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Keywords = hand posture perception

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21 pages, 9473 KB  
Article
Design Guidelines for Combining Digital Human Modeling and Virtual Reality to Foresee Workplaces Ergonomics Issues During Product Development
by Adailton G. Silva, Rafael Vieira Miguez, Lucas G. G. de Almeida, Márcio F. Catapan, Carina S. Silveira, Marcelo da S. Hounsell, Marcus V. M. Gomes and Ingrid Winkler
Appl. Sci. 2025, 15(13), 7083; https://doi.org/10.3390/app15137083 - 24 Jun 2025
Viewed by 936
Abstract
A product development process establishes requirements not just for the new product’s quality and performance, but also for its manufacturing process, to guarantee that the item is manufactured with minimal impact. This is because, if an issue is discovered after the product has [...] Read more.
A product development process establishes requirements not just for the new product’s quality and performance, but also for its manufacturing process, to guarantee that the item is manufactured with minimal impact. This is because, if an issue is discovered after the product has been released, the implications go beyond the expensive cost of the repair; the physical ergonomics problem can affect the worker’s comfort, productivity, and product quality. Virtual reality and digital human modeling are often employed in Industry 4.0 to evaluate ergonomics, but they are rarely used to examine physical ergonomics throughout the product development phases. Our study presents design guidelines to combine virtual reality and digital human modeling to anticipate the physical ergonomics evaluations of the assembly process while the product is still in development. Based on physical observations of body-posture angles and total effort classification, our proof of concept performed comparably to conventional methods. We also observed comparable results when we analyzed attributive factors such as hand clearance and strength. In contrast, our proof of concept has been shown to be limited for occupations involving extra ergonomic physical risk factors, such as touch perception, temperature fluctuations, or size changes. Full article
(This article belongs to the Special Issue Integration of Digital Simulation Models in Smart Manufacturing)
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11 pages, 235 KB  
Article
Effects of Physical Activity Level, Strength, Balance, and Body Composition on Perceived Health in Healthy Adults
by José Manuel Delfa-de-la-Morena, Pedro Pinheiro Paes, Frederico Camarotti Júnior, Débora Priscila Lima de Oliveira, Rubem Cordeiro Feitosa, Byanka Santos Cavalcante de Oliveira, Juan-José Mijarra-Murillo, Aranzazu Martínez Moya, Miriam García-González and Francisco De Asís-Fernández
Sports 2025, 13(1), 19; https://doi.org/10.3390/sports13010019 - 13 Jan 2025
Viewed by 1736
Abstract
Background: Nowadays, not only is a high, long life expectancy desired, but also longevity with quality. Quality of life in adulthood is a multidimensional construct related to the perception of one’s own health, psychological and socio-emotional factors, functionality for daily activities, and body [...] Read more.
Background: Nowadays, not only is a high, long life expectancy desired, but also longevity with quality. Quality of life in adulthood is a multidimensional construct related to the perception of one’s own health, psychological and socio-emotional factors, functionality for daily activities, and body composition. Objective: This study evaluates the effects of physical activity level (PAL), strength, balance, and body composition on perceived health in healthy adults. Methods: An observational, cross-sectional study with consecutive, non-probabilistic inclusion of cases was conducted. Body fat percentage (BFP) was measured by DXA. Physical activity level was assessed using accelerometry. The strength index (S_Index) was estimated using dynamometry. Postural control was assessed through posturography. The composite equilibrium score from the Sensory Organization Test (SOT_CES) was conducted to measure postural stability under various sensory conditions using dynamic posturography. Perceived health was calculated using the SF36 questionnaire, which detects health states, both positive and negative. A linear regression model was generated between each domain of SF36 with SOT_CES, BFP, PAL, and S_Index. Results: A total of 64 males with a mean age of 55 ± 5 years and a mean body mass index of 27 ± 4 kg/m2 were recruited. Results showed a negative correlation between physical function (ß = −0.7; t = −3.163; p = 0.003; R2 = 23.7%) and general health (ß = −0.227; t = −3.425; p = 0.001; R2 = 17.4%) with BFP. Also, it showed a negative correlation between physical function (ß = 0.047; t = −2.643; p = 0.011; R2 = 17.5%) and general health (ß = 0.016; t = −3.044; p = 0.004; R2 = 14.6%) with S_Index. On the other hand, no relation was observed between SF36 and SOT_CES. Finally, only the emotional role showed a positive correlation (ß = −0.02; t = −2.629; p = 0.011; R2 = 23.1%) with PAL. Conclusion: A lower BFP and higher S_Index are associated with increased physical function and general health. Also, the higher the PAL, the greater the emotional health. On the other hand, no relation was observed between SF36 and the balance detected from SOT_CES. Full article
24 pages, 8881 KB  
Article
Research on Multimodal Control Method for Prosthetic Hands Based on Visuo-Tactile and Arm Motion Measurement
by Jianwei Cui and Bingyan Yan
Biomimetics 2024, 9(12), 775; https://doi.org/10.3390/biomimetics9120775 - 19 Dec 2024
Cited by 1 | Viewed by 1521
Abstract
The realization of hand function reengineering using a manipulator is a research hotspot in the field of robotics. In this paper, we propose a multimodal perception and control method for a robotic hand to assist the disabled. The movement of the human hand [...] Read more.
