Thesis

Creating a real-time movement sonification system for hemiparetic upper limb rehabilitation for survivors of stroke

Creator
Rights statement
Awarding institution
  • University of Strathclyde
Date of award
  • 2024
Thesis identifier
  • T16890
Person Identifier (Local)
  • 201858265
Qualification Level
Qualification Name
Department, School or Faculty
Abstract
  • Upper limb paresis is a common problem for survivors of stroke, impeding their ability to live independently, and rehabilitation interventions to reduce impairment are highly sought after. The use of audio-based interventions, such as movement sonification, may improve rehabilitation outcomes in this application, however, they are relatively unexplored considering the potential that audio feedback has to enhance motor skill learning. Movement sonification is the process of converting movement associated data to the auditory domain and is touted to be a feasible and effective method for stroke survivors to obtain real-time audio feedback of their movements. To generate real-time audio feedback through movement sonification, a system is required to capture movements, process data, extract the physical domain of interest, convert to the auditory domain, and emit the generated audio. A commercial system that performs this process for gross upper limb movements is currently unavailable, therefore, system creation is required. To begin this process, a mapping review of movement sonification systems in the literature was completed. System components in the literature were identified, keyword coded, and grouped, to provide an overview of the components used within these systems. From these results, choices for components of new movement sonification systems were made based on the popularity and applicability, to create two movement sonification systems, one termed ‘Soniccup’, which uses an Inertial Measurement Unit, and the other termed ‘KinectSon’ which uses an Azure Kinect camera. Both systems were setup to translate position estimates into audio pitch, as an output of the sonification process. Both systems were subsequently used in a comparison study with a Vicon Nexus system to establish similarity of positional shape, and therefore establish audio output similarity. The results indicate that the Soniccup produced positional shape representative of the movement performed, for movements of duration under one second, but performance degraded as the movement duration increased. In addition, the Soniccup produced these results with a system latency of approximately 230 ms, which is beyond the limit of real-time perception. The KinectSon system was foundto produce similar positional shape to the Vicon Nexus system for all movements, and obtained these results with a system latency of approximately 67 ms, which is within the limit of real-time perception. As such, the KinectSon system has been evaluated as a good candidate for generating real-time audio feedback, however further testing is required to identify suitability of the generated audio feedback. To evaluate the feedback, as part of usability testing, the KinectSon system was usedin an agency study. Volunteers with and without upper-limb impairment performed reaching movements whilst using the KinectSon system, and reported the perceived association of the sound generated with the movements performed. For three of the four sonification conditions, a triangular wave pitch modulation component was added to distort the sound. The participants in this study associated their movements withthe unmodulated sonification condition stronger than they did with the modulated sonification conditions, indicating that stroke survivors are able to use the KinectSon system and obtain a sense of agency whilst using the system. The thesis concludes with a discussion of the findings of the contributing chapters of this thesis, along with the implications, limitations, and identified future work, within the context of creating a suitable real-time movement sonification system for a large scale study involving an upper limb rehabilitation intervention.
Advisor / supervisor
  • Tachtatzis, Christos
Resource Type
DOI

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