Stepping to an Auditory Metronome Improves Weight-Bearing Symmetry in Poststroke Hemiparesis

in Journal of Applied Biomechanics

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Rachel L. Wright University of Birmingham

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Joseph W. Bevins University of Worcester

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David Pratt Birmingham Community Healthcare Trust

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Catherine M. Sackley King’s College London

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Alan M. Wing University of Birmingham

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DOI:
https://doi.org/10.1123/jab.2017-0358
Keywords:
stroke; auditory cueing; asymmetry; ground reaction force; weight transfer
In Print:
Volume 34: Issue 6
Page Range:
469–473
Restricted access

Asymmetry in weight-bearing is a common feature in poststroke hemiparesis and is related to temporal asymmetry during walking. The aim of this study was to investigate the effect of an auditory cue for stepping in place on measures of temporal and weight-bearing asymmetry. A total of 10 community-dwelling adults (6 males and 4 females) with chronic poststroke hemiparesis performed 5 un-cued stepping trials and 5 stepping trials cued by an auditory metronome cue. A Vicon system was used to collect full body kinematic trajectories. Two force platforms were used to measure ground reaction forces. Step, swing, and stance times were used to calculate temporal symmetry ratios. Weight-bearing was assessed using the vertical component of the ground reaction force and center of mass–center of pressure separation at mid-stance. Weight-bearing asymmetry was significantly reduced during stepping with an auditory cue. Asymmetry values for step, swing, and stance times were also significantly reduced with auditory cueing. These findings show that auditory cueing when stepping in place produces immediate reductions in measures of temporal asymmetry and dynamic weight-bearing asymmetry.

Wright and Wing are with the School of Psychology, University of Birmingham, Birmingham, United Kingdom. Bevins is with the Institute of Sport & Exercise Sciences, University of Worcester, Worcester, United Kingdom. Pratt is with West Midlands Rehabilitation Centre, Birmingham Community Healthcare Trust, Birmingham, United Kingdom. Sackley is with the Faculty of Life Sciences & Medicine, King’s College London, London, United Kingdom.

Wright (dr.rachelwright@gmail.com) is corresponding author.
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