Abstract
An essential aspect of rehabilitation is the maintenance of balance both when standing and in gait. Clinical practice sees equipment enabling the dynamic evaluation of posture stability involving the use of virtual reality. The use of virtual reality in rehabilitation supporting processes and, particularly, with respect to the improvement of motor activity and ability to balance the body, requires that the above-named technology should be tested in terms of its effect on humans. The objective of the tests was to assess changes in the ranges of movements of the COP during gait on treadmill. The assessment was based on measurements of the distribution of pressure on the ground in a system enabling the projection of sceneries created by means of virtual reality. The tests were performed using two different gait velocities as well as matched and mismatched velocity of the scenery motion in relation to actual treadmill motion conditions. The tests involved 32 individuals (26 females and 6 males) aged 23 (SD 1,8). The investigations consisted of 6 stages, in which a person provided with a safety harness walked on a treadmill and was subjected to measurements focused on the distribution of forces exerted by feet on the ground during gait. The tests justified a conclusion that the projection of a moving scenery performed using an HMD headset increased ranges of movements of the COP on the ground during gait on a treadmill. The mismatch between the treadmill velocity and the velocity displayed in virtual reality changed the range of the COP displacement in the AP direction only in the cases of the treadmill velocity changes. The test results constitute the first stage of research on the impact of virtual reality on the stability of human gait.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
da Costa, R.M.E.M., de Carvalho, L.A.V.: The acceptance of virtual reality devices for cognitive rehabilitation: a report of positive results with schizophrenia. Comput. Methods Programs Biomed. 73, 173–182 (2004)
Cikajlo, I., Matjaćić, Z.: Advantages of visual reality technology in rehabilitation of people with neuromuscular disorders. In: Recent Advances in Biomedical Engineering, pp. 301–320 (2009). ISBN 978-953-307-004-9
Kusz, D., Wojciechowski, P., Cieliński, Ł., Iwaniak, A., Jurkojć, J., Gąsiorek, D.: Stress distribution around a TKR implant: are lab results consistent with observational studies? Acta Bioeng. Biomech. 10(4), 21–26 (2008)
Wolański, W., Larysz, D., Gzik, M., Kawlewska, E.: Modeling and biomechanical analysis of craniosynostosis correction with the use of finite element method. Int. J. Numer. Meth. Biomed. Eng. 29, 916–925 (2013)
Cooper, R.A., Dicianno, B.E., Brewer, B., LoPresti, E., Ding, D., Simpson, R., et al.: A perspective on intelligent devices and environments in medical rehabilitation. Med. Eng. Phys. 30, 1387–1398 (2008)
Duque, G., Boersma, D., Loza-Diaz, G., Hassan, S., Suarez, H., et al.: Effects of balance training using a virtual-reality system in older fallers. Clin. Interv. Aging 8, 257–263 (2013)
Griffin, H.J., Greenlaw, R., Limousin, P., Bhatia, K., Quinn, N.P., Jahanshahi, M.: The effect of real and virtual visual cues on walking in Parkinson’s disease. J. Neurol. 258, 991–1000 (2011)
Full, R.J., Kubow, T., Schmitt, J., Holmes, P., Koditschek, D.E.: Quantifying dynamic stability and maneuverability in legged ocomotion. Integr. Comp. Biol. 42(1), 149–157 (2002)
Dingwell, J.B., Marin, L.C.: Kinematic variability and local dynamic stability of upper body motions when walking at different speeds. J. Biomech. 39, 444–452 (2006)
Kang, H.G., Dingwell, J.B.: Effects of walking speed, strength and range of motion on gait stability in healthy older adults. J. Biomech. 41, 2899–2905 (2008)
