Influence of Virtual Reality on Lower Extremity Joint Kinematics During Overground Walking

The inability to regain balance following a trip-induced event is one of the leading causes of falls and fall-related injuries in older adults. Virtual reality (VR) has the potential to expose individuals to realistic environments with minimal injury risk compared to real-world exposures. The purpose of this study was to compare lower extremity joint kinematics during overground walking when exposed to real and virtually generated trip obstacles. A total of 14 healthy participants [7 male, 7 female; age: 23.46 ± 3.31 years; height: 173.85 ± 8.46 cm; mass: 82.19 ± 11.41 kg; shoe size (men’s): 9.03 ± 2.71 s] were recruited for this study. Knee and ankle joint kinematics were recorded during obstacle negotiation when exposed to REAL and VR environments. Environmental exposure was assigned in a counterbalanced order to prevent an order effect. Knee and ankle joint kinematics were independently analyzed using a 2 × 3 repeated measures ANOVA to compare environmental conditions and gait type of the lead leg and trail leg at an alpha level of 0.05. No significant differences were observed between environmental conditions. However, significant differences were observed between gait types of the lead leg and trail leg. Current findings reveal similar gait kinematics during obstacle negotiation when exposed to real and virtually generated trip obstacles, suggesting the potential transfer of skill in fall prevention strategies to real-world conditions.