{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:44:08Z","timestamp":1781268248784,"version":"3.54.1"},"reference-count":120,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2020,3,14]],"date-time":"2020-03-14T00:00:00Z","timestamp":1584144000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000038","name":"Natural Sciences and Engineering Research Council of Canada","doi-asserted-by":"publisher","award":["Discovery RGPIN 2018-05046"],"award-info":[{"award-number":["Discovery RGPIN 2018-05046"]}],"id":[{"id":"10.13039\/501100000038","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Individuals with lower-limb amputation often have gait deficits and diminished mobility function. Biofeedback systems have the potential to improve gait rehabilitation outcomes. Research on biofeedback has steadily increased in recent decades, representing the growing interest toward this topic. This systematic review highlights the methodological designs, main technical and clinical challenges, and evidence relating to the effectiveness of biofeedback systems for gait rehabilitation. This review provides insights for developing an effective, robust, and user-friendly wearable biofeedback system. The literature search was conducted on six databases and 31 full-text articles were included in this review. Most studies found biofeedback to be effective in improving gait. Biofeedback was most commonly concurrently provided and related to limb loading and symmetry ratios for stance or step time. Visual feedback was the most used modality, followed by auditory and haptic. Biofeedback must not be obtrusive and ideally provide a level of enjoyment to the user. Biofeedback appears to be most effective during the early stages of rehabilitation but presents some usability challenges when applied to the elderly. More research is needed on younger populations and higher amputation levels, understanding retention as well as the relationship between training intensity and performance.<\/jats:p>","DOI":"10.3390\/s20061628","type":"journal-article","created":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T08:20:44Z","timestamp":1584519644000},"page":"1628","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":63,"title":["Biofeedback Systems for Gait Rehabilitation of Individuals with Lower-Limb Amputation: A Systematic Review"],"prefix":"10.3390","volume":"20","author":[{"given":"Rafael","family":"Escamilla-Nunez","sequence":"first","affiliation":[{"name":"Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON M4Y 1R5, Canada"},{"name":"Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON M4G 1R8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2875-2485","authenticated-orcid":false,"given":"Alexandria","family":"Michelini","sequence":"additional","affiliation":[{"name":"Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON M4Y 1R5, Canada"},{"name":"Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON M4G 1R8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4976-1228","authenticated-orcid":false,"given":"Jan","family":"Andrysek","sequence":"additional","affiliation":[{"name":"Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON M4Y 1R5, Canada"},{"name":"Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON M4G 1R8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,3,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2013\/417982","article-title":"Proprioception in Above-the-Knee Amputees with Artificial Limbs","volume":"2013","author":"Latanioti","year":"2013","journal-title":"Sci. World J."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/S0268-0033(01)00090-0","article-title":"The effect of changes in foot sensation on plantar pressure and muscle activity","volume":"16","author":"Nigg","year":"2001","journal-title":"Clin. Biomech."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"336","DOI":"10.2307\/1422062","article-title":"Proprioceptive Control of Human Movement","volume":"90","author":"Adams","year":"1977","journal-title":"Am. J. Psychol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"145","DOI":"10.3109\/09593989209108094","article-title":"Reorganisation of Postural Control Following Lower Limb Amputation: Theoretical Considerations and Implications for Rehabilitation","volume":"8","author":"Geurts","year":"1992","journal-title":"Physiother. Theory Pr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/S0003-9993(95)80528-1","article-title":"Prosthetic gait of unilateral transfemoral amputees: A kinematic study","volume":"76","author":"Jaegers","year":"1995","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/S0966-6362(02)00066-8","article-title":"Adjustments in gait symmetry with walking speed in trans-femoral and trans-tibial amputees","volume":"17","author":"Nolan","year":"2003","journal-title":"Gait Posture"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"150","DOI":"10.3109\/03093649409164400","article-title":"Standing balance in trans-tibial amputees following vascular disease or trauma: A comparative study with healthy subjects","volume":"18","author":"Hermodsson","year":"1994","journal-title":"Prosthet. Orthot. Int."