Motor Behavior Concepts in the Study of Balance: A Scoping Review

Leaning-Based Interfaces Improve Ground-Based VR Locomotion in Reach-the-Target, Follow-the-Path, and Racing Tasks

Using standard handheld interfaces for VR locomotion may not provide a believable self-motion experience and can contribute to unwanted side effects such as motion sickness, disorientation, or increased cognitive load. This paper demonstrates how using a seated leaning-based locomotion interface -HeadJoystick- in VR ground-based navigation affects user experience, usability, and performance. In three within-subject studies, we compared controller (touchpad/thumbstick) with a more embodied interface ("HeadJoystick") where users moved their head and/or leaned in the direction of desired locomotion. In both conditions, users sat on a regular office chair and used it to control virtual rotations. In the first study, 24 participants used HeadJoystick versus Controller in three complementary tasks including reach-the-target, follow-the-path, and racing (dynamic obstacle avoidance). In the second study, 18 participants repeatedly used HeadJoystick versus Controller (8 one-minute trials each) in a reach-the-target task. To evaluate potential benefits of different brake mechanisms, in the third study 18 participants were asked to stop within each target area for one second. All three studies consistently showed advantages of HeadJoystick over Controller: we observed improved performance in all tasks, as well as higher user ratings for enjoyment, spatial presence, immersion, vection intensity, usability, ease of learning, ease of use, and rated potential for daily and long-term use, while reducing motion sickness and task load. Overall, our results suggest that leaning-based interfaces such as HeadJoystick provide an interesting and more embodied alternative to handheld interfaces in driving, reach-the-target, and follow-the-path tasks, and potentially a wider range of scenarios.

Neuromotor changes in participants with a concussion history can be detected with a custom smartphone app

Neuromotor dysfunction after a concussion is common, but balance tests used to assess neuromotor dysfunction are typically subjective. Current objective balance tests are either cost- or space-prohibitive, or utilize a static balance protocol, which may mask neuromotor dysfunction due to the simplicity of the task. To address this gap, our team developed an Android-based smartphone app (portable and cost-effective) that uses the sensors in the device (objective) to record movement profiles during a stepping-in-place task (dynamic movement). The purpose of this study was to examine the extent to which our custom smartphone app and protocol could discriminate neuromotor behavior between concussed and non-concussed participants. Data were collected at two university laboratories and two military sites. Participants included civilians and Service Members (N = 216) with and without a clinically diagnosed concussion. Kinematic and variability metrics were derived from a thigh angle time series while the participants completed a series of stepping-in-place tasks in three conditions: eyes open, eyes closed, and head shake. We observed that the standard deviation of the mean maximum angular velocity of the thigh was higher in the participants with a concussion history in the eyes closed and head shake conditions of the stepping-in-place task. Consistent with the optimal movement variability hypothesis, we showed that increased movement variability occurs in participants with a concussion history, for which our smartphone app and protocol were sensitive enough to capture.

Dominance of Attention Focus and Its Electroencephalogram Activity in Standing Postural Control in Healthy Young Adults

Attention focus changes performance, and external focus (EF) improves performance compared to internal focus (IF). However, recently, the dominance of attention focus, rather than the effectiveness of unilateral EF, has been examined. Although the positive effects of EF on standing postural control have been reported, the dominance of attention focus has not yet been examined. Therefore, the purpose of this study was to examine the dominance of attention focus and its neural mechanism in standing postural control using electroencephalography (EEG). A standing postural control task under IF and EF conditions was performed on healthy young men. Gravity center sway and cortical activity simultaneously using a stabilometer and an EEG were measured. Participants were classified into IF-dominant and EF-dominant groups according to their index of postural stability. The EEG was analyzed, and cortical activity in the theta-wave band was compared between the IF-dominant and EF-dominant groups. Significant neural activity was observed in the left parietal lobe of the IF-dominant group in the IF condition, and in the left frontal lobe of the EF-dominant group in the EF condition (p < 0.05). Differences in EEG activity between IF-dominant and EF-dominant groups, in standing postural control, were detected. This contributes to the development of training methods that consider attentional focus dominance in postural control.