{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T23:45:31Z","timestamp":1781739931426,"version":"3.54.5"},"reference-count":55,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2018,1,6]],"date-time":"2018-01-06T00:00:00Z","timestamp":1515196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>This systematic review synthesized and analyzed clinical findings related to the effectiveness of innovative technological feedback for tackling functional gait recovery. An electronic search of PUBMED, PEDro, WOS, CINAHL, and DIALNET was conducted from January 2011 to December 2016. The main inclusion criteria were: patients with modified or abnormal gait; application of technology-based feedback to deal with functional recovery of gait; any comparison between different kinds of feedback applied by means of technology, or any comparison between technological and non-technological feedback; and randomized controlled trials. Twenty papers were included. The populations were neurological patients (75%), orthopedic and healthy subjects. All participants were adults, bar one. Four studies used exoskeletons, 6 load platforms and 5 pressure sensors. The breakdown of the type of feedback used was as follows: 60% visual, 40% acoustic and 15% haptic. 55% used terminal feedback versus 65% simultaneous feedback. Prescriptive feedback was used in 60% of cases, while 50% used descriptive feedback. 62.5% and 58.33% of the trials showed a significant effect in improving step length and speed, respectively. Efficacy in improving other gait parameters such as balance or range of movement is observed in more than 75% of the studies with significant outcomes. Conclusion: Treatments based on feedback using innovative technology in patients with abnormal gait are mostly effective in improving gait parameters and therefore useful for the functional recovery of patients. The most frequently highlighted types of feedback were immediate visual feedback followed by terminal and immediate acoustic feedback.<\/jats:p>","DOI":"10.3390\/s18010142","type":"journal-article","created":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T12:26:02Z","timestamp":1515414362000},"page":"142","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Technology-Based Feedback and Its Efficacy in Improving Gait Parameters in Patients with Abnormal Gait: A Systematic Review"],"prefix":"10.3390","volume":"18","author":[{"given":"Gema","family":"Chamorro-Moriana","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Universidad de Sevilla, 41009 Sevilla, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Moreno","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Universidad de Sevilla, 41009 Sevilla, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1392-1832","authenticated-orcid":false,"given":"Jos\u00e9","family":"Sevillano","sequence":"additional","affiliation":[{"name":"Department of Computer Technology and Architecture, Universidad de Sevilla, 41012 Sevilla, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2018,1,6]]},"reference":[{"key":"ref_1","first-page":"1","article-title":"Reliability and validity study of the Chamorro Assisted Gait Scale for people with sprained ankles, walking with forearm crutches","volume":"11","author":"Ojeda","year":"2016","journal-title":"PLoS ONE"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/j.gaitpost.2012.09.018","article-title":"Design and validation of GCH System 1.0 which measures the weight-bearing exerted on forearm crutches during aided gait","volume":"37","year":"2013","journal-title":"Gait Posture"},{"key":"ref_3","unstructured":"Whittle, M.W. (2003). Gait Analysis: An Introduction, Butterworth-Heinemann. [3rd ed.]."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s11517-014-1233-z","article-title":"Real time visual feedback for gait retraining: Toward application in knee osteoarthritis","volume":"53","author":"Steenbrink","year":"2015","journal-title":"Med. Biol. Eng. Comput."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"419","DOI":"10.2340\/16501977-1949","article-title":"Efficacy of gait training using a treadmill with and without visual biofeedback in patients after stroke: A randomized study","volume":"47","author":"Druzbicki","year":"2015","journal-title":"J. Rehabil. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"576","DOI":"10.2519\/jospt.2015.5823","article-title":"Gait Retraining for Injured and Healthy Runners using Augmented Feedback: A Systematic Literature Review","volume":"45","author":"Agresta","year":"2015","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1177\/0269215514540923","article-title":"Effects of gait training with a cane and an augmented pressure sensor for enhancement of weight bearing over the affected lower limb in patients with stroke\u202f: A randomized controlled pilot study","volume":"29","author":"Jung","year":"2015","journal-title":"Clin. Rehabil."