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Goetschalckx M, Feys P, Rameckers E, Moens B, Leman M, Moumdjian L. Auditory-motor synchronization in developmental coordination disorder: Effects on interlimb coordination during walking and running. Ann N Y Acad Sci 2024; 1540:307-323. [PMID: 39320072 DOI: 10.1111/nyas.15228] [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] [Indexed: 09/26/2024]
Abstract
Developmental coordination disorder (DCD) presents challenges in motor control. DCD affects tasks such as walking and running and is characterized by poor interlimb coordination and increased spatiotemporal variability compared to typically developing children (TDC). While auditory rhythm synchronization has shown to have benefits for gait performance in adults, its impact on children with DCD during walking and running remains unclear. This study investigated auditory-motor synchronization and interlimb coordination during walking and running in children with and without DCD. Twenty-one DCD and 23 TDC participants aged 8-12 years walked and ran to two different auditory metronomes (discrete and continuous). Synchronization consistency was the primary outcome, with interlimb coordination and spatiotemporal variability as secondary outcomes. Results showed that children with DCD exhibited significantly lower synchronization consistency than TDC, particularly during running. The metronome structure did not influence synchronization ability. Additionally, interlimb coordination differed significantly between DCD and TDC during running and was not impacted by auditory-motor synchronization. Spatiotemporal variability was higher in DCD during both walking and running than in TDC, and accentuated during running. Variability of cadence was influenced by the use of continuous metronomes, which may offer potential benefits in reducing cadence variability.
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Affiliation(s)
- Mieke Goetschalckx
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium
| | - Peter Feys
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium
| | - Eugene Rameckers
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium
- Department of Rehabilitation Medicine, CAPHRI, FHML, Maastricht University, Maastricht, The Netherlands
- Centre of Expertise, Adelante Rehabilitation Centre, Valkenburg, The Netherlands
| | - Bart Moens
- IPEM, Institute of Psychoacoustic and Electronic Music, Faculty of Art and Philosophy, Gent University, Gent, Belgium
| | - Marc Leman
- IPEM, Institute of Psychoacoustic and Electronic Music, Faculty of Art and Philosophy, Gent University, Gent, Belgium
| | - Lousin Moumdjian
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium
- IPEM, Institute of Psychoacoustic and Electronic Music, Faculty of Art and Philosophy, Gent University, Gent, Belgium
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2
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Vanbilsen N, Kotz SA, Rosso M, Leman M, Triccas LT, Feys P, Moumdjian L. Auditory attention measured by EEG in neurological populations: systematic review of literature and meta-analysis. Sci Rep 2023; 13:21064. [PMID: 38030693 PMCID: PMC10687139 DOI: 10.1038/s41598-023-47597-5] [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: 08/28/2023] [Accepted: 11/16/2023] [Indexed: 12/01/2023] Open
Abstract
Sensorimotor synchronization strategies have been frequently used for gait rehabilitation in different neurological populations. Despite these positive effects on gait, attentional processes required to dynamically attend to the auditory stimuli needs elaboration. Here, we investigate auditory attention in neurological populations compared to healthy controls quantified by EEG recordings. Literature was systematically searched in databases PubMed and Web of Science. Inclusion criteria were investigation of auditory attention quantified by EEG recordings in neurological populations in cross-sectional studies. In total, 35 studies were included, including participants with Parkinson's disease (PD), stroke, Traumatic Brain Injury (TBI), Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS). A meta-analysis was performed on P3 amplitude and latency separately to look at the differences between neurological populations and healthy controls in terms of P3 amplitude and latency. Overall, neurological populations showed impairments in auditory processing in terms of magnitude and delay compared to healthy controls. Consideration of individual auditory processes and thereafter selecting and/or designing the auditory structure during sensorimotor synchronization paradigms in neurological physical rehabilitation is recommended.
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Affiliation(s)
- Nele Vanbilsen
- Universitair Multiple Sclerosis Centrum (UMSC), Hasselt-Pelt, Hasselt, Belgium.
- Faculty of Rehabilitation Sciences, REVAL Rehabilitation Research Center, University of Hasselt, Agoralaan Gebouw A, 3590, Diepenbeek, Belgium.
| | - Sonja A Kotz
- Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
| | - Mattia Rosso
- Faculty of Arts and Philosophy, IPEM Institute of Psychoacoustics and Electronic Music, University of Ghent, Miriam Makebaplein 1, 9000, Gent, Belgium
- Université de Lille, ULR 4072 - PSITEC - Psychologie: Interactions, Temps, Emotions, Cognition, Lille, France
| | - Marc Leman
- Faculty of Arts and Philosophy, IPEM Institute of Psychoacoustics and Electronic Music, University of Ghent, Miriam Makebaplein 1, 9000, Gent, Belgium
| | - Lisa Tedesco Triccas
- Faculty of Rehabilitation Sciences, REVAL Rehabilitation Research Center, University of Hasselt, Agoralaan Gebouw A, 3590, Diepenbeek, Belgium
- Department of Movement and Clinical Neurosciences, Institute of Neurology, University College London, 33 Queen Square, London, UK
| | - Peter Feys
- Universitair Multiple Sclerosis Centrum (UMSC), Hasselt-Pelt, Hasselt, Belgium
- Faculty of Rehabilitation Sciences, REVAL Rehabilitation Research Center, University of Hasselt, Agoralaan Gebouw A, 3590, Diepenbeek, Belgium
| | - Lousin Moumdjian
- Universitair Multiple Sclerosis Centrum (UMSC), Hasselt-Pelt, Hasselt, Belgium
- Faculty of Rehabilitation Sciences, REVAL Rehabilitation Research Center, University of Hasselt, Agoralaan Gebouw A, 3590, Diepenbeek, Belgium
- Faculty of Arts and Philosophy, IPEM Institute of Psychoacoustics and Electronic Music, University of Ghent, Miriam Makebaplein 1, 9000, Gent, Belgium
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3
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Rehfeld K, Fritz TH, Prinz A, Schneider L, Villringer A, Witte K. Musical feedback system Jymmin® leads to enhanced physical endurance in the elderly—A feasibility study. Front Sports Act Living 2022; 4:915926. [PMID: 36032261 PMCID: PMC9403307 DOI: 10.3389/fspor.2022.915926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 07/20/2022] [Indexed: 11/29/2022] Open
Abstract
Background and objectives Active music-making in combination with physical exercise has evoked several positive effects in users of different age groups. These include enhanced mood, muscular effectivity, pain threshold, and decreased perceived exertion. The present study tested the applicability of this musical feedback system, called Jymmin®, in combination with strength-endurance exercises in a population of healthy older adults. Research design and methods Sixteen healthy, physically inactive older adults (5 males, 11 females) at the mean age of 70 years performed physical exercise in two conditions: A conventional work-out while listening passively music and a Jymmin® work-out, where musical sounds were created with one's work-out movements. According to the hypothesis that strength-endurance is increased during musical feedback exercise, parameters relating to strength-endurance were assessed, including exercise duration, number of repetitions, perceived exertion (RPE), and participants' mental state (Multidimensional Mood State Questionnaire; MDMQ). Results Results show that participants exercised significantly longer while doing Jymmin® (Mdn = 248.75 s) as compared to the conventional work-out (Mdn = 182.73 s), (Z = 3.408, p = 0.001). The RPE did not differ between conventional work-out and the Jymmin® condition, even though participants worked out significantly longer during the Jymmin® condition (Mdn = 14.50; Z = −0.905; p = 0.366). The results of the MDMQ showed no significant differences between both conditions (Z = −1.037; p = 0.300). Discussion and implications Results show that participants could work out longer while showing the same perceived exertion, relating to increased physical endurance. Music feedback work-out encouraged a greater degree of isometric contractions (muscle actively held at fixed length) and, therefore, less repetitions in this condition. In addition to the previously described effect on muscle effectivity, this non-stereotypic contraction pattern during music feedback training may have enhanced endurance in participants supporting them to better proportion energetic reserves during training (pacing). Clinical trial registration Identifier: DRKS00023645.