The realization of hand function reengineering using a manipulator is a research hotspot in the field of robotics. In this paper, we propose a multimodal perception and control method for a robotic hand to assist the disabled. The movement of the human hand can be divided into two parts: the coordination of the posture of the fingers, and the coordination of the timing of grasping and releasing objects. Therefore, we first used a pinhole camera to construct a visual device suitable for finger mounting, and preclassified the shape of the object based on YOLOv8; then, a filtering process using multi-frame synthesized point cloud data from miniature 2D Lidar, and DBSCAN algorithm clustering objects and the DTW algorithm, was proposed to further identify the cross-sectional shape and size of the grasped part of the object and realize control of the robot’s grasping gesture; finally, a multimodal perception and control method for prosthetic hands was proposed. To control the grasping attitude, a fusion algorithm based on information of upper limb motion state, hand position, and lesser toe haptics was proposed to realize control of the robotic grasping process with a human in the ring. The device designed in this paper does not contact the human skin, does not produce discomfort, and the completion rate of the grasping process experiment reached 91.63%, which indicates that the proposed control method has feasibility and applicability. Full article
(This article belongs to the Special Issue Bionic Technology—Robotic Exoskeletons and Prostheses: 2nd Edition)
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15 pages, 3407 KB  
Article
Evaluating the Accuracy of Virtual Reality in Replicating Real-Life Human Postures and Forces for Injury Risk Assessment
by Xiaoxu Ji, Xin Gao and Ethan Swierski
Sensors 2024, 24(21), 7049; https://doi.org/10.3390/s24217049 - 31 Oct 2024
Viewed by 1103
Abstract
The objective of this study was to assess the accuracy of virtual reality (VR) technology in replicating real-life environments for the adoption of appropriate human postures and forces. Despite the widespread implementation of VR in various applications, there is a lack of research [...] Read more.
The objective of this study was to assess the accuracy of virtual reality (VR) technology in replicating real-life environments for the adoption of appropriate human postures and forces. Despite the widespread implementation of VR in various applications, there is a lack of research evaluating the accuracy of human postures and sensory aspects in the VR environment compared to real-life scenarios. A total of twenty-two student participants were recruited for this study, which involved a common lifting task. Two specific poses were identified as having potentially excessive forces exerted on the lower back. By comparing the angles of seven anatomical joints in both the real environment and the VR environment at each pose, we observed that depth perception may influence posture adoption in the VR setting. Moreover, the presence of a physical load applied to both hands significantly influenced the postures adopted by participants compared to those in the VR environment. These deviations in postures directly led to significant differences in predicted spinal forces exerted on the lower back, which in turn could result in inaccurate assessments of injury risks and the design of injury prevention programs. Therefore, it is crucial to understand the accuracy of VR technology as a substitute for real-life environments. Full article
(This article belongs to the Section Wearables)
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23 pages, 27007 KB  
Article
An Intelligent Hand-Assisted Diagnosis System Based on Information Fusion
by Haonan Li and Yitong Zhou
Sensors 2024, 24(14), 4745; https://doi.org/10.3390/s24144745 - 22 Jul 2024
Cited by 3 | Viewed by 1682
Abstract
This research proposes an innovative, intelligent hand-assisted diagnostic system aiming to achieve a comprehensive assessment of hand function through information fusion technology. Based on the single-vision algorithm we designed, the system can perceive and analyze the morphology and motion posture of the patient’s [...] Read more.
