Auditory feedback for walking difficulties in a case of unilateral neglect: A pilot study

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Abstract
A 29-year-old woman with left sensory neglect, visual neglect, and frontal lobe difficulties presented problems in physiotherapy because she walked with her left foot heel-up in a highly unstable plantarflex position. She completely failed to learn to lower her heel on walking, which as a result could have led to an eversion injury, despite the fact that she could lower her heel to the floor on command. A pressure-sensitive switch attached to a buzzer on her belt was inserted under her left heel, and a walking programme instituted, with time of heel contact during a 4-m walking test being gradually increased through a process of charting progress and setting goals. Improvements in her walking were charted and appeared to generalise to everyday life.