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Cueing for people with Parkinson's disease with freezing of gait: A narrative review of the state-of-the-art and novel perspectives.
Ann Phys Rehabil Med. 2018 Nov; 61(6):407-413.AP

Abstract

Freezing, which manifests during gait and other movements, is an incapacitating motor symptom experienced by many patients with Parkinson's disease (PD). In rehabilitation, auditory and visual cueing methods are commonly applied to evoke a more goal-directed type of motor control and, as such, reduce freezing severity in patients with PD. In this narrative review, we summarize the current evidence regarding the effects of external cueing in patients with PD with freezing of gait (FOG) and provide suggestions on how to further improve cueing effectiveness with emerging technological developments. For this paper, we reviewed 24 articles describing the assessment of the effects of cues in patients with FOG (n=354). Because these studies mostly involved quasi-experimental designs, no methodological analysis was undertaken. In general, the evidence suggests that cue-augmented training can reduce FOG severity, improve gait parameters and improve upper-limb movements immediately after training. However, findings were not univocal, and long-term consolidation and transfer of the effects appear to be hampered specifically in this subgroup. With the increasing use of wearable technology, new possibilities are allowing for adapting the cue type, cue content and dose of cues to the needs of individual patients, which may boost the clinical use and efficiency of cued training in PD patients with FOG.

Authors+Show Affiliations

KU Leuven, Department of Rehabilitation Sciences, Neuromotor Rehabilitation Research Group, Tervuursevest 101 box 1501, 3000 Leuven, Belgium. Electronic address: pieter.ginis@kuleuven.be.KU Leuven, Department of Rehabilitation Sciences, Neuromotor Rehabilitation Research Group, Tervuursevest 101 box 1501, 3000 Leuven, Belgium.KU Leuven, Department of Rehabilitation Sciences, Neuromotor Rehabilitation Research Group, Tervuursevest 101 box 1501, 3000 Leuven, Belgium.KU Leuven, Department of Rehabilitation Sciences, Neuromotor Rehabilitation Research Group, Tervuursevest 101 box 1501, 3000 Leuven, Belgium.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28890341

Citation

Ginis, Pieter, et al. "Cueing for People With Parkinson's Disease With Freezing of Gait: a Narrative Review of the State-of-the-art and Novel Perspectives." Annals of Physical and Rehabilitation Medicine, vol. 61, no. 6, 2018, pp. 407-413.
Ginis P, Nackaerts E, Nieuwboer A, et al. Cueing for people with Parkinson's disease with freezing of gait: A narrative review of the state-of-the-art and novel perspectives. Ann Phys Rehabil Med. 2018;61(6):407-413.
Ginis, P., Nackaerts, E., Nieuwboer, A., & Heremans, E. (2018). Cueing for people with Parkinson's disease with freezing of gait: A narrative review of the state-of-the-art and novel perspectives. Annals of Physical and Rehabilitation Medicine, 61(6), 407-413. https://doi.org/10.1016/j.rehab.2017.08.002
Ginis P, et al. Cueing for People With Parkinson's Disease With Freezing of Gait: a Narrative Review of the State-of-the-art and Novel Perspectives. Ann Phys Rehabil Med. 2018;61(6):407-413. PubMed PMID: 28890341.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cueing for people with Parkinson's disease with freezing of gait: A narrative review of the state-of-the-art and novel perspectives. AU - Ginis,Pieter, AU - Nackaerts,Evelien, AU - Nieuwboer,Alice, AU - Heremans,Elke, Y1 - 2017/09/07/ PY - 2017/07/31/received PY - 2017/08/17/revised PY - 2017/08/17/accepted PY - 2017/9/12/pubmed PY - 2019/5/24/medline PY - 2017/9/12/entrez KW - Cue KW - Freezing of gait KW - Parkinson's disease KW - Rehabilitation KW - Wearable sensor SP - 407 EP - 413 JF - Annals of physical and rehabilitation medicine JO - Ann Phys Rehabil Med VL - 61 IS - 6 N2 - Freezing, which manifests during gait and other movements, is an incapacitating motor symptom experienced by many patients with Parkinson's disease (PD). In rehabilitation, auditory and visual cueing methods are commonly applied to evoke a more goal-directed type of motor control and, as such, reduce freezing severity in patients with PD. In this narrative review, we summarize the current evidence regarding the effects of external cueing in patients with PD with freezing of gait (FOG) and provide suggestions on how to further improve cueing effectiveness with emerging technological developments. For this paper, we reviewed 24 articles describing the assessment of the effects of cues in patients with FOG (n=354). Because these studies mostly involved quasi-experimental designs, no methodological analysis was undertaken. In general, the evidence suggests that cue-augmented training can reduce FOG severity, improve gait parameters and improve upper-limb movements immediately after training. However, findings were not univocal, and long-term consolidation and transfer of the effects appear to be hampered specifically in this subgroup. With the increasing use of wearable technology, new possibilities are allowing for adapting the cue type, cue content and dose of cues to the needs of individual patients, which may boost the clinical use and efficiency of cued training in PD patients with FOG. SN - 1877-0665 UR - https://www.unboundmedicine.com/medline/citation/28890341/Cueing_for_people_with_Parkinson's_disease_with_freezing_of_gait:_A_narrative_review_of_the_state_of_the_art_and_novel_perspectives_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1877-0657(17)30404-9 DB - PRIME DP - Unbound Medicine ER -