《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2023, Vol. 29 ›› Issue (11): 1359-1364.doi: 10.3969/j.issn.1006-9771.2023.11.015
ZHANG Hengrui, MENG Zhaoli(), CUI Pei, WANG Ruiyi
Received:
2023-01-11
Revised:
2023-07-12
Published:
2023-11-25
Online:
2023-11-30
Contact:
MENG Zhaoli, E-mail: mengzl@dlut.edu.cn
Supported by:
CLC Number:
ZHANG Hengrui, MENG Zhaoli, CUI Pei, WANG Ruiyi. Impact of different kinds of helmet-mounted display on human balance and posture control[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(11): 1359-1364.
"
项目 | 稳定平面 | 海绵垫 | t值a | P值a | t值b | P值b | ||
---|---|---|---|---|---|---|---|---|
训练前 | 训练后 | 训练前 | 训练后 | |||||
睁眼 | 4.93±1.53 | 5.18±1.37 | 10.61±2.21 | 11.04±2.41 | -2.305 | 0.029 | -1.493 | 0.145 |
闭眼 | 7.88±2.46 | 6.80±2.07 | 20.51±5.56 | 16.91±3.77 | 3.405 | 0.002 | 4.651 | < 0.001 |
静态VR | 6.11±1.76 | 5.46±1.64 | 14.93±4.54 | 12.25±3.04 | 3.285 | 0.003 | 4.560 | < 0.001 |
动态VR | 16.14±8.17 | 10.01±4.00 | 43.74±14.04 | 29.58±10.67 | 5.779 | < 0.001 | 7.483 | < 0.001 |
t值c | -5.730 | -3.620 | -8.963 | -7.410 | ||||
P值c | < 0.001 | 0.001 | < 0.001 | < 0.001 | ||||
t值d | -2.811 | -0.713 | -4.840 | -1.753 | ||||
P值d | 0.007 | 0.056 | < 0.001 | 0.084 | ||||
t值e | 3.279 | 2.831 | 4.309 | 5.447 | ||||
P值e | 0.002 | 0.006 | < 0.001 | < 0.001 | ||||
t值f | -5.482 | -4.043 | -8.402 | -6.241 | ||||
P值f | < 0.001 | < 0.001 | < 0.001 | < 0.001 |
"
项目 | 稳定平面 | 海绵垫 | t值a | P值a | t值b | P值b | ||
---|---|---|---|---|---|---|---|---|
训练前 | 训练后 | 训练前 | 训练后 | |||||
睁眼 | 5.18±1.39 | 5.62±2.03 | 9.76±1.90 | 10.18±2.27 | -2.224 | 0.034 | -1.452 | 0.157 |
闭眼 | 7.52±1.66 | 7.60±2.92 | 18.05±4.00 | 16.63±3.83 | 0.953 | 0.349 | 2.223 | 0.034 |
静态VR | 5.87±1.38 | 6.31±2.76 | 14.51±3.59 | 12.90±3.05 | -0.430 | 0.670 | 3.466 | 0.002 |
动态VR | 12.10±4.83 | 10.59±4.06 | 28.15±9.07 | 24.15±9.04 | 2.380 | 0.025 | 3.880 | 0.001 |
t值c | -5.989 | -3.102 | -10.452 | -7.978 | ||||
P值c | < 0.001 | 0.003 | < 0.001 | < 0.001 | ||||
t值d | -1.951 | -1.110 | -6.520 | -3.963 | ||||
P值d | 0.056 | 0.271 | < 0.001 | < 0.001 | ||||
t值e | 4.187 | 1.798 | 3.679 | 4.174 | ||||
P值e | < 0.001 | 0.077 | 0.001 | < 0.001 | ||||
t值f | -4.830 | -3.306 | -5.437 | -4.135 | ||||
P值f | < 0.001 | 0.002 | < 0.001 | < 0.001 |
"
感觉权重 | 动态训练 | 静态训练 | t值a | P值a | t值b | P值b | t值c | P值c | t值d | P值d | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|
训练前 | 训练后 | 训练前 | 训练后 | |||||||||
正常本体感觉下的视觉 | 22.00±5.92 | 9.57±4.88 | 19.90±6.78 | 14.85±6.58 | 11.035 | < 0.001 | 4.132 | < 0.001 | 1.452 | 0.152 | -3.611 | 0.001 |
本体感觉干扰下的视觉 | 33.58±10.62 | 21.09±7.73 | 29.51±6.31 | 24.49±7.57 | 7.637 | < 0.001 | 4.277 | < 0.001 | 1.857 | 0.069 | -1.762 | 0.083 |
存在视觉下的本体感觉 | 35.75±11.50 | 33.62±9.78 | 30.86±9.86 | 30.02±11.31 | 1.260 | 0.217 | 0.488 | 0.629 | 1.810 | 0.075 | 1.352 | 0.181 |
无视觉下的本体感觉 | 45.30±12.22 | 44.25±12.44 | 39.95±9.28 | 38.93±11.66 | 0.444 | 0.660 | 0.619 | 0.541 | 1.953 | 0.055 | 1.749 | 0.085 |
t值e | -5.285 | -7.126 | -5.778 | -5.345 | ||||||||
P值e | < 0.001 | < 0.001 | < 0.001 | < 0.001 | ||||||||
t值f | -3.221 | -3.799 | -3.741 | -3.054 | ||||||||
P值f | 0.002 | < 0.001 | < 0.001 | 0.003 |
[1] | SLATER M, KHANNA P, MORTENSEN J, et al. Visual realism enhances realistic response in an immersive virtual environment[J]. IEEE Comput Graph App, 2009, 29(3): 76-84. |
[2] |
CHITTARO L, CORBETT C L, MCLEAN G A, et al. Safety knowledge transfer through mobile virtual reality: a study of aviation life preserver donning[J]. Safety Sci, 2018, 102: 159-168.
