The Immediate Effects of Different Types of Augmented Feedback on Fast Walking Speed Performance and Intrinsic Motivation After Stroke
Objective: To examine the immediate effects of different types of augmented feedback on walking speed and intrinsic motivation post-stroke. Design: A within-subjects repeated-measures design. Setting: A university rehabilitation center. Participants: Eighteen individuals with chronic stroke hemipare...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-06-01
|
| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109523000174 |
| _version_ | 1827934679100030976 |
|---|---|
| author | Saleh M. Alhirsan, PT, MSc, PhD Carmen E. Capó-Lugo, PT, PhD Christopher P. Hurt, PhD Gitendra Uswatte, PhD Haiyan Qu, PhD David A. Brown, PT, PhD |
| author_facet | Saleh M. Alhirsan, PT, MSc, PhD Carmen E. Capó-Lugo, PT, PhD Christopher P. Hurt, PhD Gitendra Uswatte, PhD Haiyan Qu, PhD David A. Brown, PT, PhD |
| author_sort | Saleh M. Alhirsan, PT, MSc, PhD |
| collection | DOAJ |
| description | Objective: To examine the immediate effects of different types of augmented feedback on walking speed and intrinsic motivation post-stroke. Design: A within-subjects repeated-measures design. Setting: A university rehabilitation center. Participants: Eighteen individuals with chronic stroke hemiparesis with a mean age of 55.67±13.63 years and median stroke onset of 36 (24, 81) months (N=18). Interventions: Not applicable. Primary outcome: Fast walking speed measured on a robotic treadmill for 13 meters without feedback and 13 meters with augmented feedback on each of the 3 experimental conditions: (1) without virtual reality (VR), (2) with a simple VR interface, and (3) with VR-exergame. Intrinsic motivation was measured using the Intrinsic Motivation Inventory (IMI). Results: Although the differences were not statistically significant, fast-walking speed was higher in the augmented feedback without VR (0.86±0.44 m/s); simple VR interface (0.87±0.41 m/s); VR-exergame (0.87±0.44 m/s) conditions than in the fast-walking speed without feedback (0.81±0.40 m/s) condition. The type of feedback had a significant effect on intrinsic motivation (P=.04). The post hoc analysis revealed borderline significance on IMI-interest and enjoyment between the VR-exergame condition and the without-VR condition (P=.091). Conclusion: Augmenting feedback affected the intrinsic motivation and enjoyment of adults with stroke asked to walk fast on a robotic treadmill. Additional studies with larger samples are warranted to examine the relations among these aspects of motivation and ambulation training outcomes. |
| first_indexed | 2024-03-13T07:43:10Z |
| format | Article |
| id | doaj.art-c47f2bb04b92471d8d9cf82ccf7ad1f8 |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-03-13T07:43:10Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-c47f2bb04b92471d8d9cf82ccf7ad1f82023-06-03T04:22:39ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952023-06-0152100265The Immediate Effects of Different Types of Augmented Feedback on Fast Walking Speed Performance and Intrinsic Motivation After StrokeSaleh M. Alhirsan, PT, MSc, PhD0Carmen E. Capó-Lugo, PT, PhD1Christopher P. Hurt, PhD2Gitendra Uswatte, PhD3Haiyan Qu, PhD4David A. Brown, PT, PhD5Department of Physical Therapy, School of Applied Medical Sciences, Jouf University, Aljouf, Saudi Arabia; Department of Physical Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL; Corresponding author Saleh Alhirsan, PT, MSc, PhD, Physical Therapy Program, College of Applied Medical Sciences, Jouf University, CAMS, 72388 Airport Rd, Sakaka, Aljouf 42421, United States.Department of Physical Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, ALDepartment of Physical Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, ALDepartment of Psychology, College of Arts and Sciences, University of Alabama at Birmingham, Birmingham, ALDepartment of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, ALDivision of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston, TXObjective: To examine the immediate effects of different types of augmented feedback on walking speed and intrinsic motivation post-stroke. Design: A within-subjects repeated-measures design. Setting: A university rehabilitation center. Participants: Eighteen individuals with chronic stroke hemiparesis with a mean age of 55.67±13.63 years and median stroke onset of 36 (24, 81) months (N=18). Interventions: Not applicable. Primary outcome: Fast walking speed measured on a robotic treadmill for 13 meters without feedback and 13 meters with augmented feedback on each of the 3 experimental conditions: (1) without virtual reality (VR), (2) with a simple VR interface, and (3) with VR-exergame. Intrinsic motivation was measured using the Intrinsic Motivation Inventory (IMI). Results: Although the differences were not statistically significant, fast-walking speed was higher in the augmented feedback without VR (0.86±0.44 m/s); simple VR interface (0.87±0.41 m/s); VR-exergame (0.87±0.44 m/s) conditions than in the fast-walking speed without feedback (0.81±0.40 m/s) condition. The type of feedback had a significant effect on intrinsic motivation (P=.04). The post hoc analysis revealed borderline significance on IMI-interest and enjoyment between the VR-exergame condition and the without-VR condition (P=.091). Conclusion: Augmenting feedback affected the intrinsic motivation and enjoyment of adults with stroke asked to walk fast on a robotic treadmill. Additional studies with larger samples are warranted to examine the relations among these aspects of motivation and ambulation training outcomes.http://www.sciencedirect.com/science/article/pii/S2590109523000174FeedbackMotivationRehabilitationStrokeWalking speed |
| spellingShingle | Saleh M. Alhirsan, PT, MSc, PhD Carmen E. Capó-Lugo, PT, PhD Christopher P. Hurt, PhD Gitendra Uswatte, PhD Haiyan Qu, PhD David A. Brown, PT, PhD The Immediate Effects of Different Types of Augmented Feedback on Fast Walking Speed Performance and Intrinsic Motivation After Stroke Archives of Rehabilitation Research and Clinical Translation Feedback Motivation Rehabilitation Stroke Walking speed |
| title | The Immediate Effects of Different Types of Augmented Feedback on Fast Walking Speed Performance and Intrinsic Motivation After Stroke |
| title_full | The Immediate Effects of Different Types of Augmented Feedback on Fast Walking Speed Performance and Intrinsic Motivation After Stroke |
| title_fullStr | The Immediate Effects of Different Types of Augmented Feedback on Fast Walking Speed Performance and Intrinsic Motivation After Stroke |
| title_full_unstemmed | The Immediate Effects of Different Types of Augmented Feedback on Fast Walking Speed Performance and Intrinsic Motivation After Stroke |
| title_short | The Immediate Effects of Different Types of Augmented Feedback on Fast Walking Speed Performance and Intrinsic Motivation After Stroke |
| title_sort | immediate effects of different types of augmented feedback on fast walking speed performance and intrinsic motivation after stroke |
| topic | Feedback Motivation Rehabilitation Stroke Walking speed |
| url | http://www.sciencedirect.com/science/article/pii/S2590109523000174 |
| work_keys_str_mv | AT salehmalhirsanptmscphd theimmediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT carmenecapolugoptphd theimmediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT christopherphurtphd theimmediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT gitendrauswattephd theimmediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT haiyanquphd theimmediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT davidabrownptphd theimmediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT salehmalhirsanptmscphd immediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT carmenecapolugoptphd immediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT christopherphurtphd immediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT gitendrauswattephd immediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT haiyanquphd immediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke AT davidabrownptphd immediateeffectsofdifferenttypesofaugmentedfeedbackonfastwalkingspeedperformanceandintrinsicmotivationafterstroke |