Cadence Feedback and Video-Based Engagement Improves Motivation and Performance during Pedalling in Stroke Patients
Video and music as a dissociative attention stimulus during exercise is known to distract from the discomfort of physical exertion and improve exercise adherence; however, the influence of video-based feedback and engagement during pedalling on the performance and motivation of pedalling in stroke p...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/12/14/7281 |
| _version_ | 1827597991477772288 |
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| author | Mukesh Soni Tissa Wijeratne David Ackland |
| author_facet | Mukesh Soni Tissa Wijeratne David Ackland |
| author_sort | Mukesh Soni |
| collection | DOAJ |
| description | Video and music as a dissociative attention stimulus during exercise is known to distract from the discomfort of physical exertion and improve exercise adherence; however, the influence of video-based feedback and engagement during pedalling on the performance and motivation of pedalling in stroke patients is poorly understood. The aim of this study was to employ a novel video-based engagement paradigm for pedalling in stroke patients and evaluate its capacity to influence the cadence control, physiological output, and perceived motivation and enjoyment. Thirteen stroke patients were recruited with low-to-moderate lower-limb disability (mean age: 64.0 yrs.). A reference group of 18 healthy young adult subjects (mean age: 27.7 yrs.) was also recruited to assess the broad applicability of the techniques to a contrasting non-pathological cohort. The participants pedalled at a slow (60 RPM) and fast (100 RPM) target speed with constant resistance in 15 min pedalling bouts that included (i) baseline pedalling with real-time visual feedback of cadence deviation from the target provided only in the first 20 s (ii) real-time visual feedback of cadence data over the entire pedalling session, and (iii) real-time engagement to maintain the playback rate of a prerecorded video by pedalling at the target speed. During low speed pedalling, stroke patients demonstrated significantly smaller absolute cadence deviation during pedalling with feedback (mean difference: 1.8 RPM, <i>p</i> = 0.014) and video-based engagement (mean difference: 2.4 RPM, <i>p</i> = 0.006) compared to the baseline pedalling. For the healthy adults, feedback and video-based engagement reduced cadence deviation significantly at all speeds (<i>p</i> < 0.05). All but one stroke patient either enjoyed or really enjoyed the video engagement during pedalling and felt motivated to undertake this form of exercise in therapy in the future. This proof-of-concept study showed that feedback and video-based engagement may improve the targeted pedalling performance in stroke patients, and by helping dissociate subjects from physical cues associated with fatigue, may ultimately improve exercise motivation and compliance. |
| first_indexed | 2024-03-09T03:43:11Z |
| format | Article |
| id | doaj.art-2d8aeb6733c843c8afe0997a2c838dff |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-09T03:43:11Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-2d8aeb6733c843c8afe0997a2c838dff2023-12-03T14:37:34ZengMDPI AGApplied Sciences2076-34172022-07-011214728110.3390/app12147281Cadence Feedback and Video-Based Engagement Improves Motivation and Performance during Pedalling in Stroke PatientsMukesh Soni0Tissa Wijeratne1David Ackland2Department of Biomedical Engineering, University of Melbourne, Parkville, VIC 3010, AustraliaDepartment of Medicine and Neurology, AIMSS, Melbourne Medical School, University of Melbourne and Western Health, Sunshine Hospital, St Albans, VIC 3021, AustraliaDepartment of Biomedical Engineering, University of Melbourne, Parkville, VIC 3010, AustraliaVideo and music as a dissociative attention stimulus during exercise is known to distract from the discomfort of physical exertion and improve exercise adherence; however, the influence of video-based feedback and engagement during pedalling on the performance and motivation of pedalling in stroke patients is poorly understood. The aim of this study was to employ a novel video-based engagement paradigm for pedalling in stroke patients and evaluate its capacity to influence the cadence control, physiological output, and perceived motivation and enjoyment. Thirteen stroke patients were recruited with low-to-moderate lower-limb disability (mean age: 64.0 yrs.). A reference group of 18 healthy young adult subjects (mean age: 27.7 yrs.) was also recruited to assess the broad applicability of the techniques to a contrasting non-pathological cohort. The participants pedalled at a slow (60 RPM) and fast (100 RPM) target speed with constant resistance in 15 min pedalling bouts that included (i) baseline pedalling with real-time visual feedback of cadence deviation from the target provided only in the first 20 s (ii) real-time visual feedback of cadence data over the entire pedalling session, and (iii) real-time engagement to maintain the playback rate of a prerecorded video by pedalling at the target speed. During low speed pedalling, stroke patients demonstrated significantly smaller absolute cadence deviation during pedalling with feedback (mean difference: 1.8 RPM, <i>p</i> = 0.014) and video-based engagement (mean difference: 2.4 RPM, <i>p</i> = 0.006) compared to the baseline pedalling. For the healthy adults, feedback and video-based engagement reduced cadence deviation significantly at all speeds (<i>p</i> < 0.05). All but one stroke patient either enjoyed or really enjoyed the video engagement during pedalling and felt motivated to undertake this form of exercise in therapy in the future. This proof-of-concept study showed that feedback and video-based engagement may improve the targeted pedalling performance in stroke patients, and by helping dissociate subjects from physical cues associated with fatigue, may ultimately improve exercise motivation and compliance.https://www.mdpi.com/2076-3417/12/14/7281rehabilitationtherapyexercise performancecadence control |
| spellingShingle | Mukesh Soni Tissa Wijeratne David Ackland Cadence Feedback and Video-Based Engagement Improves Motivation and Performance during Pedalling in Stroke Patients Applied Sciences rehabilitation therapy exercise performance cadence control |
| title | Cadence Feedback and Video-Based Engagement Improves Motivation and Performance during Pedalling in Stroke Patients |
| title_full | Cadence Feedback and Video-Based Engagement Improves Motivation and Performance during Pedalling in Stroke Patients |
| title_fullStr | Cadence Feedback and Video-Based Engagement Improves Motivation and Performance during Pedalling in Stroke Patients |
| title_full_unstemmed | Cadence Feedback and Video-Based Engagement Improves Motivation and Performance during Pedalling in Stroke Patients |
| title_short | Cadence Feedback and Video-Based Engagement Improves Motivation and Performance during Pedalling in Stroke Patients |
| title_sort | cadence feedback and video based engagement improves motivation and performance during pedalling in stroke patients |
| topic | rehabilitation therapy exercise performance cadence control |
| url | https://www.mdpi.com/2076-3417/12/14/7281 |
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