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Affiliation(s)
- Kathrin Rehfeld
- Institute for Sport Science, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
- *Correspondence: Kathrin Rehfeld
| | - Thomas Hans Fritz
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Institute for Psychoacoustics and Electronic Music (IPEM), Ghent, Belgium
| | - Alexander Prinz
- Institute for Sport Science, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Lydia Schneider
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Arno Villringer
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Kerstin Witte
- Institute for Sport Science, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
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4
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Van den Berghe P, Derie R, Bauwens P, Gerlo J, Segers V, Leman M, De Clercq D. Reducing the peak tibial acceleration of running by music-based biofeedback: A quasi-randomized controlled trial. Scand J Med Sci Sports 2022; 32:698-709. [PMID: 34982842 DOI: 10.1111/sms.14123] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 11/05/2021] [Accepted: 12/23/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Running retraining with the use of biofeedback on an impact measure has been executed or evaluated in the biomechanics laboratory. Here, the execution and evaluation of feedback-driven retraining are taken out of the laboratory. PURPOSE To determine whether biofeedback can reduce the peak tibial acceleration with or without affecting the running cadence in a 3-week retraining protocol. STUDY DESIGN Quasi-randomized controlled trial. METHODS Twenty runners with high peak tibial acceleration were allocated to either the retraining (n=10, 32.1±7.8 yrs., 10.9±2.8 g) or control groups (n=10, 39.1±10.4 yrs., 13.0±3.9 g). They performed six running sessions in an athletic training environment. A body-worn system collected axial tibial acceleration and provided real-time feedback. The retraining group received music-based biofeedback in a faded feedback scheme. Pink noise was superimposed on tempo-synchronized music when the peak tibial acceleration was ≥70% of the runner's baseline. The control group received tempo-synchronized music, which acted as a placebo for blinding purposes. Speed feedback was provided to obtain a stable running speed of ~2.9 m·s-1 . Peak tibial acceleration and running cadence were evaluated. RESULTS A significant group by feedback interaction effect was detected for peak tibial acceleration. The experimental group had a decrease in peak tibial acceleration by 25.5% (mean: 10.9±2.8 g versus 8.1±3.9 g, p=0.008, d=1.08, mean difference = 2.77 [0.94, 4.61]) without changing the running cadence. The control group had no change in peak tibial acceleration nor in running cadence. CONCLUSION The retraining protocol was effective at reducing the peak tibial acceleration in high-impact runners by reacting to music-based biofeedback that was provided in real-time per wearable technology in a training environment. This reduction magnitude may have meaningful influences on injury risk.
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Affiliation(s)
- Pieter Van den Berghe
- Biomechanics and Motor Control of Human Movement, Department of Movement and Sports Sciences, Ghent University, Belgium
| | - Rud Derie
- Biomechanics and Motor Control of Human Movement, Department of Movement and Sports Sciences, Ghent University, Belgium
| | - Pieter Bauwens
- Centre for Microsystems Technology (CMST), Department of Electronics and Information Systems, Ghent University, Belgium
| | - Joeri Gerlo
- Biomechanics and Motor Control of Human Movement, Department of Movement and Sports Sciences, Ghent University, Belgium
| | - Veerle Segers
- Biomechanics and Motor Control of Human Movement, Department of Movement and Sports Sciences, Ghent University, Belgium
| | - Marc Leman
- IPEM, Department of Arts, Music and Theatre Sciences, Ghent University, Belgium
| | - Dirk De Clercq
- Biomechanics and Motor Control of Human Movement, Department of Movement and Sports Sciences, Ghent University, Belgium
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5
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Moumdjian L, Moens B, Van Wijmeersh B, Leman M, Feys P. Application of step and beat alignment approaches and its effect on gait in progressive multiple sclerosis with severe cerebellar ataxia: A proof of concept case study. Mult Scler 2021; 28:492-495. [PMID: 34726562 DOI: 10.1177/13524585211054000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND In a case report of a progressive multiple sclerosis with cerebellar impairments, we reported that synchronisation of steps to beats was possible only at -12% of usual walking cadence during 1 minute of walking. OBJECTIVES AND METHODS Here, we investigate the effect of synchronisation using two different alignment approaches on the patient's gait pattern over 2 minutes of walking, compared to walking in silence. RESULTS AND CONCLUSION This proof of concept showed that the adaptive approach was successful resulting in an improved gait pattern compared to the other conditions, providing preliminary evidence to support a full-scale intervention study.
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Affiliation(s)
- Lousin Moumdjian
- UMSC Hasselt, Pelt, Belgium; REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium/IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Ghent, Belgium
| | - Bart Moens
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Ghent, Belgium
| | - Bart Van Wijmeersh
- UMSC Hasselt, Pelt, Belgium/REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium/Noorderhart Rehabilitation & MS Center, Pelt, Belgium
| | - Marc Leman
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Ghent, Belgium
| | - Peter Feys
- UMSC Hasselt, Pelt, Belgium/REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium
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6
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Lee J, Park J, Kim Y, Woo M. Affective Change With Variations in Zumba Fitness Intensity as Measured by a Smartwatch. Percept Mot Skills 2021; 128:2255-2278. [PMID: 34120521 DOI: 10.1177/00315125211022700] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In this study we investigated affective changes during Zumba fitness program exercise with varied intensity, as measured by a smartwatch. Sixteen college students (4 males and 12 females) participated in two single-session Zumba fitness programs at low and moderate intensities separated by a one-week interval. During exercise, participants' heart rate (HR) and their responses to the Felt Arousal Scale (FAS) and the Feeling Scale (FS) were measured seven times (pre-exercise, warm-up, merengue, reggaeton, salsa, cumbia, and cool-down) using tailor-made applications on a smartwatch. Additionally, pre- and post-exercise affect was measured by the PANAS-X, which showed enhanced positive affect and reduced negative affect following exercise. Feelings and arousal during exercise were activated, irrespective of exercise intensity, but positive effects were more prominent at the higher (moderate) exercise intensity level. By adopting wearable technology, we were able to measure real-time affect changes during exercise, and we demonstrated the particular affective benefits of a moderate intensity Zumba Fitness program.
