Learning and transfer of complex motor skills in virtual reality: a perspective review

The development of more effective rehabilitative interventions requires a better understanding of how humans learn and transfer motor skills in real-world contexts. Presently, clinicians design interventions to promote skill learning by relying on evidence from experimental paradigms involving simpl...

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Main Authors: Levac, Danielle E, Huber, Meghan E, Sternad, Dagmar
Other Authors: Massachusetts Institute of Technology. Department of Mechanical Engineering
Format: Article
Language:English
Published: BioMed Central 2020
Online Access:https://hdl.handle.net/1721.1/126250
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author Levac, Danielle E
Huber, Meghan E
Sternad, Dagmar
author2 Massachusetts Institute of Technology. Department of Mechanical Engineering
author_facet Massachusetts Institute of Technology. Department of Mechanical Engineering
Levac, Danielle E
Huber, Meghan E
Sternad, Dagmar
author_sort Levac, Danielle E
collection MIT
description The development of more effective rehabilitative interventions requires a better understanding of how humans learn and transfer motor skills in real-world contexts. Presently, clinicians design interventions to promote skill learning by relying on evidence from experimental paradigms involving simple tasks, such as reaching for a target. While these tasks facilitate stringent hypothesis testing in laboratory settings, the results may not shed light on performance of more complex real-world skills. In this perspective, we argue that virtual environments (VEs) are flexible, novel platforms to evaluate learning and transfer of complex skills without sacrificing experimental control. Specifically, VEs use models of real-life tasks that afford controlled experimental manipulations to measure and guide behavior with a precision that exceeds the capabilities of physical environments. This paper reviews recent insights from VE paradigms on motor learning into two pressing challenges in rehabilitation research: 1) Which training strategies in VEs promote complex skill learning? and 2) How can transfer of learning from virtual to real environments be enhanced? Defining complex skills by having nested redundancies, we outline findings on the role of movement variability in complex skill acquisition and discuss how VEs can provide novel forms of guidance to enhance learning. We review the evidence for skill transfer from virtual to real environments in typically developing and neurologically-impaired populations with a view to understanding how differences in sensory-motor information may influence learning strategies. We provide actionable suggestions for practicing clinicians and outline broad areas where more research is required. Finally, we conclude that VEs present distinctive experimental platforms to understand complex skill learning that should enable transfer from therapeutic practice to the real world.
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spelling mit-1721.1/1262502022-09-26T14:58:29Z Learning and transfer of complex motor skills in virtual reality: a perspective review Levac, Danielle E Huber, Meghan E Sternad, Dagmar Massachusetts Institute of Technology. Department of Mechanical Engineering The development of more effective rehabilitative interventions requires a better understanding of how humans learn and transfer motor skills in real-world contexts. Presently, clinicians design interventions to promote skill learning by relying on evidence from experimental paradigms involving simple tasks, such as reaching for a target. While these tasks facilitate stringent hypothesis testing in laboratory settings, the results may not shed light on performance of more complex real-world skills. In this perspective, we argue that virtual environments (VEs) are flexible, novel platforms to evaluate learning and transfer of complex skills without sacrificing experimental control. Specifically, VEs use models of real-life tasks that afford controlled experimental manipulations to measure and guide behavior with a precision that exceeds the capabilities of physical environments. This paper reviews recent insights from VE paradigms on motor learning into two pressing challenges in rehabilitation research: 1) Which training strategies in VEs promote complex skill learning? and 2) How can transfer of learning from virtual to real environments be enhanced? Defining complex skills by having nested redundancies, we outline findings on the role of movement variability in complex skill acquisition and discuss how VEs can provide novel forms of guidance to enhance learning. We review the evidence for skill transfer from virtual to real environments in typically developing and neurologically-impaired populations with a view to understanding how differences in sensory-motor information may influence learning strategies. We provide actionable suggestions for practicing clinicians and outline broad areas where more research is required. Finally, we conclude that VEs present distinctive experimental platforms to understand complex skill learning that should enable transfer from therapeutic practice to the real world. National Science Foundation (Grant NSF-EAGER-1548514) National Institutes of Health (Grants R01-HD087089, R01-HD081346, and R21-HD089731) 2020-07-17T20:09:00Z 2020-07-17T20:09:00Z 2019-10-18 2020-06-26T11:04:50Z Article http://purl.org/eprint/type/JournalArticle 1743-0003 https://hdl.handle.net/1721.1/126250 Levac, Danielle E., Meghan E. Huber, and Dagmar Sternad. "Learning and transfer of complex motor skills in virtual reality: a perspective review." Journal of NeuroEngineering and Rehabilitation. 16, 1 (Oct. 2019): no. 121 doi 10.1186/s12984-019-0587-8 ©2019 Author(s) en 10.1186/s12984-019-0587-8 Journal of NeuroEngineering and Rehabilitation Creative Commons Attribution https://creativecommons.org/licenses/by/4.0/ The Author(s). application/pdf BioMed Central BioMed Central
spellingShingle Levac, Danielle E
Huber, Meghan E
Sternad, Dagmar
Learning and transfer of complex motor skills in virtual reality: a perspective review
title Learning and transfer of complex motor skills in virtual reality: a perspective review
title_full Learning and transfer of complex motor skills in virtual reality: a perspective review
title_fullStr Learning and transfer of complex motor skills in virtual reality: a perspective review
title_full_unstemmed Learning and transfer of complex motor skills in virtual reality: a perspective review
title_short Learning and transfer of complex motor skills in virtual reality: a perspective review
title_sort learning and transfer of complex motor skills in virtual reality a perspective review
url https://hdl.handle.net/1721.1/126250
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