Mental Singing Reduces Gait Variability More Than Music Listening for Healthy Older Adults and People With Parkinson Disease.
Elinor C Harrison, Adam P Horin, Gammon M Earhart
PMID 31449178WHAT IT FOUND
Healthy older adults and people with Parkinson's walked with less stride variability when mentally singing to a beat compared to listening to music.
This internal cue improved stability measures without the increased variability seen with external music, offering a discreet option for daily walking.
Key findings
01Mental singing reduced stride time and single support time variability more than listening to music or singing aloud, particularly at a faster-than-preferred cadence.
02Listening to music (external cueing) increased gait variability compared to uncued walking, whereas mental singing decreased it.
03Both groups walked faster with mental singing and music compared to uncued walking when the tempo was set to 110% of their preferred cadence.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Participants heard the music before starting the mental singing trials, so the benefit might depend on that initial external pacing rather than working from a cold start in daily life. The study only measured short bouts of walking; it is unknown if the benefits persist over longer distances or if gait drifts back to baseline. Researchers monitored for lip movement but could not verify if subtle vocal cord movements occurred during 'mental' singing. The study used a single familiar song ('Row, Row, Row Your Boat'), so results may not generalize to other music or complex rhythmic tasks.
The easy way to misread this
Do not assume mental singing is a standalone treatment for gait disorders in the real world. The participants in this study heard the song before walking, which may have primed their rhythm. It remains unclear if they could achieve the same variability reduction without that initial auditory cue.