Winter, D.A., Patla, A.E., Frank, J.S., Walt, S.E.: Biomechanical walking pattern changes in the fit and healthy elderly. Phys. Ther. 70(6), 340–347 (1990)
Kessler, N., Gananca, M.M., Gananca, C.F., Gananca, F.F., Lopes, S.C., Serra, A.P., Caovilla, H., et al.: Balance rehabilitation unit (BRUTM) posturography in relapsing-remitting multiple sclerosis. Arq. Neuropsiquiatr. 69(3), 485–490 (2011)
McAndrew, P.M., Dingwell, J.B., Wilken, J.M.: Walking variability during continuous pseudo-random oscillations of the support surface and visual field. J. Biomech. 43(8), 1470–1475 (2010)
McAndrew, P.M., Wilken, J.M., Dingwell, J.B.: Dynamic stability of human walking in visually and mechanically destabilizing environments. J. Biomech. 44(4), 644–649 (2010)
Jurkojć, J., Wodarski, P., Bieniek, A., Gzik, M., Michnik, R.: Influence of changing frequency and various sceneries on stabilometric parameters and on the effect of adaptation in an immersive 3D virtual environment. Acta Bioeng. Biomech. 19(3), 129–137 (2017)
Michnik, R., Jurkojć, J., Wodarski, P., Gzik, M., Jochymczyk-Woźniak, K., Bieniek, A.: The influence of frequency of visual disorders on stabilographic parameters. Acta Bioeng. Biomech. 18(1), 25–33 (2016)
Michnik, R., Jurkojć, J., Wodarski, P., Gzik, M., Bieniek, A.: The influence of the scenery and the amplitude of visual disturbances in the virtual reality on the maintaining the balance. Arch. Budo 10(1), 133–140 (2014). ISSN 1643-8698
Caderby, T., Yiou, E., Peyrot, N., Begon, M., Dalleau, G.: Influence of gait speed on the control of mediolateral dynamic stability during gait initiation. J. Biomech. 47, 417–423 (2014)
Keshner, E.A., Kenyon, R.V.: The influence of an immersive virtual environment on the segmental organization of postural stabilizing responses. J. Vestib. Res. 10, 207–219 (2000)
Cho, K.H., Lee, K.J., Song, C.H.: Virtual-reality balance training with a video-game system improves dynamic balance in chronic stroke patients. Exp. Med. NCBI 228, 69–74 (2012)
Hof, L., van Bockel, R.M., Schoppen, T., Postema, K.: Control of lateral balance in walking experimental findings in normal subjects and above-knee amputees. Gait Posture 25, 250–258 (2007)
McAndrew, P.M., Wilken, J.M., Dingwell, J.B.: Dynamic margins of stability during human walking in destabilizing environments. J. Biomech. 45, 1053–1059 (2012)
Hof, A.L., Gazendam, M.G.J., Sinke, W.E.: The condition for dynamic stability. J. Biomech. 38, 1–8 (2005)
Jurkojć, J., Wodarski, P., Bieniek, A.: Influence of changing frequency and various sceneries on stabilometric parameters and on the effect of adaptation in an immersive 3D virtual environment. Acta Bioeng. Biomech. 19(3), 129–137 (2017)
Bierbaum, S., Peper, A., Karamanidis, K., Arampatzis, A.: Adaptational responses in dynamic stability during disturbed walking in the elderly. J. Biomech. 43, 2362–2368 (2010)
Sloot, L.H., van der Krogt, M.M., Harlaar, J.: Effects of adding a virtual reality environment to different modes of treadmill walking. Gait Posture 39, 939–945 (2014)
England, S.A., Granata, K.P.: The influence of gait speed on local dynamic stability of walking. Gait Posture 25, 172–178 (2007)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Wodarski, P., Jurkojć, J., Gzik, M., Bieniek, A., Chrzan, M., Michnik, R. (2019). The Impact of Virtual Reality on Ranges of COP Motions During Gait. In: Tkacz, E., Gzik, M., Paszenda, Z., Piętka, E. (eds) Innovations in Biomedical Engineering. IBE 2018. Advances in Intelligent Systems and Computing, vol 925. Springer, Cham. https://doi.org/10.1007/978-3-030-15472-1_24
Download citation
DOI: https://doi.org/10.1007/978-3-030-15472-1_24
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-15471-4
Online ISBN: 978-3-030-15472-1
eBook Packages: Intelligent Technologies and RoboticsIntelligent Technologies and Robotics (R0)