Detecting Endpoint Error of an Ongoing Reaching Movement: the Role of Vision, Proprioception, and Efference.

Brief windows of vision presented during reaching movements contribute to endpoint error estimates. It is not clear whether such error detection processes depend on other sources of information (e.g., proprioception and efference). In the current study, participants were presented with a brief window of vision and then judged whether their movement endpoint under- or over-shot the target after: 1) performing an active reach; 2) being passively guided by a robotic arm; and 3) observing a fake hand moved by the robot arm. Participants were most accurate at estimating their endpoint error in the active movement conditions and least accurate in the action observation condition. Thus, both efferent and proprioceptive information significantly contribute to endpoint error detection processes even with brief visual feedback.

Rapid online corrections for upper limb reaches to perturbed somatosensory targets: evidence for non-visual sensorimotor transformation processes.

When performing upper limb reaches, the sensorimotor system can adjust to changes in target location even if the reaching limb is not visible. To accomplish this task, sensory information about the new target location and the current position of the unseen limb are used to program online corrections. Previous researchers have argued that, prior to the initiation of corrections, somatosensory information from the unseen limb must be transformed into a visual reference frame. However, most of these previous studies involved movements to visual targets. The purpose of the present study was to determine if visual sensorimotor transformations are also necessary for the online control of movements to somatosensory targets. Participants performed reaches towards somatosensory and visual targets without vision of their reaching limb. Target positions were either stationary, or perturbed before (~ 450 ms), or after movement onset (~ 100 ms or ~ 200 ms). In response to target perturbations after movement onset, participants exhibited shorter correction latencies, larger correction magnitudes, and smaller movement endpoint errors when they reached to somatosensory targets as compared to visual targets. Because reference frame transformations have been shown to increase both processing time and errors, these results indicate that hand position was not transformed into visual reference frame during online corrections for movements to somatosensory targets. These findings support the idea that different sensorimotor transformations are used for the online control of movements to somatosensory and visual targets.

Design and Evaluation of an Instrumented Wobble Board for Assessing and Training Dynamic Seated Balance.

Methods that effectively assess and train dynamic seated balance are critical for enhancing functional independence and reducing risk of secondary health complications in the elderly and individuals with neuromuscular impairments. The objective of this research was to devise and validate a portable tool for assessing and training dynamic seated balance. An instrumented wobble board was designed and constructed that (1) elicits multidirectional perturbations in seated individuals, (2) quantifies seated balance proficiency, and (3) provides real-time, kinematics-based vibrotactile feedback. After performing a technical validation study to compare kinematic wobble board measurements against a gold-standard motion capture system, 15 nondisabled participants performed a dynamic sitting task using the wobble board. Our results demonstrate that the tilt angle measurements were highly accurate throughout the range of wobble board dynamics. Furthermore, the posturographic analyses for the dynamic sitting task revealed that the wobble board can effectively discriminate between the different conditions of perturbed balance, demonstrating its potential to serve as a clinical tool for the assessment and training of seated balance. Vibrotactile feedback decreased the variance of wobble board tilt, demonstrating its potential for use as a balance training tool. Unlike similar instrumented tools, the wobble board is portable, requires no laboratory equipment, and can be adjusted to meet the user's balance abilities. While future work is warranted, obtained findings will aid in effective translation of assessment and training techniques to a clinical setting, which has the potential to enhance the diagnosis and prognosis for individuals with seated balance impairments.

A Low-Cost Adaptive Balance Training Platform for Stroke Patients: A Usability Study.

Stroke patients usually suffer from asymmetric posture due to hemi-paresis that can result in reduced postural controllability leading to a balance deficit. This deficit increases the risk of falls, which often makes them dependent on caregivers for community ambulation, thus deteriorating their quality of life. Conventional balance training involves rehabilitation exercises performed under physiotherapist's supervision, where the scarcity of trained professionals as well as the cost of clinic-based rehabilitation programs can deter stroke survivors from undergoing regular balance training. Thus, researchers have been exploring technology-assisted solutions, e.g., home-based virtual reality (VR) setup. In this paper, we developed a VR-based balance training (VBaT) platform, where VR-augmented user-interface using Nintendo Wii balance boardwas tested in a laboratory setting for its feasibility. The VBaT offered tasks of varying difficulties to the participants that adapted to individual performance capability during balance training. We performed a preliminaryusability study with 7 stroke survivors (post-stroke period > 6 months). Preliminary results indicate the potential of theVBaT system to cause improvement in overall average task performance over the course of training while using the VBaT. Thus the VBaT system is proposed to be a step toward an effective balance training platform for people with balance disorder.