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1682\/JRRD.2006.11.0147","article-title":"Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use","volume":"45","author":"Gailey","year":"2008","journal-title":"J. Rehabil. Res. Dev."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1053\/apmr.2001.24295","article-title":"The prevalence and risk factors of falling and fear of falling among lower extremity amputees","volume":"82","author":"Miller","year":"2001","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1053\/apmr.2001.25079","article-title":"The influence of falling, fear of falling, and balance confidence on prosthetic mobility and social activity among individuals with a lower extremity amputation","volume":"82","author":"Miller","year":"2001","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/S0031-9406(05)66968-4","article-title":"Falls in Patients with Lower Limb Amputations: Prevalence and Contributing Factors","volume":"82","author":"Kulkarni","year":"1996","journal-title":"Physiotherapy"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.pmrj.2016.07.531","article-title":"Risk Factors for Falls in People With a Lower Limb Amputation: A Systematic Review","volume":"9","author":"Hunter","year":"2016","journal-title":"PM&R"},{"key":"ref_13","first-page":"753","article-title":"Major stump trauma following below-knee amputation. Outcome and recommendations for therapy","volume":"32","author":"Burnham","year":"1991","journal-title":"J. Cardiovasc. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1093\/ptj\/82.9.856","article-title":"Balance Confidence among People with Lower-Limb Amputations","volume":"82","author":"Miller","year":"2002","journal-title":"Phys. Ther."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1016\/S0003-9993(99)90177-6","article-title":"Enabling factors related to prosthetic use by people with transtibial and transfemoral amputation","volume":"80","author":"Potvin","year":"1999","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_16","first-page":"249","article-title":"Social and psychological factors in adjustment to limb amputation","volume":"9","author":"Williamson","year":"1994","journal-title":"J. Soc. Behav. Pers."},{"key":"ref_17","first-page":"7","article-title":"A preliminary report on the use of a practical biofeedback device for gait training of above-knee amputees","volume":"23","author":"Flowers","year":"1986","journal-title":"J. Rehabil. Res. Dev."},{"key":"ref_18","unstructured":"Broomhead, P., Dawes, D., Hale, C., Lambert, A., Quinlivan, D., and Shepherd, R. (2003). Evidence based Clinical Guidelines for the Physiotherapy Management of Adults with Lower Limb Prostheses, British Association of Chartered Physiotherapists in Amputation Rehabilitation."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1080\/165019701750165934","article-title":"Gait Improvement in Unilateral Transfemoral Amputees by a Combined Psychological and Physiotherapeutic Treatment","volume":"33","year":"2001","journal-title":"J. Rehabil. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1080\/03093640208726632","article-title":"Kinematic and kinetic gait analysis in the sagittal plane of trans-femoral amputees before and after special gait re-education","volume":"26","author":"Jarnlo","year":"2002","journal-title":"Prosthet. Orthot. Int."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1080\/03093640600994615","article-title":"Short-term effect of physiotherapy rehabilitation on functional performance of lower limb amputees","volume":"31","author":"Rau","year":"2007","journal-title":"Prosthet. Orthot. Int."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.2522\/ptj.20080281","article-title":"Real-Time Kinematic, Temporospatial, and Kinetic Biofeedback During Gait Retraining in Patients: A Systematic Review","volume":"90","author":"Tate","year":"2010","journal-title":"Phys. Ther."