},{"key":"ref_8","first-page":"21","article-title":"Gait rehabilitation: A new biofeedback device for monitoring and enhancing weight-bearing over the affected lower limb","volume":"43","author":"Isakov","year":"2007","journal-title":"Eura Medic."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1097\/MAO.0b013e31823827ec","article-title":"Efficacy of a vibrotactile neurofeedback training in stance and gait conditions for the treatment of balance deficits: A double-blind, placebo-controlled multicenter study","volume":"32","author":"Basta","year":"2011","journal-title":"Otol. Neurotol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1109\/TNSRE.2013.2242902","article-title":"Effects of Complementary Auditory Feedback in Robot-Assisted Lower Extremity Motor Adaptation","volume":"21","author":"Zanotto","year":"2013","journal-title":"IEEE Trans. Neural Syst. Rehabil. Eng."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1097\/PHM.0000000000000264","article-title":"Intensive Gait Training for Older Adults with Symptomatic Knee Osteoarthritis","volume":"94","author":"Segal","year":"2015","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/j.parkreldis.2012.05.018","article-title":"The effects of vibrotactile biofeedback training on trunk sway in Parkinson\u2019s disease patients","volume":"18","author":"Allum","year":"2012","journal-title":"Parkinsonism Relat. Disord."},{"key":"ref_13","first-page":"3","article-title":"Generalidades sobre Feedback (o retroalimentaci\u00f3n)","volume":"20","author":"Barcia","year":"1998","journal-title":"Fisioterapia"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.jns.2015.04.033","article-title":"Gait training in subacute non-ambulatory stroke patients using a full weight-bearing gait-assistance robot: A prospective, randomized, open, blinded-endpoint trial","volume":"353","author":"Ochi","year":"2015","journal-title":"J. Neurol. Sci."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.rh.2014.10.002","article-title":"Efectos a corto plazo del entrenamiento de la marcha en una \u00f3rtesis rob\u00f3tica (Lokomat\u00ae) con retroalimentaci\u00f3n auditiva en pacientes con lesi\u00f3n medular incompleta cr\u00f3nica","volume":"49","year":"2015","journal-title":"Rehabilitacion"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1097\/NPT.0000000000000095","article-title":"Efficacy of Feedback-Controlled Robotics-Assisted Treadmill Exercise to Improve Cardiovascular Fitness Early After Stroke","volume":"39","author":"Stoller","year":"2015","journal-title":"J. Neurol. Phys. Ther."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1111\/j.1525-1403.2011.00412.x","article-title":"Gait Improvement in Patients with Cerebral Palsy by Visual and Auditory Feedback","volume":"15","author":"Baram","year":"2012","journal-title":"Neuromodulation: Technol. Neural Interface"},{"key":"ref_18","first-page":"49","article-title":"Influence of visual and auditory biofeedback on partial body weight support treadmill training of individuals with chronic hemiparesis: A randomized controlled clinical trial","volume":"51","author":"Brasileiro","year":"2015","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.neuropsychologia.2015.04.020","article-title":"Clinical impact of gait training enhanced with visual kinematic biofeedback: Patients with Parkinson\u2019s disease and patients stable post stroke","volume":"79","author":"Byl","year":"2015","journal-title":"Neuropsychologia"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1912","DOI":"10.1016\/j.apmr.2014.05.016","article-title":"Comparison of mirror, raw video, and real-time visual biofeedback for training toe-out gait in individuals with knee osteoarthritis","volume":"95","author":"Hunt","year":"2014","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1589\/jpts.27.1267","article-title":"Effects of auditory feedback during gait training on hemiplegic patients\u2019 weight bearing and dynamic balance ability","volume":"27","author":"Ki","year":"2015","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.apmr.2014.10.004","article-title":"A shoe insole delivering subsensory vibratory noise improves balance and gait in healthy elderly people","volume":"96","author":"Lipsitz","year":"2015","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"267","DOI":"10.4103\/0972-2327.104334","article-title":"Effects of augmented proprioceptive cues on the parameters of gait of individuals with Parkinson\u2032s