Dual-Task-Based Drum Playing with Rhythmic Cueing on Motor and Attention Control in Patients with Parkinson's Disease: A Preliminary Randomized Study

Jin-Kyoung Park, Soo Ji Kim, Jin-Kyoung Park, Soo Ji Kim

Abstract

Although there have been increasing reports regarding the effectiveness of dual-task interventions in rehabilitation, the scope of this research is limited to gross motor movement, such as gait among patients with Parkinson's disease (PD). To expand the dual-task paradigm to upper extremity motor and attention control in PD, drum playing with modulation of musical elements was attempted. The objective of this study was to evaluate the effects of a drum playing intervention with rhythmic cueing on upper extremity motor control and attention control in patients with PD. Twelve participants were randomly assigned to the drum playing intervention with rhythmic cueing group or the control group. The results showed that the drum playing with rhythmic cueing (DPRC) group significantly increased their sustained time of entrainment (45 BPM) and their latency time until entrainment from pretest to posttest. For the DPRC group, the latency time until entrainment was significantly improved, and improvements in cognitive measures were also found. This study shows that DPRC has great potential to improve upper extremity motor control and attention control and supports the development of new interventions that include this technique for rehabilitation in patients with PD.

Keywords: Parkinson’s disease; drum playing; dual-task; rehabilitation; rhythmic cueing.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart for group allocation.
Figure 2
Figure 2
The measurement paradigm of the MIDI drum tapping task. The latency time until the entrainment refers to time from cueing until each participant’s tapping interval started synchronizing. The sustained time of entrainment refers to time until each participant’s tapping became regular without rhythmic cueing.
Figure 3
Figure 3
Changes in motor control measures for the DPRC and control groups. Panel (A) shows change in latency time until entrainment for 105 BPM, panel (B) shows change in sustained time of entrainment for 45 BPM, and panel (C) shows change in execution time of left hand for NHPT.

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