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1089\/g4h.2013.0100","article-title":"Therapeutic Uses of Active Videogames: A Systematic Review","volume":"3","author":"Staiano","year":"2014","journal-title":"Games Heal. J."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1519\/JPT.0b013e318224aa38","article-title":"Using the Nintendo Wii Fit and Body Weight Support to Improve Aerobic Capacity, Balance, Gait Ability, and Fear of Falling","volume":"35","author":"Miller","year":"2012","journal-title":"J. Geriatr. Phys. Ther."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1186\/s12984-015-0055-z","article-title":"Haptic wearables as sensory replacement, sensory augmentation and trainer \u2013 a review","volume":"12","author":"Shull","year":"2015","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1682\/JRRD.2011.05.0088","article-title":"Can vibratory feedback be used to improve postural stability in persons with transtibial limb loss?","volume":"49","author":"Rusaw","year":"2012","journal-title":"J. Rehabil. Res. Dev."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1186\/1743-0003-10-60","article-title":"Biofeedback in rehabilitation","volume":"10","author":"Giggins","year":"2013","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1109\/TOH.2016.2580507","article-title":"A Haptic Feedback System for Phase-Based Sensory Restoration in Above-Knee Prosthetic Leg Users","volume":"9","author":"Plauche","year":"2016","journal-title":"IEEE Trans. Haptics"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Ma, C.Z.-H., Wong, D.W.-C., Lam, W.-K., Wan, A.H.-P., and Lee, C.C.W. (2016). Balance Improvement Effects of Biofeedback Systems with State-of-the-Art Wearable Sensors: A Systematic Review. Sensors, 16.","DOI":"10.3390\/s16040434"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1109\/TNSRE.2014.2365548","article-title":"Providing Time-Discrete Gait Information by Wearable Feedback Apparatus for Lower-Limb Amputees: Usability and Functional Validation","volume":"23","author":"Crea","year":"2014","journal-title":"IEEE Trans. Neural Syst. Rehabil. Eng."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1682\/JRRD.2013.07.0164","article-title":"Toward an artificial sensory feedback system for prosthetic mobility rehabilitation: Examination of sensorimotor responses","volume":"51","author":"Sharma","year":"2014","journal-title":"J. Rehabilitation Res. Dev."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.clinbiomech.2018.09.017","article-title":"Walking and balance in children and adolescents with lower-limb amputation: A review of literature","volume":"59","author":"Eshraghi","year":"2018","journal-title":"Clin. Biomech."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1109\/TNSRE.2005.856071","article-title":"Design and Quantitative Evaluation of a Stance-Phase Controlled Prosthetic Knee Joint for Children","volume":"13","author":"Andrysek","year":"2005","journal-title":"IEEE Trans. Neural Syst. Rehabil. Eng."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Esposito, E.R., Choi, H.S., Darter, B.J., and Wilken, J. (2017). Can real-time visual feedback during gait retraining reduce metabolic demand for individuals with transtibial amputation?. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0171786"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1186\/s12984-019-0583-z","article-title":"(Helen) Effects of extended powered knee prosthesis stance time via visual feedback on gait symmetry of individuals with unilateral amputation: A preliminary study","volume":"16","author":"Brandt","year":"2019","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/j.gaitpost.2012.04.004","article-title":"Utilization of a lower extremity ambulatory feedback system to reduce gait asymmetry in transtibial amputation gait","volume":"36","author":"Yang","year":"2012","journal-title":"Gait Posture"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Afzal, M.R., Pyo, S., Oh, M.-K., Park, Y.S., Lee, B.-C., and Yoon, J. (2016, January 9\u201314). Haptic based gait rehabilitation system for stroke patients. Proceedings of the 2016 IEEE\/RSJ International Conference on Intelligent Robots and Systems (IROS), Daejeon, Korea.","DOI":"10.1109\/IROS.2016.7759494"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s12938-016-0160-7","article-title":"A novel balance training system using multimodal biofeedback","volume":"15","author":"Afzal","year":"2016","journal-title":"Biomed. Eng. Online"},{"key":"ref_39","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":"2012","journal-title":"Psychon. Bull. Rev."