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Investigating the reason for increased postural instability in virtual reality for persons with balance impairments

Published: 28 November 2018 Publication History

Abstract

The objective of this study is to investigate how different visual components of Virtual Reality (VR), such as field of view, frame rate, and display resolution affect postural stability in VR. Although previous studies identified these visual components as some of the primary factors that differ significantly in VR from reality, the effect of each component on postural stability is yet unknown. While most people experience postural instability in VR, it is worse for people with balance impairments (BIs). This may be because they depend more on their visual cues to maintain postural stability. We conducted a study with ten people with balance impairments due to Multiple Sclerosis (MS) and seven people without balance impairments to investigate the effect of different visual components on postural stability. In each condition, we varied one of the visual components and kept all other components fixed. Each participant explored the virtual environment (VE) in a controlled fashion to make sure that the effect of the visual components was consistent for all participants. Results from our study suggest that for people with BIs, decreased field of view and decreased frame rate have significant negative effects on postural stability, but the effect of display resolution is inconclusive. However, for people without BIs, there were no significant differences for any of the visual components. Therefore, VR systems targeting people with balance impairments should focus on improving field of view and frame rate before improving display resolution.

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        cover image ACM Conferences
        VRST '18: Proceedings of the 24th ACM Symposium on Virtual Reality Software and Technology
        November 2018
        570 pages
        ISBN:9781450360869
        DOI:10.1145/3281505
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        Publication History

        Published: 28 November 2018

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        Author Tags

        1. accessibility
        2. balance
        3. head-mounted display
        4. postural stability
        5. virtual reality

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        • (2023)The Eyes Have It: Visual Feedback Methods to Make Walking in Immersive Virtual Reality More Accessible for People With Mobility Impairments While Utilizing Head-Mounted DisplaysProceedings of the 25th International ACM SIGACCESS Conference on Computers and Accessibility10.1145/3597638.3608406(1-10)Online publication date: 22-Oct-2023
        • (2023)Visual Cues for a Steadier You: Visual Feedback Methods Improved Standing Balance in Virtual Reality for People with Balance ImpairmentsIEEE Transactions on Visualization and Computer Graphics10.1109/TVCG.2023.332024429:11(4666-4675)Online publication date: 1-Nov-2023
        • (2023)Auditory, Vibrotactile, or Visual? Investigating the Effective Feedback Modalities to Improve Standing Balance in Immersive Virtual Reality for People with Balance Impairments Due to Type 2 Diabetes2023 IEEE International Symposium on Mixed and Augmented Reality (ISMAR)10.1109/ISMAR59233.2023.00072(573-582)Online publication date: 16-Oct-2023
        • (2023)Inclusive Immersion: a review of efforts to improve accessibility in virtual reality, augmented reality and the metaverseVirtual Reality10.1007/s10055-023-00850-827:4(2989-3020)Online publication date: 1-Dec-2023
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        • (2022)Standing Balance Improvement Using Vibrotactile Feedback in Virtual RealityProceedings of the 28th ACM Symposium on Virtual Reality Software and Technology10.1145/3562939.3565638(1-11)Online publication date: 29-Nov-2022
        • (2022)Auditory Feedback for Standing Balance Improvement in Virtual Reality2022 IEEE Conference on Virtual Reality and 3D User Interfaces (VR)10.1109/VR51125.2022.00100(782-791)Online publication date: Mar-2022
        • (2022)Auditory Feedback to Make Walking in Virtual Reality More Accessible2022 IEEE International Symposium on Mixed and Augmented Reality (ISMAR)10.1109/ISMAR55827.2022.00103(847-856)Online publication date: Oct-2022
        • (2021)The Effects of Visual Backgrounds in the Virtual Environments on the Postural Stability of StandingIEEE Transactions on Neural Systems and Rehabilitation Engineering10.1109/TNSRE.2021.308702129(1129-1137)Online publication date: 2021

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