virtual reality, postural adjustments

Background: Virtual reality (VR) has been suggested as a new therapeutic approach in various sectors of rehabilitation, including the treatment of patients with knee osteoarthritis (OA), and one of its treatment goals is to improve the gait pattern and walking ability of patients. Objective: This study aimed to evaluate if VR, along with conventional physiotherapy treatment (CT), has superior effects to kinesiotherapy alone on pain, physical capacity, balance, and the parameters of anticipatory postural adjustments (APAs) in patients with knee OA...

BACKGROUND: Gait adaptability training programs to prevent falls in healthy older adults can be proposed in virtual reality. The development of training programs requires the characterization of the target population. RESEARCH QUESTION: Before proposing an innovative training program to develop gait adaptability behavior of healthy older adults in fully immersive virtual reality, we had to compare gait adaptability behavior between healthy older adults and young adults in virtual reality...

Gait is a large component and indicator of health. Many factors affect gait including age, disease, and even mood disorders. Few studies have looked at the influence of emotional states on gait. This study aimed to investigate the influence of emotional states on walking performance to understand whether an emotional state may be an important factor to consider when evaluating gait. Thirty-six young adults were recruited (23F, 13M) and performed a neutral baseline condition of walking which included six passes of walking across an 8m walkway (a total of 48m of walking)...

Introduction: Detrended Fluctuation Analysis (DFA) has been used to investigate self-similarity in center of pressure (CoP) time series. For fractional gaussian noise (fGn) signals, the analysis returns a scaling exponent, DFA-α, whose value characterizes the temporal correlations as persistent, random, or anti-persistent. In the study of postural control, DFA has revealed two time scaling regions, one at the short-term and one at the long-term scaling regions in the diffusion plots, suggesting different types of postural dynamics...

OBJECTIVES: Hearing loss (HL) is associated with imbalance and increased fall risk. The mechanism underlying this relationship and differences across types of hearing loss remains unclear. Head mounted displays (HMD) can shed light on postural control mechanisms via an analysis of head sway. PURPOSE: The purpose of this study was to evaluate head sway in response to sensory perturbations in individuals with bilateral (BHL) or unilateral hearing loss (UHL) and compare them to controls...

Virtual Reality (VR) is known to induce substantial activation of brain's motor regions. It remains unclear to what extent virtual reality can trigger the sensorimotor system, and more particularly, whether it can affect lower nervous levels. In this study, we aimed to assess whether VR simulation of challenging and stressful postural situations (Richie's Plank Experience) could interfere with spinal excitability of postural muscles in 15 healthy young participants. The H-reflex of the triceps surae muscles was elicited with electrical nerve stimulation while participants were standing and wearing a VR headset...

The neural control of posture and movement is interdependent. During voluntary movement, the neural motor command is executed by the motor cortex through the corticospinal tract and its collaterals and subcortical targets. Here we address the question that the control mechanism for the postural adjustments at non-moving joints is also involved in overcoming gravity at the moving joints. We used single-pulse transcranial magnetic stimulation to measure the corticospinal excitability in humans during postural and reaching tasks...

BACKGROUND: No objective criteria exist for diagnosis and treatment of visual-vestibular mismatch (VVM). OBJECTIVE: To determine whether measures of electrodermal activity (EDA) and trunk acceleration will identify VVM when exposed to visual-vestibular conflict. METHODS: A modified VVM questionnaire identified the presence of VVM (+ VVM) in 13 of 23 young adults (34 ± 8 years) diagnosed with vestibular migraine. Rod and frame tests and outcome measures for dizziness and mobility were administered...

Community ambulation requires efficient locomotor adaptations to avoid collisions with other pedestrians. Virtual reality (VR) offers the possibility to experimentally manipulate the environment, allowing researchers to safely assess locomotor responses during pedestrian interactions. In this paper, locomotor adjustments in response to interferers approaching from different directions were examined in both a physical and a virtual environment. Further analysis compared the extent to which locomotor adjustments were influenced by different circumvention strategies...

BACKGROUND: Visual perception plays a role in balance control while performing a sit-to-stand movement (STS). The dynamic virtual environment could reduce effective neuromuscular regulation and instability. Nevertheless, virtual reality (VR) on the STS movement was not explored in any research. OBJECTIVES: This study's aim was to investigate the effect of the VR of an optokinetic drum on the STS movement by using optokinetic drum VR scenes. METHODS: This study used a repeated measurement research design...

