Outcomes and Health Economics of Stroke Using Rhythmic Auditory Stimulation

Inclusion Criteria:

1. Equal to or greater than 6 months post-stroke with gait impairment

2. Age >/= 18 - 85 years of age, inclusive

3. Understand and speak English

4. Must be able to ambulate without assistance from another person. Note: assistivedevices are allowed. If a participant uses an assistive device at the time ofenrollment, the device must be used for all walking sessions.

5. Willing to travel to a Velocity location to complete in-person gait assessments

6. Able to walk at a speed greater than or equal to 0.4 m/s as derived as an average ofspeed per minute from the 6MWT. Note: if a participant intends to use an assistivedevice throughout the intervention period, the assistive device must be used duringthe gait assessment.

7. Must have claims data available and consent to sharing.

Exclusion Criteria:

1. Hearing impairment with or without the use of hearing aids such that the participantcannot hear the rhythmic stimulation of the music

2. Pain that impairs walking ability

3. Unable to safely participate in walking sessions as determined by investigator

4. Requires more than one rest (seated or not) during the 6MWT

5. Significant comorbid medical or neurological conditions that could impact gait orprevent safe participation as determined by the Investigator. For example: conditionthat prevents participation in exercise, e.g., Parkinson's disease, cerebral palsy,multiple sclerosis, myasthenia gravis, muscular dystrophy, or spinal cord injury.Note: major surgery within the last 3 months is exclusionary.

6. People who are pregnant or become pregnant (due to expected gait pattern changes).

7. Lower limb prosthetic

8. More than 2 falls in the previous month

9. Non-reciprocal gait pattern. Note: Note: a non-reciprocal gait pattern is defined asa 3-point step pattern. Participants must have a 2-point step pattern to qualify.Asymmetry seen in gait is acceptable.

10. Treatment with a gait-based investigational intervention within the last 3 months.

11. Unable or unwilling to provide informed consent to participate