The Evidence
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+66.4 m
mean gain on the 6-Minute Walk Test in a published Parkinson’s pilot trial
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13 of 14
participants improved their walking distance (vs 0 of 7 controls)
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8
peer-reviewed publications in leading rehabilitation and sensor-technology journals
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McGill & Exeter
developed by university physiotherapy researchers
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Source: pilot randomized trial, Pilot and Feasibility Studies (2024), ClinicalTrials.gov NCT04300348.
How it fits your practice
Heel2Toe is a small sensor worn on the shoe. It listens for a proper heel-first strike and gives an immediate reward beep — reinforcing the motor pattern you are training, in the clinic and, crucially, between visits.
Extend therapy homeGait cueing that only happens in-clinic fades between sessions. Heel2Toe keeps the cue going during daily walking — carrying your treatment plan out the door. |
Objective session dataIn clinic mode, the docking station logs good-step counts and cadence per session — a simple, objective marker of change to review with the patient and chart progress. |
Clinic or individual modeRun it as a multi-patient clinic tool with the docking station, or issue individual units to patients for home use. Train-the-Trainer onboarding is available. |
Questions clinicians ask
Who is it appropriate for?
Adults working on gait quality — people with Parkinson’s, post-stroke, MS, and older adults at risk of decline. It suits patients who can walk with or without an aid and who benefit from heel-strike cueing. The published trial evidence is in Parkinson’s; use clinical judgement for other populations.
Do the gains hold?
The mechanism is motor learning — repeated reinforcement of a good pattern imprints it over time. In the pilot trial, participants training with real-time feedback improved their 6-Minute Walk Test distance while controls declined. Sustained daily use is what drives durable change, which is exactly what a home device enables.
Is it a medical device? What can I claim?
PhysioBiometrics holds a Health Canada Medical Device Establishment Licence (MDEL) and Heel2Toe is a Class I device. It is a gait-training tool that provides feedback; it is not a diagnostic or fall-prevention guarantee. We keep our language to what the evidence supports and encourage you to do the same.
Bring Heel2Toe into your clinic
Clinic pricing, volume orders, docking-station clinic mode, and Train-the-Trainer onboarding. Tell us about your setting and we will put together the right package.
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