The role of auditory information on perceptual-motor processes has gained increased interest in sports and psychology research in recent years. Numerous neurobiological and behavioral studies have ...demonstrated the close interaction between auditory and motor areas of the brain, and the importance of auditory information for movement execution, control, and learning. In applied research, artificially produced acoustic information and real-time auditory information have been implemented in sports and rehabilitation to improve motor performance in athletes, healthy individuals, and patients affected by neurological or movement disorders. However, this research is scattered both across time and scientific disciplines. The aim of this paper is to provide an overview about the interaction between movement and sound and review the current literature regarding the effect of natural movement sounds, movement sonification, and rhythmic auditory information in sports and motor rehabilitation. The focus here is threefold: firstly, we provide an overview of empirical studies using natural movement sounds and movement sonification in sports. Secondly, we review recent clinical and applied studies using rhythmic auditory information and sonification in rehabilitation, addressing in particular studies on Parkinson's disease and stroke. Thirdly, we summarize current evidence regarding the cognitive mechanisms and neural correlates underlying the processing of auditory information during movement execution and its mental representation. The current state of knowledge here reviewed provides evidence of the feasibility and effectiveness of the application of auditory information to improve movement execution, control, and (re)learning in sports and motor rehabilitation. Findings also corroborate the critical role of auditory information in auditory-motor coupling during motor (re)learning and performance, suggesting that this area of clinical and applied research has a large potential that is yet to be fully explored.
Restoration of upper limb motor function and patient functional independence are crucial treatment targets in neurological rehabilitation. Growing evidence indicates that music-based intervention is ...a promising therapeutic approach for the restoration of upper extremity functional abilities in neurologic conditions such as cerebral palsy, stroke, and Parkinson's Disease. In this context, music technology may be particularly useful to increase the availability and accessibility of music-based therapy and assist therapists in the implementation and assessment of targeted therapeutic goals. In the present study, we conducted a pre-clinical, single-arm trial to evaluate a novel music-based therapeutic device (SONATA) for upper limb extremity movement training. The device consists of a graphical user interface generated by a single-board computer displayed on a 32" touchscreen with built-in speakers controlled wirelessly by a computer tablet. The system includes two operational modes that allow users to play musical melodies on a virtual keyboard or draw figures/shapes whereby every action input results in controllable sensory feedback. Four motor tasks involving hand/finger movement were performed with 21 healthy individuals (13 males, aged 26.4 ± 3.5 years) to evaluate the device's operational modes and main features. The results of the functional tests suggest that the device is a reliable system to present pre-defined sequences of audiovisual stimuli and shapes and to record response and movement data. This preliminary study also suggests that the device is feasible and adequate for use with healthy individuals. These findings open new avenues for future clinical research to further investigate the feasibility and usability of the SONATA as a tool for upper extremity motor function training in neurological rehabilitation. Directions for future clinical research are discussed.
The open-water training conditions in sailing sports limit the coach’s ability to provide instructions. Auditory feedback provided using a smartphone application in real-time seems to be a promising ...tool in the training process. The aim of the study was to assess the usefulness of a smartphone application created to support tactical decisions via an auditory display. Thirteen successful windsurfers competing in RS:X class took part in the study. The results, collected with the use of a questionnaire, related to the technical and aesthetic aspects of the functions as well as decision-making assistance of the application during upwind sailing races. Most of the competitors positively evaluated application function (54–85%). Real-time information about the deviation from the set course and information about potential tack change due to a changed wind direction were statistically significantly more helpful for less experienced windsurfers (rho = −0.68 and rho = −0.78, respectively) and those with lower sports level (rho = −0.63 and rho = −0.65, respectively). It can be concluded that the use of sound feedback in the conditions of training on-water in sailing has potential, primarily for younger and less experienced competitors. Quantitative evaluations of the sailing performance should be considered in further research on the functionality of the application.
