de Bruin 2010a.
Methods | Parallel group design. Method of randomisation not stated. Method of analysis not described. Treated as outpatients 3 times per week for a 13‐week period. Assessed at baseline and immediately after treatment. Assessors were blinded. |
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Participants | 16 participants in the cueing group and 17 participants in the control group. Dropouts 4 (cueing), 3 (control). Participants' mean age 64.1 years (cueing), 67.0 years (control); male/female 6/5 (cueing), 5/6 (control); Hoehn and Yahr 2.3 (cueing), 2.1 (control); mean duration of PD 6.4 years (cueing), 4.5 years (control). No baseline characteristics were given for the dropout. Inclusion criteria: diagnosis of Parkinson's disease (United Kingdom Brain Bank Criteria), Hoehn and Yahr stage 2 to 3, stable medication regimen, independently mobile without the use of a walking aid, and intact hearing. Exclusion criteria: diagnosis of less than 1 year, undergone deep brain stimulation surgery, experience regular freezing episodes, unable to ambulate independently in the community, presence of neurological disorders or comorbidities likely to affect gait, scoring 24 or less on the MMSE and/or already listening to music. |
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Interventions | Cueing: Walking at a self‐selected pace for 30 minutes, 3 times per week whilst listening to a preloaded music battery on an MP3 player. The music battery was individualised for each participant matching music preferences and the cadence of their preferred walking speed. Control: Continued with their regular activities. Drug therapy was not described. |
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Outcomes | Speed. Stride time. Stride length. Cadence. Stride time variability. UPDRS (III) score. Examined on medications at the same time of day. |
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Notes | Compliance in the intervention group was good. 2 subjects in the music group took a 1 week break. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Eligibility Criteria | Low risk | |
Randomisation Method | Unclear risk | Randomisation method was not stated. |
Concealment of Allocation | Unclear risk | Randomisation method was not stated. |
Similarity at Baseline | Low risk | |
Withdrawals Described | High risk | 21% withdrawals. |
Intention To Treat Analysis | Unclear risk | Method of analysis not described. |
Cointerventions Constant | Unclear risk | Drug therapy was not described. |
Blinded Assessors | Low risk | UPDRS evaluator was blinded to subject group assignment. |