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Afzal, M.R., Pyo, S., Oh, M.-K., Park, Y.S., and Yoon, J. (2017, January 17\u201320). Identifying the effects of using integrated haptic feedback for gait rehabilitation of stroke patients. Proceedings of the 2017 International Conference on Rehabilitation Robotics (ICORR), London, UK.","DOI":"10.1109\/ICORR.2017.8009389"},{"key":"ref_41","first-page":"231","article-title":"Biofeedback treatment of foot-drop after stroke compared with standard rehabilitation technique: effects on voluntary control and strength","volume":"56","author":"Basmajian","year":"1975","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1177\/014107689709000110","article-title":"Biofeedback therapy in stroke rehabilitation: a review","volume":"90","author":"Glanz","year":"1997","journal-title":"J. R. Soc. Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1080\/03093640802647094","article-title":"The Effect of a Vibratory Lumber Orthosis on Walking Velocity in Patients with Parkinson\u2019s Disease","volume":"33","author":"Ghoseiri","year":"2009","journal-title":"Prosthet. Orthot. Int."},{"key":"ref_44","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":"Neurorehabilit. Neural Repair"},{"key":"ref_45","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_46","doi-asserted-by":"crossref","first-page":"2369","DOI":"10.1080\/09638288.2018.1468933","article-title":"Biofeedback interventions for individuals with cerebral palsy: a systematic review","volume":"41","author":"MacIntosh","year":"2019","journal-title":"Disabil. Rehabil."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"63","DOI":"10.3233\/VES-170606","article-title":"The role of sensory augmentation for people with vestibular deficits: Real-time balance aid and\/or rehabilitation device?","volume":"27","author":"Sienko","year":"2017","journal-title":"J. Vestib. Res."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1749-6632.2009.03872.x","article-title":"Vestibular and Proprioceptive Contributions to Human Balance Corrections","volume":"1164","author":"Horlings","year":"2009","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_49","first-page":"104","article-title":"Thermal biofeedback for claudication in diabetes: a literature review and case study","volume":"4","year":"1999","journal-title":"Altern. Med. Rev."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1109\/TNSRE.2013.2267394","article-title":"Stiffness Feedback for Myoelectric Forearm Prostheses Using Vibrotactile Stimulation","volume":"22","author":"Witteveen","year":"2013","journal-title":"IEEE Trans. Neural Syst. Rehabilitation Eng."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1586\/erd.12.68","article-title":"Sensory feedback in upper limb prosthetics","volume":"10","author":"Antfolk","year":"2013","journal-title":"Expert Rev. Med Devices"},{"key":"ref_52","first-page":"1","article-title":"A Method for Evaluating Timeliness and Accuracy of Volitional Motor Responses to Vibrotactile Stimuli","volume":"114","author":"Leineweber","year":"2016","journal-title":"J. Vis. Exp."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1682\/JRRD.2015.04.0060","article-title":"Effects of cognitive load and prosthetic liner on volitional response times to vibrotactile feedback","volume":"53","author":"Sharma","year":"2016","journal-title":"J. Rehabil. Res. Dev."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Tino, A., Carvalho, M., Preto, N.F., and McConville, K.M.V. (September, January 30). Wireless vibrotactile feedback system for postural response improvement. Proceedings of the 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Boston, MA, USA.","DOI":"10.1109\/IEMBS.2011.6091287"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1109\/TMECH.2010.2041030","article-title":"A Real-Time System with Assistive Feedback for Postural Control in Rehabilitation","volume":"15","author":"Alahakone","year":"2010","journal-title":"IEEE\/ASME Trans. Mechatron."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1080\/03093640601058162","article-title":"Balance control enhancement using sub-sensory stimulation and visual-auditory biofeedback strategies for amputee subjects","volume":"31","author":"Lee","year":"2007","journal-title":"Prosthet. Orthot. Int."