The feasibility of using virtual reality to induce mobility-related anxiety during turning
dc.contributor.author | Raffegeau, TE | |
dc.contributor.author | Fawver, B | |
dc.contributor.author | Clark, M | |
dc.contributor.author | Engel, BT | |
dc.contributor.author | Young, WR | |
dc.contributor.author | Williams, AM | |
dc.contributor.author | Lohse, KR | |
dc.contributor.author | Fino, PC | |
dc.date.accessioned | 2020-02-13T13:58:53Z | |
dc.date.issued | 2020-01-11 | |
dc.description.abstract | The fear of falling, or mobility-related anxiety, profoundly affects gait, but is challenging to study without risk to participants. Purpose: To determine the efficacy of using virtual reality (VR) to manipulate illusions of height and consequently, elevated mobility-related anxiety when turning. Moreover, we examined if mobility-related anxiety effects decline across time in VR environments as participants habituate. Methods: Altogether, 10 healthy participants (five women, mean (standard deviation) age = 28.5 (8.5) years) turned at self-selected and fast speeds on a 2.2 m walkway under two simulated environments: (1) ground elevation; and (2) high elevation (15 m above ground). Peak turning velocity was recorded using inertial sensors and participants rated their cognitive (i.e., worry) and somatic (i.e., tension) anxiety, confidence, and mental effort. Results: A significant Height × Speed × Trial interaction (p = 0.013) was detected for peak turning velocity. On average, the virtual height illusion decreased peak turning velocity, especially at fast speeds. At low elevation, participants decreased speed across trials, but not significantly (p = 0.381), but at high elevation, they significantly increased speed across trials (p = 0.001). At self-selected speeds, no effects were revealed (all p > 0.188) and only effects for Height were observed for fast speeds (p < 0.001). After turning at high elevation, participants reported greater cognitive (p = 0.008) and somatic anxiety (p = 0.007), reduced confidence (p = 0.021), and greater mental effort (p < 0.001) compared to the low elevation. Conclusion: VR can safely induce mobility-related anxiety during dynamic motor tasks, and habituation effects from repeated exposure should be carefully considered in experimental designs and analysis. | en_GB |
dc.identifier.citation | Vol. 77, pp. 6 - 13 | en_GB |
dc.identifier.doi | 10.1016/j.gaitpost.2020.01.006 | |
dc.identifier.uri | http://hdl.handle.net/10871/40840 | |
dc.language.iso | en | en_GB |
dc.publisher | Elsevier | en_GB |
dc.rights.embargoreason | Under embargo until 11 January 2021 in compliance with publisher policy | en_GB |
dc.rights | © 2020. This version is made available under the CC-BY-NC-ND 4.0 license: https://creativecommons.org/licenses/by-nc-nd/4.0/ | en_GB |
dc.subject | Elevation | en_GB |
dc.subject | Fear of falling | en_GB |
dc.subject | Inertial sensor | en_GB |
dc.subject | Mental effort | en_GB |
dc.subject | Turning | en_GB |
dc.title | The feasibility of using virtual reality to induce mobility-related anxiety during turning | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2020-02-13T13:58:53Z | |
dc.identifier.issn | 0966-6362 | |
dc.description | This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record | en_GB |
dc.identifier.journal | Gait & Posture | en_GB |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | en_GB |
dcterms.dateAccepted | 2020-01-07 | |
rioxxterms.version | AM | en_GB |
rioxxterms.licenseref.startdate | 2020-01-11 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2020-02-13T13:55:41Z | |
refterms.versionFCD | AM | |
refterms.panel | C | en_GB |
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Except where otherwise noted, this item's licence is described as © 2020. This version is made available under the CC-BY-NC-ND 4.0 license: https://creativecommons.org/licenses/by-nc-nd/4.0/