title: Changes in gait patterns induced by rhythmic auditory stimulation for adolescents with acquired brain injury.
abstract: The effects of rhythmic auditory stimulation (RAS) on gait in adolescents with acquired brain injury (ABI) were investigated. A total of 14 adolescents with ABI were initially recruited, and 12 were included in the final analysis (n = 6 each). They were randomly assigned to the experimental (RAS) or the control (conventional gait training) groups. The experimental group received gait training with RAS three times a week for 4 weeks. For both groups, spatiotemporal parameters and kinematic data, such as dynamic motions of joints on three-dimensional planes during a gait cycle and the range of motion in each joint, were collected. Significant group differences in pre-post changes were observed in cadence, walking velocity, and step time, indicating that there were greater improvements in those parameters in the RAS group compared with the control group. Significant increases in hip and knee motions in the sagittal plane were also observed in the RAS group. The changes in kinematic data significantly differed between groups, particularly from terminal stance to mid-swing phase. An increase of both spatiotemporal parameters and corresponding kinematic changes of hip and knee joints after RAS protocol indicates that the use of rhythmic cueing may change gait patterns in adolescents with ABI.
authors.affiliation: Music Therapy Education, Graduate School of Education, Ewha Womans University, Seoul, Korea.
authors.forename: Soo Ji
authors.initials: SJ
authors.lastname: Kim
authors.affiliation: Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.|Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Yoon-Kyum
authors.initials: YK
authors.lastname: Shin
authors.affiliation: Department of Music Therapy, Graduate School, Ewha Womans University, Seoul, Korea.
authors.forename: Ga Eul
authors.initials: GE
authors.lastname: Yoo
authors.affiliation: Department of Music Therapy, Graduate School, Ewha Womans University, Seoul, Korea.
authors.forename: Hyun Ju
authors.initials: HJ
authors.lastname: Chong
authors.affiliation: Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.|Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea.|Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Sung-Rae
authors.initials: SR
authors.lastname: Cho
mesh_terms: D000161:Acoustic Stimulation / Q000379:methods*; D000293:Adolescent; D001930:Brain Injuries / Q000150:complications / Q000503:physiopathology* / Q000534:rehabilitation*; D002648:Child; D005260:Female; D005684:Gait / Q000502:physiology*; D020233:Gait Disorders, Neurologic / Q000209:etiology / Q000503:physiopathology* / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D016059:Range of Motion, Articular / Q000502:physiology; D016037:Single-Blind Method
keywords: brain injury; gait; rehabilitation; rhythmic auditory stimulation