Enhancing Exercise Intensity, Motivation and Enjoyment for Persons with PD: Comparing Visual Feedback and Competition in A Virtual Cycling Environment (VCYCLE)

提高帕金森病患者的运动强度、动力和乐趣：在虚拟自行车环境 (VCYCLE) 中比较视觉反馈和竞争

• 批准号: 10418641
• 负责人: John Palmieri
• 金额: $ 4.11万
• 依托单位: RBHS-SCHOOL/ HEALTH RELATED PROFESSIONS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-07 至 2023-04-06
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10418641
• 关键词: Address; Adherence; Adult; Affect; Animal Model; Applied Research; Area; Attention; Autonomic Dysfunction; Behavior; Bicycling; Bradykinesia; Cardiovascular system; Clinical; Clinical assessments; Cognitive deficits; Coupled; Data; Disease; Dopamine; Dopamine Receptor; Educational process of instructing; Elderly; Elements; Emotional; Engineering; Environment; Equilibrium; Equipment; Equipment and supply inventories; Exercise; Exertion; Fatigue; Feedback; Gait; Gait abnormality; Goals; Health; Heart Rate; Human Resources; Knowledge; Laboratories; Measures; Mental Depression; Mentors; Mentorship; Modeling; Motivation; Motor; Movement Disorder Society Unified Parkinson' s Disease Rating Scale; Nerve Degeneration; Neuraxis; Neurologic; Neuronal Plasticity; Parkinson Disease; Participant; Patients; Perception; Personal Satisfaction; Persons; Pharmacotherapy; Population; Posture; Program Accessibility; Quality of life; Rehabilitation therapy; Reporting; Research; Risk; Role; Scientist; Services; Severity of illness; Sleep disturbances; Speed; Stimulus; Strenuous Exercise; System; Therapeutic Effect; Time; Training; Virtual and Augmented reality; Visual attention; Work; base; comorbidity; design; efficacy testing; exercise intensity; exercise program; exercise regimen; exercise training; experience; fitness; graduate student; head mounted display; improved; improved mobility; insight; interest; intrinsic motivation; mentoring community; motor control; motor rehabilitation; neuromuscular; neuromusculoskeletal; non-motor symptom; parent grant; patient population; post stroke; posture instability; programs; side effect; skills; student training; tool; virtual; virtual environment; virtual reality; visual feedback

Project Summary In this single group study of 33 persons with Parkinson's Disease (PD, Hoehn and Yahr Stages II-III) will exercise in two virtual reality augmented bicycling conditions: visual feedback and competition. The primary purpose of the study is to determine which condition of bicycling (visual feedback or competitive) promotes a higher exercise intensity in the neuromusculoskeletal domain (measured by revolutions per minutes on the bicycle) and in the cardiovascular domain (measure by % of max. heart rate) as well as which promotes higher motivation and enjoyment (measured with the Intrinsic Motivation Inventory) and reduced perception of effort (measured with the Borg Scale). The secondary aims are to explore how personal factors (competitiveness) influence the exercise intensity, and whether visual attention can differentiate between the cycling conditions. Data will be collected in a single session consisting of clinical assessments and bicycling for ten minutes for each condition while wearing a head mounted display to interact with the virtual environment. Results from this study will inform the design of optimal exercise programs to make exercise accessible, enjoyable for persons with PD. Those programs will be tested for efficacy at improving mobility and fitness leading to well-being for persons with PD. The proposed project will be undertaken in a well-equipped laboratory under the mentorship of a sponsor with a long track record of designing virtual reality tools for persons with neurologic health conditions. The sponsor has successfully mentored dozens of graduate students including dual-degree students, training to be clinician scientists. Collaborators and contributors from diverse training backgrounds and areas of expertise will work with the sponsor and PI on this project. The PI will couple his previous training in engineering with new skills developed in applied science. The PI's training plan includes goals related to research execution and dissemination, clinical experience, teaching/mentoring, and community/professional service all of which can be realistically achieved.

项目摘要 在这项对帕金森氏病的33人（PD，Hoehn和Yahr阶段II-III）的单一研究中 在两个虚拟现实中锻炼增强骑自行车条件：视觉反馈和竞争。主要 该研究的目的是确定骑自行车的条件（视觉反馈或竞争性）促进 神经肌肉骨骼结构域中的运动强度更高（通过每分钟的旋转测量 自行车）和心血管域（最大心率的百分比），以及促进更高的 动机和享受（用内在动机清单来衡量），并减少了努力的看法 （用Borg量表测量）。次要目标是探索个人因素（竞争力）如何 影响运动强度，以及视觉注意力是否可以区分循环条件。 数据将在一次会话中收集，该会议包括临床评估和骑自行车十分钟 戴着头安装显示器与虚拟环境相互作用时的条件。 这项研究的结果将为最佳锻炼计划的设计提供信息，以使运动可访问， 对于患有PD的人来说很愉快。这些程序将经过测试，以提高移动和健身的功效 为患有PD的人提供福祉。 拟议的项目将在设备齐全的实验室中进行，在赞助商的指导下 为具有神经系统健康状况的人设计虚拟现实工具的悠久记录。这 赞助商成功指导了数十名研究生，包括双学位学生，培训 临床医生。来自不同培训背景和专业领域的合作者和贡献者将 与赞助商和PI合作。 PI将与他以前在工程学的培训以及新的培训结合 应用科学发展的技能。 PI的培训计划包括与研究执行和 传播，临床经验，教学/指导以及社区/专业服务所有这些都可以 实际实现了。