Department of Computer and Information Sciences, Northumbria University, Newcastle upon Tyne NE1 8ST, UK.
Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne NE1 8ST, UK.
Sensors (Basel). 2023 Dec 22;24(1):65. doi: 10.3390/s24010065.
Mobility challenges threaten physical independence and good quality of life. Often, mobility can be improved through gait rehabilitation and specifically the use of cueing through prescribed auditory, visual, and/or tactile cues. Each has shown use to rectify abnormal gait patterns, improving mobility. Yet, a limitation remains, i.e., long-term engagement with cueing modalities. A paradigm shift towards personalised cueing approaches, considering an individual's unique physiological condition, may bring a contemporary approach to ensure longitudinal and continuous engagement. Sonification could be a useful auditory cueing technique when integrated within personalised approaches to gait rehabilitation systems. Previously, sonification demonstrated encouraging results, notably in reducing freezing-of-gait, mitigating spatial variability, and bolstering gait consistency in people with Parkinson's disease (PD). Specifically, sonification through the manipulation of acoustic features paired with the application of advanced audio processing techniques (e.g., time-stretching) enable auditory cueing interventions to be tailored and enhanced. These methods used in conjunction optimize gait characteristics and subsequently improve mobility, enhancing the effectiveness of the intervention. The aim of this narrative review is to further understand and unlock the potential of sonification as a pivotal tool in auditory cueing for gait rehabilitation, while highlighting that continued clinical research is needed to ensure comfort and desirability of use.
行动障碍会威胁到身体的独立性和生活质量。通常,通过步态康复,特别是通过规定的听觉、视觉和/或触觉提示进行提示,可以改善行动能力。这些方法都已被证明可以纠正异常的步态模式,从而提高行动能力。然而,仍然存在一个局限性,即长期使用提示模式。向个性化提示方法转变,考虑到个体独特的生理状况,可能会为确保长期和持续参与带来一种现代方法。声音化可能是步态康复系统个性化方法中一种有用的听觉提示技术。以前,声音化已经显示出令人鼓舞的结果,特别是在减少冻结步态、减轻空间变异性以及增强帕金森病(PD)患者的步态一致性方面。具体来说,通过调整声学特征并应用先进的音频处理技术(例如时间拉伸)进行声音化,使听觉提示干预能够得到定制和增强。这些方法的结合使用优化了步态特征,从而提高了行动能力,增强了干预的效果。本叙述性综述的目的是进一步理解和挖掘声音化作为听觉提示在步态康复中的关键工具的潜力,同时强调需要继续进行临床研究,以确保使用的舒适性和吸引力。