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http://dx.doi.org/10.14474/ptrs.2021.10.3.311

The Influence of Auditory-Feedback Device Using Wearable Air-Pressure Insole on Spatiotemporal Gait Symmetry in Chronic Hemplegia  

Heo, Ji-Hun (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
Song, Changho (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
Jung, Sangwoo (Department of Sport Rehabilitation, Gimcheon University)
Publication Information
Physical Therapy Rehabilitation Science / v.10, no.3, 2021 , pp. 311-319 More about this Journal
Abstract
Objective: To investigate the effect of emphasized initial contact by using a wearable air-pressure insole to provide auditory-feedback with variations of maximum peak pressure (MPP) of the affected side on spatiotemporal gait parameters and gait symmetry of stroke patients Design: A cross-sectional study Methods: Eighteen stroke patients participated in this study. All subjects walked five trials using an air-pressure insole that provides auditory feedback with different thresholds set on the insole. First, subjects walked without any auditory feedback. Then, the MPP threshold on the affected side was set from 70% and increase threshold by 10% after each trial until 100%. They walked three times or more on the gait analyzer for each trial, and the average values were measured. Before starting the experiment, subjects measured body weight, initial gait abilities and affected side MPP without auditory feedback. Results: Temporal and spatial variables were significantly increased in trials with auditory feedback from air-pressure insole except for non-paralyzed single support time and spatial gait symmetry compared to trials without auditory feedback(p<0.05). Among the four different thresholds, the walking speed, unaffected side single support time, affected and unaffected side stride, and affected side step length were greatest at 80% threshold of maximum peak, while affected single support time, temporal gait symmetry, and unaffected step length were greatest at the maximum peak of 100% threshold. Conclusions: These results indicate that auditory feedback gait using air-pressure insoles can be an effective way to improve walking speed, single support time, step length, stride, and temporal gait symmetry in stroke patients.
Keywords
Pressure insole; Stroke; Gait; Auditory feedback;
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1 Bensoussan, L., Mesure, S., Viton, J.-M., &Delarque, A. Kinematic and kinetic asymmetries in hemiplegic patient's gait initiation patterns. J Rehabil Med. 2006;38(5):287-294.   DOI
2 Jorgensen, H. S., Nakayama, H., Raaschou, H. O., & Olsen, T. S. Recovery of walking function in stroke patients: The Copenhagen Stroke Study. Arch Phys Med Rehabil. 1995;76(1):27-32.   DOI
3 Lewek, M. D., Feasel, J., Wentz, E., Brooks Jr, F. P., & Whitton, M. C. Use of visual and proprioceptive feedback to improve gait speed and spatiotemporal symmetry following chronic stroke: a case series. Phys Ther. 2012;92(5):748-756.   DOI
4 Weerdesteijn, V., Niet, M. d., Van Duijnhoven, H., &Geurts, A. C. Falls in individuals with stroke. J Rehabil Res Dev. 2008;45(8):1195-1214   DOI
5 Patterson, K. K., Gage, W. H., Brooks, D., Black, S. E., & McIlroy, W. E. Evaluation of gait symmetry after stroke: a comparison of current methods and recommendations for standardization. GaitPosture. 2010;31(2):241-246.
6 Jung-Doo Kim, Y.-J. C., Hye-JinYoun. Effects of Emphasized Initial Contact Auditory Feedback Gait Training on Balance and Gait in Stroke Patients. J Korean Soc Phys Med. 2015;10(4):49-57.   DOI
7 Munoz-Organero, M., Parker, J., Powell, L., & Mawson, S. Assessing walking strategies using insole pressure sensors for stroke survivors. Sensors. 2016;16(10):1631.   DOI
8 Bohannon, R. W. Rolling to the nonplegic side: Influence of teaching and limb strength in hemiplegic stroke patients. ClinRehabil. 1988;2(3):215-218.
9 Thaut, M. H., McIntosh, G. C., & Rice, R. R. Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation. J Neurol Sci. 1997;151(2):207-212.   DOI
10 Patterson, K. K., Parafianowicz, I., Danells, C. J., Closson, V., Verrier, M. C., Staines, W. R., et al. (2008). Gait asymmetry in community-ambulating stroke survivors. Arch Phys Med Rehabil. 2008;89(2):304-310.   DOI
11 Wong, J. S., Jasani, H., Poon, V., Inness, E. L., McIlroy, W. E., & Mansfield, A. Inter-and intra-rater reliability of the GAITRite system among individuals with sub-acute stroke. GaitPosture. 2014;40(1):259-261.
12 Isakov, E. Gait rehabilitation: a new biofeedback device for monitoring and enhancing weight-bearing over the affected lower limb. Europa Medicophys. 007;43(1):21.
13 Dundar, U., Toktas, H., Solak, O., Ulasli, A., & Eroglu, S. A comparative study of conventional physiotherapy versus robotic training combined with physiotherapy in patients with stroke. Top Stroke Rehabil. 2014;21(6):453-461.   DOI
14 Rosalyn Stanton a, L. A. a., Catherine M Dean b, Elisabeth Preston c. Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke: a systematic review. JPhys Ther. 2016;63(1):11-16.
15 Batavia, M., Gianutsos, J. G., &Kambouris, M. An augmented auditory feedback device. Arch Phys Med Rehabil. 1997;78(12):1389-1392.   DOI
16 Duncan, P. W., Zorowitz, R., Bates, B., Choi, J. Y., Glasberg, J. J., Graham, G. D., et al. Management of adult stroke rehabilitation care: a clinical practice guideline. Stroke. 2005;36(9):e100-e143.