This research proposes an innovative, intelligent hand-assisted diagnostic system aiming to achieve a comprehensive assessment of hand function through information fusion technology. Based on the single-vision algorithm we designed, the system can perceive and analyze the morphology and motion posture of the patient’s hands in real time. This visual perception can provide an objective data foundation and capture the continuous changes in the patient’s hand movement, thereby providing more detailed information for the assessment and providing a scientific basis for subsequent treatment plans. By introducing medical knowledge graph technology, the system integrates and analyzes medical knowledge information and combines it with a voice question-answering system, allowing patients to communicate and obtain information effectively even with limited hand function. Voice question-answering, as a subjective and convenient interaction method, greatly improves the interactivity and communication efficiency between patients and the system. In conclusion, this system holds immense potential as a highly efficient and accurate hand-assisted assessment tool, delivering enhanced diagnostic services and rehabilitation support for patients. Full article
(This article belongs to the Special Issue Artificial Intelligence for Medical Sensing)
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21 pages, 4976 KB  
Article
The Effect of Training on Localizing HoloLens-Generated 3D Sound Sources
by Wonyeol Ryu, Sukhan Lee and Eunil Park
Sensors 2024, 24(11), 3442; https://doi.org/10.3390/s24113442 - 27 May 2024
Cited by 1 | Viewed by 1655
Abstract
Sound localization is a crucial aspect of human auditory perception. VR (virtual reality) technologies provide immersive audio platforms that allow human listeners to experience natural sounds based on their ability to localize sound. However, the simulations of sound generated by these platforms, which [...] Read more.
Sound localization is a crucial aspect of human auditory perception. VR (virtual reality) technologies provide immersive audio platforms that allow human listeners to experience natural sounds based on their ability to localize sound. However, the simulations of sound generated by these platforms, which are based on the general head-related transfer function (HRTF), often lack accuracy in terms of individual sound perception and localization due to significant individual differences in this function. In this study, we aimed to investigate the disparities between the perceived locations of sound sources by users and the locations generated by the platform. Our goal was to determine if it is possible to train users to adapt to the platform-generated sound sources. We utilized the Microsoft HoloLens 2 virtual platform and collected data from 12 subjects based on six separate training sessions arranged in 2 weeks. We employed three modes of training to assess their effects on sound localization, in particular for studying the impacts of multimodal error, visual, and sound guidance in combination with kinesthetic/postural guidance, on the effectiveness of the training. We analyzed the collected data in terms of the training effect between pre- and post-sessions as well as the retention effect between two separate sessions based on subject-wise paired statistics. Our findings indicate that, as far as the training effect between pre- and post-sessions is concerned, the effect is proven to be statistically significant, in particular in the case wherein kinesthetic/postural guidance is mixed with visual and sound guidance. Conversely, visual error guidance alone was found to be largely ineffective. On the other hand, as far as the retention effect between two separate sessions is concerned, we could not find any meaningful statistical implication on the effect for all three error guidance modes out of the 2-week session of training. These findings can contribute to the improvement of VR technologies by ensuring they are designed to optimize human sound localization abilities. Full article
(This article belongs to the Special Issue Feature Papers in Intelligent Sensors 2024)
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17 pages, 5681 KB  
Article
Visual Perception and Multimodal Control: A Novel Approach to Designing an Intelligent Badminton Serving Device
by Fulai Jiang, Yuxuan Lin, Rui Ming, Chuan Qin, Yangjie Wu, Yuhui Liu and Haibo Luo
Machines 2024, 12(5), 331; https://doi.org/10.3390/machines12050331 - 13 May 2024
Cited by 3 | Viewed by 1955
Abstract
Addressing the current issue of limited control methods for badminton serving devices, this paper proposes a vision-based multimodal control system and method for badminton serving. The system integrates computer vision recognition technology with traditional control methods for badminton serving devices. By installing vision [...] Read more.
