Objective: The purpose of this pilot study was to investigate the effectiveness of a mixed-reality (MR) exercise environment on engagement and enjoyment levels of individuals with spinal cord injury (SCI) and intellectual and developmental disabilities (IDD). Methods: Six people participated in this cross-sectional, observational pilot study involving one MR exercise trial. The augmented reality environment was based on a first-person perspective video of a scenic biking/walking trail in Colorado. Males and females (mean age, 43.3 ± 13.7 years) were recruited from a research database for their participation in previous clinical studies. Of the 6 participants, 2 had SCI, 2 had IDD, and 2 were without disability. The primary outcome measurement of this pilot study was the self-reported engagement and enjoyment level of each participant after the exercise trial. Results: All participants reported increased levels of engagement, enjoyment, and immersion involving the MR exercise environment as well as positive feedback recommending this type of exercise approach to peers with similar disabilities. All the participants reported higher than normal levels of enjoyment and 66.7% reported higher than normal levels of being on a real trail. Conclusion: Participants’ feedback suggested that the MR environment could be entertaining, motivating, and engaging for users with disabilities, resulting in a foundation for further development of this technology for use in individuals with cognitive and physical disabilities.
Williamson J, Pahor M. Evidence regarding the benefits of physical exercise. Arch Intern Med. 2010;170(2):124–125.
,
Evidence regarding the benefits of physical exercise
, Arch Intern Med.
, vol. 170
(pg. 124
-125
) King NA, Horner K, Hills AP, et al. Exercise, appetite and weight management: Understanding the compensatory responses in eating behaviour and how they contribute to variability in exercise-induced weight loss. Br J Sports Med. 2012;46:315–322.
,
Exercise, appetite and weight management: Understanding the compensatory responses in eating behaviour and how they contribute to variability in exercise-induced weight loss
, Br J Sports Med.
, vol. 46
(pg. 315
-322
) Mattson MP. Energy intake and exercise as determinants of brain health and vulnerability to injury and disea,0se. Cell Metabolism. 2012;16(6):706–722.
,
Energy intake and exercise as determinants of brain health and vulnerability to injury and disea,0se
, Cell Metabolism.
, vol. 16
(pg. 706
-722
) Heyn PC, Johnson KE, Kramer AF. Endurance and strength training outcomes on cognitively impaired and cognitively intact older adults: A meta-analysis. J Nutr Health Aging. 2008;12(6):401–409.
,
Endurance and strength training outcomes on cognitively impaired and cognitively intact older adults: A meta-analysis
, J Nutr Health Aging.
, vol. 12
(pg. 401
-409
) Heyn P, Abreu BC, Ottenbacher KJ. The effects of exercise training on elderly persons with cognitive impairment and dementia: A meta-analysis. Arch Phys MedRehabil. 2004;85(10):1694–1704.
,
The effects of exercise training on elderly persons with cognitive impairment and dementia: A meta-analysis
, Arch Phys MedRehabil.
, vol. 85
(pg. 1694
-1704
) Heyn P. The effect of a multisensory exercise program on engagement, behavior, and selected physiological indexes in persons with dementia. Am J Alzheimer’s Dis Other Dementias. 2003;18(4):247–251.
,
The effect of a multisensory exercise program on engagement, behavior, and selected physiological indexes in persons with dementia
, Am J Alzheimer’s Dis Other Dementias.
, vol. 18
(pg. 247
-251
) Ströhle A. Physical activity, exercise, depression and anxiety disorders. J Neural Transmission. 2009;116(6):777–784.
,
Physical activity, exercise, depression and anxiety disorders
, J Neural Transmission.
, vol. 116
(pg. 777
-784
) Martin CK, Church TS, Thompson AM, Earnest CP, Blair SN. Exercise dose and quality of life: A randomized controlled trial. Arch Intern Med. 2009;169(3):269–278.
,
Exercise dose and quality of life: A randomized controlled trial
, Arch Intern Med.
, vol. 169
(pg. 269
-278
) Froehlich-Grobe K, Aaronson LS, Washburn RA, et al. An exercise trial for wheelchair users: Project workout on wheels. Contemp Clin Trials. 2012;33(2):351–363.
,
An exercise trial for wheelchair users: Project workout on wheels
, Contemp Clin Trials.
, vol. 33
(pg. 351
-363
) Rolfe DE, Yoshida K, Renwick R, Bailey C. Negotiating participation: How women living with disabilities address barriers to exercise. Health Care Women Int. 2009;30(8):743–766.
,
Negotiating participation: How women living with disabilities address barriers to exercise
, Health Care Women Int.
, vol. 30
(pg. 743
-766
) Kehn M, Kroll T. Staying physically active after spinal cord injury: A qualitative exploration of barriers and facilitators to exercise participation. BMC Public Health. 2009;9:168.
,
Staying physically active after spinal cord injury: A qualitative exploration of barriers and facilitators to exercise participation
, BMC Public Health.
, vol. 9
Rizzo AA, Wiederhold M, Buckwalter JG. Basic issues in the use of virtual environments for mental health applications. In: Riva G, et al., eds. Virtual Environments in Clinical Psychology and Neuroscience. Amsterdam: Ios Press: 1998:21–41.
,
Basic issues in the use of virtual environments for mental health applications.
, Virtual Environments in Clinical Psychology and Neuroscience.
(pg. 21
-41
) Schultheis MA, Himelstein J, Rizzo AA. Virtual reality and neuropsychology: Upgrading the current tools. J Head Trauma. 2002;17(5):378–394.
