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Barkasi M, Bansal A, Jörges B, Harris LR. Online reach adjustments induced by real-time movement sonification. Hum Mov Sci 2024; 96:103250. [PMID: 38964027 DOI: 10.1016/j.humov.2024.103250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Revised: 05/30/2024] [Accepted: 06/26/2024] [Indexed: 07/06/2024]
Abstract
Movement sonification can improve motor control in both healthy subjects (e.g., learning or refining a sport skill) and those with sensorimotor deficits (e.g., stroke patients and deafferented individuals). It is not known whether improved motor control and learning from movement sonification are driven by feedback-based real-time ("online") trajectory adjustments, adjustments to internal models over multiple trials, or both. We searched for evidence of online trajectory adjustments (muscle twitches) in response to movement sonification feedback by comparing the kinematics and error of reaches made with online (i.e., real-time) and terminal sonification feedback. We found that reaches made with online feedback were significantly more jerky than reaches made with terminal feedback, indicating increased muscle twitching (i.e., online trajectory adjustment). Using a between-subject design, we found that online feedback was associated with improved motor learning of a reach path and target over terminal feedback; however, using a within-subjects design, we found that switching participants who had learned with online sonification feedback to terminal feedback was associated with a decrease in error. Thus, our results suggest that, with our task and sonification, movement sonification leads to online trajectory adjustments which improve internal models over multiple trials, but which themselves are not helpful online corrections.
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Affiliation(s)
- Michael Barkasi
- Centre for Vision Research, York University, 4700 Keele Street, Toronto M3J 1P3, Ontario, Canada; Department of Neuroscience, Washington University School of Medicine in St. Louis, 660 S. Euclid Ave., St. Louis 63110-1010, MO, USA.
| | - Ambika Bansal
- Centre for Vision Research, York University, 4700 Keele Street, Toronto M3J 1P3, Ontario, Canada.
| | - Björn Jörges
- Centre for Vision Research, York University, 4700 Keele Street, Toronto M3J 1P3, Ontario, Canada.
| | - Laurence R Harris
- Centre for Vision Research, York University, 4700 Keele Street, Toronto M3J 1P3, Ontario, Canada.
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Tamir-Ostrover H, Hassin-Baer S, Fay-Karmon T, Friedman J. Quantifying Changes in Dexterity as a Result of Piano Training in People with Parkinson's Disease. SENSORS (BASEL, SWITZERLAND) 2024; 24:3318. [PMID: 38894110 PMCID: PMC11174779 DOI: 10.3390/s24113318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Revised: 05/01/2024] [Accepted: 05/20/2024] [Indexed: 06/21/2024]
Abstract
People with Parkinson's disease often show deficits in dexterity, which, in turn, can lead to limitations in performing activities of daily life. Previous studies have suggested that training in playing the piano may improve or prevent a decline in dexterity in this population. In this pilot study, we tested three participants on a six-week, custom, piano-based training protocol, and quantified dexterity before and after the intervention using a sensor-enabled version of the nine-hole peg test, the box and block test, a test of finger synergies using unidimensional force sensors, and the Quantitative Digitography test using a digital piano, as well as selected relevant items from the motor parts of the MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) and the Parkinson's Disease Questionnaire (PDQ-39) quality of life questionnaire. The participants showed improved dexterity following the training program in several of the measures used. This pilot study proposes measures that can track changes in dexterity as a result of practice in people with Parkinson's disease and describes a potential protocol that needs to be tested in a larger cohort.
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Affiliation(s)
- Hila Tamir-Ostrover
- Department of Physical Therapy, Faculty of Medical & Health Sciences, School of Health Professions, Tel Aviv University, Tel Aviv 6997801, Israel;
| | - Sharon Hassin-Baer
- Movement Disorders Institute and Department of Neurology, Chaim Sheba Medical Center, Tel Hashomer, Ramat-Gan 5262000, Israel; (S.H.-B.); (T.F.-K.)
- Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Tsvia Fay-Karmon
- Movement Disorders Institute and Department of Neurology, Chaim Sheba Medical Center, Tel Hashomer, Ramat-Gan 5262000, Israel; (S.H.-B.); (T.F.-K.)
- Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Jason Friedman
- Department of Physical Therapy, Faculty of Medical & Health Sciences, School of Health Professions, Tel Aviv University, Tel Aviv 6997801, Israel;
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv 6997801, Israel
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Latimer N, Reelfs A, Halbert J, Hansen J, Miller A, Barton C, Stuhr J, Zaman A, Stegemöller EL. The effects of auditory cues and weighted pens on handwriting in individuals with Parkinson's disease. J Hand Ther 2024; 37:144-152. [PMID: 37778882 DOI: 10.1016/j.jht.2023.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 07/26/2023] [Accepted: 08/08/2023] [Indexed: 10/03/2023]
Abstract
BACKGROUND Micrographia, or small handwriting, is a common symptom of Parkinson's disease (PD). Weighted pens have previously been recommended to improve handwriting, but there is limited research supporting their effectiveness. Additionally, previous research has demonstrated that music as an auditory cue can reduce variability in fine motor movements, but its effect on handwriting in people with PD remains unknown. PURPOSE This study explored potential handwriting interventions for people with PD by evaluating the effectiveness of weighted pens and auditory cues on handwriting. STUDY DESIGN This was a pilot cohort study. METHODS Eight older adults with PD used a standard pen and a weighted pen to write continuous cursive "l"s on 1.5-cm-lined paper for a total of 10 seconds while listening to auditory cues in 4 conditions: control (silence), metronome, activating music, and relaxing music. Kinematic data were measured with sensors attached to the tip of each pen, and muscle activity was measured with electromyography sensors adhered to the extensor digitorum communis and first dorsal interosseous. RESULTS When writing with the standard pen, peak-to-peak time was reduced in the metronome (control = 0.807 ± 0.121 seconds, metronome = 0.701 ± 0.100 seconds, p = 0.024) and activating (control = 0.807 ± 0.121 seconds, activating = 0.691 ± 0.113 seconds, p = 0.009) conditions compared to the control condition. Furthermore, the weighted pen increased the variability of distance between letter peaks (standard = 0.187 ± 0.010, weighted = 0.482 ± 0.065, p = 0.033) and the variability of time needed to complete each letter (standard = 0.176 ± 0.010, weighted = 0.187 ± 0.016, p = 0.042) compared to the standard pen. Finally, area under the curve of the extensor digitorum communis was reduced in the metronome (metronome = 66.03 ± 25.74 mV, control = 88.98 ± 30.40 mV, p = 0.034) and activating music (activating = 66.49 ± 26.02 mV, control = 88.98 ± 30.40 mV, p = 0.012) conditions compared to control when writing with the standard pen. CONCLUSIONS These results suggest that weighted pens may not improve handwriting in novice users, but auditory cues appear beneficial. This can inform future directions in the research and clinical application of handwriting interventions for persons with PD.
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Affiliation(s)
- Nicole Latimer
- Department of Kinesiology, Iowa State University, Ames, IA, USA
| | - Anna Reelfs
- Department of Kinesiology, Iowa State University, Ames, IA, USA
| | - Jamie Halbert
- Department of Kinesiology, Iowa State University, Ames, IA, USA
| | - Julia Hansen
- Department of Kinesiology, Iowa State University, Ames, IA, USA
| | - Ashley Miller
- Department of Kinesiology, Iowa State University, Ames, IA, USA
| | - Chloe Barton
- Department of Kinesiology, Iowa State University, Ames, IA, USA
| | - Jamie Stuhr
- Department of Kinesiology, Iowa State University, Ames, IA, USA
| | - Andrew Zaman
- Department of Kinesiology, Iowa State University, Ames, IA, USA
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Landelle C, Caron-Guyon J, Nazarian B, Anton J, Sein J, Pruvost L, Amberg M, Giraud F, Félician O, Danna J, Kavounoudias A. Beyond sense-specific processing: decoding texture in the brain from touch and sonified movement. iScience 2023; 26:107965. [PMID: 37810223 PMCID: PMC10551894 DOI: 10.1016/j.isci.2023.107965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 07/08/2023] [Accepted: 09/15/2023] [Indexed: 10/10/2023] Open
Abstract
Texture, a fundamental object attribute, is perceived through multisensory information including touch and auditory cues. Coherent perceptions may rely on shared texture representations across different senses in the brain. To test this hypothesis, we delivered haptic textures coupled with a sound synthesizer to generate real-time textural sounds. Participants completed roughness estimation tasks with haptic, auditory, or bimodal cues in an MRI scanner. Somatosensory, auditory, and visual cortices were all activated during haptic and auditory exploration, challenging the traditional view that primary sensory cortices are sense-specific. Furthermore, audio-tactile integration was found in secondary somatosensory (S2) and primary auditory cortices. Multivariate analyses revealed shared spatial activity patterns in primary motor and somatosensory cortices, for discriminating texture across both modalities. This study indicates that primary areas and S2 have a versatile representation of multisensory textures, which has significant implications for how the brain processes multisensory cues to interact more efficiently with our environment.
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Affiliation(s)
- C. Landelle
- McGill University, McConnell Brain Imaging Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, Montreal, QC, Canada
- Aix-Marseille Université, CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Marseille, France
| | - J. Caron-Guyon
- Aix-Marseille Université, CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Marseille, France
- University of Louvain, Institute for Research in Psychology (IPSY) & Institute of Neuroscience (IoNS), Louvain Bionics Center, Crossmodal Perception and Plasticity Laboratory, Louvain-la-Neuve, Belgium
| | - B. Nazarian
- Aix-Marseille Université, CNRS, Centre IRM-INT@CERIMED, Institut de Neurosciences de la Timone, INT UMR 7289, Marseille, France
| | - J.L. Anton
- Aix-Marseille Université, CNRS, Centre IRM-INT@CERIMED, Institut de Neurosciences de la Timone, INT UMR 7289, Marseille, France
| | - J. Sein
- Aix-Marseille Université, CNRS, Centre IRM-INT@CERIMED, Institut de Neurosciences de la Timone, INT UMR 7289, Marseille, France
| | - L. Pruvost
- Aix-Marseille Université, CNRS, Perception, Représentations, Image, Son, Musique, PRISM UMR 7061, Marseille, France
| | - M. Amberg
- Université Lille, Laboratoire d'Electrotechnique et d'Electronique de Puissance, EA 2697-L2EP, Lille, France
| | - F. Giraud
- Université Lille, Laboratoire d'Electrotechnique et d'Electronique de Puissance, EA 2697-L2EP, Lille, France
| | - O. Félician
- Aix Marseille Université, INSERM, Institut des Neurosciences des Systèmes, INS UMR 1106, Marseille, France
| | - J. Danna
- Aix-Marseille Université, CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Marseille, France
- Université de Toulouse, CNRS, Laboratoire Cognition, Langues, Langage, Ergonomie, CLLE UMR5263, Toulouse, France
| | - A. Kavounoudias
- Aix-Marseille Université, CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Marseille, France
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Peyre I, Roby-Brami A, Segalen M, Giron A, Caramiaux B, Marchand-Pauvert V, Pradat-Diehl P, Bevilacqua F. Effect of sonification types in upper-limb movement: a quantitative and qualitative study in hemiparetic and healthy participants. J Neuroeng Rehabil 2023; 20:136. [PMID: 37798637 PMCID: PMC10552218 DOI: 10.1186/s12984-023-01248-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 09/13/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND Movement sonification, the use of real-time auditory feedback linked to movement parameters, have been proposed to support rehabilitation. Nevertheless, if promising results have been reported, the effect of the type of sound used has not been studied systematically. The aim of this study was to investigate in a single session the effect of different types of sonification both quantitatively and qualitatively on patients with acquired brain lesions and healthy participants. METHODS An experimental setup enabling arm sonification was developed using three different categories of sonification (direct sound modulation, musical interaction, and soundscape). Simple moving forward movements performed while sliding on a table with both arms were investigated with all participants. Quantitative analysis on the movement timing were performed considering various parameters (sound condition, affected arm and dominance, sonification categories). Qualitative analysis of semi-structured interviews were also conducted, as well as neuropsychological evaluation of music perception. RESULTS For both the patient and healthy groups (15 participants each), average duration for performing the arm movement is significantly longer with sonification compared to the no-sound condition (p < 0.001). Qualitative analysis of semi-structured interviews revealed different aspects of motivational and affective aspects of sonification. Most participants of both groups preferred to complete the task with sound (29 of 30 participants), and described the experience as playful (22 of 30 participants). More precisely, the soundscape (nature sounds) was the most constantly preferred (selected first by 14 of 30 participants). CONCLUSION Overall, our results confirm that the sonification has an effect on the temporal execution of the movement during a single-session. Globally, sonification is welcomed by the participants, and we found convergent and differentiated appreciations of the different sonification types.