17 Mansfield, A., Wong, J. S., Bryce, J., Brunton, K., Inness, E. L., Knorr, S., et al. Use of accelerometer-based feedback of walking activity for appraising progress with walking-related goals in inpatient stroke rehabilitation: a randomized controlled trial. Neurorehabil and Neural Repair. 2015;29(9):847-857.   DOI
18 Shin, Y.-K., Chong, H. J., Kim, S. J., & Cho, S.-R. Effect of rhythmic auditory stimulation on hemiplegic gait patterns. Yonsei Med J. 2015;56(6):1703-1713.   DOI
19 Bates, M., Choi, J. Y., Glasberg, J. J., & Graham, G. D. (2005). Management of adult stroke rehabilitation care. Stroke.2005;36:e100.
20 Strong, K., Mathers, C., & Bonita, R. Preventing stroke: saving lives around the world. The Lancet Neurol. 2007;6(2):182-187.   DOI
21 Aruin, A. S., Hanke, T. A., & Sharma, A. Base of support feedback in gait rehabilitation. Int J Rehabil Res. 2003;26(4):309-312.   DOI
22 Sungkarat, S., Fisher, B. E., &Kovindha, A. Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: a randomized controlled trial. Clin Rehabil. 2011;25(4):360-369.   DOI
23 Ochi, M., Wada, F., Saeki, S., & Hachisuka, K. Gait training in subacute non-ambulatory stroke patients using a full weight-bearing gait-assistance robot: A prospective, randomized, open, blinded-end-point trial. J Neurol Sci. 2015;353(1-2):130-136.   DOI
24 Pappas E, Salem Y. Overground physical therapy gait training for chronic stroke patients with mobility deficits. Cochrane database of systematic reviews. 2009.
25 Cha, Y.-J., Kim, J.-D., Choi, Y.-R., Kim, N.-H., & Son, S.-M. Effects of gait training with auditory feedback on walking and balancing ability in adults after hemiplegic stroke: a preliminary, randomized, controlled study. Int JRehabilRes. 2018;41(3):239-243.
26 Oscari, F., Secoli, R., Avanzini, F., Rosati, G., &Reinkensmeyer, D. J. Substituting auditory for visual feedback to adapt to altered dynamic and kinematic environments during reaching. Exp Brain Res. 2012;221(1):33-41.   DOI
27 Johnson, E. G., Lohman, E. B., Rendon, A., Dobariya, E. G., Ramani, S. S., & Mayer, L. E. The immediate effects of a novel auditory and proprioceptive training device on gait after stroke. ClinPract, 2011;1(3):e46.
28 Olney, S. J., & Richards, C. Hemiparetic gait following stroke. Part I: Characteristics. Gait Posture. 1996;4(2):136-148.   DOI
29 Brandstater, M. E., de Bruin, H., Gowland, C., & Clark, B. M. Hemiplegic gait: analysis of temporal variables. Arch Phys Med Rehabil. 1983;64(12):583-587.
30 Wall, J. C., & Ashburn, A. Assessment of gait disability in hemiplegics. Hemiplegic gait. Scand J Rehabil Med. 1979;11(3):95-103.
31 Louis N. Awad, J. A. P., Ryan T. Pohlig, Stuart A. Binder-Macleod, and Darcy S. Reisman. Walking Speed and Step Length Asymmetry Modify the Energy Cost of Walking After Stroke. Neurorehabil Neural Repair. 2014;29(5):416-423.   DOI
32 Mawson, S., Nasr, N., Parker, J., Davies, R., Zheng, H., & Mountain, G. A personalized self-management rehabilitation system with an intelligent shoe for stroke survivors: a realist evaluation. JMIR Rehabil Assist Technol. 2016;3(1):e1.   DOI
33 Stein, R. B., Everaert, D. G., Thompson, A. K., Chong, S. L., Whittaker, M., Robertson, J., et al. Long-term therapeutic and orthotic effects of a foot drop stimulator on walking performance in progressive and nonprogressive neurological disorders. Neurorehabil and neural repair. 2010;24(2):152-167.   DOI
34 Michael, K. M., Allen, J. K., &Macko, R. F. Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness. Arch Phys Med Rehabil. 2005;86(8):1552-1556.   DOI
35 Mirelman, A., Bonato, P., & Deutsch, J. E. Effects of training with a robot-virtual reality system compared with a robot alone on the gait of individuals after stroke. Stroke. 2009;40(1):169-174.   DOI
36 Haggard, P., Cockburn, J., Cock, J., Fordham, C., & Wade, D. Interference between gait and cognitive tasks in a rehabilitating neurological population. J Neurol Neurosurg Psychiatry. 2000;69(4):479-486.   DOI
37 Von Schroeder, H. P., Coutts, R. D., Lyden, P. D., Billings, E., & Nickel, V. L. Gait parameters following stroke: a practical assessment. J of RehabilRes Dev. 1995;32:25-25.
38 Boonsinsukh, R., Panichareon, L., &Phansuwan-Pujito, P. Light touch cue through a cane improves pelvic stability during walking in stroke. Arch Phys Med Rehabil. 2009;90(6):919-926.   DOI
39 Khoo, I.-H., Marayong, P., Krishnan, V., Balagtas, M. N., & Rojas, O. Design of a biofeedback device for gait rehabilitation in post-stroke patients. Paper presented at the 2015 IEEE 58th international mid-west symposium on circuits and systems (MWSCAS); 2015 Aug 2-5, Fort Collins, CO, USA
40 Ki, K.-I., Kim, M.-S., Moon, Y., & Choi, J.-D. Effects of auditory feedback during gait training on hemiplegic patients' weight bearing and dynamic balance ability. J Phys TherSci. 2015;27(4):1267-1269.