We present a system capable of providing visual feedback for ergometer training, allowing detailed analysis and gamification. The presented solution can easily upgrade any existing ergometer device. ...The system consists of a set of pedals with embedded sensors, readout electronics and wireless communication modules and a tablet device for interaction with the users, which can be mounted on any ergometer, transforming it into a full analytical assessment tool with interactive training capabilities. The methods to capture the forces and moments applied to the pedal, as well as the pedal’s angular position, were validated using reference sensors and high-speed video capture systems. The mean-absolute error (MAE) for load is found to be 18.82 N, 25.35 N, 0.153 Nm for Fx, Fz and Mx respectively and the MAE for the pedal angle is 13.2°. A fully gamified experience of ergometer training has been demonstrated with the presented system to enhance the rehabilitation experience with audio visual feedback, based on measured cycling parameters.
•For improving the underwater dolphin-kick technique its execution must be in the swimmers’ attention.•Acoustic presentation of the underwater dolphin-kicks improve ability to identify propulsive ...phases in movement execution.•Intuitive mappings of sound underwater dolphin-kick data can improve technique training in swimming.
One of the main factors for improving movement execution and motor performance in competitive sports is the availability of useful feedback. While coaches can communicate verbally with athletes in most sports, swimming is different. Because the swimmer is underwater most of the time, any type of real-time feedback is difficult. Since the presentation of acoustic information through sonification has proven beneficial to certain motor skills, this paper describes initial considerations for an application of interactive sonification as real-time audio feedback to provide useful information to improve motor execution in swimming. Special attention is given to the underwater dolphin-kick (UDK), which is performed by athletes after every start and every turn and is one of the critical factors for overall performance in world-class swimming. It was examined whether the characteristics of the UDK are represented in the sound in order to create congruency between sound, action and reaction.
Two different sonification models were designed using data from 11 national athletes (six juniors, aged 17.0 ± 1.5 years and five seniors aged 23.6 ± 1.3 years). The sonified data were presented to sport scientists and coaches and tested in in a pilot study with three club-level swimmers (17.0 ± 0.8 years) in swimming training. The results indicate that the athletes became aware of relevant aspects of the movement with both sonification models, to which they had no access so far. In detail, the sonification provided information on forward propulsion, movement rhythm and kick frequency – all factors contributing to overall motor performance. Individual statements showed that the athletes noticed deceleration phases in the forward propulsion and the time duration in the movement execution and tried to adapt their movements accordingly. The approaches presented here could therefore serve as a useful training tool for swimmers to improve their UDK.
Sports scientists and coaches strive to identify and analyse performance relevant parameters and to optimize them in the training practice. In swimming, this process is time-consuming and requires ...expensive and professional video equipment, which is currently considered the gold standard. Since inertial measurement units (IMUs) are increasingly interesting for athletes, are more easily accessible and are less disturbing to wear, they offer an ideal alternative to classic video-supported motion analysis. In addition, IMUs provide further data of interest to scientists and trainers. The present study aims to transfer the findings from the video analysis data to the data measured with an IMU. The focus is on the frontal crawl and its key movements, body roll, angular velocity and forward acceleration in relation to their intra-cyclic variations. Ten athletes from regional to national level swam 100 m front crawl and the video recording was combined with the IMU to analyse the key positions and find similarities and differences between the swimmers. The findings are the basis for an automatic pattern recognition system to provide coaches and scientists with immediate feedback on the execution of movements and to decide which parameters should be specifically trained to improve performance.
This study presented a novel kinematic assessment of paretic limb function “online” during the actual therapeutic exercisers rooted within the acceleration domain. Twenty-eight patients at chronic ...stroke stages participated in an auditory-motor intervention mapping reaching movements of the paretic arm unto surfaces of large digital musical instruments and sound tablets that provided rhythmic entrainment cues and augmented auditory feedback. Patients also wore a tri-axial accelerometer on the paretic limb during the nine-session intervention. The resulting acceleration profiles were extracted and quantified within the frequency domain. Measures of peak power and peak width were leveraged to estimate volitional control and temporal consistency of paretic limb movements, respectively. Clinical assessments included the Wolf Motor Function Test and Fugl-Meyer – Upper Extremity subtest. The results showed that peak power increased significantly from Session 1 to Session 9 within oscillatory frequency ranges associated with intentional movement execution (i.e., 4.5 Hz). Decreases in peak width over time provided additional evidence for improved paretic arm control from a temporal perspective. In addition, Peak width values obtained in Session 1 was significantly correlated with pre-test Fugl-Meyer – Upper Extremity scores. These results highlighted improvements in paretic limb acceleration as an underlying mechanism in stroke motor recovery and shed further light on the utility of accelerometry-based measures of paretic limb control in stroke rehabilitation.