doi: 10.1016/j.ssci.2017.10.012 |
[3] |
GAVISH N, GUTIERREZ T, WEBEL S, et al. Evaluating virtual reality and augmented reality training for industrial maintenance and assembly tasks[J]. Interact Learn Environ, 2015, 23(6): 778-798.
doi: 10.1080/10494820.2013.815221 |
[4] |
AÏM F, LONJON G, HANNOUCHE D, et al. Effectiveness of virtual reality training in orthopaedic surgery[J]. Arthroscopy, 2016, 32(1): 224-232.
doi: 10.1016/j.arthro.2015.07.023 pmid: 26412672 |
[5] |
ALAKER M, WYNN G R, TAN A. Virtual reality training in laparoscopic surgery: a systematic review & meta-analysis[J]. Int J Surg, 2016, 29: 85-94.
doi: 10.1016/j.ijsu.2016.03.034 |
[6] | 焦粤农, 林颖, 张欣睿, 等. 沉浸式虚拟现实系统辅助前庭功能康复的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(5): 68-72. |
JIAO Y N, LIN Y, ZHANG X R, et al. Evaluation of the effectiveness of immersive virtual reality-based exercise system for vestibular rehabilitation[J]. J Clin Otolaryngol Head Neck Surg, 2020, 34(5): 68-72. | |
[7] | KIM Y S, PARK M C. Comparison of balance ability according to the immersion level of virtual reality-based training for the balance enhancement of the elderly[J]. PNF Mov, 2018, 16(2): 259-266. |
[8] |
RIZZO A A, SCHULTHEIS M, KERNS K A, et al. Analysis of assets for virtual reality applications in neuropsychology[J]. Neuropsychol Rehabil, 2004, 14(1-2): 207-239.
doi: 10.1080/09602010343000183 |
[9] | 周柳, 王英华, 刘强, 等. 虚拟现实技术在运动康复中的应用[J]. 中国组织工程研究, 2007, 11(5): 957-960. |
ZHOU L, WANG Y H, LIU Q, et al. Application of virtual reality in motor rehabilitation[J]. Res Tiss Eng Chin, 2007, 11(5): 957-960. | |
[10] |
DA SILVA MARINHO A, TERTON U, JONES C M. Cybersickness and postural stability of first time VR users playing VR videogames[J]. Appl Ergon, 2022, 101: 103698.
doi: 10.1016/j.apergo.2022.103698 |
[11] |
RAUSCH M, SIMON J E, STARKEY C, et al. Smartphone virtual reality to increase clinical balance assessment responsiveness[J]. Phys Ther Sport, 2018, 32: 207-211.
doi: S1466-853X(17)30688-0 pmid: 29803943 |
[12] |
REBÊLO F L, SILVA L, DONÁ F, et al. Immersive virtual reality is effective in the rehabilitation of older adults with balance disorders: a randomized clinical trial[J]. Exp Gerontol, 2021, 149(3): 111308.
doi: 10.1016/j.exger.2021.111308 |
[13] | 余彬, 曾庆, 黄国志. 头戴式虚拟现实系统在运动康复治疗中的应用进展[J]. 中国康复医学杂志, 2018, 33(6): 734-737. |
[14] |
LUO H, WANG X, FAN M, et al. The effect of visual stimuli on stability and complexity of postural control[J]. Front Neurol, 2018, 9: 48.
doi: 10.3389/fneur.2018.00048 pmid: 29472888 |
[15] | CHANDER H, ARACHCHIGE S, HILL C M, et al. Virtual-reality-induced visual perturbations impact postural control system behavior[J]. Behav Sci (Basel), 2019, 9(11): 113. |
[16] | PUJIARTATI D A, ANANTA M F, MUSLIM K, et al. Effect of virtual reality usage on postural stability[J]. J Phys, 2019, 1517(1): 012026. |
[17] | 刘波, 孔维佳, 邹宇. 应用海绵垫干扰本体觉分析正常人姿势平衡中的感觉整合作用[J]. 临床耳鼻咽喉头颈外科杂志, 2007, 21(4): 162-165. |
LIU B, KONG W J, ZOU Y, et al. The sensory organization in the posture stability with interruption induced by standing foam in normal subjects[J]. J Clin Otolaryngol Head Neck Surg, 2007, 21(4): 162-165. | |
[18] |
VITKOVIC J, LE C, LEE S L, et al. The contribution of hearing and hearing loss to balance control[J]. Audiol Neurotol, 2016, 21(4): 195-202.
