Real-time modulation of visual feedback on human full-body movements in a virtual mirror: development and proof-of-concept
Identifieur interne : 000638 ( Main/Curation ); précédent : 000637; suivant : 000639Real-time modulation of visual feedback on human full-body movements in a virtual mirror: development and proof-of-concept
Auteurs : Meyke Roosink ; Nicolas Robitaille ; Bradford J. Mcfadyen ; Luc J. Hébert ; Philip L. Jackson ; Laurent J. Bouyer ; Catherine MercierSource :
- Journal of NeuroEngineering and Rehabilitation [ 1743-0003 ] ; 2015.
Abstract
Virtual reality (VR) provides interactive multimodal sensory stimuli and biofeedback, and can be a powerful tool for physical and cognitive rehabilitation. However, existing systems have generally not implemented realistic full-body avatars and/or a scaling of visual movement feedback. We developed a “virtual mirror” that displays a realistic full-body avatar that responds to full-body movements in all movement planes in real-time, and that allows for the scaling of visual feedback on movements in real-time. The primary objective of this proof-of-concept study was to assess the ability of healthy subjects to detect scaled feedback on trunk flexion movements.
The “virtual mirror” was developed by integrating motion capture, virtual reality and projection systems. A protocol was developed to provide both augmented and reduced feedback on trunk flexion movements while sitting and standing. The task required reliance on both visual and proprioceptive feedback. The ability to detect scaled feedback was assessed in healthy subjects (n = 10) using a two-alternative forced choice paradigm. Additionally, immersion in the VR environment and task adherence (flexion angles, velocity, and fluency) were assessed.
The ability to detect scaled feedback could be modelled using a sigmoid curve with a high goodness of fit (R2 range 89-98%). The point of subjective equivalence was not significantly different from 0 (i.e. not shifted), indicating an unbiased perception. The just noticeable difference was 0.035 ± 0.007, indicating that subjects were able to discriminate different scaling levels consistently. VR immersion was reported to be good, despite some perceived delays between movements and VR projections. Movement kinematic analysis confirmed task adherence.
The new “virtual mirror” extends existing VR systems for motor and pain rehabilitation by enabling the use of realistic full-body avatars and scaled feedback. Proof-of-concept was demonstrated for the assessment of body perception during active movement in healthy controls. The next step will be to apply this system to assessment of body perception disturbances in patients with chronic pain.
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DOI: 10.1186/1743-0003-12-2
PubMed: 25558785
PubMed Central: 4326499
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Meyke Roosink<affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">Canadian Forces Health Services Headquarters, Directorate of Medical Policy (Physiotherapy), Valcartier Garrison, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Department of Radiology, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">Canadian Forces Health Services Headquarters, Directorate of Medical Policy (Physiotherapy), Valcartier Garrison, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Department of Radiology, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">Canadian Forces Health Services Headquarters, Directorate of Medical Policy (Physiotherapy), Valcartier Garrison, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Department of Radiology, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Department of Radiology, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff5">School of Psychology, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff5">School of Psychology, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Real-time modulation of visual feedback on human full-body movements in a virtual mirror: development and proof-of-concept</title><author><name sortKey="Roosink, Meyke" sort="Roosink, Meyke" uniqKey="Roosink M" first="Meyke" last="Roosink">Meyke Roosink</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Robitaille, Nicolas" sort="Robitaille, Nicolas" uniqKey="Robitaille N" first="Nicolas" last="Robitaille">Nicolas Robitaille</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Mcfadyen, Bradford J" sort="Mcfadyen, Bradford J" uniqKey="Mcfadyen B" first="Bradford J" last="Mcfadyen">Bradford J. Mcfadyen</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation></author><author><name sortKey="Hebert, Luc J" sort="Hebert, Luc J" uniqKey="Hebert L" first="Luc J" last="Hébert">Luc J. Hébert</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">Canadian Forces Health Services Headquarters, Directorate of Medical Policy (Physiotherapy), Valcartier Garrison, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Department of Radiology, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation></author><author><name sortKey="Jackson, Philip L" sort="Jackson, Philip L" uniqKey="Jackson P" first="Philip L" last="Jackson">Philip L. Jackson</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff5">School of Psychology, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation></author><author><name sortKey="Bouyer, Laurent J" sort="Bouyer, Laurent J" uniqKey="Bouyer L" first="Laurent J" last="Bouyer">Laurent J. Bouyer</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation></author><author><name sortKey="Mercier, Catherine" sort="Mercier, Catherine" uniqKey="Mercier C" first="Catherine" last="Mercier">Catherine Mercier</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25558785</idno><idno type="pmc">4326499</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4326499</idno><idno