disease","volume":"15","author":"Darwish","year":"2012","journal-title":"Ann. Indian Acad. Neurol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"465","DOI":"10.3109\/17483107.2011.556209","article-title":"A review of the evidence underpinning the use of visual and auditory feedback for computer technology in post-stroke upper-limb rehabilitation","volume":"6","author":"Parker","year":"2011","journal-title":"Disabil. Rehabil. Assist. Technol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1745-6215-13-163","article-title":"Augmented visual feedback of movement performance to enhance walking recovery after stroke: Study protocol for a pilot randomised controlled trial","volume":"13","author":"Thikey","year":"2012","journal-title":"Trials"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e993","DOI":"10.3928\/01477447-20141023-56","article-title":"Haptic biofeedback for improving compliance with lower-extremity partial weight bearing","volume":"37","author":"Fu","year":"2014","journal-title":"Orthopedics"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Chamorro-Moriana, G., Sevillano, J.L., and Ridao-Fern\u00e1ndez, C. (2016). A compact forearm crutch based on force sensors for aided gait: Reliability and validity. Sensors, 16.","DOI":"10.3390\/s16060925"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1560","DOI":"10.1068\/p5929","article-title":"The relative importance of visual, auditory, and haptic information for the user\u2019s experience of mechanical switches","volume":"38","author":"Mortensen","year":"2009","journal-title":"Perception"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12984-016-0214-x","article-title":"The effectiveness of robotic-assisted gait training for paediatric gait disorders: Systematic review","volume":"14","author":"Lefmann","year":"2017","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1482","DOI":"10.1589\/jpts.28.1482","article-title":"Effectiveness of knowledge of result and knowledge of performance in the learning of a skilled motor activity by healthy young adults","volume":"28","author":"Sharma","year":"2016","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jclinepi.2009.06.006","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration","volume":"62","author":"Liberati","year":"2009","journal-title":"J. Clin. Epidemiol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/S0004-9514(14)60281-6","article-title":"Evidence for physiotherapy practice: A survey of the Physiotherapy Evidence Database (PEDro)","volume":"48","author":"Moseley","year":"2002","journal-title":"Aust. J. Physiother."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Yamato, T.P., Maher, C., Koes, B., and Moseley, A. (2017). The PEDro scale had acceptably high convergent validity, construct validity, and interrater reliability in evaluating methodological quality of pharmaceutical trials. J. Clin. Epidemiol.","DOI":"10.1016\/j.jclinepi.2017.03.002"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1054\/math.2000.0372","article-title":"PEDro. A database of randomized trials and systematic reviews in physiotherapy","volume":"5","author":"Sherrington","year":"2000","journal-title":"Man Ther."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1093\/ptj\/83.8.713","article-title":"Reliability of the PEDro scale for rating quality of randomized controlled trials","volume":"83","author":"Maher","year":"2003","journal-title":"Phys. Ther."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/S0004-9514(09)70043-1","article-title":"The PEDro scale is a valid measure of the methodological quality of clinical trials: A demographic study","volume":"55","year":"2009","journal-title":"Aust. J. Physiother."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"264","DOI":"10.7326\/0003-4819-151-4-200908180-00135","article-title":"Academia and Clinic Annals of Internal Medicine Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement","volume":"151","author":"Moher","year":"2009","journal-title":"Annu. Intern. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.parkreldis.2015.11.004","article-title":"Feasibility and effects of home-based smartphone-delivered automated feedback training for gait in people with Parkinson\u2019s disease: A pilot randomized controlled trial","volume":"22","author":"Ginis","year":"2016","journal-title":"Parkinsonism Relat. Disord."