International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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From Beat to Better Walking: Clinical Translation of Auditory Cueing in Parkinson’s Disease: Clinical Perspective and Narrative Review

Author(s) Dr. Thirupathi Kumar K, Dr. Reshma Khan
Country India
Abstract Rhythmic auditory cueing is accessible and inexpensive, yet its clinical effectiveness depends on prescription decisions that are incompletely captured by the instruction to “walk to a beat.” This clinical perspective integrates trial and review evidence with neurological physiotherapy reasoning to propose an assessment-to-prescription framework for adults with Parkinson’s disease. Cue selection should begin with the patient’s mobility goal, medication state, hearing, cognition, freezing phenotype, fall history, and baseline cadence. A positive response requires more than synchronisation: step length, stability, turning, stopping, fatigue, and patient preference must remain acceptable. Training should progress from controlled straight walking to relevant transitions and environmental contexts, with cue-present and cue-absent reassessment used to distinguish compensation from retention. Constant, intermittent, music-based, and ecological cues offer different trade-offs in salience, enjoyment, cognitive demand, and safety. Home programmes require explicit stopping rules, safe-route selection, caregiver education when indicated, and monitoring of falls or near-falls. Current evidence supports auditory cueing as an adjunct, not a replacement for comprehensive physiotherapy. Better reporting of tempo, dose, adherence, adverse events, and carryover is needed to improve reproducibility and clinical decision-making.
Keywords Parkinson’s disease; physiotherapy; clinical reasoning; gait rehabilitation; auditory cueing; home programme; safety
Published In Volume 6, Issue 2, March-April 2024
Published On 2024-04-05
DOI https://doi.org/10.36948/ijfmr.2024.v06i02.86615
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