Audio Motor Training at the Foot Level Improves Space Representation

Front Integr Neurosci. 2017 Dec 18:11:36. doi: 10.3389/fnint.2017.00036. eCollection 2017.

Abstract

Spatial representation is developed thanks to the integration of visual signals with the other senses. It has been shown that the lack of vision compromises the development of some spatial representations. In this study we tested the effect of a new rehabilitation device called ABBI (Audio Bracelet for Blind Interaction) to improve space representation. ABBI produces an audio feedback linked to body movement. Previous studies from our group showed that this device improves the spatial representation of space in early blind adults around the upper part of the body. Here we evaluate whether the audio motor feedback produced by ABBI can also improve audio spatial representation of sighted individuals in the space around the legs. Forty five blindfolded sighted subjects participated in the study, subdivided into three experimental groups. An audio space localization (front-back discrimination) task was performed twice by all groups of subjects before and after different kind of training conditions. A group (experimental) performed an audio-motor training with the ABBI device placed on their foot. Another group (control) performed a free motor activity without audio feedback associated with body movement. The other group (control) passively listened to the ABBI sound moved at foot level by the experimenter without producing any body movement. Results showed that only the experimental group, which performed the training with the audio-motor feedback, showed an improvement in accuracy for sound discrimination. No improvement was observed for the two control groups. These findings suggest that the audio-motor training with ABBI improves audio space perception also in the space around the legs in sighted individuals. This result provides important inputs for the rehabilitation of the space representations in the lower part of the body.

Keywords: blind; hearing; multisensory integration; rehabilitation; spatial cognition.