,
Virtual reality and neuropsychology: Upgrading the current tools
, J Head Trauma.
, vol. 17
(pg. 378
-394
) Heyn PC, Sangole AP, Abreu BC. The virtual reality exercise therapy program (VRET). Med Sci Sports Exercise. 2004;36(5):S222.
,
The virtual reality exercise therapy program (VRET)
, Med Sci Sports Exercise.
, vol. 36
Sveistrup H, McComas J, Thornton M, et al. Experimental studies of virtual reality-delivered compared to conventional exercise programs for rehabilitation. Cyberpsychol Behav. 2003;6(3):245–249.
,
Experimental studies of virtual reality-delivered compared to conventional exercise programs for rehabilitation
, Cyberpsychol Behav.
, vol. 6
(pg. 245
-249
) Heyn PC, Abreu BC, Ottenbacher KJ. The effects of a mixed-reality computer system on leisure activity for brain injury individuals: A pilot study. Med Sci Sports Exerc. 2006;38(5):S567.
,
The effects of a mixed-reality computer system on leisure activity for brain injury individuals: A pilot study
, Med Sci Sports Exerc.
, vol. 38
Grealy MA, Johnson DA, Rushton SK. Improving cognitive function after brain injury: The use of exercise and virtual reality. Arch Phys Med Rehabil. 1999;80(6):661–667.
,
Improving cognitive function after brain injury: The use of exercise and virtual reality
, Arch Phys Med Rehabil.
, vol. 80
(pg. 661
-667
) Holden MK, Todorov E. Use of virtual environments in motor learning and rehabilitation. In: Stanney MK, ed. Handbook of Virtual Environments: Design, Implementation, and Applications. Boca Raton, FL: CRC Press; 2002:999–1026.
,
Use of virtual environments in motor learning and rehabilitation.
, Handbook of Virtual Environments: Design, Implementation, and Applications.
(pg. 999
-1026
) Zhang L, Abreu BC, Masel B, Christiansen C, Ottenbacher K. A virtual reality environment for evaluation of daily functional task in brain injury rehabilitation: Reliability and validity. Arch Phys Med Rehabil. 2003;84(8):1118–1124.
,
A virtual reality environment for evaluation of daily functional task in brain injury rehabilitation: Reliability and validity
, Arch Phys Med Rehabil.
, vol. 84
(pg. 1118
-1124
) Lotan M, Yalon-Chamovitz S, Weiss PL. Virtual reality as means to improve physical fitness of individuals at a severe level of intellectual and developmental disability. Res Dev Disabil. 2010;31(4):869–874.
,
Virtual reality as means to improve physical fitness of individuals at a severe level of intellectual and developmental disability
, Res Dev Disabil.
, vol. 31
(pg. 869
-874
) Lotan M, Yalon-Chamovitz S, Weiss PL. Improving physical fitness of individuals with intellectual and developmental disability through a virtual reality intervention program. Res Dev Disabil. 2009;30(2):229–239.
,
Improving physical fitness of individuals with intellectual and developmental disability through a virtual reality intervention program
, Res Dev Disabil.
, vol. 30
(pg. 229
-239
) Carlozzi NE, Gade V, Rizzo AS, Tulsky DS. Using virtual reality driving simulators in persons with spinal cord injury: Three screen display versus head mounted display. Disabil Rehabil Assist Technol. 2013;8(2):176–180.
,
Using virtual reality driving simulators in persons with spinal cord injury: Three screen display versus head mounted display
, Disabil Rehabil Assist Technol.
, vol. 8
(pg. 176
-180
) Villiger M, Bohli D, Kiper D, et al. Virtual reality-augmented neurorehabilitation improves motor function and reduces neuropathic pain in patients with incomplete spinal cord injury. Neurorehabil Neural Repair. 2013. doi:10.1177/1545968313490999.
,
Virtual reality-augmented neurorehabilitation improves motor function and reduces neuropathic pain in patients with incomplete spinal cord injury
, Neurorehabil Neural Repair.
Witmer BG, Singer MJ. Measuring presence in virtual environments: A presence questionnaire. Presence. 1998;7(3):225–240.
,
Measuring presence in virtual environments: A presence questionnaire
, Presence.
, vol. 7
(pg. 225
-240
) Zimmerli L, Jacky M, Lünenburger L, Riener R, Bolliger M. Increasing patient engagement during virtual reality-based motor rehabilitation. Arch Phys Med Rehabil. 2013;94:1737–1746.
,
Increasing patient engagement during virtual reality-based motor rehabilitation
, Arch Phys Med Rehabil.
, vol. 94
(pg. 1737
-1746
) Oddsson LIE, Karlsson R, Konrad J, Ince S, Williams SR, Zemkova E. A rehabilitation tool for functional balance using altered gravity and virtual reality. J NeuroEngineering Rehabil. 2007;4:25.
,
A rehabilitation tool for functional balance using altered gravity and virtual reality
, J NeuroEngineering Rehabil.
, vol. 4
pg. 25
King CE, Wang PT, Chui LA, Do AH, Nenadic Z. Operation of a brain-computer interface walking simulator for individuals with spinal cord injury. J NeuroEngineering Rehabil. 2013;10:77.
,
Operation of a brain-computer interface walking simulator for individuals with spinal cord injury
, J NeuroEngineering Rehabil.
, vol. 10
pg. 77
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