The Effect of Sensorimotor Synchronization on Gait Spatiotemporal Parameters in Women with Multiple Sclerosis

Introduction: Although gait rehabilitation based on sensorimotor synchronization (auditory and visual) is stimulating for patients with neurological disorders and older people, there is little evidence in patients with multiple sclerosis (MS). Therefore, this study investigates the effect of synchr...

Full description

Saved in:
Bibliographic Details
Main Authors: Mozhgan Memarmoghadam, Mansoureh Shahraki, Behzad Mohammadi Orangi, Luca Correale, Leonardo A. Peyré-Tartaruga
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2024-11-01
Series:Journal of Modern Rehabilitation
Subjects:
Online Access:https://jmr.tums.ac.ir/index.php/jmr/article/view/1127
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823863940241686528
author Mozhgan Memarmoghadam
Mansoureh Shahraki
Behzad Mohammadi Orangi
Luca Correale
Leonardo A. Peyré-Tartaruga
author_facet Mozhgan Memarmoghadam
Mansoureh Shahraki
Behzad Mohammadi Orangi
Luca Correale
Leonardo A. Peyré-Tartaruga
author_sort Mozhgan Memarmoghadam
collection DOAJ
description Introduction: Although gait rehabilitation based on sensorimotor synchronization (auditory and visual) is stimulating for patients with neurological disorders and older people, there is little evidence in patients with multiple sclerosis (MS). Therefore, this study investigates the effect of synchronization with rhythmic visual stimulus on gait spatiotemporal parameters, bilateral symmetry, and locomotor rehabilitation index in women with MS. Materials and Methods: Spatiotemporal parameters, bilateral symmetry and the locomotor rehabilitation index were obtained before and after 6 weeks (three times per week, 30 min each session) of locomotor training. We compared these findings between two groups of 10 patients, each with an expanded disability status scale (EDSS) of 3-6, who performed the gait training with or without rhythmic visual stimulus. Results: Time×group interaction effect indicated greater significant improvements in the group with rhythmic visual stimulus in self-selected walking speed (SSWS) (P=0.041), stride frequency (P=0.009), stance time (P=0.021), and locomotor rehabilitation index (P=0.036). Stride length, double stance, and swing time were improved in the group with rhythmic visual stimulus, but this change was not significant. Also, bilateral symmetry did not change significantly in the experimental group. Therefore, rhythmic visual stimulation can help improve functional mobility and locomotor rehabilitation index in patients with MS, especially due to the improvements in the temporal parameters of gait. Conclusion: Therefore, synchronizing gait with a rhythmic visual stimulus can be an effective therapeutic strategy to improve gait and main temporal parameters in patients with MS.
format Article
id doaj-art-a868bd5ddaaa41e6a3c28aad4d0f10fa
institution Kabale University
issn 2538-385X
2538-3868
language English
publishDate 2024-11-01
publisher Tehran University of Medical Sciences
record_format Article
series Journal of Modern Rehabilitation
spelling doaj-art-a868bd5ddaaa41e6a3c28aad4d0f10fa2025-02-09T09:07:28ZengTehran University of Medical SciencesJournal of Modern Rehabilitation2538-385X2538-38682024-11-0119110.18502/jmr.v19i1.17511The Effect of Sensorimotor Synchronization on Gait Spatiotemporal Parameters in Women with Multiple SclerosisMozhgan Memarmoghadam0Mansoureh Shahraki1Behzad Mohammadi Orangi2Luca Correale3Leonardo A. Peyré-Tartaruga4Department of Motor Behavior and Sport Biomechanics, Faculty of Sport Sciences, University of Mazandaran, Mazandaran, Iran.Department of Sport Sciences, Faculty of Literature and Humanities, University of Zabol, Zabol, Iran.Department of Sport Science, Faculty of Humanities, Damghan University, Damghan, Iran.Department of Public Health, School of Experimental Medicine and Forensic Sciences, University of Pavia, Pavia, Italy.Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. Introduction: Although gait rehabilitation based on sensorimotor synchronization (auditory and visual) is stimulating for patients with neurological disorders and older people, there is little evidence in patients with multiple sclerosis (MS). Therefore, this study investigates the effect of synchronization with rhythmic visual stimulus on gait spatiotemporal parameters, bilateral symmetry, and locomotor rehabilitation index in women with MS. Materials and Methods: Spatiotemporal parameters, bilateral symmetry and the locomotor rehabilitation index were obtained before and after 6 weeks (three times per week, 30 min each session) of locomotor training. We compared these findings between two groups of 10 patients, each with an expanded disability status scale (EDSS) of 3-6, who performed the gait training with or without rhythmic visual stimulus. Results: Time×group interaction effect indicated greater significant improvements in the group with rhythmic visual stimulus in self-selected walking speed (SSWS) (P=0.041), stride frequency (P=0.009), stance time (P=0.021), and locomotor rehabilitation index (P=0.036). Stride length, double stance, and swing time were improved in the group with rhythmic visual stimulus, but this change was not significant. Also, bilateral symmetry did not change significantly in the experimental group. Therefore, rhythmic visual stimulation can help improve functional mobility and locomotor rehabilitation index in patients with MS, especially due to the improvements in the temporal parameters of gait. Conclusion: Therefore, synchronizing gait with a rhythmic visual stimulus can be an effective therapeutic strategy to improve gait and main temporal parameters in patients with MS. https://jmr.tums.ac.ir/index.php/jmr/article/view/1127Multiple sclerosisSensorimotorSynchronizationGait
spellingShingle Mozhgan Memarmoghadam
Mansoureh Shahraki
Behzad Mohammadi Orangi
Luca Correale
Leonardo A. Peyré-Tartaruga
The Effect of Sensorimotor Synchronization on Gait Spatiotemporal Parameters in Women with Multiple Sclerosis
Journal of Modern Rehabilitation
Multiple sclerosis
Sensorimotor
Synchronization
Gait
title The Effect of Sensorimotor Synchronization on Gait Spatiotemporal Parameters in Women with Multiple Sclerosis
title_full The Effect of Sensorimotor Synchronization on Gait Spatiotemporal Parameters in Women with Multiple Sclerosis
title_fullStr The Effect of Sensorimotor Synchronization on Gait Spatiotemporal Parameters in Women with Multiple Sclerosis
title_full_unstemmed The Effect of Sensorimotor Synchronization on Gait Spatiotemporal Parameters in Women with Multiple Sclerosis
title_short The Effect of Sensorimotor Synchronization on Gait Spatiotemporal Parameters in Women with Multiple Sclerosis
title_sort effect of sensorimotor synchronization on gait spatiotemporal parameters in women with multiple sclerosis
topic Multiple sclerosis
Sensorimotor
Synchronization
Gait
url https://jmr.tums.ac.ir/index.php/jmr/article/view/1127
work_keys_str_mv AT mozhganmemarmoghadam theeffectofsensorimotorsynchronizationongaitspatiotemporalparametersinwomenwithmultiplesclerosis
AT mansourehshahraki theeffectofsensorimotorsynchronizationongaitspatiotemporalparametersinwomenwithmultiplesclerosis
AT behzadmohammadiorangi theeffectofsensorimotorsynchronizationongaitspatiotemporalparametersinwomenwithmultiplesclerosis
AT lucacorreale theeffectofsensorimotorsynchronizationongaitspatiotemporalparametersinwomenwithmultiplesclerosis
AT leonardoapeyretartaruga theeffectofsensorimotorsynchronizationongaitspatiotemporalparametersinwomenwithmultiplesclerosis
AT mozhganmemarmoghadam effectofsensorimotorsynchronizationongaitspatiotemporalparametersinwomenwithmultiplesclerosis
AT mansourehshahraki effectofsensorimotorsynchronizationongaitspatiotemporalparametersinwomenwithmultiplesclerosis
AT behzadmohammadiorangi effectofsensorimotorsynchronizationongaitspatiotemporalparametersinwomenwithmultiplesclerosis
AT lucacorreale effectofsensorimotorsynchronizationongaitspatiotemporalparametersinwomenwithmultiplesclerosis
AT leonardoapeyretartaruga effectofsensorimotorsynchronizationongaitspatiotemporalparametersinwomenwithmultiplesclerosis