Abstract

Although there have been increasing reports regarding the effectiveness of dual-task interventions in rehabilitation, the scope of this research is limited to gross motor movement, such as gait among patients with Parkinson’s disease (PD). To expand the dual-task paradigm to upper extremity motor and attention control in PD, drum playing with modulation of musical elements was attempted. The objective of this study was to evaluate the effects of a drum playing intervention with rhythmic cueing on upper extremity motor control and attention control in patients with PD. Twelve participants were randomly assigned to the drum playing intervention with rhythmic cueing group or the control group. The results showed that the drum playing with rhythmic cueing (DPRC) group significantly increased their sustained time of entrainment (45 BPM) and their latency time until entrainment from pretest to posttest. For the DPRC group, the latency time until entrainment was significantly improved, and improvements in cognitive measures were also found. This study shows that DPRC has great potential to improve upper extremity motor control and attention control and supports the development of new interventions that include this technique for rehabilitation in patients with PD.

Highlights

  • Parkinson’s disease (PD) is a progressive neurodegenerative disorder that results in motor symptoms involving difficulty with movement initiation and disruptions in movement control [1] as well as nonmotor symptoms [2] involving impairments in memory, attention, and executive function [3]

  • A deficiency of dopamine in the basal ganglia is associated with neural network disruption resulting in cognitive impairment [5]

  • We investigated the effects of drum playing with rhythmic cueing (DPRC) on the motor control and cognitive functioning

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Summary

Introduction

Parkinson’s disease (PD) is a progressive neurodegenerative disorder that results in motor symptoms involving difficulty with movement initiation and disruptions in movement control [1] as well as nonmotor symptoms [2] involving impairments in memory, attention, and executive function [3]. 50% loss in dopamine cells has been associated with involuntary motor disorders due to decreased functioning of the central nervous system [6]. Decreased motor control affects the trajectory, timing, and consistency of movement and leads to difficulties with stretch and grab movements in daily living [7,8,9]. A deficiency of dopamine in the basal ganglia is associated with neural network disruption resulting in cognitive impairment [5]. As expected, limited motor and cognitive functioning makes it more difficult to engage in ADL which contributes to decreased quality of life among patients with PD [13]

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