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Affiliation(s)
- Iseline Peyre
- UMR STMS, Ircam, CNRS, Sorbonne Université, 75004, Paris, France
- ISIR, CNRS UMR 7222, Inserm U1150, Sorbonne Université, 75005, Paris, France
- Laboratoire d'Imagerie Biomédicale (LIB), Inserm, CNRS, Sorbonne Université, 75006, Paris, France
| | - Agnès Roby-Brami
- ISIR, CNRS UMR 7222, Inserm U1150, Sorbonne Université, 75005, Paris, France
| | - Maël Segalen
- UMR STMS, Ircam, CNRS, Sorbonne Université, 75004, Paris, France
- ISIR, CNRS UMR 7222, Inserm U1150, Sorbonne Université, 75005, Paris, France
| | - Alain Giron
- Laboratoire d'Imagerie Biomédicale (LIB), Inserm, CNRS, Sorbonne Université, 75006, Paris, France
| | - Baptiste Caramiaux
- ISIR, CNRS UMR 7222, Inserm U1150, Sorbonne Université, 75005, Paris, France
| | | | - Pascale Pradat-Diehl
- Laboratoire d'Imagerie Biomédicale (LIB), Inserm, CNRS, Sorbonne Université, 75006, Paris, France
- AP-HP, Hôpital Pitié-Salpêtrière, Maladies du Système Nerveux, 75013, Paris, France
- GRC HaMCRe, Sorbonne Université, 75013, Paris, France
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Tamiasso RSS, Silva VAD, Turrini RNT. Membranophone percussion instruments in music therapy with adult patients in the health context: a scope review. Rev Esc Enferm USP 2023; 57:e20220263. [PMID: 37486369 PMCID: PMC10364967 DOI: 10.1590/1980-220x-reeusp-2022-0263en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 04/14/2023] [Indexed: 07/25/2023] Open
Abstract
OBJECTIVE To map scientific knowledge about the use of percussion instruments in music therapy in individuals over 18 years of age in the health context. METHOD Scope review with search strategy implemented in September 2021, in 13 databases, using indexed descriptors and keywords. Studies on the use of membranophones for care of people over 18 years of age were included. Studies with the participation of pregnant women, psychiatric patients (schizophrenia, psychosis, addiction), or people with hearing impairment, and journal editorials were excluded. The selection process was carried out by two independent researchers. RESULTS Thirteen studies were included and the results showed that the membranophones have a positive impact on the physical, psychological, and social health of people in different care environments, and allow them to repeat rhythmic patterns and play music. Active music therapy was the strategy predominantly used in interventions, and the most used membranophone was the djembe. CONCLUSION The results suggest that music therapy with membranophones proved to be a viable intervention with beneficial results in improving physical, psychological, and social health of people over 18 years of age.