Virtual reality (VR)-guided exercise therapy using mediVR KAGURA has been reported to improve gait function by extending the arm to spatial targets while sitting. We aimed to investigate toe and trunk-pelvic function and plantar sensation during gait in a postoperative patient with hallux valgus. A 60-year-old woman, whose foot deformities had improved 6 months earlier, participated in the study. The exercise therapy interventions were performed twice weekly for 15 min. This study used an A-B-A design: 1-week pre-phase, 3-week intervention phase, and 2-week post-phase...

BACKGROUND: Voluntary movement such as lifting a foot in preparation to stepping acts as a self-initiated perturbation that disturbs postural equilibrium. To maintain and restore equilibrium, humans utilize early, anticipatory, and compensatory postural adjustments. Despite technological progress in accessible virtual reality (VR) devices, little is known on the usage of VR in control and maintenance of balance while standing. RESEARCH QUESTION: How does VR modulate early, anticipatory, and compensatory postural adjustments during a dynamic task of leg lifting while avoiding an obstacle? METHODS: First, the postural adjustments in a single-leg obstacle avoidance were compared between real and VR settings, where a statistical reanalysis was performed with data subsets that minimize the difference of foot elevation speed...

Movement of the visual environment presented through virtual reality (VR) has been shown to invoke postural adjustments measured by increased body sway. The effect of auditory information on body sway seems to be dependent on context with sounds such as white noise, tones, and music being used to amplify or suppress sway. This study aims to show that music manipulated to match VR motion further increases body sway. Twenty-eight subjects stood on a force plate and experienced combinations of 3 visual conditions (VR translation in the AP direction at 0...

Locomotion requires a balance between mechanical stability and movement flexibility to achieve behavioral goals despite noisy neuromuscular systems, but rarely is it considered how this balance is orchestrated. We combined virtual reality tools with quantitative analysis of behavior to examine how Drosophila uses self-generated visual information (reafferent visual feedback) to control gaze during exploratory walking. We found that flies execute distinct motor programs coordinated across the body to maximize gaze stability...

BACKGROUND: Postural activities involved in balance control integrate the anticipatory postural adjustments (APA) that stabilize balance and posture, facilitating arm movements and walking initiation and allowing an optimal coordination between posture and movement. Several studies reported the significant benefits of virtual reality (VR) exercises in frail older adults to decrease the anxiety of falling and to induce improvements in behavioural and cognitive abilities in rehabilitation processes...

Objectives: This study is aimed at exploring the effects of virtual reality (VR) training on postural control, measured by anticipatory and compensatory postural adjustments (APAs and CPAs, respectively), in patients with chronic nonspecific low back pain (CNLBP) and the potential neuromuscular mechanism of VR training. Methods: Thirty-four patients were recruited and randomly assigned to the VR group ( n = 11), the motor control exercise group (MCE, n = 12) and the control group (CG, n = 11)...

Background: Individuals with Down syndrome may struggle with anticipatory postural adjustments, and adapt slower to motor tasks and environmental changes, due to decreased motor proficiency. Objectives: To determine the effectiveness of virtual reality therapy (VRT), specifically Nintendo Wii, combined with physiotherapy or occupational therapy (OT) for improving motor proficiency in individuals with Down syndrome, compared to standard physiotherapy, OT or no intervention...

BACKGROUND: Daily walking paths exhibit varying environment features and require continuous adjustments to locomotor trajectories. Humans maintain lateral balance while navigating paths by modifying stepping in accordance with changing side-to-side path limitations (e.g. path width, lateral location). These processes are influenced by one's actual physical ability to maintain balance, as well as their self-perceived balance ability. Older adults experience decreases in each of these abilities, which may alter their capacity to execute appropriate lateral stepping adaptations...

BACKGROUND: It has been shown that humans adapt their postural sway to oscillatory, visually simulated self-motion. However, little is still known about the way individual body segments contribute to this adjustment of body sway and how this contribution varies with different environmental conditions. RESEARCH QUESTION: How do the centre of pressure (COP) and individual body segments phase-lock to a sinusoidal visual drive depending on the frequency of stimulation? METHODS: In this study, we introduce phase coupling as a method for assessing full body motion in response to visual stimuli presented in virtual reality (VR)...

BACKGROUND: Motion sickness is a problem for many; however, it is especially pressing for military personnel who need to operate in life and death environments. The current study investigated the underlying cause of motion sickness by testing postural instability theory. METHODS: Subjects experienced realistic motion profiles while performing a virtual reality shooting task and reporting any motion sickness symptoms. Postural instability was manipulated within 20 subjects across 2 conditions. In one condition, subjects could readily adapt their posture to the motion profile by adjusting their feet on the platform (Free), and in the other condition, their feet were fixed in place on the moving platform (Fixed)...