A Mobile Solution for Rhythmic Auditory Stimulation Gait Training

Katharina Aholt1, Christine Martindale1, Arne Küderle1, Heiko Gaßner, Till Gladow2, Javier Rojo3, Samanta Villanueva Mascato4, Jochen Klucken5, María Teresa Arredondo4, Bjoern M Eskofier1

  • 1Friedrich-Alexander-Universität Erlangen-Nürnberg
  • 2Medical Valley Digital Health Application Center GmbH, Bamberg
  • 3Technical University of Madrid
  • 4Universidad Politecnica de Madrid
  • 5University Hospital Erlangen, Friedrich-Alexander University

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Oral Session

Sessions

08:30 - 10:00 | Wed 24 Jul | R13 - Level 3 | WeA18

Human Performance - I

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Abstract

Recent studies showed that Parkinson’s disease (PD) patients improved their gait parameters while walking with rhythmic auditory stimulation (RAS). They achieved a longer stride length, a reduced stride time variability and a higher walking speed. Combining RAS with mobile gait analysis would allow continuous monitoring of RAS effects and gait in natural environments. This paper proposes a mobile solution for home-based assessment of RAS by combining RAS gait training and a mobile system for data acquisition. Existing datasets were used to investigate the cadence of PD patients and to propose suitable frequencies for RAS gait training. The cadence calculation was implemented using a peak detection algorithm, which uses the time difference between two midswing events as stride time values. We validated our system as a whole using a cohort of 13 PD patients who performed RAS gait training. The algorithms were also validated against the eGaIT system, a state-of-the-art system, and achieved a mean F1 score for detected strides of 97.57% +/- 0.86% and a mean absolute error for the cadence of 0.16 spm +/- 0.09 spm. This study lays the ground work for further clinical studies investigating the effectiveness of mobile RAS within a home environment.

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