},{"key":"ref_57","first-page":"205566831881368","article-title":"Feasibility of a mobile feedback system for gait retraining in people with lower limb loss-A technical note","volume":"6","author":"Fiedler","year":"2019","journal-title":"J. Rehabil. Assist. Technol. Eng."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"198","DOI":"10.2522\/ptj.20150441","article-title":"Time-Discrete Vibrotactile Feedback Contributes to Improved Gait Symmetry in Patients With Lower Limb Amputations: Case Series","volume":"97","author":"Crea","year":"2017","journal-title":"Phys. Ther."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1356","DOI":"10.1038\/s41591-019-0567-3","article-title":"Sensory feedback restoration in leg amputees improves walking speed, metabolic cost and phantom pain","volume":"25","author":"Petrini","year":"2019","journal-title":"Nat. Med."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Rokhmanova, N., and Rombokas, E. (2019, January 24\u201328). Vibrotactile Feedback Improves Foot Placement Perception on Stairs for Lower-Limb Prosthesis Users. Proceedings of the 2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR), Toronto, ON, Canada.","DOI":"10.1109\/ICORR.2019.8779518"},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Begg, R., Tirosh, O., Van Der Straaten, R., and Sparrow, W.A. (2012, January 18\u201321). Real-time biofeedback of gait parameters using infrared position sensors. Proceedings of the 2012 Sixth International Conference on Sensing Technology (ICST), Kolkata, India.","DOI":"10.1109\/ICSensT.2012.6461777"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1016\/j.apmr.2015.12.016","article-title":"Wearable Vibrotactile Biofeedback Device Allowing Identification of Different Floor Conditions for Lower-Limb Amputees","volume":"97","author":"Wan","year":"2016","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1115\/1.4043610","article-title":"Exploring the Tactor Configurations of Vibrotactile Feedback Systems for Use in Lower-Limb Prostheses1","volume":"141","author":"Shi","year":"2019","journal-title":"J. Vib. Acoust."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.clinbiomech.2018.09.020","article-title":"The use of biofeedback for gait retraining: A mapping review","volume":"59","author":"Barnes","year":"2018","journal-title":"Clin. Biomech."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/1743-0003-7-58","article-title":"Biofeedback for training balance and mobility tasks in older populations: a systematic review","volume":"7","author":"Zijlstra","year":"2010","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref_66","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":"2006","journal-title":"Eur. Medicophysica"},{"key":"ref_67","first-page":"92","article-title":"Biofeedback versus physiotherapy in patients with partial weight-bearing","volume":"37","author":"Hershko","year":"2008","journal-title":"Am. J. Orthop."},{"key":"ref_68","unstructured":"Gauthier-Gagnon, C. (1986). Augmented sensory feedback in the early training of standing balance of below-knee amputees. Physiother. Can., 137\u2013142."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1016\/S0895-4356(98)00131-0","article-title":"The Delphi List","volume":"51","author":"Verhagen","year":"1998","journal-title":"J. Clin. Epidemiol."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1136\/bmj.309.6955.648","article-title":"Systematic Reviews: Checklists for review articles","volume":"309","author":"Oxman","year":"1994","journal-title":"BMJ"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1136\/jech.52.6.377","article-title":"The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions","volume":"52","author":"Downs","year":"1998","journal-title":"J. Epidemiol. Commun. Heal."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.gaitpost.2009.09.004","article-title":"Quantification of soft tissue artifact in lower limb human motion analysis: A systematic review","volume":"31","author":"Peters","year":"2010","journal-title":"Gait Posture"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1016\/j.gaitpost.2013.07.006","article-title":"Balance control in lower extremity amputees during quiet standing: A systematic review","volume":"39","author":"Ku","year":"2014","journal-title":"Gait Posture"},{"key":"ref_74","unstructured":"Lee, M.-Y., and Soon, K.-S. (2008, January 12\u201315). New foot pressure activated sensory compensation posture-control enhancement in amputee. Proceedings of the 2008 IEEE International Conference on Systems, Man and Cybernetics (SMC), Suntec, Singapore."