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Updated: Mar 6, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
Control of vertical posture while elevating one foot to avoid a real or virtual obstacle.
Hirofumi Ida1, Sambit Mohapatra2, Alexander Aruin3
1Department of Sports and Health Management, Jobu University, Isesaki, Gunma, Japan. hiroida@me.com.
Controlling vertical posture during obstacle avoidance differs between real and virtual environments. Virtual reality (VR) settings, especially head-mounted displays (HMDs), show reduced muscle activity and altered movement patterns compared to real obstacles.
Area of Science:
- Biomechanics
- Human Movement Science
- Virtual Reality Research
Background:
- Vertical posture control is crucial for daily activities like obstacle avoidance.
- Understanding postural responses in virtual reality (VR) is vital for developing effective rehabilitation strategies.
Purpose of the Study:
- To compare vertical posture control during obstacle avoidance in real-world versus virtual reality (VR) environments.
- To analyze the impact of different VR delivery methods (head-mounted display [HMD] and 3D projector) on postural responses.
Main Methods:
- Ten healthy participants performed one-legged obstacle avoidance tasks.
- Measurements included foot acceleration, center of pressure, and leg/trunk muscle electrical activity.
- Data were analyzed across early postural adjustments (EPAs), anticipatory postural adjustments (APAs), and compensatory postural adjustments (CPAs).
Main Results:
- Foot elevation acceleration was significantly lower in the HMD condition compared to real and 3D projector conditions.
- Reduced leg and trunk muscle activity was observed for virtual obstacles (HMD, 3D projector) versus real obstacles, particularly during APAs and CPAs.
- Muscle activation onsets in the supporting limb occurred during EPAs and APAs.
Conclusions:
- Postural control strategies are modulated in VR, with distinct differences observed between real and virtual obstacle interactions.
- Altered muscle activity and movement patterns in VR necessitate consideration for virtual rehabilitation protocol design.
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