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Affiliation(s)
- Junglyeon Lee
- School of Exercise and Sports Science, University of Ulsan, Ulsan, South Korea
| | - Jinhan Park
- School of Exercise and Sports Science, Sejong University, Seoul, South Korea
| | - Yujin Kim
- School of Exercise and Sports Science, Sejong University, Seoul, South Korea
| | - Minjung Woo
- School of Exercise and Sports Science, University of Ulsan, Ulsan, South Korea
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7
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Rosso M, Leman M, Moumdjian L. Neural Entrainment Meets Behavior: The Stability Index as a Neural Outcome Measure of Auditory-Motor Coupling. Front Hum Neurosci 2021; 15:668918. [PMID: 34177492 PMCID: PMC8219856 DOI: 10.3389/fnhum.2021.668918] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 04/29/2021] [Indexed: 01/23/2023] Open
Abstract
Understanding rhythmic behavior in the context of coupled auditory and motor systems has been of interest to neurological rehabilitation, in particular, to facilitate walking. Recent work based on behavioral measures revealed an entrainment effect of auditory rhythms on motor rhythms. In this study, we propose a method to compute the neural component of such a process from an electroencephalographic (EEG) signal. A simple auditory-motor synchronization paradigm was used, where 28 healthy participants were instructed to synchronize their finger-tapping with a metronome. The computation of the neural outcome measure was carried out in two blocks. In the first block, we used Generalized Eigendecomposition (GED) to reduce the data dimensionality to the component which maximally entrained to the metronome frequency. The scalp topography pointed at brain activity over contralateral sensorimotor regions. In the second block, we computed instantaneous frequency from the analytic signal of the extracted component. This returned a time-varying measure of frequency fluctuations, whose standard deviation provided our "stability index" as a neural outcome measure of auditory-motor coupling. Finally, the proposed neural measure was validated by conducting a correlation analysis with a set of behavioral outcomes from the synchronization task: resultant vector length, relative phase angle, mean asynchrony, and tempo matching. Significant moderate negative correlations were found with the first three measures, suggesting that the stability index provided a quantifiable neural outcome measure of entrainment, with selectivity towards phase-correction mechanisms. We address further adoption of the proposed approach, especially with populations where sensorimotor abilities are compromised by an underlying pathological condition. The impact of using stability index can potentially be used as an outcome measure to assess rehabilitation protocols, and possibly provide further insight into neuropathological models of auditory-motor coupling.
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Affiliation(s)
- Mattia Rosso
- Institute of Psychoacoustics and Electronic Music (IPEM), Faculty of Arts and Philosophy, Ghent University, Ghent, Belgium
| | - Marc Leman
- Institute of Psychoacoustics and Electronic Music (IPEM), Faculty of Arts and Philosophy, Ghent University, Ghent, Belgium
| | - Lousin Moumdjian
- Institute of Psychoacoustics and Electronic Music (IPEM), Faculty of Arts and Philosophy, Ghent University, Ghent, Belgium.,UMSC Hasselt-Pelt, Limburg, Belgium.,REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Limburg, Belgium
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8
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Cochen De Cock V, Dotov D, Damm L, Lacombe S, Ihalainen P, Picot MC, Galtier F, Lebrun C, Giordano A, Driss V, Geny C, Garzo A, Hernandez E, Van Dyck E, Leman M, Villing R, Bardy BG, Dalla Bella S. BeatWalk: Personalized Music-Based Gait Rehabilitation in Parkinson's Disease. Front Psychol 2021; 12:655121. [PMID: 33981279 PMCID: PMC8109247 DOI: 10.3389/fpsyg.2021.655121] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 03/15/2021] [Indexed: 11/13/2022] Open
Abstract
Taking regular walks when living with Parkinson’s disease (PD) has beneficial effects on movement and quality of life. Yet, patients usually show reduced physical activity compared to healthy older adults. Using auditory stimulation such as music can facilitate walking but patients vary significantly in their response. An individualized approach adapting musical tempo to patients’ gait cadence, and capitalizing on these individual differences, is likely to provide a rewarding experience, increasing motivation for walk-in PD. We aim to evaluate the observance, safety, tolerance, usability, and enjoyment of a new smartphone application. It was coupled with wearable sensors (BeatWalk) and delivered individualized musical stimulation for gait auto-rehabilitation at home. Forty-five patients with PD underwent a 1-month, outdoor, uncontrolled gait rehabilitation program, using the BeatWalk application (30 min/day, 5 days/week). The music tempo was being aligned in real-time to patients’ gait cadence in a way that could foster an increase up to +10% of their spontaneous cadence. Open-label evaluation was based on BeatWalk use measures, questionnaires, and a six-minute walk test. Patients used the application 78.8% (±28.2) of the prescribed duration and enjoyed it throughout the program. The application was considered “easy to use” by 75% of the patients. Pain, fatigue, and falls did not increase. Fear of falling decreased and quality of life improved. After the program, patients improved their gait parameters in the six-minute walk test without musical stimulation. BeatWalk is an easy to use, safe, and enjoyable musical application for individualized gait rehabilitation in PD. It increases “walk for exercise” duration thanks to high observance. Clinical Trial Registration: ClinicalTrials.gov Identifier: NCT02647242.
