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Effects of Rhythmic Auditory Stimulation Combined with LSVT BIG based exercises and Task-Specific Training on Balance and Gait in Parkinson Disease

S. Sambyal, S. Kaur, S. Kumar (Faridkot, India)

Meeting: 2026 International Congress

Keywords: Bradykinesia, Gait disorders: Treatment, Rehabilitation

Category: Parkinson's Disease (Other)

Objective: To examine the effects of RAS combined with LSVT-BIG based exercises and TST on balance, fall risk, functional mobility, posture and gait parameters in patients with PD.

Background: Parkinson disease is a progressive neurodegenerative disorder characterized by motor impairments including bradykinesia.This leads to gait impairments and balnce problems in the individuals.Even with pharmacological treatment, many patients continue to experience gait and balance deficits that increase fall risk.For symptom specific training for Parkinson patient Farley et.al, published the protocol known as LSVT-BIG therapy which improves speed and amplitude of the both upper and lower limbs.

Method: A quasi-experimental study was conducted on 24 patients aged 60–85 years with idiopathic PD.Participants were allocated into three groups (n=8 each). Outcome measures included BBS, FES, TUG, Postural Analysis using Apecs and Gait parameters including stride length, step length, gait velocity and cadence. Group A received RAS combined with LSVT-BIG based exercises, Group B received RAS combined with TST and Group C received usual care. Interventions were delivered three times per week for eight weeks (24 sessions). Assessments were performed at baseline and after completion of the intervention.

Results: The study evaluated the combined effects of RAS with LSVT BIG based exercises and TST on functional mobility and gait in individuals with PD Baseline characteristics were comparable among groups. Significant within-group improvements in balance, fear of falling, quality of life, functional mobility, posture and gait parameters were observed in Groups A and B, with Group B showing the greatest improvement, while Group C demonstrated minimal changes. Between-group analysis showed no significant differences in most clinical scales, but stride length, step length and gait velocity were significantly better in Groups A and B compared with Group C.

Conclusion: Overall, RAS-based interventions enhanced motor performance and functional abilities, with RAS and LSVT BIG showing greater improvement in posture and gait.RAS and TST improved functional balance and mobility.These findings suggest that integrating rhythmic auditory cueing with targeted physiotherapy programs is an effective rehabilitation strategy for improving functional outcomes and quality of life in patients with PD.

To cite this abstract in AMA style:

S. Sambyal, S. Kaur, S. Kumar. Effects of Rhythmic Auditory Stimulation Combined with LSVT BIG based exercises and Task-Specific Training on Balance and Gait in Parkinson Disease [abstract]. Mov Disord. 2026; 41 (suppl 1). https://www.mdsabstracts.org/abstract/effects-of-rhythmic-auditory-stimulation-combined-with-lsvt-big-based-exercises-and-task-specific-training-on-balance-and-gait-in-parkinson-disease/. Accessed October 1, 2026.
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