Impaired movement timing in neurological disorders: rehabilitation and treatment strategies.

摘要: Timing abnormalities have been reported in many neurological disorders, including Parkinson's disease (PD). In PD, motor-timing impairments are especially debilitating gait. Despite impaired audiomotor synchronization, PD patients' gait improves when they walk with an auditory metronome or music. Building on that research, we make recommendations for optimizing sensory cues to improve the efficacy of rhythmic cuing rehabilitation. Adaptive metronomes (that synchronize patient's walking) might be effective. a recent study showed adaptive synchronized consistently footsteps without requiring attention; this improved stability and reinstated healthy dynamics. Other strategies could help optimize Groove music strongly engages motor system induces movement; bass-frequency tones associated movement provide strong timing cues. Thus, groove pulses deliver potent These capitalize close neural connections between networks; typically preferred. However, moving visual greatly visuomotor synchronization warrant examination Together, treatment approach employs groove, auditory, bass-frequency, (GABA) treating deficits.