Article

OBJECTIVE: To compare the relative efficacy of visual versus auditory cueing on
gait among individuals with Parkinson's disease (PD).
DATA SOURCES: A systematic
search was completed up to September 2011, using the following databases: EMBASE,
Scopus, Medline, CINAHL, and PubMed. STUDY SELECTION: Four authors searched the
databases using the following terms: Parkinson's disease (including
abbreviations), gait, cadence, step, pace, cueing, cues, and prompt. All studies
that evaluated the effect of cueing on gait in PD were selected by consensus of 2
pairs of authors who reviewed the titles and abstracts. Each pair of authors then
applied the inclusion and exclusion criteria to each study, and 25 articles were
chosen. Inclusion criteria were cueing studies that reported pre- and postoutcome
measures of gait parameters. Exclusion criteria were lack of data and studies
that evaluated gait aids. DATA EXTRACTION: Gait measures of cadence, stride
length, and velocity, before and after cueing, were collected from each study. If
data were represented in graphs, a pair of authors extracted the data points
individually, then compared and averaged values. DATA SYNTHESIS: The data were
synthesized using a meta-analysis based on cue type. Auditory cueing demonstrated
significant improvement of cadence (Hedge g=.556; 95% confidence interval [CI],
.291-.893), stride length (Hedge g=.497; 95% CI, .289-.696), and velocity (Hedge
g=.544; 95% CI, .294-.795). In contrast, visual cueing significantly improved
stride length only (Hedge g=.554; 95% CI, .072-1.036). CONCLUSIONS: The findings
suggest that auditory cueing is more effective for treating gait disorders in PD.
Further research is needed to determine the optimum auditory cueing strategy for
gait improvements.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS