in persons with PD (Baker et al., 2007).”
From Respiratory Responses to Two Voice Interventions for Parkinson's Disease (2022) · cites this paper as Baker et al., 2007
In the citing paper
“whereas an internal cue such as “think about taking larger steps” significantly reduced step frequency in persons with PD (Baker et al., 2007).”
From Perception of Physical Demand, Mental Demand, and Performance: A Comparison of Two Voice Interventions for Parkinson's Disease (2022) · cites this paper as Baker et al., 2007
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“However, it is difficult to predict the optimal frequency to use during therapy sessions, and attuning audio cues to the needs of the patient requires trial and error, which often limits the efficacy of therapy [18], [19].”
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“For experiment 1, sample size was calculated based on data from a study which investigated the immediate effects of attentional focus strategies [36], which indicated that 28 participants (14 participants per group) would be sufficient to detect effects of attentional focus on dual-task walking performance (effect siz…”
MethodSynchronization performance affects gait variability measures during cued walking
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“…Unpaced gait; Individualized paced gait Auditory Preferred cadence, and + 10 % of the preferred cadence 9/10 68.2 (8.0)/ 70.2 (6.8) n.r n.r n.r n.r Baker et al., 2007 Unpaced gait; Individualized paced gait in simple and dual-task condition Auditory Preferred cadence, and - 10 % of the preferred…”
BackgroundInfluentialSilva‐Batista, C., Harker, G. R., Carlson‐Kuhta, P., Pearson, S., VanDerwalker, J., Horak, F. B., El‐Gohary, M., & Mancini, M. (2026) · Gait & Posture · doi:10.1016/j.gaitpost.2026.110197
Metadata
- Authors
- Baker, K., Rochester, L., & Nieuwboer, A.
- Affiliations
- Northumbria University (GB)
- KU Leuven (BE)
- Corresponding author
- Baker, Katherine
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2007-12
- Volume
- 88
- Issue
- 12
- Pages
- 1593-1600
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W2073354809
- Cited by
- 191
- References
- 46
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 10 · 2023: 8 · 2022: 11 · 2021: 4 · 2020: 6 · 2019: 12 · 2018: 13 · 2017: 16 · 2016: 6 · 2015: 13 · 2014: 13 · 2013: 11 · 2012: 9
- FWCI
- 33.92
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Northumbria Research Link (Northumbria University) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
- Keywords
- Parkinson's disease, gait, dual-task walking, rhythmic auditory cueing, metronome, attentional cueing, walking speed, cadence, executive function
- MeSH terms
- Aged, Attention, Auditory Perception, Cues, Female, Humans, Male, Parkinson Disease, Psychomotor Performance, Reaction Time, Walking, Gait Ataxia
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