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Affiliation(s)
- Valérie Cochen De Cock
- Department of Neurology, Beau Soleil Clinic, Montpellier, France.,EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Alès, Montpellier, France
| | - Dobromir Dotov
- EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Alès, Montpellier, France.,LIVELab, McMaster University, Hamilton, ON, Canada
| | - Loic Damm
- EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Alès, Montpellier, France
| | - Sandy Lacombe
- Department of Epidemiology and Biostatistics, Beau Soleil Clinic, Montpellier, France
| | - Petra Ihalainen
- EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Alès, Montpellier, France
| | - Marie Christine Picot
- INSERM, Clinical Investigation Centre (CIC) 1411, University Hospital of Montpellier, Montpellier, France.,Clinical Research and Epidemiology Unit, Medical Information Department, CHU Montpellier, University of Montpellier, Montpellier, France
| | - Florence Galtier
- INSERM, Clinical Investigation Centre (CIC) 1411, University Hospital of Montpellier, Montpellier, France
| | - Cindy Lebrun
- INSERM, Clinical Investigation Centre (CIC) 1411, University Hospital of Montpellier, Montpellier, France
| | - Aurélie Giordano
- INSERM, Clinical Investigation Centre (CIC) 1411, University Hospital of Montpellier, Montpellier, France
| | - Valérie Driss
- INSERM, Clinical Investigation Centre (CIC) 1411, University Hospital of Montpellier, Montpellier, France
| | - Christian Geny
- EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Alès, Montpellier, France.,Department of Neurology, University Hospital of Montpellier, Montpellier, France
| | - Ainara Garzo
- Neuroengineering Area, Health Division, TECNALIA, Basque Research and Technology Alliance (BRTA), Donostia-San Sebastian, Spain
| | - Erik Hernandez
- Neuroengineering Area, Health Division, TECNALIA, Basque Research and Technology Alliance (BRTA), Donostia-San Sebastian, Spain
| | - Edith Van Dyck
- Department of Musicology, Institute for Psychoacoustics and Electronic Music (IPEM), Ghent University, Ghent, Belgium
| | - Marc Leman
- Department of Musicology, Institute for Psychoacoustics and Electronic Music (IPEM), Ghent University, Ghent, Belgium
| | - Rudi Villing
- Department of Electronic Engineering, Maynooth University, Maynooth, Ireland
| | - Benoit G Bardy
- EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Alès, Montpellier, France
| | - Simone Dalla Bella
- EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Alès, Montpellier, France.,International Laboratory for Brain, Music, and Sound Research (BRAMS), Montreal, QC, Canada.,Department of Psychology, University of Montreal, Montreal, QC, Canada.,Centre for Research on Brain, Language and Music, Montreal, QC, Canada.,Department of Cognitive Psychology, University of Economics and Human Sciences in Warsaw, Warsaw, Poland
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9
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Van den Berghe P, Lorenzoni V, Derie R, Six J, Gerlo J, Leman M, De Clercq D. Music-based biofeedback to reduce tibial shock in over-ground running: a proof-of-concept study. Sci Rep 2021; 11:4091. [PMID: 33603028 PMCID: PMC7892879 DOI: 10.1038/s41598-021-83538-w] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 01/24/2021] [Indexed: 12/22/2022] Open
Abstract
Methods to reduce impact in distance runners have been proposed based on real-time auditory feedback of tibial acceleration. These methods were developed using treadmill running. In this study, we extend these methods to a more natural environment with a proof-of-concept. We selected ten runners with high tibial shock. They used a music-based biofeedback system with headphones in a running session on an athletic track. The feedback consisted of music superimposed with noise coupled to tibial shock. The music was automatically synchronized to the running cadence. The level of noise could be reduced by reducing the momentary level of tibial shock, thereby providing a more pleasant listening experience. The running speed was controlled between the condition without biofeedback and the condition of biofeedback. The results show that tibial shock decreased by 27% or 2.96 g without guided instructions on gait modification in the biofeedback condition. The reduction in tibial shock did not result in a clear increase in the running cadence. The results indicate that a wearable biofeedback system aids in shock reduction during over-ground running. This paves the way to evaluate and retrain runners in over-ground running programs that target running with less impact through instantaneous auditory feedback on tibial shock.
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Affiliation(s)
- Pieter Van den Berghe
- Biomechanics and Motor Control of Human Movement, Department of Movement and Sports Sciences, Ghent University, 9000, Ghent, Belgium.
| | - Valerio Lorenzoni
- Department of Arts, Music and Theatre Sciences, IPEM, Ghent University, 9000, Ghent, Belgium
| | - Rud Derie
- Biomechanics and Motor Control of Human Movement, Department of Movement and Sports Sciences, Ghent University, 9000, Ghent, Belgium
| | - Joren Six
- Department of Arts, Music and Theatre Sciences, IPEM, Ghent University, 9000, Ghent, Belgium
| | - Joeri Gerlo
- Biomechanics and Motor Control of Human Movement, Department of Movement and Sports Sciences, Ghent University, 9000, Ghent, Belgium
| | - Marc Leman
- Department of Arts, Music and Theatre Sciences, IPEM, Ghent University, 9000, Ghent, Belgium
| | - Dirk De Clercq
- Biomechanics and Motor Control of Human Movement, Department of Movement and Sports Sciences, Ghent University, 9000, Ghent, Belgium
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10
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Moumdjian L, Maes PJ, Dalla Bella S, Decker LM, Moens B, Feys P, Leman M. Detrended fluctuation analysis of gait dynamics when entraining to music and metronomes at different tempi in persons with multiple sclerosis. Sci Rep 2020; 10:12934. [PMID: 32737347 PMCID: PMC7395137 DOI: 10.1038/s41598-020-69667-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Accepted: 07/15/2020] [Indexed: 11/21/2022] Open
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).
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Affiliation(s)
- Lousin Moumdjian
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium. .,REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium.
| | - Pieter-Jan Maes
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium
| | - Simone Dalla Bella
- International Laboratory for Brain, Music and Sound Research (BRAMS), Montreal, Canada.,Department of Psychology, University of Montreal, Montreal, Canada.,Centre for Research on Brain, Language and Music (CRBLM), Montreal, Canada.,University of Economics and Human Sciences in Warsaw, Warsaw, Poland
| | - Leslie M Decker
- Normandie Univ, UNICAEN, INSERM, COMETE, GIP CYCERON, Caen, France
| | - Bart Moens
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium
| | - Peter Feys
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium
| | - Marc Leman
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium
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11
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Effect of different music genres on gait patterns in Parkinson’s disease. Neurol Sci 2019; 41:575-582. [PMID: 31713758 DOI: 10.1007/s10072-019-04127-4] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Accepted: 10/25/2019] [Indexed: 10/25/2022]
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12
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Moumdjian L, Moens B, Maes PJ, Van Geel F, Ilsbroukx S, Borgers S, Leman M, Feys P. Continuous 12 min walking to music, metronomes and in silence: Auditory-motor coupling and its effects on perceived fatigue, motivation and gait in persons with multiple sclerosis. Mult Scler Relat Disord 2019; 35:92-99. [PMID: 31357124 DOI: 10.1016/j.msard.2019.07.014] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2019] [Accepted: 07/19/2019] [Indexed: 11/16/2022]
Abstract
BACKGROUND In Persons with Multiple Sclerosis (PwMS), coupling walking to beats/pulses in short bursts is reported to be beneficial for cadence and perceived fatigue. However it is yet to be investigated if coupling and its effects can be sustained for longer durations, required for task-oriented training strategy in PwMS. AIMS To investigate if PwMS compared to healthy controls (HC) sustain synchronization for 12 min when walking to music and metronome, and its effects on perceived physical and cognitive fatigue, motivation and gait compared to walking in silence. METHODS Participants walked for 12 min in three conditions (music, metronome and silence). The tempo of the auditory conditions was individualized. Auditory-motor coupling and spatio-temporal gait parameters were measured during walking. The visual analogue scale was used for perceived fatigue, and the Likert scale for motivation. RESULTS 27 PwMS and 28 HC participated. All participants synchronized to both stimuli, yet PwMS synchronized better to music. Overall, participants had lower cadence, speed and stride length when over time all conditions, with an exception of HC, with increasing cadence during the music condition. PwMS perceived less cognitive fatigue, no difference in perceived physical fatigue and a higher motivation walking to music compared to metronomes and silence. CONCLUSION 12 min of uninterrupted walking was possible in PwMS in all conditions, while better synchronization, low perception of cognitive fatigue and high motivation occurred with music compared to other conditions. Coupling walking to music could offer novel paradigms for motor task-oriented training in PwMS.
