Evidence map›Paper›PMID 41835097›Full record

ArticleFrontiers in rehabilitation sciences2026

Can neurologic music therapy make the difference when using immersive virtual reality in Parkinson disease motor training? Promising findings from a secondary analysis.

Paolo De Pasquale, Mirjam Bonanno, Antonino Lombardo Facciale, Maria Grazia Maggio, Michael H Thaut, Corene Hurt, Angelo Quartarone, Federica Impellizzeri, Rocco Salvatore Calabrò

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in rehabilitation sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07066137 (Motor Planning, Execution, and Modulation in Healthy Individuals and Patients With Movement Disorders or Neuromuscular Diseases Using Traditional Physical Activity or Advanced Devices to Enhance Motor Learning and Sensorimotor Processing), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07066137 naactive not recruitingnot on this map

Motor Planning, Execution, and Modulation in Healthy Individuals and Patients With Movement Disorders or Neuromuscular Diseases Using Traditional Physical Activity or Advanced Devices to Enhance Motor Learning and Sensorimotor Processing

TypeinterventionalSponsorIRCCS Centro Neurolesi Bonino PulejoRan2024 to 2026Enrolled150ConditionsHealthy Individuals (Controls), Parkinson Disease, Multiple Sclerosis, Alzheimer DiseaseArmsCAREN, Control group
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Paolo De Pasquale *IRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.
Mirjam Bonanno *IRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.
Antonino Lombardo FaccialeIRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.
Maria Grazia MaggioIRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.
Michael H ThautMusic and Health Science Research Collaboratory, Faculty of Music, Faculty of Medicine, Institute of Medical Sciences and Rehabilitation Science Institute, University of Toronto, Toronto, ON, Canada.
Corene HurtMusic and Health Science Research Collaboratory, Faculty of Music, Faculty of Medicine, Institute of Medical Sciences and Rehabilitation Science Institute, University of Toronto, Toronto, ON, Canada.
Angelo QuartaroneIRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.
Federica Impellizzeri *IRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.
Rocco Salvatore Calabrò *IRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: This study presents a secondary analysis of a quasi-randomized clinical trial exploring the effects of immersive virtual reality (VR) rehabilitation alone versus in combination with Neurologic Music Therapy (NMT) in individuals with Parkinson's disease (PD). Methods: Twenty participants with idiopathic Parkinson's disease were allocated to two groups using a quasi-randomized procedure. One group received immersive VR-based gait training using the CAREN system (CAREN group), while the other received the same training protocol with the addition of NMT sensory-motor techniques delivered by a certified NMT therapist (CAREN-M group). Participants attended 12 rehabilitation sessions (three sessions per week over four weeks), each lasting approximately 45 min. Both groups underwent the same number, duration, and intensity of rehabilitation sessions. Clinical outcomes (BBS, Tinetti Scale, Barthel Index, 10-meter walking test, Timed-Up-Go) and biomechanical gait parameters (kinematic, kinetic, and electromyography data) were assessed for pre- and post-treatment. Results: Both interventions led to significant improvements in motor function, but group-specific patterns emerged. The CAREN group showed greater gains in spatial parameters, such as gait speed and stride length, alongside increased muscle activation and improved joint kinematics. The CAREN-M group exhibited superior improvements in temporal parameters (e.g., cycle and swing duration), trunk stability, and postural control, suggesting that rhythmic auditory stimulation (RAS) may enhance motor timing and coordination. Between-group comparisons showed a greater reduction in Time Up and Go (TUG) times in the CAREN-M group. Discussion and conclusion: These findings support the hypothesis that combining immersive VR (e.g., CAREN system) with NMT offers additive benefits by targeting distinct components of motor control through multisensory stimulation. The integration of rhythmic auditory cues into immersive VR environments can represent a promising direction for neurorehabilitation in PD, with the potential to improve functional mobility and gait quality. Trial Registration Number: NCT07066137.

Indexed as

biomechanics of gaitCARENgait analysisgait and balanceneurologic music therapyneurorehabilitationParkinson diseasevirtual reality

Identifiers

PMID41835097
PMCPMC12979535

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.