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Updated: Feb 5, 2026

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Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
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Training proprioception with sound: effects of real-time auditory feedback on intermodal learning
Shashank Ghai1, Gerd Schmitz1, Tong-Hun Hwang1,2
1The Institute of Sports Science, Leibniz University Hannover, Hannover, Germany.
Annals of the New York Academy of Sciences
|September 18, 2018
Summary
Real-time auditory feedback significantly improved knee proprioception and learning during a repositioning task. These benefits persisted over time and generalized to untrained movements, demonstrating effective intermodal learning.
Area of Science:
- Neuroscience
- Biomechanics
- Motor Control
Background:
- Proprioception, the sense of body position, is crucial for motor control.
- Intermodal learning involves integrating information from different senses, like auditory and proprioceptive inputs.
- Auditory feedback has shown potential in enhancing motor learning, but its specific effects on knee proprioception require further investigation.
Purpose of the Study:
- To investigate the impact of real-time auditory feedback on intermodal learning of knee proprioception.
- To assess the persistence and generalization of any observed proprioceptive enhancements.
Main Methods:
- Thirty healthy participants performed bilateral knee repositioning tasks with or without auditory feedback mapped to knee angle.
- Retention tests were conducted at 15 minutes and 24 hours post-intervention.
- A generalized proprioception test on untrained knee angles was administered.
Main Results:
- Auditory feedback significantly reduced knee repositioning errors, indicating enhanced proprioception.
- Proprioceptive improvements persisted during training without feedback and remained stable during retention intervals.
- The experimental group showed enhanced proprioception on untrained knee angles, demonstrating generalization.
Conclusions:
- Real-time auditory feedback effectively enhances knee proprioception and facilitates intermodal learning.
- The observed improvements in proprioception are persistent and generalize to untrained movements.
- This approach offers a promising method for improving motor control and rehabilitation strategies.
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