The data reported here was obtained from a larger clinical trial:
https://clinicaltrials.gov/ct2/show/NCT03246217
ClinicalTrials.gov Identifier: NCT03246217.
To investigate the potential benefits of 3 therapeutic instrumental music performance (TIMP)-based interventions in rehabilitation of the affected upper-extremity (UE) for adults with chronic ...poststroke hemiparesis.
Randomized-controlled pilot study.
University research facility.
Community-dwelling volunteers (N=30; 16 men, 14 women; age range, 33-76 years; mean age, 55.9 years) began and completed the protocol. All participants had sustained a unilateral stroke more than 6 months before enrollment (mean time poststroke, 66.9 months).
Two baseline assessments, a minimum of 1 week apart; 9 intervention sessions (3 times/week for 3 weeks), in which rhythmically cued, functional arm movements were mapped onto musical instruments; and 1 post-test following the final intervention. Participants were block-randomized to 1 of 3 conditions: group 1 (45 minutes TIMP), group 2 (30 minutes TIMP, 15 minutes metronome-cued motor imagery TIMP+cMI), and group 3 (30 minutes TIMP, 15 minutes motor imagery without cues TIMP+MI). Assessors and investigators were blinded to group assignment.
Fugl-Meyer Upper-Extremity (FM-UE) and Wolf Motor Function Test- Functional Ability Scale (WMFT-FAS). Secondary measures were motor activity log (MAL)–amount of use scale and trunk impairment scale.
All groups made statistically significant gains on the FM-UE (TIMP, P=.005, r=.63; TIMP+cMI, P=.007, r=.63; TIMP+MI, P=.007, r=.61) and the WMFT-FAS (TIMP, P=.024, r=.53; TIMP+cMI, P=.008, r=.60; TIMP+MI, P=.008, r=.63). Comparing between-group percent change differences, on the FM-UE, TIMP scored significantly higher than TIMP+cMI (P=.032, r=.57), but not TIMP+MI. There were no differences in improvement on WMFT-FAS across conditions. On the MAL, gains were significant for TIMP (P=.030, r=.54) and TIMP+MI (P=.007, r=.63).
TIMP-based techniques, with and without MI, led to significant improvements in paretic arm control on primary outcomes. Replacing a physical training segment with imagery-based training resulted in similar improvements; however, synchronizing internal and external cues during auditory-cMI may pose additional sensorimotor integration challenges.
Evidence exists, that rhythmic information, provided audibly, supports the timing of movement-execution subliminally. This study aimed to test immediate effects of acoustic feedback (AF) on mean boat ...speed during on-water rowing training with elite athletes in two squad-levels and to observe the retention of effects. 20 athletes (14 seniors, age 22.6 ± 1.6 years, body mass 93.1 ± 9.8 kg, body height 192.5 ± 3.3 cm; 6 juniors, age 17.5 ± 0.2 years, body mass 85.0 ± 7.4 kg, body height 189.3 ± 8.8 cm) of the German National Rowing Team in 8 boats (small and big boats) participated in the study. Boat acceleration and distance travelled were measured with Sofirow. The boat’s acceleration-time trace was converted online into AF and presented to the athletes via speakers. Repeated measures within-subjects factorial ANOVA showed significantly increased mean boat speed with AF compared to baseline for both squad-levels (P < 0.01) as well as for the retention-test compared to pre-test (P < 0.01). Intra-cyclical analysis revealed significant changes in the acceleration-time traces. Athletes perceived AF as supportive for training, providing functional information about the boat-run, independently from vision. The concept was integrated into the final-preparation for the World Championships.
Presenting acoustic information has become increasingly interesting for technique training and control in various sports. In elite rowing, acoustic feedback is a new and promising application to ...optimize the boat's forward motion. This paper describes the potential of acoustic information which represents the movement-relevant information on the boat's forward motion for rowing and its implementation as online acoustic feedback during on-water training sessions. The first significant results were encouraging and support the intention to implement the acoustic information regularly into training processes for elite athletes.
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