Auditory cueing strategy for stride length and cadence modification: a feasibility study with healthy adults

People with Parkinson's Disease experience gait impairments that significantly impact their quality of life. Visual, auditory, and tactile cues can alleviate gait impairments, but they can become less effective due to the progressive nature of the disease and changes in people's motor capability. In this study, we develop a human-in-the-loop (HIL) framework that monitors two key gait parameters, stride length and cadence, and continuously learns a person-specific model of how the parameters change in response to the feedback. The model is then used in an optimization algorithm to improve the gait parameters. This feasibility study examines whether auditory cues can be used to influence stride length in people without gait impairments. The results demonstrate the benefits of the HIL framework in maintaining people's stride length in the presence of a secondary task.

Human-in-the-loop Cueing Strategy for Gait Rehabilitation

External feedback in the form of visual, auditory and tactile cues has been used to assist patients to overcome mobility challenges. However, these cues can become less effective over time. There is limited research on adapting cues to account for inter and intra-personal variations in cue responsiveness. We propose a cue-provision framework that consists of a gait performance monitoring algorithm and an adaptive cueing strategy to improve gait performance. The proposed approach learns a model of the person's response to cues using Gaussian Process regression. The model is then used within an on-line optimization algorithm to generate cues to improve gait performance. We conduct a study with healthy participants to evaluate the ability of the adaptive cueing strategy to influence human gait, and compare its effectiveness to two other cueing approaches: the standard fixed cue approach and a proportional cue approach. The results show that adaptive cueing is more effective in changing the person's gait state once the response model is learned compared to the other methods.