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Variable Cadence Gait Training Outcomes Using Rhythmic Auditory Stimulation Embedded in Older Adults' Preferred

Cathy A Larson1, Edward A Roth2, Alycia J Sterenberg Mahon2

  • 1College of Health Sciences, Physical Therapy Department, University of Michigan-Flint, Flint, MI,USA.

Journal of Aging and Physical Activity
|March 4, 2023
PubMed
Summary

Rhythmic auditory stimulation gait training improved older adults' walking speed, distance, and maximum cadence. This training may help seniors adapt their walking to community demands.

Keywords:
spatial and temporal gait parameterstarget and actual cadenceswalk with musicwalk with rhythmic auditory stimulation (RAS)walking speed/velocity and distance

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Area of Science:

  • Gerontology
  • Rehabilitation Science
  • Movement Science

Background:

  • Older adults require adaptable walking abilities for community participation.
  • Gait training with rhythmic auditory stimulation (RAS) is a potential intervention to improve walking parameters.

Purpose of the Study:

  • To assess if 7 weeks of RAS gait training improved walking ability in older adults.
  • To determine if participants matched target cadences and improved walking distance, velocity, and balance.

Main Methods:

  • A single-group pre-post test design was used.
  • Fourteen older female adults underwent 14 RAS gait training sessions with progressively introduced variable cadences.
  • Gait parameters, including cadence, walking distance, velocity, and maximum cadence, were measured before and after training.

Main Results:

  • Eleven participants (responders) adapted their cadence to target paces during RAS training.
  • Participants significantly increased walking distance, velocity, and maximum cadence post-training, exceeding minimal clinically important differences.
  • Twelve of 14 participants reported enjoyment of the training.

Conclusions:

  • RAS gait training is a promising intervention for enhancing walking performance in older adults.
  • The training may improve older adults' capacity to adjust walking speed for diverse community needs.
  • Individual responses to RAS training varied, suggesting potential for personalized approaches.