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Affiliation(s)
- Lousin Moumdjian
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, BIOMED, Hasselt University, Hasselt, Belgium; IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium.
| | - Bart Moens
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium
| | - Pieter-Jan Maes
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium
| | - Fanny Van Geel
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, BIOMED, Hasselt University, Hasselt, Belgium
| | | | | | - Marc Leman
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium
| | - Peter Feys
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, BIOMED, Hasselt University, Hasselt, Belgium
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13
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Moumdjian L, Moens B, Maes PJ, Van Nieuwenhoven J, Van Wijmeersch B, Leman M, Feys P. Walking to Music and Metronome at Various Tempi in Persons With Multiple Sclerosis: A Basis for Rehabilitation. Neurorehabil Neural Repair 2019; 33:464-475. [PMID: 31079541 DOI: 10.1177/1545968319847962] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background. Mobility dysfunctions are prevalent in persons with multiple sclerosis (PwMS), thus novel rehabilitation mechanisms are needed toward functional training. The effect of auditory cueing is well-known in Parkinson's disease, yet the application of different types of auditory stimuli at different tempi has not been investigated yet. Objectives. Investigating if PwMS, compared with healthy controls (HC), can synchronize their gait to music and metronomes at different tempi during walking and the effects of the stimuli on perceived fatigue and gait. Additionally, exploring if cognitive impairment would be a factor on the results. Methods. The experimental session consisted of 2 blocks, music and metronomes. Per block, participants walked 3 minutes per tempi, with instructions to synchronize their steps to the beat. The tempi were 0%, +2%, +4% +6%, +8%, +10% of preferred walking cadence (PWC). Results. A total of 28 PwMS and 29 HC participated. On average, participants were able to synchronize at all tempi to music and metronome. Higher synchronization was obtained for metronomes compared with music. The highest synchronization for music was found between +2% and +8% of PWC yet pwMS perceived less physical and cognitive fatigue walking to music compared with metronomes. Cognitive impaired PwMS (n = 9) were not able to synchronize at tempi higher than +6%. Conclusion. Auditory-motor coupling and synchronization was feasible in HC and PwMS with motor and cognitive impairments. PwMS walked at higher tempi than their preferred walking cadence, and lower fatigue perception with music. Coupling walking to music could be a promising functional walking training strategy.
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Affiliation(s)
- Lousin Moumdjian
- 1 Hasselt University, REVAL Rehabilitation Research Center, Hasselt, Belgium.,2 Gent University, IPEM Institute of Psychoacoustics and Electronic Music, Gent, Belgium
| | - Bart Moens
- 2 Gent University, IPEM Institute of Psychoacoustics and Electronic Music, Gent, Belgium
| | - Pieter-Jan Maes
- 2 Gent University, IPEM Institute of Psychoacoustics and Electronic Music, Gent, Belgium
| | | | - Bart Van Wijmeersch
- 1 Hasselt University, REVAL Rehabilitation Research Center, Hasselt, Belgium.,4 Rehabilitation & MS Centre Overpelt, Belgium
| | - Marc Leman
- 2 Gent University, IPEM Institute of Psychoacoustics and Electronic Music, Gent, Belgium
| | - Peter Feys
- 1 Hasselt University, REVAL Rehabilitation Research Center, Hasselt, Belgium
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14
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Moumdjian L, Moens B, Vanzeir E, Klerck B, Feys P, Leman M. A model of different cognitive processes during spontaneous and intentional coupling to music in multiple sclerosis. Ann N Y Acad Sci 2019; 1445:27-38. [DOI: 10.1111/nyas.14023] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 01/11/2019] [Accepted: 01/17/2019] [Indexed: 12/31/2022]
Affiliation(s)
- Lousin Moumdjian
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and PhilosophyGhent University Ghent Belgium
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation SciencesHasselt University Hasselt Belgium
| | - Bart Moens
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and PhilosophyGhent University Ghent Belgium
| | - Ellen Vanzeir
- Rehabilitation and MS Centre Overpelt Overpelt Belgium
| | | | - Peter Feys
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation SciencesHasselt University Hasselt Belgium
| | - Marc Leman
- IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and PhilosophyGhent University Ghent Belgium
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15
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Batten JP, Smith TJ. Saccades predict and synchronize to visual rhythms irrespective of musical beats. VISUAL COGNITION 2019; 26:695-718. [PMID: 30828706 PMCID: PMC6382286 DOI: 10.1080/13506285.2018.1544181] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Accepted: 10/30/2018] [Indexed: 11/15/2022]
Abstract
Music has been shown to entrain movement. One of the body’s most frequent movements, saccades, are arguably subject to a timer that may also be susceptible to musical entrainment. We developed a continuous and highly-controlled visual search task and varied the timing of the search target presentation, it was either gaze-contingent, tap-contingent, or visually-timed. We found: (1) explicit control of saccadic timing is limited to gross duration variations and imprecisely synchronized; (2) saccadic timing does not implicitly entrain to musical beats, even when closely aligned in phase; (3) eye movements predict visual onsets produced by motor-movements (finger-taps) and externally-timed sequences, beginning fixation prior to visual onset; (4) eye movement timing can be rhythmic, synchronizing to both motor-produced and externally timed visual sequences; each unaffected by musical beats. These results provide evidence that saccadic timing is sensitive to the temporal demands of visual tasks and impervious to influence from musical beats.
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Affiliation(s)
- Jonathan P Batten
- Department of Psychological Sciences, Birkbeck, University of London, London, UK
| | - Tim J Smith
- Department of Psychological Sciences, Birkbeck, University of London, London, UK
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16
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Abstract
The use of music and specifically tempo-matched music has been shown to affect running performance. But can we maximize the synchronization of movements to music and does maximum synchronization influence kinematics and motivation? In this study, we explore the effect of different types of music-to-movement alignment strategies on phase coherence, cadence and motivation. These strategies were compared to a control condition where the music tempo was deliberately not aligned to the running cadence. Results show that without relative phase alignment, a negative mean asynchrony (NMA) of footfall timings with respect to the beats is obtained. This means that footfalls occurred slightly before the beat and that beats were anticipated. Convergence towards this NMA or preferred relative phase angle was facilitated when the first music beat of a new song started close to the step, which means that entrainment occurred. The results also show that using tempo and phase alignment, the relative phase can be manipulated or forced in a certain angle with a high degree of accuracy. Ensuring negative angles larger than NMA (step before beat) results in increased motivation and decreasing cadence. Running in NMA or preferred relative phase angles results in a null effect on cadence. Ensuring a positive phase angle with respect to NMA results in higher motivation and higher cadence. None of the manipulations resulted in change in perceived exhaustion or a change in velocity. Results also indicate that gender plays an important role when using forced phase algorithms: effects were more pronounced for the female population than for the male population. The implementation of the proposed alignment strategies and control of beat timing while running opens possibilities optimizing the individual running cadence and motivation.
