ABSTRACT This case study aimed to examine the effects and perception of a two-week gait feedback intervention via sonification of the sagittal knee angle in individuals 12 weeks after total knee replacement surgery. Five individuals (1 male, 4 females, mean age: 61.2 years) underwent five 10-min feedback sessions within two to 3 weeks. Gait symmetry (as Ratio Index) and cognitive representation (via structural dimensional analysis-SDA-M) were assessed in the pre- and posttest. Additionally, guided interviews were conducted focusing on changes in gait perception, attention on gait execution, and self-perceived feedback efficacy. Four individuals completed the study. Mean ratio indexes were smaller after the intervention. The cognitive representation structure was closer to functional clustering (stance and swing) compared to before the intervention. The interviews revealed that for all participants (except one), gait sonification was perceived helpful to improve their gait symmetry, noticing a change in attentional processes while walking and also in gait perception. Gait sonification seems promising to help individuals after knee joint replacement improving their gait by providing an additional acoustic reference. More research is needed in the field of psychoacoustics combined with movement science to further explore the general benefits of this feedback method. For gait rehabilitation, future studies in larger samples and at different stages of rehabilitation can help to apply this method efficiently to different patient groups.
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