Addressing the current issue of limited control methods for badminton serving devices, this paper proposes a vision-based multimodal control system and method for badminton serving. The system integrates computer vision recognition technology with traditional control methods for badminton serving devices. By installing vision capture devices on the serving device, the system identifies various human body postures. Based on the content of posture information, corresponding control signals are sent to adjust parameters such as launch angle and speed, enabling multiple modes of serving. Firstly, the hardware design for the badminton serving device is presented, including the design of the actuator module through 3D modeling. Simultaneously, an embedded development board circuit is designed to meet the requirements of multimodal control. Secondly, in the aspect of visual perception for human body recognition, an improved BlazePose candidate region posture recognition algorithm is proposed based on existing posture recognition algorithms. Furthermore, mappings between posture information and hand information are established to facilitate parameter conversion for the serving device under different postures. Finally, extensive experiments validate the feasibility and stability of the developed system and method. Full article
(This article belongs to the Special Issue Advanced Methodology of Intelligent Control and Measurement)
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9 pages, 1127 KB  
Article
Non-Linear Measures of Postural Control in Response to Painful and Non-Painful Visual Stimuli
by Alexandre Vonesch, Cassandre Duhot, Thierry Lelard, Guillaume Léonard, Michalina Błażkiewicz and Harold Mouras
Entropy 2023, 25(11), 1561; https://doi.org/10.3390/e25111561 - 19 Nov 2023
Cited by 6 | Viewed by 2022
Abstract
Over the past decade, researchers have focused on studying the functional context of perceiving painful stimuli, particularly concerning the posturographic correlates of emotional processing. The aim of this study was to investigate the differential modulation of non-linear measures characterizing postural control in the [...] Read more.
Over the past decade, researchers have focused on studying the functional context of perceiving painful stimuli, particularly concerning the posturographic correlates of emotional processing. The aim of this study was to investigate the differential modulation of non-linear measures characterizing postural control in the context of perceiving painful stimuli. The study involved 36 healthy young participants who, while standing, viewed images depicting feet and hands in painful or non-painful situations, both actively (by imagining themselves affected by the situation) and passively. For Center of Pressure (COP) displacement, three non-linear measures (Sample Entropy, Fractal Dimension, and Lyapunov exponent) were calculated. The results suggest lower values of FD and LyE in response to active stimulation compared to those recorded for passive stimulation. Above all, our results pledge for the usefulness of the Lyapunov exponent for assessing postural modulation dynamics in response to painful stimuli perception. The feasibility of this calculation could provide an interesting insight in the collection of biomarkers related to postural correlates of emotional processes and their modulation in neurological disease where socio-affective functions can be often impaired before cognitive ones. Full article
(This article belongs to the Section Multidisciplinary Applications)
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11 pages, 1848 KB  
Article
The Effect of Roll Circular Vection on Roll Tilt Postural Responses and Roll Subjective Postural Horizontal of Healthy Normal Subjects
by Taylor W. Cleworth, John H. J. Allum, Emma I. Nielsen and Mark G. Carpenter
Brain Sci. 2023, 13(11), 1502; https://doi.org/10.3390/brainsci13111502 - 24 Oct 2023
Cited by 1 | Viewed by 2067
Abstract
Background: Falls and related injuries are critical issues in several disease states, as well as aging, especially when interactions between vestibular and visual sensory inputs are involved. Slow support surface tilt (0.6 deg/s) followed by subjective postural horizontal (SPH) assessments have been [...] Read more.