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17
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Dalla Bella S. Music and movement: Towards a translational approach. Neurophysiol Clin 2018; 48:377-386. [PMID: 30396753 DOI: 10.1016/j.neucli.2018.10.067] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Accepted: 10/14/2018] [Indexed: 12/21/2022] Open
Abstract
Rhythmic abilities are highly widespread in the general population. Most people can extract the regular beat of music, and align their movements with it. The aim of a translational approach for music and movement is to build on current fundamental research and theories of beat perception and synchronization to devise music-based interventions, which are informed by theory. To illustrate this approach, Parkinson's disease is taken as a model, with a focus on the positive effects of rhythmic auditory cueing on walking. In Parkinson's disease, a relation is found between the success of this music-based intervention and individual differences in rhythmic abilities. Patients with relatively spared rhythmic abilities are the most likely to benefit from cueing. Moreover, rhythmic auditory cueing can be optimized by using mobile technologies (tablets and smartphones), in the form of dedicated apps or serious games. A similar translational approach to the study of music, rhythm, and movement can be extended to remediation of cognitive, speech and language functions in other patient populations, such as children and adults with neurodevelopemental disorders.
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Affiliation(s)
- Simone Dalla Bella
- International Laboratory for Brain, Music, and Sound Research (BRAMS), Montreal, Canada; Department of Psychology, University of Montreal, Montreal, Canada; Centre for Research on Brain, Language and Music (CRBLM), Montreal, Canada.
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18
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Karageorghis CI, Bigliassi M, Guérin SMR, Delevoye-Turrell Y. Brain mechanisms that underlie music interventions in the exercise domain. PROGRESS IN BRAIN RESEARCH 2018; 240:109-125. [PMID: 30390826 DOI: 10.1016/bs.pbr.2018.09.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
In this chapter we review recent work from the realms of neuroscience and neuropsychology to explore the brain mechanisms that underlie the effects of music on exercise. We begin with an examination of the technique of electroencephalography (EEG), which has proven popular with researchers in this domain. We go on to appraise work conducted with the use of functional magnetic resonance imaging (fMRI) and then, looking more toward the future, we consider the application of functional near-infrared spectroscopy (fNIRS) to study brain hemodynamics. The experimental findings expounded herein indicate that music has the potential to guide attention toward environmental sensory cues and prevent internal, fatigue-related signals from entering focal awareness. The brain mechanisms underlying such effects are primarily associated with the downregulation of theta waves across the cortex surface, reduction of communication among somatosensory regions, and increased activation of the left inferior frontal gyrus. Taken holistically, research in this subfield of exercise psychology demonstrates a vibrant and reflexive matrix of attentional, emotional, behavioral, physiological, and psychophysiological responses to music across a variety of exercise modalities and intensities. The emergent hypotheses that we propose can be used to frame future research efforts.
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19
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Moumdjian L, Buhmann J, Willems I, Feys P, Leman M. Entrainment and Synchronization to Auditory Stimuli During Walking in Healthy and Neurological Populations: A Methodological Systematic Review. Front Hum Neurosci 2018; 12:263. [PMID: 29997491 PMCID: PMC6028729 DOI: 10.3389/fnhum.2018.00263] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Accepted: 06/07/2018] [Indexed: 11/28/2022] Open
Abstract
Background: Interdisciplinary work is needed for scientific progress, and with this review, our interest is in the scientific progress toward understanding the underlying mechanisms of auditory-motor coupling, and how this can be applied to gait rehabilitation. Specifically we look into the process of entrainment and synchronization; where entrainment is the process that governs the dynamic alignments of the auditory and motor domains based on error-prediction correction, whereas synchronization is the stable maintenance of timing during auditory-motor alignment. Methodology: A systematic literature search in databases PubMed and Web of Science were searched up to 9th of August 2017. The selection criteria for the included studies were adult populations, with a minimum of five participants, investigating walking to an auditory stimulus, with an outcome measure of entrainment, and synchronization. The review was registered in PROSPERO as CRD42017080325. Objectives: The objective of the review is to systematically describe the metrics which measure entrainment and synchronization to auditory stimuli during walking in healthy and neurological populations. Results: Sixteen articles were included. Fifty percent of the included articles had healthy controls as participants (N = 167), 19% had neurological diseases such as Huntington's and Stroke (N = 76), and 31% included both healthy and neurological [Parkinson's disease (PD) and Stroke] participants (N = 101). In the included studies, six parameters were found to capture the interaction between the human movement and the auditory stimuli, these were: cadence, relative phase angle, resultant vector length, interval between the beat and the foot contact, period matching performance, and detrended fluctuation analysis. Conclusion: In this systematic review, several metrics have been identified, which measure the timing aspect of auditory-motor coupling and synchronization of auditory stimuli in healthy and neurological populations during walking. The application of these metrics may enhance the current state of the art and practice across the neurological gait rehabilitation. These metrics also have current shortcomings. Of particular pertinence is our recommendation to consider variability in data from a time-series rather than time-windowed viewpoint. We need it in view of the promising practical applications from which the studied populations may highly benefit in view of personalized medical care.
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Affiliation(s)
- Lousin Moumdjian
- Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium
- REVAL - BIOMED Rehabilitation Research Center, Faculty of Medicine and Life Sciences, University of Hasselt, Hasselt, Belgium
| | - Jeska Buhmann
- Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium
| | - Iris Willems
- REVAL - BIOMED Rehabilitation Research Center, Faculty of Medicine and Life Sciences, University of Hasselt, Hasselt, Belgium
| | - Peter Feys
- REVAL - BIOMED Rehabilitation Research Center, Faculty of Medicine and Life Sciences, University of Hasselt, Hasselt, Belgium
| | - Marc Leman
- Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Gent, Belgium
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20
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Bella SD, Dotov D, Bardy B, de Cock VC. Individualization of music-based rhythmic auditory cueing in Parkinson's disease. Ann N Y Acad Sci 2018; 1423:308-317. [PMID: 29863778 DOI: 10.1111/nyas.13859] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Revised: 04/23/2018] [Accepted: 04/24/2018] [Indexed: 12/28/2022]
Abstract
Gait dysfunctions in Parkinson's disease can be partly relieved by rhythmic auditory cueing. This consists in asking patients to walk with a rhythmic auditory stimulus such as a metronome or music. The effect on gait is visible immediately in terms of increased speed and stride length. Moreover, training programs based on rhythmic cueing can have long-term benefits. The effect of rhythmic cueing, however, varies from one patient to the other. Patients' response to the stimulation may depend on rhythmic abilities, often deteriorating with the disease. Relatively spared abilities to track the beat favor a positive response to rhythmic cueing. On the other hand, most patients with poor rhythmic abilities either do not respond to the cues or experience gait worsening when walking with cues. An individualized approach to rhythmic auditory cueing with music is proposed to cope with this variability in patients' response. This approach calls for using assistive mobile technologies capable of delivering cues that adapt in real time to patients' gait kinematics, thus affording step synchronization to the beat. Individualized rhythmic cueing can provide a safe and cost-effective alternative to standard cueing that patients may want to use in their everyday lives.
