Cue X - AR Glasses.

Cue X is the world’s first pair of augmented reality glasses to assist, train and quantify gait in individuals with Parkinson’s Disease anywhere, anytime.

Cue X provides access to multi-sensory cues (visual, audio and haptic) in a single device, where in for each modality there is a broad library of cue variations which can be personalised to the individual. Cue X a breakthrough device built on adaptability. It can accommodate a near unlimited library of options to support new cueing strategies as we learn more about Parkinson’s.

Cue X also supports neuro-rehabilitation and physical therapy with its cue-assisted gait and balance training programs that enable people to participate in exercise where without cueing, functional training would otherwise not be possible.

Cue X has extensive measurement capability. We can monitor change or decline in motor states, and provide accurate measurement of gait data.

  • Cue X has been designed around three core principles.

  • Unlock Your Mobility.

    Products designed to enable people to bypass mobility impairment in Parkinson’s with personalised multi-sensory cues.

  • (DTx) Neuro-Rehabilitation

    Cue-assisted physical therapy programs designed to increase exercise and slow Parkinson's progression.

  • Quantifiable Assessment

    Real-time gait analysis, symptom assessment and tracking enabling measurable treatment outcomes.

Unlock Mobility.

Cue X glasses are the worlds first pair of AR glasses that can provide multi-sensory cues (visual, audio and haptic) in a single device and place these in the real world of the user to empower them to bypass automatic motor impairment in Parkinson's and regain their mobility and independence.

Cue X is a break-through device with a near unlimited number of cueing variations that can be personalised to the individual user and adapted over time as we learn more about new cueing strategies in Parkinson's.

Crucially, Cue X built on adaptability and is able to overcome the heterogeneity and habituation barriers in Parkinson's which have until now, limited the application and impact of other sensory cueing devices.

(DTx) Engaging Neuro-rehabilitation at home

Emerging evidence suggests that increasing physical therapy and exercise to 2.5 hours per week is as highly effective in treating symptoms Parkinson’s, yet despite the known efficacy of this treatment many people with Parkinson's find it difficult to adopt a suitable exercise regime that matches their abilities or to comply with exercise for long periods of time; it’s extremely hard to exercise if your mobility is impaired.  

Cue X supports digital physiotherapy with cue-assisted gait and balance therapy programs; enabling people to access exercise where previously without cueing functional gait training would not be possible.

This DTX intervention for Parkinson’s Disease, enables people to complete targeted neuro-rehabilitation at home, while staying connected to their physical therapist and wider multidisciplinary care team, leveraging tele-health, improving treatment outcomes, disease measurement and tracking all while reducing overall private and public healthcare costs.

Data & Diagnostics

Cue X utilises the unique, rich data set available from the integrated spatial sensors on the mixed reality glasses to provide real time gait analysis of users, as well as additional user movement data, and environmental data to provide visibility of Parkinson’s symptoms and progression in individuals over time. 

Data is provided to users and health care professionals through a companion mobile and web application that can be utilised to improve data measurement and diagnostics in Parkinson’s.

Overcoming Heterogeneity & Habituation.

Heterogeneity and Habituation barriers have previously limited the wide scale use and impact of sensory cueing in Parkinsons.

Parkinson’s Disease is known to be widely varied across all people with the condition (heterogeneous), meaning that not all types of cueing strategies work for all people, as evidenced in this video (Snijders et al., the Neurologist, 2012) demonstrating the difference between 2D lines and 3D obstacles. Movement disorder specialists famously say; “If you’ve met one person with Parkinson’s Disease, then you’ve met one person with Parkinson’s Disease.”

Less well known is habituation effects. These cueing methods work because they help us to bypass the automatic motor programs that are impaired in Parkinson's, but, as we learn and habituate the the use of cue's our movements become more automatic and the positive effects start to wear off.

Cue X is the first medical device for sensory cueing in Parkinson's that can overcome these barriers by offering multi-sensory cueing in a single device which can be tailored to personal preference, and adapted overtime to achieve and maintain the bypass effects of automatic motor functions across a varying population.

Compatible hardware

Cue X is device agnostic. At strolll we only develop the software, preferring to partner with the world’s leading XR companies for hardware and enablement. We’ve partnered with both Magic Leap and Microsoft, utilising both the Magic Leap ML1 and the HoloLens 2 devices with our trial participants.

For Parkinson's, what eyeglasses are for poor eyesight.

With the rapid reduction in the size of AR glasses and the deployment of 5G networks around the world, strolll will have in the near term a pair of Cue X glasses for everyday assistance, providing on-demand cueing for people with Parkinson's as a preventative tool to alleviate motor symptoms in Parkinson's anywhere, anytime.

  • Madhu's story

    Age: 70

    Condition: Parkinsons Disease

    Diagnosed: 2018

    Location: Hillingdon, United Kingdom

  • Challenge.

    Madhu was diagnosed with Parkinson’s Disease in 2018. Initially Madhu’s symptoms were mild, starting with a small tremor in his right hand but gradually other mobility symptoms have become apparent. Madhu experiences problems with his balance, often feeling unsteady while walking and usually compensating for this by looking at the ground while walking which affects his posture.

    Madhu also has trouble with his right step, with his foot often dragging whilst walking. 

    Madhu enjoys being active, and frequently attended a walking group with friends, but his mobility symptoms have stopped him from enjoying these activities as much.

  • Result.

    Madhu is one of our early adopters at strolll and someone that we see every 4-6 weeks, continuously testing updates and new features and getting crucial feedback. 

    Madhu thoroughly enjoys the cue X device, and finds a particular benefit in his balance, and cadence mostly through use of the action-oriented audio cues.

    In Madhu’s words “Cue X is a super cueing system! It’s great to be able to exercise and challenge myself with the different cues and it feels good to be able to control movement and walk at a good pace. I’m very excited for what this product can do for me”.

  • Chris's story

    Age: 72

    Condition: Parkinsons Disease.

    Diagnosed: 2019

    Location: Bath, United Kingdom.

  • Challenge.

    Chris was diagnosed with Parkinson’s Disease in 2019, and initially showed little to no symptoms. More recently though Chris has developed an impairment in his gait (walking) and has trouble with “Freezing” where he feels like his feet are glued to the floor or has trouble initiating or stopping walking, often resulting in short, shuffling type steps. 

    For Chris, this has meant a real knock to his confidence, and he finds it challenging having to always be thinking about how he’s moving and walking to prevent himself from freezing, or in some cases experiencing a fall. 

    It’s particularly pronounced when changing floor surfaces in his home, or if he’s outside in a crowded environment like a town centre or shop.

  • Result.

    Chris is another of our early adopters at strolll and someone that we see often, continuously testing updates and new features and getting crucial feedback. 

    Chris enjoys the cue X device and finds a particular benefit in his cadence (walking speed) and confidence through use of 2D coloured lines as a visual cue. The case study video with Chris demonstrates the difference in his gait, showing an improved cadence and importantly a reduction in the number of “Freezing” episodes. 

    In Chris’s words “I found that the coloured lines were the best for me, I found my walking speed better, I felt more confident, and I didn’t feel like I was going to stumble or freeze.”