Background: Falls and related injuries are critical issues in several disease states, as well as aging, especially when interactions between vestibular and visual sensory inputs are involved. Slow support surface tilt (0.6 deg/s) followed by subjective postural horizontal (SPH) assessments have been proposed as a viable method for assessing otolith contributions to balance control. Previous assessments of perceived body alignment to vertical, including subjective visual vertical, have suggested that visual inputs are weighted more when vestibular information is near the threshold and less reliable during slow body tilt. To date, no studies have examined the influence of visual stimuli on slow roll-tilt postural responses and the SPH. Therefore, this study investigated how dynamic visual cues, in the form of circular vection (CV), influence postural responses and the perception of the horizontal during and after support surface tilt. Methods: Ten healthy young adults (6 female, mean age 23) wore a head-mounted display while standing on a tilting platform. Participants were asked to remain upright for 30 s, during which (1) the visual scene rotated, inducing roll CV clockwise (CW) or counter-clockwise (CCW) at 60°/s; (2) the platform only (PO) rotated in roll to test SPH (0.6°/s, 2°, CW or CCW); (3) a combination of both; or (4) neither occurred. During SPH trials, participants used a hand-held device to reset the position of the platform to 0.8°/s to their perceived SPH. The angular motion of body segments was measured using pairs of light-emitting diodes mounted on the head, trunk and pelvis. Segment motion, prior to platform motion, was compared to that at peak body motion induced by platform motion and when SPH had been set. Results: When the support surface was tilted 2°, peak upper body tilt significantly increased for congruent CV and platform tilt and decreased at the pelvis for incongruent CV when compared to PO, leading to significant differences across body segments for congruent and incongruent conditions (p ≤ 0.008). During PO, participants’ mean SPH deviated from horizontal by 0.2°. The pelvis deviated 0.2°, the trunk 0.3°, and the head 0.5° in the direction of initial platform rotation. When platform tilt and CV directions were congruent or incongruent, only head tilt at SPH reset under congruent conditions was significantly different from the PO condition (1.7° vs. 0.5°). Conclusions: Roll CV has a significant effect on phasic body responses and a less significant effect on tonic body responses to lateral tilt. The SPH of the support surface was not altered by CV. Responses during tilt demonstrated enhanced reactions for congruent and reduced reactions for incongruent CV, both different from responses to CV alone. Tonic body displacements associated with SPH were changed less than those during tilt and were only slightly larger than displacements for CV alone. This study supports the hypothesis of weighted multisensory integration during dynamic postural tasks being highly dependent on the direction of visual cues during tilt and less dependent on tonic SPH offsets. These techniques could be used to examine vestibular and visual interactions within clinical populations, particularly those with visual vertigo and dizziness. Full article
(This article belongs to the Special Issue Vestibular Neurology)
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13 pages, 4441 KB  
Article
Study on the Design and Performance of a Glove Based on the FBG Array for Hand Posture Sensing
by Hongcheng Rao, Binbin Luo, Decao Wu, Pan Yi, Fudan Chen, Shenghui Shi, Xue Zou, Yuliang Chen and Mingfu Zhao
Sensors 2023, 23(20), 8495; https://doi.org/10.3390/s23208495 - 16 Oct 2023
Cited by 12 | Viewed by 2761
Abstract
This study introduces a new wearable fiber-optic sensor glove. The glove utilizes a flexible material, polydimethylsiloxane (PDMS), and a silicone tube to encapsulate fiber Bragg gratings (FBGs). It is employed to enable the self-perception of hand posture, gesture recognition, and the prediction of [...] Read more.
This study introduces a new wearable fiber-optic sensor glove. The glove utilizes a flexible material, polydimethylsiloxane (PDMS), and a silicone tube to encapsulate fiber Bragg gratings (FBGs). It is employed to enable the self-perception of hand posture, gesture recognition, and the prediction of grasping objects. The investigation employs the Support Vector Machine (SVM) approach for predicting grasping objects. The proposed fiber-optic sensor glove can concurrently monitor the motion of 14 hand joints comprising 5 metacarpophalangeal joints (MCP), 5 proximal interphalangeal joints (PIP), and 4 distal interphalangeal joints (DIP). To expand the measurement range of the sensors, a sinusoidal layout incorporates the FBG array into the glove. The experimental results indicate that the wearable sensing glove can track finger flexion within a range of 0° to 100°, with a modest minimum measurement error (Error) of 0.176° and a minimum standard deviation (SD) of 0.685°. Notably, the glove accurately detects hand gestures in real-time and even forecasts grasping actions. The fiber-optic smart glove technology proposed herein holds promising potential for industrial applications, including object grasping, 3D displays via virtual reality, and human–computer interaction. Full article
(This article belongs to the Special Issue Fiber Grating Sensors and Applications)
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22 pages, 1889 KB  
Article
Relevance of Surface Electromyography Assessment and Sleep Impairment in Scoliosis: A Pilot Study
by Denisa Piele, Eva Ilie, Ligia Rusu and Mihnea Ion Marin
Appl. Sci. 2023, 13(19), 11108; https://doi.org/10.3390/app131911108 - 9 Oct 2023
Cited by 2 | Viewed by 2450
Abstract
Background: According to statistics, worldwide, the number of young persons diagnosed with idiopathic scoliosis has tripled in the last 10 years. This tendency seems to be related to the development of technological devices that induce vicious postures. Specialized literature shows that the predicted [...] Read more.
