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A Wearable Mixed Reality Platform to Augment Overground Walking: A Feasibility Study.

Emily Evans1,2, Megan Dass3, William M Muter1

  • 1Spaulding Rehabilitation Hospital, Cambridge, MA, United States.

Frontiers in Human Neuroscience
|June 27, 2022
PubMed
Summary

Mixed reality head-mount displays (MR-HMD) can help people adjust their walking speed. This technology shows promise for rehabilitation by providing real-time visual feedback to guide gait adjustments during walking exercises.

Keywords:
kinematicsmixed realitymotor learning and controlrehabilitationvisual feedbackwalking

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Area of Science:

  • Rehabilitation Technology
  • Human-Computer Interaction
  • Biomechanics

Background:

  • Central nervous system (CNS) injuries impair walking speed modulation, increasing fall risk.
  • Virtual reality (VR) enhances gait training but lacks real-world views, limiting functional carryover.
  • Mixed reality head-mount displays (MR-HMD) offer immersive virtual interactions within real-world views, potentially improving gait rehabilitation.

Purpose of the Study:

  • To develop and evaluate a novel mixed reality application using Microsoft HoloLens MR-HMD for real-time walking speed feedback.
  • To determine if individuals can use MR-HMD visual feedback to achieve specific overground walking speed targets (85%, 100%, 115% of self-selected speed).
  • To explore the accuracy, consistency, and effects on gait variability when using MR-HMD for gait training.

Main Methods:

  • Developed a mixed reality application with Microsoft HoloLens MR-HMD for real-time visual feedback of walking speed targets.
  • Tested the application with healthy adults, assessing their ability to match target speeds (85%, 100%, 115% of self-selected).
  • Analyzed accuracy, trial consistency, and changes in gait parameters (speed, stride length, stride time) with and without MR-HMD feedback.

Main Results:

  • Participants successfully matched their overground walking speed to MR-HMD visual feedback targets (p > 0.05).
  • Inaccuracy was approximately 5% and remained consistent after the first trial.
  • Walking with MR-HMD feedback did not increase walking speed variability but increased stride length and time variability compared to no feedback.

Conclusions:

  • Mixed reality-based visual feedback effectively promotes goal-specific changes in overground walking behavior.
  • The MR-HMD application shows potential for gait rehabilitation by providing augmented sensory feedback.
  • Further research is needed to confirm the clinical safety and efficacy of MR-HMD technology in rehabilitation settings.