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Effect of Exercise with Rhythmic Auditory Stimulation on Muscle Coordination and Gait Stability in Patients with Diabetic Peripheral Neuropathy: A Randomized Controlled Trial

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Open Journal of Therapy and Rehabilitation 2019年第3期7卷 79-91页

作者： Keisuke Suzuki Masaya Niitsu tomohiko kamo Satoshi Otake Yusuke Nishida Department of Physical Therapy International University of Health and Welfare Odawara Japan Department of Rehabilitation Iwata City Hospital Iwata Japan Department of Physical Therapy Japan University of Health Sciences Satte Japan Department of Physical Therapy International University of Health and Welfare Narita Japan

Background: Diabetic peripheral neuropathy (DPN) changes leg muscle coordination during walking and reduces stability. The aim of this study was to determine whether rhythmic auditory stimulation (RAS) affected the gait performance of patients with DPN. Methods: Forty DPN patients (mean age, 59.1 ± 9.4 y) were randomly allocated to RAS and control groups in equal numbers. The participants in each group underwent 2 weeks of supervised rehabilitative treatment (40 min/day) as inpatients. This included walking twice a day, during which the RAS group participants walked in time with a metronome set at a self-chosen, comfortable rate. We compared gait function, lower limb muscle co-contraction, and gait stability before and after the intervention for both groups, calculated the change in score for each parameter, and assessed differences between the groups with unpaired t-tests and ANCOVA. Results: RAS was associated with significant improvement in all parameters. In the control group, there was no improvement in cadence, co-contraction, or gait stability (vertical). Compared with the control group, the RAS group showed improvement in co-contraction and gait stability. Conclusion: RAS may be helpful for improving the lower limb muscle coordination and gait function of DPN patients.

关键词： Co-Contraction Root Mean Square Muscle Activity Gait Stability Auditory Cue

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