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dc.contributor.authorCochen De Cock, Valérie
dc.contributor.authorDotov, Dobromir
dc.contributor.authorDamm, Loic
dc.contributor.authorLacombe, Sandy
dc.contributor.authorIhalainen, Petra
dc.contributor.authorPicot, Marie Christine
dc.contributor.authorGaltier, Florence
dc.contributor.authorLebrun, Cindy
dc.contributor.authorGiordano, Aurélie
dc.contributor.authorDriss, Valérie
dc.contributor.authorGeny, Christian
dc.contributor.authorGarzo, Ainara
dc.contributor.authorHernandez, Erik
dc.contributor.authorVan Dyck, Edith
dc.contributor.authorLeman, Marc
dc.contributor.authorVilling, Rudi
dc.contributor.authorBardy, Benoit G.
dc.contributor.authorDalla Bella, Simone
dc.date.accessioned2021-04-27T09:37:04Z
dc.date.available2021-04-27T09:37:04Z
dc.date.issued2021-04
dc.identifier.citationCochen De Cock V, Dotov D, Damm L, Lacombe S, Ihalainen P, Picot MC, Galtier F, Lebrun C, Giordano A, Driss V, Geny C, Garzo A, Hernandez E, Van Dyck E, Leman M, Villing R, Bardy BG and Dalla Bella S (2021) BeatWalk: Personalized Music-Based Gait Rehabilitation in Parkinson’s Disease. Front. Psychol. 12:655121. doi: 10.3389/fpsyg.2021.655121en
dc.identifier.issn1664-1078en
dc.identifier.urihttp://hdl.handle.net/11556/1121
dc.description.abstractTaking regular walks when living with Parkinson’s disease (PD) has beneficial effects on movement and quality of life. Yet, patients usually show reduced physical activity compared to healthy older adults. Using auditory stimulation such as music can facilitate walking but patients vary significantly in their response. An individualized approach adapting musical tempo to patients’ gait cadence, and capitalizing on these individual differences, is likely to provide a rewarding experience, increasing motivation for walk-in PD. We aim to evaluate the observance, safety, tolerance, usability, and enjoyment of a new smartphone application. It was coupled with wearable sensors (BeatWalk) and delivered individualized musical stimulation for gait auto-rehabilitation at home. Forty-five patients with PD underwent a 1-month, outdoor, uncontrolled gait rehabilitation program, using the BeatWalk application (30 min/day, 5 days/week). The music tempo was being aligned in real-time to patients’ gait cadence in a way that could foster an increase up to +10% of their spontaneous cadence. Open-label evaluation was based on BeatWalk use measures, questionnaires, and a six-minute walk test. Patients used the application 78.8% (±28.2) of the prescribed duration and enjoyed it throughout the program. The application was considered “easy to use” by 75% of the patients. Pain, fatigue, and falls did not increase. Fear of falling decreased and quality of life improved. After the program, patients improved their gait parameters in the six-minute walk test without musical stimulation. BeatWalk is an easy to use, safe, and enjoyable musical application for individualized gait rehabilitation in PD. It increases “walk for exercise” duration thanks to high observance.en
dc.description.sponsorshipThis research was supported by a European grant: BeatHealth: Health and Wellness on the Beat for VC, DD, CL, AGi, VD, RV, EH, ED, ML, BB, and SB (EU FP7-ICT contract #610633).en
dc.language.isoengen
dc.publisherFrontiers Media S.A.en
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.titleBeatWalk: Personalized Music-Based Gait Rehabilitation in Parkinson’s Diseaseen
dc.typearticleen
dc.identifier.doi10.3389/fpsyg.2021.655121en
dc.relation.projectIDinfo:eu-repo/grantAgreement/EC/FP7/610633/EU/Health and Wellness on the Beat/BEAT-HEALTHen
dc.rights.accessRightsopenAccessen
dc.subject.keywordsParkinson’s diseaseen
dc.subject.keywordsCueingen
dc.subject.keywordsRhythmic auditory stimulationen
dc.subject.keywordsPhysical activityen
dc.subject.keywordsGait rehabilitationen
dc.subject.keywordsPrecision medicine BeatWalken
dc.journal.titleFrontiers in Psychologyen
dc.volume.number12en


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