type="RBID">PMC:4326499</idno><idno type="doi">10.1186/1743-0003-12-2</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000836</idno><idno type="wicri:Area/Pmc/Curation">000836</idno><idno type="wicri:Area/Pmc/Checkpoint">000393</idno><idno type="wicri:Area/Ncbi/Merge">003590</idno><idno type="wicri:Area/Ncbi/Curation">003590</idno><idno type="wicri:Area/Ncbi/Checkpoint">003590</idno><idno type="wicri:Area/Main/Merge">000638</idno><idno type="wicri:Area/Main/Curation">000638</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Real-time modulation of visual feedback on human full-body movements in a virtual mirror: development and proof-of-concept</title><author><name sortKey="Roosink, Meyke" sort="Roosink, Meyke" uniqKey="Roosink M" first="Meyke" last="Roosink">Meyke Roosink</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Robitaille, Nicolas" sort="Robitaille, Nicolas" uniqKey="Robitaille N" first="Nicolas" last="Robitaille">Nicolas Robitaille</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Mcfadyen, Bradford J" sort="Mcfadyen, Bradford J" uniqKey="Mcfadyen B" first="Bradford J" last="Mcfadyen">Bradford J. Mcfadyen</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation></author><author><name sortKey="Hebert, Luc J" sort="Hebert, Luc J" uniqKey="Hebert L" first="Luc J" last="Hébert">Luc J. Hébert</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">Canadian Forces Health Services Headquarters, Directorate of Medical Policy (Physiotherapy), Valcartier Garrison, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Department of Radiology, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation></author><author><name sortKey="Jackson, Philip L" sort="Jackson, Philip L" uniqKey="Jackson P" first="Philip L" last="Jackson">Philip L. Jackson</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff5">School of Psychology, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation></author><author><name sortKey="Bouyer, Laurent J" sort="Bouyer, Laurent J" uniqKey="Bouyer L" first="Laurent J" last="Bouyer">Laurent J. Bouyer</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation></author><author><name sortKey="Mercier, Catherine" sort="Mercier, Catherine" uniqKey="Mercier C" first="Catherine" last="Mercier">Catherine Mercier</name><affiliation><nlm:aff id="Aff1">Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), 525 Boul Hamel, Québec, QC G1M 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">QC G1M 2S8 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC Canada</nlm:aff><wicri:noCountry code="subfield">QC Canada</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of NeuroEngineering and Rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Virtual reality (VR) provides interactive multimodal sensory stimuli and biofeedback, and can be a powerful tool for physical and cognitive rehabilitation. However, existing systems have generally not implemented realistic full-body avatars and/or a scaling of visual movement feedback. We developed a “virtual mirror” that displays a realistic full-body avatar that responds to full-body movements in all movement planes in real-time, and that allows for the scaling of visual feedback on movements in real-time. The primary objective of this proof-of-concept study was to assess the ability of healthy subjects to detect scaled feedback on trunk flexion movements.</p></sec><sec><title>Methods</title><p>The “virtual mirror” was developed by integrating motion capture, virtual reality and projection systems. A protocol was developed to provide both augmented and reduced feedback on trunk flexion movements while sitting and standing. The task required reliance on both visual and proprioceptive feedback. The ability to detect scaled feedback was assessed in healthy subjects (n = 10) using a two-alternative forced choice paradigm. Additionally, immersion in the VR environment and task adherence (flexion angles, velocity, and fluency) were assessed.</p></sec><sec><title>Results</title><p>The ability to detect scaled feedback could be modelled using a sigmoid curve with a high goodness of fit (R<sup>2</sup> range 89-98%). The point of subjective equivalence was not significantly different from 0 (i.e. not shifted), indicating an unbiased perception. The just noticeable difference was 0.035 ± 0.007, indicating that subjects were able to discriminate different scaling levels consistently. VR immersion was reported to be good, despite some perceived delays between movements and VR projections. Movement kinematic analysis confirmed task adherence.</p></sec><sec><title>Conclusions</title><p>The new “virtual mirror” extends existing VR systems for motor and pain rehabilitation by enabling the use of realistic full-body avatars and scaled feedback. Proof-of-concept was demonstrated for the assessment of body perception during active movement in healthy controls. The next step will be to apply this system to assessment of body perception disturbances in patients with chronic pain.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sumitani, M" uniqKey="Sumitani M">M Sumitani</name></author><author><name sortKey="Miyauchi, S" uniqKey="Miyauchi S">S Miyauchi</name></author><author><name sortKey="Mccabe, Cs" uniqKey="Mccabe C">CS McCabe</name></author><author><name sortKey="Shibata, M" uniqKey="Shibata M">M Shibata</name></author><author><name sortKey="Maeda, L" uniqKey="Maeda L">L Maeda</name></author><author><name sortKey="Saitoh, Y" uniqKey="Saitoh Y">Y Saitoh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jeannerod, M" uniqKey="Jeannerod M">M Jeannerod</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kizony, R" uniqKey="Kizony R">R Kizony</name></author><author><name sortKey="Katz, N" uniqKey="Katz N">N 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