Effects of long-term training with vibrotactile sensory augmentation

The smartphone balance trainer was designed to support clinic- and home-based training for community dwelling older adults and people with balance disorders.
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The smartphone balance trainer was designed to support clinic- and home-based training for community dwelling older adults and people with balance disorders.

Sensory augmentation (SA) provides additional information to complement intact sensory systems and/or replace damaged sensory systems. Vibrotactile SA systems for balance applications typically include one sensor to measure body motion and a vibrotactile display to provide instructional cues. The use of vibrotactile SA has been demonstrated to be effective in reducing the real-time body sway in various populations including young adults, older adults, individuals with vestibular disorders, individuals with Parkinson’s Disease and individuals with Stroke. However, to be used as a balance rehabilitation tool it is critical to understand if balance improvements persist after long-term training with vibrotactile SA. In our research, we specifically investigate 1) whether vibrotactile SA can be incorporated into vestibular rehabilitation to enhance the effectiveness in a clinical setting among individuals with vestibular disorders; 2) whether home-based balance training with vibrotactile SA leads to a greater balance improvement than home-based training alone among healthy community dwelling older adults and the retention effects over weeks and months post training; 3) whether home-based balance training with vibrotactile SA can help individuals with cerebellar ataxia to improve balance performance and functional outcome measures of ataxia.

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A physical therapist elicits information from a prospective end user to support the co-creation of a smart phone balance trainer.
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A study participant’s balance is assessed prior to the start of a long-term training study.

Funding Source

NSF (GARDE 1159635 and CAREER RAPD/GARDE-0846471)NIH (5R21DC012410-02)

University of Michigan Pepper Center (NIH RCDC/KL2 2P30AG024824-11)

Michigan Brain Initiative Working Group

Beck Babcox Research Fund

Rackham Graduate Student Research Grant

Collaborators

Wendy Carender

Geeta Peethambaran

Sue Whitney

Dr. Vikram Shakkottai

Rachael Seidler

Mohammed Kabeto