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"52","DOI":"10.4304\/jcp.4.10.1005-1011","article-title":"New Computer Protocol with Subsensory Stimulation and Visual\/Auditory Biofeedback for Balance Assessment in Amputees","volume":"4","author":"Lee","year":"2009","journal-title":"J. Comput."},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"Lee, M.-Y., and Soon, K.-S. (2010, January 10\u201312). Subsensory stimulation and visual\/auditory biofeedback for balance control in amputees. Proceedings of the 2010 International Conference on Networking, Sensing and Control (ICNSC), Chicago, IL, USA.","DOI":"10.1109\/ICNSC.2010.5461536"},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1166\/jnsne.2013.1041","article-title":"A New Biofeedback Lower Limb Neuroprothesis for Balance Control and Sensory Compensation in Amputees","volume":"2","author":"Lin","year":"2013","journal-title":"J. Neurosci. Neuroeng."},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Brandt, A., Liu, M., and Huang, H.H. (2016, January 16\u201320). Does the impedance of above-knee powered prostheses need to be adjusted for load-carrying conditions?. Proceedings of the 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Orlando, FL, USA.","DOI":"10.1109\/EMBC.2016.7591868"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1097\/00008526-200404000-00004","article-title":"Realtime Visual Feedback Diminishes Energy Consumption of Amputee Subjects during Treadmill Locomotion","volume":"16","author":"Davis","year":"2004","journal-title":"JPO J. Prosthet. Orthot."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"eaav8939","DOI":"10.1126\/scitranslmed.aav8939","article-title":"Enhancing functional abilities and cognitive integration of the lower limb prosthesis","volume":"11","author":"Petrini","year":"2019","journal-title":"Sci. Transl. Med."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.2522\/ptj.20100360","article-title":"Gait Training With Virtual Reality-Based Real-Time Feedback: Improving Gait Performance Following Transfemoral Amputation","volume":"91","author":"Darter","year":"2011","journal-title":"Phys. Ther."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1109\/TNSRE.2015.2441061","article-title":"Locomotor Adaptation by Transtibial Amputees Walking With an Experimental Powered Prosthesis under Continuous Myoelectric Control","volume":"24","author":"Huang","year":"2016","journal-title":"IEEE Trans. Neural Syst. Rehabil. Eng."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/00008526-199400620-00003","article-title":"Sense of Feel for Lower-Limb Amputees: A Phase-One Study","volume":"6","author":"Sabolich","year":"1994","journal-title":"JPO J. Prosthet. Orthot."},{"key":"ref_84","first-page":"1579","article-title":"Effects of sensory augmentation on postural control and gait symmetry of transfemoral amputees: a case description","volume":"54","author":"Pagel","year":"2015","journal-title":"Med Boil. Eng."},{"key":"ref_85","first-page":"161","article-title":"Biofeedback training of knee control in the above-knee amputee","volume":"57","author":"Fernie","year":"1978","journal-title":"Am. J. Phys. Med."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"270","DOI":"10.3389\/fneur.2018.00270","article-title":"Leg Prosthesis With Somatosensory Feedback Reduces Phantom Limb Pain and Increases Functionality","volume":"9","author":"Dietrich","year":"2018","journal-title":"Front. Neurol."},{"key":"ref_87","doi-asserted-by":"crossref","unstructured":"Maldonado-Contreras, J., Marayong, P., Khoo, I.-H., Rivera, R., Ruhe, B., and Wu, W. (2017, January 6\u20138). Proprioceptive improvements of lower-limb amputees under training with a vibrotactile device\u2014A pilot study. Proceedings of the 2017 IEEE Healthcare Innovations and Point of Care Technologies (HI-POCT), Bethesda, MD, USA.","DOI":"10.1109\/HIC.2017.8227626"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1109\/TMECH.2012.2189014","article-title":"A Wireless Sensory Feedback Device for Real-Time Gait Feedback and Training","volume":"17","author":"Redd","year":"2012","journal-title":"IEEE\/ASME Trans. Mechatron."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"A5","DOI":"10.1186\/1757-1146-4-S1-A5","article-title":"Gait retraining: altering the fingerprint of gait","volume":"4","author":"Davis","year":"2011","journal-title":"J. Foot Ankle Res."},{"key":"ref_90","first-page":"255","article-title":"Quantitative analysis of the effects of audio biofeedback on weight-bearing characteristics of persons with transtibial amputation during early prosthetic ambulation","volume":"37","author":"Chow","year":"2000","journal-title":"J. Rehabil. Res. Dev."