Background: According to statistics, worldwide, the number of young persons diagnosed with idiopathic scoliosis has tripled in the last 10 years. This tendency seems to be related to the development of technological devices that induce vicious postures. Specialized literature shows that the predicted evolution will lead to a tripling of the population affected by scoliosis by 2050. Associated complications can be most varied, with functional or respiratory and cardiac impairment being the most severe. The purpose of this study is to objectify the effect of associating Schroth therapy with general elements of global postural reeducation (GPR) therapy in the treatment of scoliosis using electromyography, scoliosis assessment scales, and sleep quality evaluation. The present study is addressed to scoliotic patients. Methods: In order to assess the muscle imbalance installed in scoliosis, we have used SEMG, while Epworth, Baecke, and SAQ scales assessed sleepiness, physical activity levels, and self-perception of the scoliotic patient. Results: After performing a therapeutic protocol that combines Schroth and global postural reeducation (GPR) exercises, an improvement of the functional status was observed for the scoliotic patients. The statistical analysis presents a favorable symmetry index during flexion (p = 0.042), a significant difference in the Epworth score (p = 0.002), as well as a significant difference in the SAQ2 score (p = 0.049). Conclusion: Early detection of scoliosis prevents functional degradation. On the other hand, developing an adequate therapeutic protocol leads to an improved functional status and increased life quality. Full article
(This article belongs to the Special Issue Physical Activity and Sleep Duration on Health)
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17 pages, 342 KB  
Review
Virtual Reality Induced Symptoms and Effects: Concerns, Causes, Assessment & Mitigation
by Nathan O. Conner, Hannah R. Freeman, J. Adam Jones, Tony Luczak, Daniel Carruth, Adam C. Knight and Harish Chander
Virtual Worlds 2022, 1(2), 130-146; https://doi.org/10.3390/virtualworlds1020008 - 1 Nov 2022
Cited by 30 | Viewed by 8249
Abstract
The utilization of commercially available virtual reality (VR) environments has increased over the last decade. Motion sickness that is commonly reported while using VR devices is still prevalent and reported at a higher than acceptable rate. The virtual reality induced symptoms and effects [...] Read more.
The utilization of commercially available virtual reality (VR) environments has increased over the last decade. Motion sickness that is commonly reported while using VR devices is still prevalent and reported at a higher than acceptable rate. The virtual reality induced symptoms and effects (VRISE) are considered the largest barrier to widespread usage. Current measurement methods have uniform use across studies but are subjective and are not designed for VR. VRISE and other motion sickness symptom profiles are similar but not exactly the same. Common objective physiological and biomechanical as well as subjective perception measures correlated with VRISE should be used instead. Many physiological biomechanical and subjective changes evoked by VRISE have been identified. There is a great difficulty in claiming that these changes are directly caused by VRISE due to numerous other factors that are known to alter these variables resting states. Several theories exist regarding the causation of VRISE. Among these is the sensory conflict theory resulting from differences in expected and actual sensory input. Reducing these conflicts has been shown to decrease VRISE. User characteristics contributing to VRISE severity have shown inconsistent results. Guidelines of field of view (FOV), resolution, and frame rate have been developed to prevent VRISE. Motion-to-photons latency movement also contributes to these symptoms and effects. Intensity of content is positively correlated to VRISE, as is the speed of navigation and oscillatory displays. Duration of immersion shows greater VRISE, though adaptation has been shown to occur from multiple immersions. The duration of post immersion VRISE is related to user history of motion sickness and speed of onset. Cognitive changes from VRISE include decreased reaction time and eye hand coordination. Methods to lower VRISE have shown some success. Postural control presents a potential objective variable for predicting and monitoring VRISE intensity. Further research is needed to lower the rate of VRISE symptom occurrence as a limitation of use. Full article
14 pages, 735 KB  
Article
High Definition tDCS Effect on Postural Control in Healthy Individuals: Entropy Analysis of a Crossover Clinical Trial
by Diandra B. Favoretto, Eduardo Bergonzoni, Diego Carvalho Nascimento, Francisco Louzada, Tenysson W. Lemos, Rosangela A. Batistela, Renato Moraes, João P. Leite, Brunna P. Rimoli, Dylan J. Edwards and Taiza G. S. Edwards
Appl. Sci. 2022, 12(5), 2703; https://doi.org/10.3390/app12052703 - 5 Mar 2022
Cited by 2 | Viewed by 2973
Abstract
Objective: Converging evidence supporting an effect of transcranial direct current stimulation (tDCS) on postural control and human verticality perception highlights this strategy as promising for post-stroke rehabilitation. We have previously demonstrated polarity-dependent effects of high-definition tDCS (HD-tDCS) on weight-bearing asymmetry. However, there is [...] Read more.