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Affiliation(s)
- Simone Dalla Bella
- International Laboratory for Brain, Music, and Sound Research (BRAMS), Department of Psychology, University of Montreal, Montreal, Canada
- EuroMov, Montpellier University, Montpellier, France
- Department of Cognitive Psychology, WSFIZ, Warsaw, Poland
| | - Dobromir Dotov
- EuroMov, Montpellier University, Montpellier, France
- LIVELab, Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, Canada
| | - Benoît Bardy
- EuroMov, Montpellier University, Montpellier, France
- Department of Cognitive Psychology, WSFIZ, Warsaw, Poland
| | - Valérie Cochen de Cock
- EuroMov, Montpellier University, Montpellier, France
- Department of Neurology, Beau Soleil Clinic, Montpellier, France
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21
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Maes PJ, Nijs L, Leman M. A Conceptual Framework for Music-Based Interaction Systems. SPRINGER HANDBOOK OF SYSTEMATIC MUSICOLOGY 2018. [DOI: 10.1007/978-3-662-55004-5_37] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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22
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The role of attention and intention in synchronization to music: effects on gait. Exp Brain Res 2017; 236:99-115. [DOI: 10.1007/s00221-017-5110-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Accepted: 10/16/2017] [Indexed: 10/18/2022]
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23
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Maes PJ, Buhmann J, Leman M. 3Mo: A Model for Music-Based Biofeedback. Front Neurosci 2016; 10:548. [PMID: 27994535 PMCID: PMC5133250 DOI: 10.3389/fnins.2016.00548] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2016] [Accepted: 11/15/2016] [Indexed: 01/18/2023] Open
Abstract
In the domain of sports and motor rehabilitation, it is of major importance to regulate and control physiological processes and physical motion in most optimal ways. For that purpose, real-time auditory feedback of physiological and physical information based on sound signals, often termed “sonification,” has been proven particularly useful. However, the use of music in biofeedback systems has been much less explored. In the current article, we assert that the use of music, and musical principles, can have a major added value, on top of mere sound signals, to the benefit of psychological and physical optimization of sports and motor rehabilitation tasks. In this article, we present the 3Mo model to describe three main functions of music that contribute to these benefits. These functions relate the power of music to Motivate, and to Monitor and Modify physiological and physical processes. The model brings together concepts and theories related to human sensorimotor interaction with music, and specifies the underlying psychological and physiological principles. This 3Mo model is intended to provide a conceptual framework that guides future research on musical biofeedback systems in the domain of sports and motor rehabilitation.
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Affiliation(s)
- Pieter-Jan Maes
- Department of Art, Music and Theatre Sciences, Institute for Psychoacoustics and Electronic Music, Ghent University Ghent, Belgium
| | - Jeska Buhmann
- Department of Art, Music and Theatre Sciences, Institute for Psychoacoustics and Electronic Music, Ghent University Ghent, Belgium
| | - Marc Leman
- Department of Art, Music and Theatre Sciences, Institute for Psychoacoustics and Electronic Music, Ghent University Ghent, Belgium
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24
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Buhmann J, Desmet F, Moens B, Van Dyck E, Leman M. Spontaneous Velocity Effect of Musical Expression on Self-Paced Walking. PLoS One 2016; 11:e0154414. [PMID: 27167064 PMCID: PMC4864300 DOI: 10.1371/journal.pone.0154414] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Accepted: 03/24/2016] [Indexed: 11/19/2022] Open
Abstract
The expressive features of music can influence the velocity of walking. So far, studies used instructed (and intended) synchronization. But is this velocity effect still present with non-instructed (spontaneous) synchronization? To figure that out, participants were instructed to walk in their own comfort tempo on an indoor track, first in silence and then with tempo-matched music. We compared velocities of silence and music conditions. The results show that some music has an activating influence, increasing velocity and motivation, while other music has a relaxing influence, decreasing velocity and motivation. The influence of musical expression on the velocity of self-paced walking can be predicted with a regression model using only three sonic features explaining 56% of the variance. Phase-coherence between footfall and beat did not contribute to the velocity effect, due to its implied fixed pacing. The findings suggest that the velocity effect depends on vigor entrainment that influences both stride length and pacing. Our findings are relevant for preventing injuries, for gait improvement in walking rehabilitation, and for improving performance in sports activities.
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Affiliation(s)
- Jeska Buhmann
- Institute for Psychoacoustics and Electronic Music, Department of Musicology, Ghent University, Ghent, Belgium
| | - Frank Desmet
- Institute for Psychoacoustics and Electronic Music, Department of Musicology, Ghent University, Ghent, Belgium
| | - Bart Moens
- Institute for Psychoacoustics and Electronic Music, Department of Musicology, Ghent University, Ghent, Belgium
| | - Edith Van Dyck
- Institute for Psychoacoustics and Electronic Music, Department of Musicology, Ghent University, Ghent, Belgium
| | - Marc Leman
- Institute for Psychoacoustics and Electronic Music, Department of Musicology, Ghent University, Ghent, Belgium
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25
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Abstract
As commercial technology moves further into wearable technologies, cognitive and psychological scientists can capitalize on these devices to facilitate naturalistic research designs while still maintaining strong experimental control. One such wearable technology is Google Glass (Google, Inc.: www.google.com/glass), which can present wearers with audio and visual stimuli while tracking a host of multimodal data. In this article, we introduce PsyGlass, a framework for incorporating Google Glass into experimental work that is freely available for download and community improvement over time (www.github.com/a-paxton/PsyGlass). As a proof of concept, we use this framework to investigate dual-task pressures on naturalistic interaction. The preliminary study demonstrates how designs from classic experimental psychology may be integrated in naturalistic interactive designs with emerging technologies. We close with a series of recommendations for using PsyGlass and a discussion of how wearable technology more broadly may contribute to new or adapted naturalistic research designs.
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26
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Ashoori A, Eagleman DM, Jankovic J. Effects of Auditory Rhythm and Music on Gait Disturbances in Parkinson's Disease. Front Neurol 2015; 6:234. [PMID: 26617566 PMCID: PMC4641247 DOI: 10.3389/fneur.2015.00234] [Citation(s) in RCA: 77] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2015] [Accepted: 10/22/2015] [Indexed: 12/05/2022] Open
Abstract
Gait abnormalities, such as shuffling steps, start hesitation, and freezing, are common and often incapacitating symptoms of Parkinson’s disease (PD) and other parkinsonian disorders. Pharmacological and surgical approaches have only limited efficacy in treating these gait disorders. Rhythmic auditory stimulation (RAS), such as playing marching music and dance therapy, has been shown to be a safe, inexpensive, and an effective method in improving gait in PD patients. However, RAS that adapts to patients’ movements may be more effective than rigid, fixed-tempo RAS used in most studies. In addition to auditory cueing, immersive virtual reality technologies that utilize interactive computer-generated systems through wearable devices are increasingly used for improving brain–body interaction and sensory–motor integration. Using multisensory cues, these therapies may be particularly suitable for the treatment of parkinsonian freezing and other gait disorders. In this review, we examine the affected neurological circuits underlying gait and temporal processing in PD patients and summarize the current studies demonstrating the effects of RAS on improving these gait deficits.
