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A preliminary investigation of a novel design of visual cue glasses that aid gait in Parkinson's disease.
Clin Rehabil. 2009 Aug; 23(8):687-95.CR

Abstract

OBJECTIVE

Parkinson's disease is a relatively common progressive neurodegenerative disorder, one of whose main features is difficulty with walking. This can be partially corrected by providing cues for the placement of each step. We piloted the potential benefit of simple custom-designed 'walking glasses' worn by the patient that provide visual and auditory cues to aid in step placement.

DESIGN

We used a repeated measures design to compare gait performance when unaided and when using the walking glasses with different patterns of visual and auditory stimulation by timing patients' walking over a 'real-life' predefined 30-m course.

SETTING

Hospital outpatient clinic.

SUBJECTS

Fifteen patients with idiopathic Parkinson's disease who had significant gait problems and no other condition affecting gait performance.

MAIN MEASURES

Timed walk.

RESULTS

Using the glasses, 8 of 15 patients achieved a significant and meaningful average improvement in walking time of at least 10% (mean (95% confidence interval) improvement in these patients was 21.5% (3.9%)), while a further 2 had subjective and modest objective benefit. Different patterns of visual and auditory cues suited different patients. Visual cueing alone with a fixed horizontal cue line present all the time statistically resulted in the greatest improvement in walking time.

CONCLUSIONS

This pilot study shows promising improvement in the gait of a significant proportion of Parkinson's disease patients through the use of a simple, inexpensive and robust design of walking glasses, suggesting practical applicability in a therapy setting to large numbers of such patients.

Authors+Show Affiliations

Department of Neurosciences, Royal London Hospital, Whitechapel, UK. john_m_30@hotmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19403552

Citation

McAuley, J H., et al. "A Preliminary Investigation of a Novel Design of Visual Cue Glasses That Aid Gait in Parkinson's Disease." Clinical Rehabilitation, vol. 23, no. 8, 2009, pp. 687-95.
McAuley JH, Daly PM, Curtis CR. A preliminary investigation of a novel design of visual cue glasses that aid gait in Parkinson's disease. Clin Rehabil. 2009;23(8):687-95.
McAuley, J. H., Daly, P. M., & Curtis, C. R. (2009). A preliminary investigation of a novel design of visual cue glasses that aid gait in Parkinson's disease. Clinical Rehabilitation, 23(8), 687-95. https://doi.org/10.1177/0269215509104170
McAuley JH, Daly PM, Curtis CR. A Preliminary Investigation of a Novel Design of Visual Cue Glasses That Aid Gait in Parkinson's Disease. Clin Rehabil. 2009;23(8):687-95. PubMed PMID: 19403552.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A preliminary investigation of a novel design of visual cue glasses that aid gait in Parkinson's disease. AU - McAuley,J H, AU - Daly,P M, AU - Curtis,C R, Y1 - 2009/04/29/ PY - 2009/5/1/entrez PY - 2009/5/1/pubmed PY - 2009/11/5/medline SP - 687 EP - 95 JF - Clinical rehabilitation JO - Clin Rehabil VL - 23 IS - 8 N2 - OBJECTIVE: Parkinson's disease is a relatively common progressive neurodegenerative disorder, one of whose main features is difficulty with walking. This can be partially corrected by providing cues for the placement of each step. We piloted the potential benefit of simple custom-designed 'walking glasses' worn by the patient that provide visual and auditory cues to aid in step placement. DESIGN: We used a repeated measures design to compare gait performance when unaided and when using the walking glasses with different patterns of visual and auditory stimulation by timing patients' walking over a 'real-life' predefined 30-m course. SETTING: Hospital outpatient clinic. SUBJECTS: Fifteen patients with idiopathic Parkinson's disease who had significant gait problems and no other condition affecting gait performance. MAIN MEASURES: Timed walk. RESULTS: Using the glasses, 8 of 15 patients achieved a significant and meaningful average improvement in walking time of at least 10% (mean (95% confidence interval) improvement in these patients was 21.5% (3.9%)), while a further 2 had subjective and modest objective benefit. Different patterns of visual and auditory cues suited different patients. Visual cueing alone with a fixed horizontal cue line present all the time statistically resulted in the greatest improvement in walking time. CONCLUSIONS: This pilot study shows promising improvement in the gait of a significant proportion of Parkinson's disease patients through the use of a simple, inexpensive and robust design of walking glasses, suggesting practical applicability in a therapy setting to large numbers of such patients. SN - 1477-0873 UR - https://www.unboundmedicine.com/medline/citation/19403552/A_preliminary_investigation_of_a_novel_design_of_visual_cue_glasses_that_aid_gait_in_Parkinson's_disease_ L2 - https://journals.sagepub.com/doi/10.1177/0269215509104170?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -