CuePD: An IoT Approach for Enhancing Gait Rehabilitation in Older Adults Through Personalized Music Cueing


Wall C., Young F., Mcmeekin P., Hetherington V., Walker R., Morris R., ...Daha Fazla

IEEE Sensors Letters, cilt.8, sa.10, 2024 (ESCI, Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 8 Sayı: 10
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1109/lsens.2024.3456855
  • Dergi Adı: IEEE Sensors Letters
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Anahtar Kelimeler: parkinson's disease (PwPD), personalized music cueing, real-time gait assessment, Sensor applications, smartphone rehabilitation
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

Falls in people with Parkinson's disease (PwPD) under- score the need for precise sensing tools to robustly assess gait and deliver tailored rehabilitation. Using wearable inertial measurement units (IMUs) offers a practical alternative to assess gait and intervene in any location. This study develops a robust and innovative smartphone application/app that uses embedded IMU for real-time gait sensing to facilitate personalized cueing for targeted rehabilitation to reduce falls. Here, older adults had their CuePD-based gait validated against a reference standard and were then exposed to different but personalized cueing modalities to target a 10.0% increase in cadence. CuePD increased cadence by 8.3% and showed robust agreement with the reference before and after cueing as evidenced by strong Pearson correlation coefficients (≥0.843) and intraclass correlation coefficients (≥0.845) across clinically relevant temporal gait characteristics (e.g., step time). Gait sensing via a smartphone is robust and CuePD indicates the feasibility of a scalable and personalized approach for targeted gait rehabilitation. Future research will extend to PwPD.