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"101","DOI":"10.3109\/03093649609164426","article-title":"Use of an instrumented treadmill for real-time gait symmetry evaluation and feedback in normal and trans-tibial amputee subjects","volume":"20","author":"Dingwell","year":"1996","journal-title":"Prosthet. Orthot. Int."},{"key":"ref_92","doi-asserted-by":"crossref","unstructured":"Clippinger, F.W., Seaber, A.V., McElhaney, J.H., Harrelson, J.M., and Maxwell, G.M. (1982). Afferent Sensory Feedback for Lower Extremity Prosthesis. Clin. Orthop. Relat. Res., 202\u2013206.","DOI":"10.1097\/00003086-198209000-00031"},{"key":"ref_93","first-page":"38","article-title":"Limb load monitor: evaluation of a sensory feedback device for controlled weight bearing","volume":"63","author":"Gapsis","year":"1982","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_94","first-page":"79","article-title":"Biofeedback and the lower extremity amputee: a new training aid","volume":"28","author":"Zimnicki","year":"1976","journal-title":"Physiother. Can."},{"key":"ref_95","first-page":"449","article-title":"Training procedures and biofeedback methods to achieve controlled partial weight bearing: An assessment","volume":"56","author":"Warren","year":"1975","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"374","DOI":"10.17269\/CJPH.108.6093","article-title":"Incidence of lower limb amputation in Canada","volume":"108","author":"Imam","year":"2017","journal-title":"Can. J. Public Heal."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"205031211349794","DOI":"10.1177\/2050312113497942","article-title":"Feasibility of the Nintendo WiiFitTM for improving walking in individuals with a lower limb amputation","volume":"1","author":"Imam","year":"2013","journal-title":"SAGE Open Med."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1177\/0309364614550264","article-title":"Issues affecting the level of prosthetics research evidence: Secondary analysis of a systematic review","volume":"40","author":"Hafner","year":"2014","journal-title":"Prosthet. Orthot. Int."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"92","DOI":"10.3109\/03093649709164536","article-title":"Epidemiology of lower limb amputees in the north of the Netherlands: Aetiology, discharge destination and prosthetic use","volume":"21","author":"Rommers","year":"1997","journal-title":"Prosthet. Orthot. Int."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s00590-015-1709-z","article-title":"The effect of amputation level and age on outcome: an analysis of 135 amputees","volume":"26","author":"Yilmaz","year":"2015","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.gaitpost.2009.03.002","article-title":"Effects of biofeedback on trunk sway during dual tasking in the healthy young and elderly","volume":"30","author":"Verhoeff","year":"2009","journal-title":"Gait Posture"},{"key":"ref_102","doi-asserted-by":"crossref","unstructured":"Cech, D.J., and Martin, S.T. (2012). \u201cTink\u201d Motor Control and Motor Learning. Functional Movement Development Across the Life Span.","DOI":"10.1016\/B978-1-4160-4978-4.00004-1"},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.humov.2015.01.001","article-title":"Psychophysiological response to cognitive workload during symmetrical, asymmetrical and dual-task walking","volume":"40","author":"Knaepen","year":"2015","journal-title":"Hum. Mov. Sci."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"143","DOI":"10.3109\/09638288.2015.1095948","article-title":"Metabolic energy expenditure of ambulation in lower extremity amputees: what have we learned and what are the next steps?","volume":"39","author":"Czerniecki","year":"2015","journal-title":"Disabil. Rehabil."},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1186\/s13063-015-0711-4","article-title":"RODS (Randomized Occlusion Dosing Strategies) Study Cooperative Personalized versus standardized dosing strategies for the treatment of childhood amblyopia: study protocol for a randomized controlled trial","volume":"16","author":"Moseley","year":"2015","journal-title":"Trials"},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"99","DOI":"10.21300\/18.2-3.2016.99","article-title":"Gait Training Interventions for Lower Extremity Amputees: A Systematic Literature Review","volume":"18","author":"Highsmith","year":"2016","journal-title":"Technol. Innov."