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Augmented feedback for manual wheelchair propulsion technique training in a virtual reality simulator

BACKGROUND: Motor learning of appropriate manual wheelchair propulsion is critical, as incorrect technique elevates risk for upper extremity pain. Virtual reality simulators allow users to practice this complex task in a safe and realistic environment. Additionally, augmented feedback (AF) may be pr...

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Autores principales: Yan, Hui, Archambault, Philippe S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8456569/
https://www.ncbi.nlm.nih.gov/pubmed/34548085
http://dx.doi.org/10.1186/s12984-021-00936-x
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author Yan, Hui
Archambault, Philippe S.
author_facet Yan, Hui
Archambault, Philippe S.
author_sort Yan, Hui
collection PubMed
description BACKGROUND: Motor learning of appropriate manual wheelchair propulsion is critical, as incorrect technique elevates risk for upper extremity pain. Virtual reality simulators allow users to practice this complex task in a safe and realistic environment. Additionally, augmented feedback (AF) may be provided in order to optimize learning. The purpose of this study was to investigate the effects of providing AF with various delivery schedules on motor learning and transfer of this skill to over-ground propulsion. METHODS: Thirty healthy young adults were randomly assigned to three groups. During a virtual reality propulsion training session, the high-frequency AF group received AF in the form of knowledge of performance throughout all propulsion training; the faded AF group received this AF in a faded schedule (high relative frequency of AF early in practice, with relative frequency of AF provision diminishing throughout practice); and the control group underwent training with no AF. Propulsion assessments were performed at baseline and 48 h after practice in both virtual and real environments to measure retention and transfer, respectively. RESULTS: Compared to the control group, both feedback groups exhibited significant improvements in contact angle and push frequency in both environments after training. Small, non-significant between-group differences were also found between the high-frequency and faded feedback groups. CONCLUSION: Virtual reality training is an effective learning intervention for acquisition, retention, and transfer of appropriate manual wheelchair propulsion technique when such training includes AF regarding propulsion biomechanics.
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spelling pubmed-84565692021-09-23 Augmented feedback for manual wheelchair propulsion technique training in a virtual reality simulator Yan, Hui Archambault, Philippe S. J Neuroeng Rehabil Research BACKGROUND: Motor learning of appropriate manual wheelchair propulsion is critical, as incorrect technique elevates risk for upper extremity pain. Virtual reality simulators allow users to practice this complex task in a safe and realistic environment. Additionally, augmented feedback (AF) may be provided in order to optimize learning. The purpose of this study was to investigate the effects of providing AF with various delivery schedules on motor learning and transfer of this skill to over-ground propulsion. METHODS: Thirty healthy young adults were randomly assigned to three groups. During a virtual reality propulsion training session, the high-frequency AF group received AF in the form of knowledge of performance throughout all propulsion training; the faded AF group received this AF in a faded schedule (high relative frequency of AF early in practice, with relative frequency of AF provision diminishing throughout practice); and the control group underwent training with no AF. Propulsion assessments were performed at baseline and 48 h after practice in both virtual and real environments to measure retention and transfer, respectively. RESULTS: Compared to the control group, both feedback groups exhibited significant improvements in contact angle and push frequency in both environments after training. Small, non-significant between-group differences were also found between the high-frequency and faded feedback groups. CONCLUSION: Virtual reality training is an effective learning intervention for acquisition, retention, and transfer of appropriate manual wheelchair propulsion technique when such training includes AF regarding propulsion biomechanics. BioMed Central 2021-09-21 /pmc/articles/PMC8456569/ /pubmed/34548085 http://dx.doi.org/10.1186/s12984-021-00936-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Yan, Hui
Archambault, Philippe S.
Augmented feedback for manual wheelchair propulsion technique training in a virtual reality simulator
title Augmented feedback for manual wheelchair propulsion technique training in a virtual reality simulator
title_full Augmented feedback for manual wheelchair propulsion technique training in a virtual reality simulator
title_fullStr Augmented feedback for manual wheelchair propulsion technique training in a virtual reality simulator
title_full_unstemmed Augmented feedback for manual wheelchair propulsion technique training in a virtual reality simulator
title_short Augmented feedback for manual wheelchair propulsion technique training in a virtual reality simulator
title_sort augmented feedback for manual wheelchair propulsion technique training in a virtual reality simulator
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8456569/
https://www.ncbi.nlm.nih.gov/pubmed/34548085
http://dx.doi.org/10.1186/s12984-021-00936-x
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