Overground gait training using virtual reality aimed at gait symmetry

Shideler, Blynn L.; Martelli, Dario; Prado, Antonio; Agrawal, Sunil K.

doi:10.1016/j.humov.2021.102770

Cited by 9 publications

(4 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Real-time biofeedback tools and injury prevention programs can modify vGRF 65 , 66 . Although there is no evidence-based recommendation for CAI gait training, it may support the rehabilitation of inter-limb asymmetry and reduce the risk of re-injury 67 . We surmise that for asymmetry changes to be maintained by patients with CAI, a more inclusive approach to gait training is probably needed to restore proper vGRF and improve the patterns of muscle activity as these factors play a role in an patient’s loading pattern.…”

Section: Discussionmentioning

confidence: 99%

Inter-limb asymmetry of kinetic and electromyographic during walking in patients with chronic ankle instability

Tajdini

Mantashloo

Thomas

et al. 2022

Sci Rep

View full text Add to dashboard Cite

After an initial ankle sprain, a relevant number of participants develop chronic ankle instability (CAI). Compensatory strategies in patients with CAI may change the inter-limb symmetry needed for absorbing movement-related forces. Accordingly, an increased risk of injury can occur. The present study aimed to compare the inter-limb asymmetry of kinetic and electromyography between individuals with CAI and without a history of an ankle sprain (Non-CAI) during walking. In this cross-sectional study, fifty-six athletes (28 CAI; 28 Non-CAI) participated. Participants walked at a comfortable pace over level ground while vertical ground reaction force (vGRF) and muscle activity of the tibialis anterior, peroneus longus, medial gastrocnemius, and gluteus medius were recorded. Inter-limb asymmetry during walking was calculated for each of the variables. Patients with CAI exhibited a greater inter-limb asymmetry of the first peak of vGRF, time to peak vGRF, and loading rate (P < 0.001), as well as presenting a greater inter-limb asymmetry of peroneus longus activity (contact phase) (P = 0.003) and gluteus medius activity (midstance/propulsion phase) (P = 0.010) compared to the Non-CAI group. No other differences in vGRF or muscles activity were observed between the groups. Our findings indicate that patients with CAI walk with greater inter-limb asymmetry in vGRF and muscle activity in different phases of the gait cycle compared to Non-CAI group. Our results could inform future studies on gait training aimed to reduce asymmetry during walking in patients with CAI.

show abstract

Section: Discussionmentioning

confidence: 99%

Inter-limb asymmetry of kinetic and electromyographic during walking in patients with chronic ankle instability

Tajdini

Mantashloo

Thomas

et al. 2022

Sci Rep

View full text Add to dashboard Cite

show abstract

“…The authors randomly divided all subjects The intervention process of VR in rehabilitation treatment of stroke patients into three groups. Among them, 12 subjects consisted of a VR robot-assisted gait training (VRGT) group [34], 12 subjects were in the Auditory Robot Gait Training (ARGT) group, and 16 subjects were in the control group. The subjects received VR and auditory stimulation, meanwhile received robot-assisted gait training for 45 min each time, 3 times a week for a total of 6 weeks, and received general physical therapy for 30 min, five times a week for 6 weeks.…”

Section: Effect Of Vr On the Balance Function Of Patients With Post-s...mentioning

confidence: 99%

Virtual Reality Neurorehabilitation

Lv¹,

Guo²

2022

International Journal of Mental Health Promotion

View full text Add to dashboard Cite

The present work investigates the application of virtual reality (VR) technology to neurorehabilitation. By consulting a wealth of data, the advantages of VR in neurorehabilitation are introduced, followed by the application status of VR in the rehabilitation of stroke patients, Parkinson's patients, mental and psychological diseases. Besides, many research experiments on the application of VR technology in rehabilitation medicine at the present stage are investigated. The results indicate that compared with traditional balance training, the VR-based neurological rehabilitation training method can more effectively ease the tilt degree and strengthen the trunk control ability and balance function of patients with post-stroke tilt syndrome. When the effect of traditional rehabilitation training on the gait and balance of Parkinson's patients is not good enough, VR-based rehabilitation training can at least be used as an alternative therapy. Moreover, VR games have made great breakthroughs in promoting limb rehabilitation and brain injury rehabilitation, which is of incredible benefit to those with motor and activity disorders. It is also beneficial to the treatment and recovery of mental disorders of patients with nerve injury. Although VR still has limitations such as high cost and technical breakthrough bottleneck, it has great advantages in relieving pain, enhancing interest, and recovering patients' mental health in neurological rehabilitation training.

