Saleh M. Alhirsan PT, MSc, PhD , Carmen E. Capó-Lugo PT, PhD , Christopher P. Hurt PhD , Gitendra Uswatte PhD , Haiyan Qu PhD , David A. Brown PT, PhD
{"title":"The Immediate Effects of Different Types of Augmented Feedback on Fast Walking Speed Performance and Intrinsic Motivation After Stroke","authors":"Saleh M. Alhirsan PT, MSc, PhD , Carmen E. Capó-Lugo PT, PhD , Christopher P. Hurt PhD , Gitendra Uswatte PhD , Haiyan Qu PhD , David A. Brown PT, PhD","doi":"10.1016/j.arrct.2023.100265","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To examine the immediate effects of different types of augmented feedback on walking speed and intrinsic motivation post-stroke.</p></div><div><h3>Design</h3><p>A within-subjects repeated-measures design.</p></div><div><h3>Setting</h3><p>A university rehabilitation center.</p></div><div><h3>Participants</h3><p>Eighteen individuals with chronic stroke hemiparesis with a mean age of 55.67±13.63 years and median stroke onset of 36 (24, 81) months (N=18).</p></div><div><h3>Interventions</h3><p>Not applicable.</p></div><div><h3>Primary outcome</h3><p>Fast walking speed measured on a robotic treadmill for 13 meters without feedback and 13 meters with augmented feedback on each of the 3 experimental conditions: (1) without virtual reality (VR), (2) with a simple VR interface, and (3) with VR-exergame. Intrinsic motivation was measured using the Intrinsic Motivation Inventory (IMI).</p></div><div><h3>Results</h3><p>Although the differences were not statistically significant, fast-walking speed was higher in the augmented feedback without VR (0.86±0.44 m/s); simple VR interface (0.87±0.41 m/s); VR-exergame (0.87±0.44 m/s) conditions than in the fast-walking speed without feedback (0.81±0.40 m/s) condition. The type of feedback had a significant effect on intrinsic motivation (<em>P</em>=.04). The post hoc analysis revealed borderline significance on IMI-interest and enjoyment between the VR-exergame condition and the without-VR condition (<em>P</em>=.091).</p></div><div><h3>Conclusion</h3><p>Augmenting feedback affected the intrinsic motivation and enjoyment of adults with stroke asked to walk fast on a robotic treadmill. Additional studies with larger samples are warranted to examine the relations among these aspects of motivation and ambulation training outcomes.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/38/main.PMC10258376.pdf","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of rehabilitation research and clinical translation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2590109523000174","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 1
Abstract
Objective
To examine the immediate effects of different types of augmented feedback on walking speed and intrinsic motivation post-stroke.
Design
A within-subjects repeated-measures design.
Setting
A university rehabilitation center.
Participants
Eighteen individuals with chronic stroke hemiparesis with a mean age of 55.67±13.63 years and median stroke onset of 36 (24, 81) months (N=18).
Interventions
Not applicable.
Primary outcome
Fast walking speed measured on a robotic treadmill for 13 meters without feedback and 13 meters with augmented feedback on each of the 3 experimental conditions: (1) without virtual reality (VR), (2) with a simple VR interface, and (3) with VR-exergame. Intrinsic motivation was measured using the Intrinsic Motivation Inventory (IMI).
Results
Although the differences were not statistically significant, fast-walking speed was higher in the augmented feedback without VR (0.86±0.44 m/s); simple VR interface (0.87±0.41 m/s); VR-exergame (0.87±0.44 m/s) conditions than in the fast-walking speed without feedback (0.81±0.40 m/s) condition. The type of feedback had a significant effect on intrinsic motivation (P=.04). The post hoc analysis revealed borderline significance on IMI-interest and enjoyment between the VR-exergame condition and the without-VR condition (P=.091).
Conclusion
Augmenting feedback affected the intrinsic motivation and enjoyment of adults with stroke asked to walk fast on a robotic treadmill. Additional studies with larger samples are warranted to examine the relations among these aspects of motivation and ambulation training outcomes.