title: Intensive gait training with rhythmic auditory stimulation in individuals with chronic hemiparetic stroke: a pilot randomized controlled study.
abstract: BACKGROUND
  Motor relearning protocols should involve task-oriented movement, focused attention, and repetition of desired movements.
  
  
  OBJECTIVE
  To investigate the effect of intensive gait training with rhythmic auditory stimulation on postural control and gait performance in individuals with chronic hemiparetic stroke.
  
  
  METHODS
  Twenty patients with chronic hemiparetic stroke participated in this study. Subjects in the Rhythmic auditory stimulation training group (10 subjects) underwent intensive gait training with rhythmic auditory stimulation for a period of 6 weeks (30 min/day, five days/week), while those in the control group (10 subjects) underwent intensive gait training for the same duration. Two clinical measures, Berg balance scale and stroke specific quality of life scale, and a 2-demensional gait analysis system, were used as outcome measure. To provide rhythmic auditory stimulation during gait training, the MIDI Cuebase musical instrument digital interface program and a KM Player version 3.3 was utilized for this study.
  
  
  RESULTS
  Intensive gait training with rhythmic auditory stimulation resulted in significant improvement in scores on the Berg balance scale, gait velocity, cadence, stride length and double support period in affected side, and stroke specific quality of life scale compared with the control group after training.
  
  
  CONCLUSIONS
  Findings of this study suggest that intensive gait training with rhythmic auditory stimulation improves balance and gait performance as well as quality of life, in individuals with chronic hemiparetic stroke.
authors.affiliation: Department of Physical Therapy, The Graduate School, Sahmyook University, Seoul, Republic of Korea.
authors.forename: Yuri
authors.initials: Y
authors.lastname: Cha
authors.affiliation: Department of Physical Therapy, The Graduate School, Sahmyook University, Seoul, Republic of Korea.
authors.forename: Young
authors.initials: Y
authors.lastname: Kim
authors.affiliation: Department of Physical Therapy, Division of Health Science, Baekseok University, Cheonan, Republic of Korea.
authors.forename: Sujin
authors.initials: S
authors.lastname: Hwang
authors.affiliation: Department of Physical Therapy, College of Health and Welfare, Sahmyook University, Seoul, Republic of Korea.
authors.forename: Yijung
authors.initials: Y
authors.lastname: Chung
mesh_terms: D000161:Acoustic Stimulation / Q000379:methods*; D000368:Aged; D001696:Biomechanical Phenomena; D002908:Chronic Disease; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D005684:Gait; D020233:Gait Disorders, Neurologic / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009146:Music; D010291:Paresis / Q000534:rehabilitation*; D010865:Pilot Projects; D004856:Postural Balance; D011788:Quality of Life; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome
keywords: Gait; rhythmic auditory stimulation; stroke