Music and Metronomes Differentially Impact Motor Timing in People with and without Parkinson’s Disease: Effects of Slow, Medium, and Fast Tempi on Entrainment and Synchronization Performances in Finger Tapping, Toe Tapping, and Stepping on the Spot Tasks

Introduction. Rhythmic auditory stimulation (RAS) has successfully helped regulate gait for people with Parkinson’s disease. However, the way in which different auditory cues and types of movements affect entrainment, synchronization, and pacing stability has not been directly compared in different...

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Main Authors: Dawn Rose, Yvonne Delevoye-Turrell, Laurent Ott, Lucy E. Annett, Peter J. Lovatt
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2019/6530838
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author Dawn Rose
Yvonne Delevoye-Turrell
Laurent Ott
Lucy E. Annett
Peter J. Lovatt
author_facet Dawn Rose
Yvonne Delevoye-Turrell
Laurent Ott
Lucy E. Annett
Peter J. Lovatt
author_sort Dawn Rose
collection DOAJ
description Introduction. Rhythmic auditory stimulation (RAS) has successfully helped regulate gait for people with Parkinson’s disease. However, the way in which different auditory cues and types of movements affect entrainment, synchronization, and pacing stability has not been directly compared in different aged people with and without Parkinson’s. Therefore, this study compared music and metronomes (cue types) in finger tapping, toe tapping, and stepping on the spot tasks to explore the potential of RAS training for general use. Methods. Participants (aged 18–78 years) included people with Parkinson’s (n = 30, Hoehn and Yahr mean = 1.78), older (n = 26), and younger adult controls (n = 36), as age may effect motor timing. Timed motor production was assessed using an extended synchronization-continuation task in cue type and movement conditions for slow, medium, and fast tempi (81, 116, and 140 mean beats per minute, respectively). Results. Analyses revealed main effects of cue and movement type but no between-group interactions, suggesting no differences in motor timing between people with Parkinson’s and controls. Music supported entrainment better than metronomes in medium and fast tempi, and stepping on the spot enabled better entrainment and less asynchrony, as well as more stable pacing compared to tapping in medium and fast tempi. Age was not confirmed as a factor, and no differences were observed in slow tempo. Conclusion. This is the first study to directly compare how different external auditory cues and movement types affect motor timing. The music and the stepping enabled participants to maintain entrainment once the external pacing cue ceased, suggesting endogenous mechanisms continued to regulate the movements. The superior performance of stepping on the spot suggests embodied entrainment can occur during continuous movement, and this may be related to emergent timing in tempi above 600 ms. These findings can be applied therapeutically to manage and improve adaptive behaviours for people with Parkinson’s.
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spelling doaj-art-e5cb654bd7e34ad4beff6a5bd2a7c35e2025-08-20T03:26:20ZengWileyParkinson's Disease2090-80832042-00802019-01-01201910.1155/2019/65308386530838Music and Metronomes Differentially Impact Motor Timing in People with and without Parkinson’s Disease: Effects of Slow, Medium, and Fast Tempi on Entrainment and Synchronization Performances in Finger Tapping, Toe Tapping, and Stepping on the Spot TasksDawn Rose0Yvonne Delevoye-Turrell1Laurent Ott2Lucy E. Annett3Peter J. Lovatt4Lucerne University of Applied Sciences & Arts, Zentralstrasse 18, CH-6003 Lucerne, SwitzerlandUniversité de Lille, SCALab, UMR 9193–CNRS, Villeneuve d’Ascq, FranceUniversité de Lille, SCALab, UMR 9193–CNRS, Villeneuve d’Ascq, FranceUniversity of Hertfordshire, Department of Psychology and Sport Sciences, School of Life and Medical Sciences, College Lane, Hatfield, Hertfordshire AL10 9AB, UKUniversity of Hertfordshire, Department of Psychology and Sport Sciences, School of Life and Medical Sciences, College Lane, Hatfield, Hertfordshire AL10 9AB, UKIntroduction. Rhythmic auditory stimulation (RAS) has successfully helped regulate gait for people with Parkinson’s disease. However, the way in which different auditory cues and types of movements affect entrainment, synchronization, and pacing stability has not been directly compared in different aged people with and without Parkinson’s. Therefore, this study compared music and metronomes (cue types) in finger tapping, toe tapping, and stepping on the spot tasks to explore the potential of RAS training for general use. Methods. Participants (aged 18–78 years) included people with Parkinson’s (n = 30, Hoehn and Yahr mean = 1.78), older (n = 26), and younger adult controls (n = 36), as age may effect motor timing. Timed motor production was assessed using an extended synchronization-continuation task in cue type and movement conditions for slow, medium, and fast tempi (81, 116, and 140 mean beats per minute, respectively). Results. Analyses revealed main effects of cue and movement type but no between-group interactions, suggesting no differences in motor timing between people with Parkinson’s and controls. Music supported entrainment better than metronomes in medium and fast tempi, and stepping on the spot enabled better entrainment and less asynchrony, as well as more stable pacing compared to tapping in medium and fast tempi. Age was not confirmed as a factor, and no differences were observed in slow tempo. Conclusion. This is the first study to directly compare how different external auditory cues and movement types affect motor timing. The music and the stepping enabled participants to maintain entrainment once the external pacing cue ceased, suggesting endogenous mechanisms continued to regulate the movements. The superior performance of stepping on the spot suggests embodied entrainment can occur during continuous movement, and this may be related to emergent timing in tempi above 600 ms. These findings can be applied therapeutically to manage and improve adaptive behaviours for people with Parkinson’s.http://dx.doi.org/10.1155/2019/6530838
spellingShingle Dawn Rose
Yvonne Delevoye-Turrell
Laurent Ott
Lucy E. Annett
Peter J. Lovatt
Music and Metronomes Differentially Impact Motor Timing in People with and without Parkinson’s Disease: Effects of Slow, Medium, and Fast Tempi on Entrainment and Synchronization Performances in Finger Tapping, Toe Tapping, and Stepping on the Spot Tasks
Parkinson's Disease
title Music and Metronomes Differentially Impact Motor Timing in People with and without Parkinson’s Disease: Effects of Slow, Medium, and Fast Tempi on Entrainment and Synchronization Performances in Finger Tapping, Toe Tapping, and Stepping on the Spot Tasks
title_full Music and Metronomes Differentially Impact Motor Timing in People with and without Parkinson’s Disease: Effects of Slow, Medium, and Fast Tempi on Entrainment and Synchronization Performances in Finger Tapping, Toe Tapping, and Stepping on the Spot Tasks
title_fullStr Music and Metronomes Differentially Impact Motor Timing in People with and without Parkinson’s Disease: Effects of Slow, Medium, and Fast Tempi on Entrainment and Synchronization Performances in Finger Tapping, Toe Tapping, and Stepping on the Spot Tasks
title_full_unstemmed Music and Metronomes Differentially Impact Motor Timing in People with and without Parkinson’s Disease: Effects of Slow, Medium, and Fast Tempi on Entrainment and Synchronization Performances in Finger Tapping, Toe Tapping, and Stepping on the Spot Tasks
title_short Music and Metronomes Differentially Impact Motor Timing in People with and without Parkinson’s Disease: Effects of Slow, Medium, and Fast Tempi on Entrainment and Synchronization Performances in Finger Tapping, Toe Tapping, and Stepping on the Spot Tasks
title_sort music and metronomes differentially impact motor timing in people with and without parkinson s disease effects of slow medium and fast tempi on entrainment and synchronization performances in finger tapping toe tapping and stepping on the spot tasks
url http://dx.doi.org/10.1155/2019/6530838
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