Dual-Task-Based Drum Playing with Rhythmic Cueing on Motor and Attention Control in Patients with Parkinson’s Disease: A Preliminary Randomized Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Procedure
2.3. Measurements
2.4. Intervention of Drum Playing with Rhythmic Cueing
2.5. Data Collection and Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Tapping Task | Cueing | Condition of Cueing | |
---|---|---|---|
Without rhythmic cueing | Tapping to own pace | No | - |
With rhythmic cueing | Tapping to follow regular rhythmic cueing | Yes | Providing regular rhythmic cueing for 15 s |
Shifting tapping to match slow and fast tempo | Yes | Changing tempo of regular rhythmic cueing after 15 s | |
Sustained tapping to regular intervals with cueing removed | Y→N | Removing regular rhythmic cueing after 15 s |
Stage Intervention Task | Regular Cueing | Interrupted Cueing | Content | |
---|---|---|---|---|
1 | Drum playing with regular rhythmic cueing | Y | N | Tracking rhythmic cueing of regular interval of metronome beats |
2 | Drum playing with alternating tempo | Y | N | Tracking rhythmic cueing according to changes in tempo of 45 and 105 BPM |
3 | Drum playing with regular rhythm and unexpected stimulus interruption | Y | Y | Sustained regular interval of rhythmic cueing with unpredicted melodic cueing |
4 | Task shifting between initiation and stop with rhythmic cueing of different rhythmic patterns | Y | Y | During tracking of rhythmic cueing for regular tempo, participants shift tasks from initiating to stopping when provided with cueing of different rhythmic patterns |
5 | Task shifting between playing and singing with different rhythmic patterns | Y | Y | During tracking of rhythmic cueing for regular tempo, participants shift tasks between playing and singing when provided with different rhythmic patterns |
Characteristic | DPRC M ± SD | Control M ± SD | Z | p |
---|---|---|---|---|
Age (years) | 61.6 ± 4.9 | 63.1 ± 10.1 | −0.434 | 0.673 |
Duration of disease (years) | 5.6 ± 3.1 | 4.8 ± 1.4 | 1.000 | 0.363 |
Education (years) | 12.3 ± 1.2 | 12.3 ± 3.1 | −0.416 | 0.686 |
H&Y scale | 2.3 ± 0.8 | 1.6 ± 0.5 | 0.455 | 0.660 |
MMSE-K score | 28.3 ± 1.2 | 26.3 ± 1.9 | 1.570 | 0.132 |
Parameter | DPRC Group (n = 6) | Control Group (n = 6) | ||||
---|---|---|---|---|---|---|
Pre M ± SD | Post M ± SD | Pre M ± SD | Post M ± SD | Effects Size | ||
Motor control measures | ||||||
Latency time until regularly self-paced tapping | Self-paced | 0.84 ± 0.37 | 0.55 ± 0.23 | 0.71 ± 0.52 | 0.96 ± 0.2 | 0.94 |
Latency time until entrainment | 45 BPM | 4.05 ± 3.04 | 4.41 ± 2.78 | 3.87 ± 2.9 | 8.49 ± 4.31 | 0.53 |
105 BPM | 3.27 ± 0.65 | 3.56 ± 1.25 | 3.46 ± 3.14 | 5.33 ± 3.88 | 1.46 | |
Latency time until entrainment for changes in tempo | 45→105 BPM | 4.01 ± 4.59 | 1.93 ± 0.4 | 4.75 ± 4.31 | 5.64 ± 4.32 | 0.84 |