Objective: Converging evidence supporting an effect of transcranial direct current stimulation (tDCS) on postural control and human verticality perception highlights this strategy as promising for post-stroke rehabilitation. We have previously demonstrated polarity-dependent effects of high-definition tDCS (HD-tDCS) on weight-bearing asymmetry. However, there is no investigation regarding the time-course of effects on postural control induced by HD-tDCS protocols. Thus, we performed a nonlinear time series analysis focusing on the entropy of the ground reaction force as a secondary investigation of our randomized, double-blind, placebo-controlled, crossover clinical trial. Materials and Methods: Twenty healthy right-handed young adults received the following conditions (random order, separate days); anode center HD-tDCS, cathode center HD-tDCS or sham HD-tDCS at 1, 2, and 3 mA over the right temporo-parietal junction (TPJ). Using summarized time series of transfer entropy, we evaluated the exchanging information (causal direction) between both force plates and compared the dose-response across the healthy subjects with a Generalized Linear Hierarchical/Mixed Model (GLMM). Results: We found significant variation during the dynamic information flow (p < 0.001) among the dominant bodyside (and across time). A greater force transfer entropy was observed from the right to the left side during the cathode-center HD-tDCS up to 2 mA, with a causal relationship in the information flow (equilibrium force transfer) from right to left that decreased over time. Conclusions: HD-tDCS intervention induced a dynamic influence over time on postural control entropy. Right hemisphere TPJ stimulation using cathode-center HD-tDCS can induce an asymmetry of body weight distribution towards the ipsilateral side of stimulation. These results support the clinical potential of HD-tDCS for post-stroke rehabilitation. Full article
(This article belongs to the Special Issue Data Science, Statistics and Visualization)
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11 pages, 989 KB  
Article
An Investigation of the Effects of Drill Operator Posture on Vibration Exposure and Temporary Threshold Shift of Vibrotactile Perception Threshold
by Mark Taylor, Setsuo Maeda and Kazuhisa Miyashita
Vibration 2021, 4(2), 395-405; https://doi.org/10.3390/vibration4020025 - 3 May 2021
Cited by 6 | Viewed by 3400
Abstract
The present study involved performing an experiment to clarify whether vibration measurement values on the tool handle, in accordance with ISO 5349-1, can assess risk from workplace environments. The study investigated the relationship between the vibration magnitude of a hand-held electric drill with [...] Read more.
