High-fidelity immersive virtual reality environments for gait rehabilitation exergames

IntroductionVirtual reality (VR) used for healthcare, particularly through exergames, is promising for improving therapeutic outcomes. However, effectively engaging patients and providing realistic environments for everyday situations remain major challenges. The technical aspects of developing enga...

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Main Authors: Laura Schalbetter, Adrienne Grêt-Regamey, Fabian Gutscher, Ulrike Wissen Hayek
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Virtual Reality
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Online Access:https://www.frontiersin.org/articles/10.3389/frvir.2024.1502802/full
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author Laura Schalbetter
Adrienne Grêt-Regamey
Fabian Gutscher
Ulrike Wissen Hayek
author_facet Laura Schalbetter
Adrienne Grêt-Regamey
Fabian Gutscher
Ulrike Wissen Hayek
author_sort Laura Schalbetter
collection DOAJ
description IntroductionVirtual reality (VR) used for healthcare, particularly through exergames, is promising for improving therapeutic outcomes. However, effectively engaging patients and providing realistic environments for everyday situations remain major challenges. The technical aspects of developing engaging VR applications for rehabilitation are largely unexplored. This research presents the development of a head-mounted display VR (HMD-VR) exergame for gait therapy. The novelty lies in the use of high-fidelity immersive environments implementing 3D geospatial data and motion to create targeted therapeutic applications that closely mimic reality while harnessing the environment’s restorative functions.MethodsWe integrated 3D point clouds from laser scans and geolocated ambisonic sound recordings into a game engine. We combined different techniques for user motion tracking, while we used point cloud manipulation for integrating specific training elements. Feedback on the quality of the HMD-VR exergame was received from the first implementations.ResultsOur methodology demonstrates the successful, highly realistic VR replication of restorative real-world environments using 3D point clouds and environmental sounds. We illustrate the adaptability of the environment for therapeutic use through manipulation of the 3D point cloud, facilitating customizable training difficulty levels while promoting immersive experiences. Participant feedback (sample size: 49 sessions) confirms the HMD-VR exergame’s applicability as a restorative experience (ClinicalTrials.gov NCT06304077).DiscussionOur research introduces a pioneering HMD-VR game for gait rehabilitation, leveraging immersive VR environments grounded in the real world. This innovative approach offers new possibilities for efficient and effective rehabilitation interventions. Future studies will analyze effects on gait patterns across different environments and their restorative functions and evaluate the HMD-VR xergame in clinical settings.
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spelling doaj-art-eb040a1f80404c1e8250f003669c66f82025-01-06T04:13:37ZengFrontiers Media S.A.Frontiers in Virtual Reality2673-41922025-01-01510.3389/frvir.2024.15028021502802High-fidelity immersive virtual reality environments for gait rehabilitation exergamesLaura SchalbetterAdrienne Grêt-RegameyFabian GutscherUlrike Wissen HayekIntroductionVirtual reality (VR) used for healthcare, particularly through exergames, is promising for improving therapeutic outcomes. However, effectively engaging patients and providing realistic environments for everyday situations remain major challenges. The technical aspects of developing engaging VR applications for rehabilitation are largely unexplored. This research presents the development of a head-mounted display VR (HMD-VR) exergame for gait therapy. The novelty lies in the use of high-fidelity immersive environments implementing 3D geospatial data and motion to create targeted therapeutic applications that closely mimic reality while harnessing the environment’s restorative functions.MethodsWe integrated 3D point clouds from laser scans and geolocated ambisonic sound recordings into a game engine. We combined different techniques for user motion tracking, while we used point cloud manipulation for integrating specific training elements. Feedback on the quality of the HMD-VR exergame was received from the first implementations.ResultsOur methodology demonstrates the successful, highly realistic VR replication of restorative real-world environments using 3D point clouds and environmental sounds. We illustrate the adaptability of the environment for therapeutic use through manipulation of the 3D point cloud, facilitating customizable training difficulty levels while promoting immersive experiences. Participant feedback (sample size: 49 sessions) confirms the HMD-VR exergame’s applicability as a restorative experience (ClinicalTrials.gov NCT06304077).DiscussionOur research introduces a pioneering HMD-VR game for gait rehabilitation, leveraging immersive VR environments grounded in the real world. This innovative approach offers new possibilities for efficient and effective rehabilitation interventions. Future studies will analyze effects on gait patterns across different environments and their restorative functions and evaluate the HMD-VR xergame in clinical settings.https://www.frontiersin.org/articles/10.3389/frvir.2024.1502802/fullhead-mounted display virtual reality (HMD-VR) exergamegait and balance trainingaudiovisual simulationmotion tracking3D point cloud modelingrestorative environments
spellingShingle Laura Schalbetter
Adrienne Grêt-Regamey
Fabian Gutscher
Ulrike Wissen Hayek
High-fidelity immersive virtual reality environments for gait rehabilitation exergames
Frontiers in Virtual Reality
head-mounted display virtual reality (HMD-VR) exergame
gait and balance training
audiovisual simulation
motion tracking
3D point cloud modeling
restorative environments
title High-fidelity immersive virtual reality environments for gait rehabilitation exergames
title_full High-fidelity immersive virtual reality environments for gait rehabilitation exergames
title_fullStr High-fidelity immersive virtual reality environments for gait rehabilitation exergames
title_full_unstemmed High-fidelity immersive virtual reality environments for gait rehabilitation exergames
title_short High-fidelity immersive virtual reality environments for gait rehabilitation exergames
title_sort high fidelity immersive virtual reality environments for gait rehabilitation exergames
topic head-mounted display virtual reality (HMD-VR) exergame
gait and balance training
audiovisual simulation
motion tracking
3D point cloud modeling
restorative environments
url https://www.frontiersin.org/articles/10.3389/frvir.2024.1502802/full
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AT fabiangutscher highfidelityimmersivevirtualrealityenvironmentsforgaitrehabilitationexergames
AT ulrikewissenhayek highfidelityimmersivevirtualrealityenvironmentsforgaitrehabilitationexergames