Haptic Intelligence Miscellaneous 2025

The Benefits of Gait Retraining with Vibrotactile Feedback Outweigh Higher Perceived Mental Load

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Knee osteoarthritis (KOA) affects millions worldwide, with excessive joint loading linked to disease progression. Modifying the foot progression angle (FPA) while walking is one strategy to reduce knee adduction moments, a measure associated with medial knee joint loading. This study investigated whether two types of vibrotactile biofeedback during a 20-minute treadmill gait-retraining session helped healthy adults better learn and retain a 10°toe-in gait. Participants who received feedback showed greater improvements in FPA accuracy than those without feedback and also reported significantly higher mental effort. The type of feedback that scaled the duration of the vibration with the magnitude of the error led to better short-term retention than no feedback, and it was also preferred by almost all subjects over constant-duration cues. These findings suggest that despite the added cognitive demand, users value biofeedback, emphasizing the need to design gait-retraining tools that consider both learning effectiveness and user experience.

Author(s): Vani Hiremath Sundaram and Nataliya Rokhmanova and Eni Halilaj and Katherine J. Kuchenbecker
Year: 2025
Month: August
Bibtex Type: Miscellaneous (misc)
Address: Pittsburgh, USA
How Published: Extended abstract (1 page) presented at the American Society of Biomechanics Annual Meeting (ASB)
State: Accepted

BibTex

@misc{Sundaram25-ASBEA-Feedback,
  title = {The Benefits of Gait Retraining with Vibrotactile Feedback Outweigh Higher Perceived Mental Load},
  abstract = {Knee osteoarthritis (KOA) affects millions worldwide, with excessive joint loading linked to disease progression. Modifying the foot progression angle (FPA) while walking is one strategy to reduce knee adduction moments, a measure associated with medial knee joint loading. This study investigated whether two types of vibrotactile biofeedback during a 20-minute treadmill gait-retraining session helped healthy adults better learn and retain a 10°toe-in gait. Participants who received feedback showed greater improvements in FPA accuracy than those without feedback and also reported significantly higher mental effort. The type of feedback that scaled the duration of the vibration with the magnitude of the error led to better short-term retention than no feedback, and it was also preferred by almost all subjects over constant-duration cues. These findings suggest that despite the added cognitive demand, users value biofeedback, emphasizing the need to design gait-retraining tools that consider both learning effectiveness and user experience.},
  howpublished = {Extended abstract (1 page) presented at the American Society of Biomechanics Annual Meeting (ASB)},
  address = {Pittsburgh, USA},
  month = aug,
  year = {2025},
  slug = {sundaram25-asbea-feedback},
  author = {Sundaram, Vani Hiremath and Rokhmanova, Nataliya and Halilaj, Eni and Kuchenbecker, Katherine J.},
  month_numeric = {8}
}
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