The present study involved performing an experiment to clarify whether vibration measurement values on the tool handle, in accordance with ISO 5349-1, can assess risk from workplace environments. The study investigated the relationship between the vibration magnitude of a hand-held electric drill with different operating postures. The experiment included the determination of the participant’s temporary threshold shift (TTS) of vibrotactile perception threshold (VPT) at the tip of the index finger. The experimental hypothesis was that the vibration measurement values on the tool handle, in accordance with the ISO 5349-1 standard, include the effect of posture on the vibration measurements obtained despite the variation in posture and test participants. The hand-transmitted vibration (HTV) was applied using a hand-held electric drill applied to a pre-cast concrete paving slab substrate (600 × 600 × 50 mm, 55 MPa) using a 10 mm diameter masonry drill bit (without hammer action). The tool was operated using the right hand on twelve male subjects with three working postures (n = 36). Vibration was measured in three orthogonal directions according to the international standard ISO 5349-1 procedure. Vibration magnitudes were expressed as root-mean-square (r.m.s.) acceleration, frequency-weighted using the Wh frequency weighting. Clause 4.3 states that the characterisation of the vibration exposure is assessed from the acceleration of the surface in contact with the hand as the primary quantity. The experimental results indicate that the TTS following vibration exposure is not related to the measured vibration magnitude on the tool handle. Therefore, the automatic inclusion of posture and test participant variation is not proven. The results suggest that the vibration measurement values on the tool handle do not predict the TTS after hand-transmitted vibration in varying posture across the test participants. The research concludes that tool handle vibration measurement, in accordance with ISO 5349-1, does not properly assess the potential hazard from authentic workplace tool usage conditions of varying postures. Full article
(This article belongs to the Special Issue Human Response to Vibration)
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14 pages, 338 KB  
Article
Vitamin B12 Supplementation in Diabetic Neuropathy: A 1-Year, Randomized, Double-Blind, Placebo-Controlled Trial
by Triantafyllos Didangelos, Eleni Karlafti, Evangelia Kotzakioulafi, Eleni Margariti, Parthena Giannoulaki, Georgios Batanis, Solomon Tesfaye and Kοnstantinos Kantartzis
Nutrients 2021, 13(2), 395; https://doi.org/10.3390/nu13020395 - 27 Jan 2021
Cited by 93 | Viewed by 30544
Abstract
Aim: To investigate the effect of normalizing vitamin B12 (B12) levels with oral B12 (methylcobalamin) 1000 μg/day for one year in patients with diabetic neuropathy (DN). Patients and methods: In this prospective, double-blind, placebo-controlled trial, 90 patients with type 2 diabetes on metformin [...] Read more.
Aim: To investigate the effect of normalizing vitamin B12 (B12) levels with oral B12 (methylcobalamin) 1000 μg/day for one year in patients with diabetic neuropathy (DN). Patients and methods: In this prospective, double-blind, placebo-controlled trial, 90 patients with type 2 diabetes on metformin for at least four years and both peripheral and autonomic DN were randomized to an active treatment group (n = 44) receiving B12 and a control group (n = 46) receiving a placebo. All patients had B12 levels less than 400 pmol/L. Subjects underwent measurements of sural nerve conduction velocity (SNCV), sural nerve action potential (amplitude) (SNAP), and vibration perception threshold (VPT), and they performed cardiovascular autonomic reflex tests (CARTs: mean circular resultant (MCR), Valsalva test, postural index, and orthostatic hypotension). Sudomotor function was assessed with the SUDOSCAN that measures electrochemical skin conductance in hands and feet (ESCH and ESCF, respectively). We also used the Michigan Neuropathy Screening Instrument Questionnaire and Examination (MNSIQ and MNSIE, respectively) and questionnaires to evaluate quality of life (QoL) and level of pain (pain score). Results: B12 levels increased from 232.0 ± 71.8 at baseline to 776.7 ± 242.3 pmol/L at follow-up, p < 0.0001, in the active group but not in the control group. VPT, MNSIQ, QoL, pain score, SNCV, SNAP, and ESCF significantly improved in the active group (p < 0.001, p = 0.002, p < 0.0001, p < 0.000, p < 0.0001, p < 0.0001, and p = 0.014, respectively), whereas CARTS and MNSIE improved but not significantly. MCR, MNSIQ, SNCV, SNAP, and pain score significantly deteriorated in the control group (p = 0.025, p = 0.017, p = 0.045, p < 0.0001, and p < 0.0001, respectively). Conclusions: The treatment of patients with DN with 1 mg of oral methylcobalamin for twelve months increased plasma B12 levels and improved all neurophysiological parameters, sudomotor function, pain score, and QoL, but it did not improve CARTS and MNSIE. Full article
(This article belongs to the Special Issue Dietary Intake and Diabetes)
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