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Development of an Auditory Cueing System to Assist Gait in Patients with Parkinson’s Disease

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Part of the book series: Lecture Notes in Computer Science ((LNBI,volume 9044))

Abstract

Patients with Parkinson’s Disease often experience motor symptoms that compromise their ability to walk independently and safely. One of the key problems is the inability to generate sufficient step length, which is typically compensated by an increase in stepping frequency. In this work, a system providing real-time auditory stimuli through a headset connected to a smartphone is developed and tested. Stimuli are provided when certain episodes are identified so as to modify speed and amplitude of movements. In this study, the feasibility of the system in stimulating gait using self-adaptive cueing rhythms is investigated and system’s usefulness and acceptance are evaluated. Experimental results suggest that better gait patterns can be stimulated when individuals follow sounds whose rate is close to their natural step rate. Results also suggest that the system would be readily accepted by patients, provided that it can help them in real time during their daily activities.

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References

  1. Ledger, S., Galvin, R., Lynch, D., Stokes, E.K.: A randomised controlled trial evaluating the effect of an individual auditory cueing device on freezing and gait speed in people with Parkinson’s disease. BMC Neurol. 8 (2008)

    Google Scholar 

  2. Casamassima, F., Ferrari, A., Milosevic, B., Ginis, P., Farella, E., Rocchi, L.: A Wearable System for Gait Training in Subjects with Parkinson’s Disease. Sensors 14(4), 6229–6246 (2014)

    Article  Google Scholar 

  3. Nombela, C., Hughes, L., Owen, A., Grahn, J.: Into the groove: Can rhythm influence Parkinson’s Disease? Neurosci. Biobehav. Rev. 37(10), 2564–2570 (2013)

    Article  Google Scholar 

  4. Giladi, N., Shabtai, H., Rozenberg, E., Shabtai, E.: Gait festination in Parkinson’s disease. Parkinsonism Relat. Disord. 7(2), 135–138 (2001)

    Article  Google Scholar 

  5. Mazilu, S., Blanke, U., Hardegger, M., Tröster, G., Gazit, E., Hausdorff, J.M.: Gait Assist: A Daily-Life Support and Training System for Parkinson’s Disease Patients with Freezing of Gait. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, pp. 2531–2540 (2014)

    Google Scholar 

  6. Roerdink, M., Bank, P.J., Peper, C., Beek, P.J.: Walking to the beat of different drums: Practical implications for the use of acoustic rhythms in gait rehabilitation. Gait & Posture 33(4), 690–694 (2011)

    Article  Google Scholar 

  7. Personal Health Device for the Remote and Autonomous Management of Parkinson’s Disease (REMPARK), http://www.rempark.eu/

  8. Nanhoe-Mahabier, W., Delval, A., Snijders, A.H., Weerdesteyn, V., Overeem, S., Bloem, B.R.: The possible price of auditory cueing: Influence on obstacle avoidance in Parkinson’s disease. Mov. Disord. 27(4), 574–578 (2012)

    Article  Google Scholar 

  9. Picelli, A., Camin, M., Tinazzi, M., Vangelista, A., Cosentino, A., Fiaschi, A., Smania, N.: Three-dimensional motion analysis of the effects of auditory cueing on gait pattern in patients with Parkinson’s disease: A preliminary investigation. Neurol Sci. 31(4), 423–430 (2010)

    Article  Google Scholar 

  10. Hausdorff, J.M.: Gait dynamics in Parkinson’s disease: Common and distinct behavior among stride length, gait variability, and fractal-like scaling. Chaos 19(2), 1–14 (2009)

    Article  MathSciNet  Google Scholar 

  11. Willems, A.M., Nieuwboer, A., Chavret, F., Desloovere, K., Dom, R., Rochester, L., Jones, D., Kwakkel, G., Wegen, E.: The use of rhythmic auditory cues to influence gait in patients with Parkinson’s disease, the differential effect for freezers and non-freezers, an explorative study. Disabil Rehabil 28(11), 721–728 (2006)

    Article  Google Scholar 

  12. Roerdink, M., Lamoth, C.J., van Kordelaar, J., Elich, P., Konijnenbelt, M., Kwakkel, G., Beek, P.J.: Rhythm perturbations in acoustically paced treadmill walking after stroke. Neurorehabil Neural Repair 23(7), 668–678 (2009)

    Article  Google Scholar 

  13. Bächlin, M., Plotnik, M., Roggen, D., Giladi, N., Hausdorff, J.M., Tröster, G.: A wearable system to assist walking of Parkinson’s disease patients. Methods Inf. Med. 49(1), 88–95 (2010)

    Google Scholar 

  14. Nieuwboer, A., Kwakkel, G., Rochester, L., Jones, D., Wegen, E., Willems, A.M., Chavret, F., Hetherington, V., Baker, K., Lim, I.: Cueing training in the home improves gait-related mobility in Parkinson’s disease: The RESCUE trial. J. Neurol. Neurosurg. Psychiatry 78(2), 134–140 (2007)

    Article  Google Scholar 

  15. Wewers, M.E., Lowe, N.K.: A critical review of visual analogue scales in the measurement of clinical phenomena. Res. Nurs. Health 13(4), 227–236 (1990)

    Article  Google Scholar 

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© 2015 Springer International Publishing Switzerland

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Guimarães, V. et al. (2015). Development of an Auditory Cueing System to Assist Gait in Patients with Parkinson’s Disease. In: Ortuño, F., Rojas, I. (eds) Bioinformatics and Biomedical Engineering. IWBBIO 2015. Lecture Notes in Computer Science(), vol 9044. Springer, Cham. https://doi.org/10.1007/978-3-319-16480-9_10

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  • DOI: https://doi.org/10.1007/978-3-319-16480-9_10

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16479-3

  • Online ISBN: 978-3-319-16480-9

  • eBook Packages: Computer ScienceComputer Science (R0)

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