},{"key":"ref_107","first-page":"1","article-title":"A preliminary investigation of pelvic obliquity patterns during gait in persons with transtibial and transfemoral amputation","volume":"37","author":"Michaud","year":"2000","journal-title":"J. Rehabil. Res. Dev."},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"78","DOI":"10.3109\/03093649309164360","article-title":"Walking speed of normal subjects and amputees: Aspects of validity of gait analysis","volume":"17","author":"Boonstra","year":"1993","journal-title":"Prosthet. Orthot. Int."},{"key":"ref_109","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1310\/tsr1404-59","article-title":"The Role of Biofeedback in Stroke Rehabilitation: Past and Future Directions","volume":"14","author":"Nelson","year":"2007","journal-title":"Top. Stroke Rehabil."},{"key":"ref_110","first-page":"379","article-title":"Predictive factors for successful early prosthetic ambulation among lower-limb amputees","volume":"38","author":"Munin","year":"2001","journal-title":"J. Rehabil. Res. Dev."},{"key":"ref_111","doi-asserted-by":"crossref","unstructured":"Simic, M., Hinman, R.S., Wrigley, T., Bennell, K.L., and Hunt, M.A. (2010). Gait modification strategies for altering medial knee joint load: A systematic review. Arthr. Rheum., 63.","DOI":"10.1002\/acr.20380"},{"key":"ref_112","doi-asserted-by":"crossref","unstructured":"Chamorro-Moriana, G., Moreno, A.J., and Sevillano, J.L. (2018). Technology-Based Feedback and Its Efficacy in Improving Gait Parameters in Patients with Abnormal Gait: A Systematic Review. Sensors, 18.","DOI":"10.3390\/s18010142"},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/JPO.0b013e3181ccc065","article-title":"The Lower Extremity Ambulation Feedback System for Analysis of Gait Asymmetries: Preliminary Design and Validation Results","volume":"22","author":"Bamberg","year":"2010","journal-title":"JPO J. Prosthet. Orthot."},{"key":"ref_114","doi-asserted-by":"crossref","first-page":"251","DOI":"10.3389\/fnhum.2018.00251","article-title":"Conservation of Reactive Stabilization Strategies in the Presence of Step Length Asymmetries During Walking","volume":"212","author":"Liu","year":"2018","journal-title":"Front. Hum. Neurosci."},{"key":"ref_115","first-page":"8","article-title":"Biofeedback gait training system for temporal and distance factors","volume":"27","author":"Hirokawa","year":"1989","journal-title":"Med Boil. Eng."},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1109\/TNSRE.2017.2762239","article-title":"The Effects of Coding Schemes on Vibrotactile Biofeedback for Dynamic Balance Training in Parkinson\u2019s Disease and Healthy Elderly Individuals","volume":"26","author":"Lee","year":"2018","journal-title":"IEEE Trans. Neural Syst. Rehabil. Eng."},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"1950","DOI":"10.3109\/09638288.2012.667190","article-title":"Cognitive functioning in persons with lower limb amputations: a review","volume":"34","author":"Coffey","year":"2012","journal-title":"Disabil. Rehabil."},{"key":"ref_118","doi-asserted-by":"crossref","first-page":"1921","DOI":"10.1177\/147323000903700630","article-title":"Factors Affecting Prosthetic Rehabilitation Outcomes in Amputees of Age 60 Years and Over","volume":"37","author":"Hamamura","year":"2009","journal-title":"J. Int. Med Res."},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/j.apmr.2011.08.031","article-title":"Preliminary Evaluation of a Commercially Available Videogame System as an Adjunct Therapeutic Intervention for Improving Balance Among Children and Adolescents With Lower Limb Amputations","volume":"93","author":"Andrysek","year":"2012","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_120","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.physio.2012.06.004","article-title":"Effect of Nintendo WiiTM-based motor and cognitive training on activities of daily living in patients with Parkinson\u2019s disease: a randomised clinical trial","volume":"98","author":"Pompeu","year":"2012","journal-title":"Physiotherapy"}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/20\/6\/1628\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:06:57Z","timestamp":1760173617000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/20\/6\/1628"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,14]]},"references-count":120,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,3]]}},"alternative-id":["s20061628"],"URL":"https:\/\/doi.org\/10.3390\/s20061628","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,14]]}}}