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Khallaf, M.E., Gabr, A.M., and Fayed, E.E. (2014). Effect of Task Specific Exercises, Gait Training, and Visual Biofeedback on Equinovarus Gait among Individuals with Stroke: Randomized Controlled Study. Neurol. Res. Int.","DOI":"10.1155\/2014\/693048"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1177\/1545968313517752","article-title":"Balance and Gait Training with Augmented Feedback Improves Balance Confidence in People with Parkinson\u2019s Disease","volume":"28","author":"Shen","year":"2014","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1177\/0269215510386125","article-title":"Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: A randomized controlled trial","volume":"25","author":"Sungkarat","year":"2011","journal-title":"Clin. Rehabil."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"2581","DOI":"10.1589\/jpts.27.2581","article-title":"Effects of a novel walking training program with postural correction and visual feedback on walking function in patients with post-stroke hemiparesis","volume":"27","author":"Won","year":"2015","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_43","first-page":"371","article-title":"The effect of different corrective feedback methods on the outcome and self confidence of young athletes","volume":"7","author":"Tzetzis","year":"2008","journal-title":"J. Sports Sci. Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"3369","DOI":"10.1109\/TIM.2015.2465751","article-title":"Wireless Instrumented Crutches for Force and Movement Measurements for Gait Monitoring","volume":"64","author":"Sardini","year":"2015","journal-title":"IEEE Trans. Instrum. Meas."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Tuttle, N., and Jacuinde, G. (2011). Design and Construction of a Novel Low-Cost Device to Provide Feedback on Manually Applied Forces. J. Orthop. Sport Phys. Ther.","DOI":"10.2519\/jospt.2011.3461"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1093\/ptj\/76.9.985","article-title":"Learning a partial-weight-bearing skill: Effectiveness of two forms of feedback","volume":"76","author":"Winstein","year":"1996","journal-title":"Phys. Ther."},{"key":"ref_47","first-page":"449","article-title":"Training procedures and biofeedback methods to achieve controled partial weight bearing: An assessment","volume":"56","author":"Warren","year":"1975","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1037\/0033-2909.95.3.355","article-title":"Knowledge of results and motor learning: A review and critical reappraisal","volume":"95","author":"Salmoni","year":"1984","journal-title":"Psychol. Bull."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3758\/s13423-012-0333-8","article-title":"Augmented visual, auditory, haptic, and multimodal feedback in motor learning: A review","volume":"20","author":"Sigrist","year":"2013","journal-title":"Psychon. Bull. Rev."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1080\/00140139.2010.535023","article-title":"Type of visual feedback during practice influences the precision of the acquired internal model of a complex visuo-motor transformation","volume":"54","author":"Heuer","year":"2011","journal-title":"Ergonomics"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s00590-012-1159-9","article-title":"A pilot study of post-total knee replacement gait rehabilitation using lower limbs robot-assisted training system","volume":"24","author":"Li","year":"2014","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Kloos, A.D., Kegelmeyer, D.A., and White, S. (2012). The impact of different types of assistive devices on gait measures and safety in Huntington\u2019s disease. PLoS ONE.","DOI":"10.1371\/journal.pone.0030903"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/j.humov.2017.06.003","article-title":"The impact of speed and time on gait dynamics","volume":"54","author":"Thomas","year":"2017","journal-title":"Hum. Mov. Sci."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1590\/S1413-35552012005000105","article-title":"Assessment of gait in toddlers with normal motor development and in hemiplegic children with mild motor impairment: A validity study","volume":"17","author":"Figueiredo","year":"2013","journal-title":"Brazilian J. Phys. Ther."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"7314","DOI":"10.3390\/s110807314","article-title":"Real-time gait cycle parameter recognition using a wearable accelerometry system","volume":"11","author":"Yang","year":"2011","journal-title":"Sensors"}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/18\/1\/142\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T14:50:22Z","timestamp":1760194222000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/18\/1\/142"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,6]]},"references-count":55,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,1]]}},"alternative-id":["s18010142"],"URL":"https:\/\/doi.org\/10.3390\/s18010142","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,6]]}}}