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  Dissonance in music impairs spatial gait parameters in patients with Parkinson’s disease

Fritz, T. H., Liebau, G., Löhle, M., Hartjen, B., Czech, P., Schneider, L., et al. (2021). Dissonance in music impairs spatial gait parameters in patients with Parkinson’s disease. Journal of Parkinson's Disease: JPD, 11(1), 363-372. doi:10.3233/JPD-202413.

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Fritz, Thomas Hans1, 2, 3, Author              
Liebau, Gefion1, Author
Löhle, Matthias4, 5, Author
Hartjen, Berit1, 6, Author
Czech, Phillip1, Author
Schneider, Lydia1, Author              
Sehm, Bernhard1, 7, Author              
Kotz, Sonja A.1, 8, Author              
Ziemssen, Tjalf4, Author
Storch, Alexander4, 5, 9, Author
Villringer, Arno1, Author              
1Department Neurology, MPI for Human Cognitive and Brain Sciences, Max Planck Society, ou_634549              
2Department of Nuclear Medicine, University of Leipzig, Germany, ou_persistent22              
3Institute for Psychoacoustics and Electronic Music, Ghent University, Belgium, ou_persistent22              
4Department of Neurology, TU Dresden, Germany, ou_persistent22              
5Department of Neurology, University Medicine Rostock, Germany, ou_persistent22              
6Institute of Psychology, University of Leipzig, Germany, ou_persistent22              
7Department of Neurology, Martin Luther University Halle-Wittenberg, Germany, ou_persistent22              
8Department of Neuropsychology and Psychopharmacology, Maastricht University, the Netherlands, ou_persistent22              
9German Center for Neurodegenerative Diseases, Rostock, Germany, ou_persistent22              


Free keywords: Parkinson’s disease; Dopamine; Gait; Music; Valence
 Abstract: Background: It is known that music influences gait parameters in Parkinson's disease (PD). However, it remains unclear whether this effect is merely due to temporal aspects of music (rhythm and tempo) or other musical parameters. Objective: To examine the influence of pleasant and unpleasant music on spatiotemporal gait parameters in PD, while controlling for rhythmic aspects of the musical signal. Methods: We measured spatiotemporal gait parameters of 18 patients suffering from mild PD (50%men, mean±SD age of 64±6 years; mean disease duration of 6±5 years; mean Unified PD Rating scale [UPDRS] motor score of 15±7) who listened to eight different pieces of music. Music pieces varied in harmonic consonance/dissonance to create the experience of pleasant/unpleasant feelings. To measure gait parameters, we used an established analysis of spatiotemporal gait, which consists of a walkway containing pressure-receptive sensors (GAITRite®). Repeated measures analyses of variance were used to evaluate effects of auditory stimuli. In addition, linear regression was used to evaluate effects of valence on gait. Results: Sensory dissonance modulated spatiotemporal and spatial gait parameters, namely velocity and stride length, while temporal gait parameters (cadence, swing duration) were not affected. In contrast, valence in music as perceived by patients was not associated with gait parameters. Motor and musical abilities did not relevantly influence the modulation of gait by auditory stimuli. Conclusion: Our observations suggest that dissonant music negatively affects particularly spatial gait parameters in PD by yet unknown mechanisms, but putatively through increased cognitive interference reducing attention in auditory cueing.


Language(s): eng - English
 Dates: 2020-11-032021-02-02
 Publication Status: Published online
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Type: -
 Identifiers: DOI: 10.3233/JPD-202413
PMID: 33285641
 Degree: -



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Title: Journal of Parkinson's Disease : JPD
Source Genre: Journal
Publ. Info: Amsterdam : IOS Press
Pages: - Volume / Issue: 11 (1) Sequence Number: - Start / End Page: 363 - 372 Identifier: ISSN: 1877-7171
CoNE: https://pure.mpg.de/cone/journals/resource/1877-7171