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Affiliation(s)
- Renata Souza Souto Tamiasso
- Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil
| | - Vladimir Araujo da Silva
- Universidade Federal de Santa Catarina - Campus de Curitibanos, Coordenadoria Especial de Biociências e Saúde Única, Curitibanos, SC, Brazil
| | - Ruth Natalia Teresa Turrini
- Escola de Enfermagem - Programa de Pós-graduação Enfermagem na Saúde do Adulto, Universidade de São Paulo, São Paulo, SP, Brazil
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Current Treatments and New, Tentative Therapies for Parkinson’s Disease. Pharmaceutics 2023; 15:pharmaceutics15030770. [PMID: 36986631 PMCID: PMC10051786 DOI: 10.3390/pharmaceutics15030770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 02/21/2023] [Accepted: 02/23/2023] [Indexed: 03/02/2023] Open
Abstract
Parkinson’s disease (PD) is a neurodegenerative pathology, the origin of which is associated with the death of neuronal cells involved in the production of dopamine. The prevalence of PD has increased exponentially. The aim of this review was to describe the novel treatments for PD that are currently under investigation and study and the possible therapeutic targets. The pathophysiology of this disease is based on the formation of alpha-synuclein folds that generate Lewy bodies, which are cytotoxic and reduce dopamine levels. Most pharmacological treatments for PD target alpha-synuclein to reduce the symptoms. These include treatments aimed at reducing the accumulation of alpha-synuclein (epigallocatechin), reducing its clearance via immunotherapy, inhibiting LRRK2, and upregulating cerebrosidase (ambroxol). Parkinson’s disease continues to be a pathology of unknown origin that generates a significant social cost for the patients who suffer from it. Although there is still no definitive cure for this disease at present, there are numerous treatments available aimed at reducing the symptomatology of PD in addition to other therapeutic alternatives that are still under investigation. However, the therapeutic approach to this pathology should include a combination of pharmacological and non-pharmacological strategies to maximise outcomes and improve symptomatological control in these patients. It is therefore necessary to delve deeper into the pathophysiology of the disease in order to improve these treatments and therefore the quality of life of the patients.
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Machado Sotomayor MJ, Arufe-Giráldez V, Ruíz-Rico G, Navarro-Patón R. Music Therapy and Parkinson's Disease: A Systematic Review from 2015-2020. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111618. [PMID: 34770129 PMCID: PMC8582661 DOI: 10.3390/ijerph182111618] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 10/28/2021] [Accepted: 11/02/2021] [Indexed: 12/05/2022]
Abstract
Parkinson’s disease can be approached from various points of view, one of which is music therapy—a complementary therapy to a pharmacological one. This work aims to compile the scientific evidence published in the last five years (2015–2020) on the effects of music therapy in patients with Parkinson’s disease. A systematic review has been performed using the Web of Science and Scopus databases with the descriptors “music therapy” and “Parkinson’s disease”. A total of 281 eligible articles were identified, which, after applying the inclusion and exclusion criteria, were reduced to 58 papers. The results display a great diversity of evidence, confirming positive effects on various spheres. All mentioned patients with Parkinson’s disease had experienced different music therapy programs. Some studies focused on the motor component, which can be addressed through listening, body rhythm, and rhythmic auditory stimulation. Other studies confirm effects on communication, swallowing, breathing, and the emotional aspect through programs that focus on singing, either individually or in groups, in order to improve the quality of life of people with PD. It was concluded that music therapy programs can achieve improvements in various areas of patients with Parkinson’s.
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Affiliation(s)
| | - Víctor Arufe-Giráldez
- Department of Specific Teaching Training and Research and Diagnosis Methods in Education, University of A Coruña, 15001 A Coruña, Spain
- Correspondence:
| | - Gerardo Ruíz-Rico
- Department of Education, Educational Sciences Faculty, University of Almería, 04120 Almería, Spain;
| | - Rubén Navarro-Patón
- Department of Applied Learning, Faculty of Teacher Training, Universidade de Santiago de Compostela, 15705 Santiago de Compostela, Spain;
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