show abstract

“…There are several recently published studies, including systematic reviews and meta-analysis, which underpin the potential VR offers in gait rehabilitation. It was demonstrated that VR can support gait rehabilitation for patients with Parkinson’s Disease ( Mirelman et al, 2011 ; Lu et al, 2021 ), retrain gait symmetry ( Shideler et al, 2021 ), restore function after stroke ( Ahn and Hwang, 2019 ; Palacios-Navarro and Hogan, 2021 ; Peng et al, 2021 ), support neuro-psychomotor rehabilitation of children with cerebral palsy ( de Oliveira et al, 2016 ), improve balance and gait in older adults ( de Vries et al, 2020 ; Lee, 2020 ; Willaert et al, 2020 ; Delgado and Der Ananian, 2021 ), and is also being used to support gait training after amputation ( Darter and Wilken, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

Overground Walking in a Fully Immersive Virtual Reality: A Comprehensive Study on the Effects on Full-Body Walking Biomechanics

Horsak

Simonlehner

Schöffer

et al. 2021

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

Virtual reality (VR) is an emerging technology offering tremendous opportunities to aid gait rehabilitation. To this date, real walking with users immersed in virtual environments with head-mounted displays (HMDs) is either possible with treadmills or room-scale (overground) VR setups. Especially for the latter, there is a growing interest in applications for interactive gait training as they could allow for more self-paced and natural walking. This study investigated if walking in an overground VR environment has relevant effects on 3D gait biomechanics. A convenience sample of 21 healthy individuals underwent standard 3D gait analysis during four randomly assigned walking conditions: the real laboratory (RLab), a virtual laboratory resembling the real world (VRLab), a small version of the VRlab (VRLab−), and a version which is twice as long as the VRlab (VRLab+). To immerse the participants in the virtual environment we used a VR-HMD, which was operated wireless and calibrated in a way that the virtual labs would match the real-world. Walking speed and a single measure of gait kinematic variability (GaitSD) served as primary outcomes next to standard spatio-temporal parameters, their coefficients of variant (CV%), kinematics, and kinetics. Briefly described, participants demonstrated a slower walking pattern (−0.09 ± 0.06 m/s) and small accompanying kinematic and kinetic changes. Participants also showed a markedly increased gait variability in lower extremity gait kinematics and spatio-temporal parameters. No differences were found between walking in VRLab+ vs. VRLab−. Most of the kinematic and kinetic differences were too small to be regarded as relevant, but increased kinematic variability (+57%) along with increased percent double support time (+4%), and increased step width variability (+38%) indicate gait adaptions toward a more conservative or cautious gait due to instability induced by the VR environment. We suggest considering these effects in the design of VR-based overground training devices. Our study lays the foundation for upcoming developments in the field of VR-assisted gait rehabilitation as it describes how VR in overground walking scenarios impacts our gait pattern. This information is of high relevance when one wants to develop purposeful rehabilitation tools.

show abstract

Overground gait training using virtual reality aimed at gait symmetry

Cited by 9 publications

References 28 publications

Inter-limb asymmetry of kinetic and electromyographic during walking in patients with chronic ankle instability

Inter-limb asymmetry of kinetic and electromyographic during walking in patients with chronic ankle instability

Virtual Reality Neurorehabilitation

Overground Walking in a Fully Immersive Virtual Reality: A Comprehensive Study on the Effects on Full-Body Walking Biomechanics

Contact Info

Product

Resources

About