105→45 BPM | 4.91 ± 2.78 | 3.59 ± 2.87 | 4.49 ± 1.03 | 7.03 ± 3.75 | 0.39 | |
Sustained time of entrainment | 45 BPM | 1.52 ± 2.19 | 9.65 ± 5.56 | 2.96 ± 3.92 | 1.03 ± 1.73 | 0.9 |
105 BPM | 2.55 ± 1.3 | 7.12 ± 5.23 | 2.17 ± 1.18 | 3.11 ± 2.45 | 0.68 | |
Execution time of NHPT | Right | 28.78 ± 6.14 | 27.64 ± 6.39 | 29.42 ± 5.45 | 39.60 ± 8.68 | 0.03 |
Left | 34.51 ± 11.99 | 30.47 ± 8.84 | 28.00 ± 4.58 | 28.69 ± 1.71 | 0.87 | |
Cognitive measures | ||||||
K-TMT-e_A | 19.16 ± 5.41 | 19.18 ± 4.92 | 21.12 ± 5.07 | 21.94 ± 5.65 | 0.16 | |
K-TMT-e_B | 42.67 ± 18.06 | 33.68 ± 13.40 | 41.06 ± 15.79 | 33.43 ± 8.56 | 0.07 | |
KST_WR_Time | 65.55 ± 8.46 | 65.88 ± 15.71 | 63.51 ± 10.46 | 65.27 ± 10.58 | 0.14 | |
KST_CR_Time | 121.69 ± 34.13 | 109.73 ± 26.86 | 119.08 ± 21.38 | 129.70 ± 27.25 | 1.04 |
Parameter | Repeated Measures Results | |||
---|---|---|---|---|
Time Effect | Group Effect | Time * Group | ||
(t, p) | (t, p) | (t, p) | ||
Motor control measures | ||||
Latency time until regularly self-paced tapping | Self-paced | 0.011, 0.917 | 0.764, 0.403 | 2.704, 0.131 |
Latency time until the entrainment | 45 BPM | 2.686, 0.132 | 0.178, 0.682 | 0.873, 0.372 |
105 BPM | 6.231, 0.032 ** | 5.407, 0.042 ** | 6.469, 0.029 ** | |
Latency time until the entrainment in changes tempo | 45→105 BPM | 1.214, 0.296 | 0.939, 0.355 | 0.477, 0.505 |
105→45 BPM | 1.094, 0.320 | 0.990, 0.343 | 2.124, 0.176 | |
Sustained time of entrainment | 45 BPM | 8.926, 0.014 ** | 0.017, 0.900 | 2.448, 0.149 |
105 BPM | 3.130, 0.107 | 0.031, 0.864 | 1.414, 0.262 | |
Execution time of NHPT | Right | 0.284, 0.606 | 0.035, 0.856 | 0.004, 0.954 |
Left | 10.994, 0.008 *** | 0.110, 0.747 | 2.327, 0.158 | |
Cognitive measures | ||||
K-TMT-e_A | 0.083, 0.779 | 0.616, 0.451 | 0.078, 0.786 | |
K-TMT-e_B | 2.302, 0.160 | 0.016, 0.901 | 0.015, 0.903 | |
KST_WR_Time | 0.132, 0.724 | 0.038, 0.849 | 0.062, 0.808 | |
KST_CR_Time | 0.011, 0.917 | 0.279, 0.609 | 3.295, 0.100 |
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Park, J.-K.; Kim, S.J. Dual-Task-Based Drum Playing with Rhythmic Cueing on Motor and Attention Control in Patients with Parkinson’s Disease: A Preliminary Randomized Study. Int. J. Environ. Res. Public Health 2021, 18, 10095. https://doi.org/10.3390/ijerph181910095
Park J-K, Kim SJ. Dual-Task-Based Drum Playing with Rhythmic Cueing on Motor and Attention Control in Patients with Parkinson’s Disease: A Preliminary Randomized Study. International Journal of Environmental Research and Public Health. 2021; 18(19):10095. https://doi.org/10.3390/ijerph181910095
Chicago/Turabian StylePark, Jin-Kyoung, and Soo Ji Kim. 2021. "Dual-Task-Based Drum Playing with Rhythmic Cueing on Motor and Attention Control in Patients with Parkinson’s Disease: A Preliminary Randomized Study" International Journal of Environmental Research and Public Health 18, no. 19: 10095. https://doi.org/10.3390/ijerph181910095