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Affiliation(s)
- Aidin Ashoori
- Columbia University College of Physicians & Surgeons , New York, NY , USA
| | - David M Eagleman
- Department of Neuroscience, Baylor College of Medicine , Houston, TX , USA
| | - Joseph Jankovic
- Department of Neurology, Parkinson's Disease Center and Movement Disorders Clinic, Baylor College of Medicine , Houston, TX , USA
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27
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Spontaneous Entrainment of Running Cadence to Music Tempo. SPORTS MEDICINE-OPEN 2015; 1:15. [PMID: 26258007 PMCID: PMC4526248 DOI: 10.1186/s40798-015-0025-9] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2014] [Accepted: 07/02/2015] [Indexed: 11/28/2022]
Abstract
Background Since accumulating evidence suggests that step rate is strongly associated with running-related injuries, it is important for runners to exercise at an appropriate running cadence. As music tempo has been shown to be capable of impacting exercise performance of repetitive endurance activities, it might also serve as a means to (re)shape running cadence. The aim of this study was to validate the impact of music tempo on running cadence. Methods Sixteen recreational runners ran four laps of 200 m (i.e. 800 m in total); this task was repeated 11 times with a short break in between each four-lap sequence. During the first lap of a sequence, participants ran at a self-paced tempo without musical accompaniment. Running cadence of the first lap was registered, and during the second lap, music with a tempo matching the assessed cadence was played. In the final two laps, the music tempo was either increased/decreased by 3.00, 2.50, 2.00, 1.50, or 1.00 % or was kept stable. This range was chosen since the aim of this study was to test spontaneous entrainment (an average person can distinguish tempo variations of about 4 %). Each participant performed all conditions. Results Imperceptible shifts in musical tempi in proportion to the runner’s self-paced running tempo significantly influenced running cadence (p < .001). Contrasts revealed a linear relation between the tempo conditions and adaptation in running cadence (p < .001). In addition, a significant effect of condition on the level of entrainment was revealed (p < .05), which suggests that maximal effects of music tempo on running cadence can only be obtained up to a certain level of tempo modification. Finally, significantly higher levels of tempo entrainment were found for female participants compared to their male counterparts (p < .05). Conclusions The applicable contribution of these novel findings is that music tempo could serve as an unprompted means to impact running cadence. As increases in step rate may prove beneficial in the prevention and treatment of common running-related injuries, this finding could be especially relevant for treatment purposes, such as exercise prescription and gait retraining. Key Points Music tempo can spontaneously impact running cadence. A basin for unsolicited entrainment of running cadence to music tempo was discovered. The effect of music tempo on running cadence proves to be stronger for women than for men.
Electronic supplementary material The online version of this article (doi:10.1186/s40798-015-0025-9) contains supplementary material, which is available to authorized users.
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Moens B, Leman M. Alignment strategies for the entrainment of music and movement rhythms. Ann N Y Acad Sci 2015; 1337:86-93. [PMID: 25773621 DOI: 10.1111/nyas.12647] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Theories of entrainment assume that spontaneous entrainment emerges from dynamic laws that operate via mediators on interactions, whereby entrainment is facilitated if certain conditions are fulfilled. In this study, we show that mediators can be built that affect the entrainment of human locomotion to music. More specifically, we built D-Jogger, a music player that functions as a mediator between music and locomotion rhythms. The D-Jogger makes it possible to manipulate the timing differences between salient moments of the rhythms (beats and footfalls) through the manipulation of the musical period and phase, which affect the condition in which entrainment functions. We conducted several experiments to explore different strategies for manipulating the entrainment of locomotion and music. The results of these experiments showed that spontaneous entrainment can be manipulated, thereby suggesting different strategies on how to embark. The findings furthermore suggest a distinction among different modalities of entrainment: finding the beat (the most difficult part of entrainment), keeping the beat (easier, as a temporal scheme has been established), and being in phase (no entrainment is needed because the music is always adapted to the human rhythm). This study points to a new avenue of research on entrainment and opens new perspectives for the neuroscience of music.
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Affiliation(s)
- Bart Moens
- Institute for Psychoacoustics and Electronic Music, Department of Musicology, Ghent University, Ghent, Belgium
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Franěk M, van Noorden L, Režný L. Tempo and walking speed with music in the urban context. Front Psychol 2014; 5:1361. [PMID: 25520682 PMCID: PMC4251309 DOI: 10.3389/fpsyg.2014.01361] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2014] [Accepted: 11/07/2014] [Indexed: 11/15/2022] Open
Abstract
The study explored the effect of music on the temporal aspects of walking behavior in a real outdoor urban setting. First, spontaneous synchronization between the beat of the music and step tempo was explored. The effect of motivational and non-motivational music (Karageorghis et al., 1999) on the walking speed was also studied. Finally, we investigated whether music can mask the effects of visual aspects of the walking route environment, which involve fluctuation of walking speed as a response to particular environmental settings. In two experiments, we asked participants to walk around an urban route that was 1.8 km in length through various environments in the downtown area of Hradec Králové. In Experiment 1, the participants listened to a musical track consisting of world pop music with a clear beat. In Experiment 2, participants were walking either with motivational music, which had a fast tempo and a strong rhythm, or with non-motivational music, which was slower, nice music, but with no strong implication to movement. Musical beat, as well as the sonic character of the music listened to while walking, influenced walking speed but did not lead to precise synchronization. It was found that many subjects did not spontaneously synchronize with the beat of the music at all, and some subjects synchronized only part of the time. The fast, energetic music increases the speed of the walking tempo, while slower, relaxing music makes the walking tempo slower. Further, it was found that listening to music with headphones while walking can mask the influence of the surrounding environment to some extent. Both motivational music and non-motivational music had a larger effect than the world pop music from Experiment 1. Individual differences in responses to the music listened to while walking that were linked to extraversion and neuroticism were also observed. The findings described here could be useful in rhythmic stimulation for enhancing or recovering the features of movement performance.
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Affiliation(s)
- Marek Franěk
- Faculty of Informatics and Management, University of Hradec Králové Hradec Králové, Czech Republic
| | - Leon van Noorden
- Institute for Psychoacoustics and Electronic Music, Department of Musicology, Ghent University Ghent, Belgium
| | - Lukáš Režný
- Faculty of Informatics and Management, University of Hradec Králové Hradec Králové, Czech Republic
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