doi: 10.1159/000445100 |
[19] |
MAHEU M, SHARP A, LANDRY S P, et al. Sensory reweighting after loss of auditory cues in healthy adults[J]. Gait Posture, 2017, 53: 151-154.
doi: S0966-6362(17)30024-3 pmid: 28157577 |
[20] |
EL-KAHKY A M. Balance control near the limit of stability in various sensory conditions in healthy subjects and patients suffering from vertigo or balance disorders: impact of sensory input on balance control[J]. Acta Oto-Laryngol, 2000, 120(4): 508-516.
doi: 10.1080/000164800750046018 |
[21] |
ALLUM J H, PFALTZ C R. Visual and vestibular contributions to pitch sway stabilization in the ankle muscles of normals and patients with bilateral peripheral vestibular deficits[J]. Exp Brain Res, 1985, 58(1): 82-94.
doi: 10.1007/BF00238956 pmid: 3872806 |
[22] |
DUCLOS N C, MAYNARD L, ABBAS D, et al. Hemispheric specificity for proprioception: postural control of standing following right or left hemisphere damage during ankle tendon vibration[J]. Brain Res, 2015, 1625: 159-170.
doi: 10.1016/j.brainres.2015.08.043 pmid: 26358149 |
[23] |
MOREL M, BIDEAU B, LARDY J, et al. Advantages and limitations of virtual reality for balance assessment and rehabilitation[J]. Neurophysiol Clin, 2015, 45(4/5): 315-326.
doi: 10.1016/j.neucli.2015.09.007 |
[24] |
ROBERT M T, BALLAZ L, LEMAY M. The effect of viewing a virtual environment through a head-mounted display on balance[J]. Gait Posture, 2016, 48: 261-266.
doi: S0966-6362(16)30089-3 pmid: 27344394 |
[25] |
HORLINGS C, CARPENTER M G, KÜNG U M, et al. Influence of virtual reality on postural stability during movements of quiet stance[J]. Neurosci Lett, 2009, 451(3): 227-231.
doi: 10.1016/j.neulet.2008.12.057 pmid: 19146921 |
[26] |
WALLARD L, BRIL B, DIETRICH G, et al. The role of head stabilization in locomotion in children with cerebral palsy[J]. Ann Phys Rehabil Med, 2012, 55(9-10): 590-600.
doi: 10.1016/j.rehab.2012.10.004 pmid: 23165246 |
[27] |
IMAIZUMI L, POLASTRI P F, PENEDO T, et al. Virtual reality head-mounted goggles increase the body sway of young adults during standing posture[J]. Neurosci Lett, 2020, 737: 135333.
doi: 10.1016/j.neulet.2020.135333 |
[28] |
ALBERTS B, SELEN L, MEDENDORP W P. Age-related reweighting of visual and vestibular cues for vertical perception[J]. J Neurophysiol, 2019, 121(4): 1279-1288.
doi: 10.1152/jn.00481.2018 pmid: 30699005 |
[29] | KENNEDY R S, STANNEY K M, DUNLAP W P. Duration and exposure to virtual environments: sickness curves during and across sessions[J]. Teleoperat Virtual Environ, 2000, 9(5): 463-472. |
[30] |
RISI D, PALMISANO S. Effects of postural stability, active control, exposure duration and repeated exposures on HMD induced cybersickness[J]. Displays, 2019, 60: 9-17.
doi: 10.1016/j.displa.2019.08.003 |
[31] |
TOSSAVAINEN T, JUHOLA M, PYYKKOE I, et al. Development of virtual reality stimuli for force platform posturography[J]. Int J Med Inform, 2003, 70(2-3): 277-283.
pmid: 12909179 |
[32] |
AKIZUKI H, UNO A, ARAI K, et al. Effects of immersion in virtual reality on postural control[J]. Neurosci Lett, 2005, 379(1): 23-26.
pmid: 15814192 |
[33] |
SCHUT I M, ENGELHART D, PASMA J H, et al. Compliant support surfaces affect sensory reweighting during balance control[J]. Gait Posture, 2017, 53: 241-247.
doi: S0966-6362(17)30038-3 pmid: 28231556 |
[34] |
ASSLÄNDER L, PETERKA R J. Sensory reweighting dynamics following removal and addition of visual and proprioceptive cues[J]. J Neurophysiol, 2016, 116(2): 272.
doi: 10.1152/jn.01145.2015 pmid: 27075544 |
[35] |
CHANG E, SEO D, KIM H T, et al. An integrated model of cybersickness: understanding user's discomfort in virtual reality[J]. J KIISE, 2018, 45(3): 251-279.
doi: 10.5626/JOK.2018.45.3.251 |
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