Evaluation of Haptic Interaction in Mirror Game by a Cerebellum Inspired Virtual Player

Karaca, Onay; Okasha, Amr; Duman, Atacan; Candan, Umut; Arıkan, Kutluk Bilge

doi:10.1109/biorob52689.2022.9925289

Cited by 1 publication

(6 citation statements)

References 35 publications

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“…The system has been previously employed to evaluate tracking performance in audiovisual and haptic feedback settings with healthy participants. The reliability and repeatability of the system have been verified by repeated testing with control scenarios in prior studies 25–29 . Evidence demonstrated that the haptic interaction between two followers, when they are both tracking the same leader, enhances the tracking performance.…”

Section: Methodsmentioning

confidence: 87%

“…The Sociodemographic Information Form, Migraine Disability Assessment Scale (MIDAS), 20 six item Headache Impact Test (HIT‐6), 21 Adolescent/Adult Sensory Profile Questionnaire (AASP), 22 visual analog scale (VAS) 23 for Pain, Pain Characteristics Form, and Hospital Anxiety and Depression Scale (HADS) 24 were used to assess participants. Following the completion of the scales, the participants were evaluated using a virtual dynamic interaction system 25,26 …”

Section: Methodsmentioning

confidence: 99%

“…Following the completion of the scales, the participants were evaluated using a virtual dynamic interaction system. 25,26…”

Section: Data Collection Instrumentsmentioning

confidence: 99%

“…The mirror game is a widely recognized paradigm used to study how we synchronously produce movement patterns with others. 25,26 The mirror paradigm can be implemented in two ways: leader-follower and joint-improvisation modalities. This study employed the leaderfollower modality, where the participant tracks a leader in the game that moves along the vertical axis.…”

Section: Virtual Dynamic Interaction System Protocolmentioning

confidence: 99%

“…The reliability and repeatability of the system have been verified by repeated testing with control scenarios in prior studies. [25][26][27][28][29] Evidence demonstrated that the haptic interaction between two followers, when they are both tracking the same leader, enhances the tracking performance. In addition, the previous study investigated scenarios where human followers engage with other human followers and virtual followers.…”

Section: Virtual Dynamic Interaction System Protocolmentioning

confidence: 99%

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Virtual dynamic interaction games reveal impaired multisensory integration in women with migraine

Ince,

Guzel,

Akgor

et al. 2024

Headache

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ObjectiveIn this cross‐sectional observational study, we aimed to investigate sensory profiles and multisensory integration processes in women with migraine using virtual dynamic interaction systems.BackgroundCompared to studies on unimodal sensory processing, fewer studies show that multisensory integration differs in patients with migraine. Multisensory integration of visual, auditory, verbal, and haptic modalities has not been evaluated in migraine.MethodsA 12‐min virtual dynamic interaction game consisting of four parts was played by the participants. During the game, the participants were exposed to either visual stimuli only or multisensory stimuli in which auditory, verbal, and haptic stimuli were added to the visual stimuli. A total of 78 women participants (28 with migraine without aura and 50 healthy controls) were enrolled in this prospective exploratory study. Patients with migraine and healthy participants who met the inclusion criteria were randomized separately into visual and multisensory groups: Migraine multisensory (14 adults), migraine visual (14 adults), healthy multisensory (25 adults), and healthy visual (25 adults). The Sensory Profile Questionnaire was utilized to assess the participants’ sensory profiles. The game scores and survey results were analyzed.ResultsIn visual stimulus, the gaming performance scores of patients with migraine without aura were similar to the healthy controls, at a median (interquartile range [IQR]) of 81.8 (79.5–85.8) and 80.9 (77.1–84.2) (p = 0.149). Error rate of visual stimulus in patients with migraine without aura were comparable to healthy controls, at a median (IQR) of 0.11 (0.08–0.13) and 0.12 (0.10–0.14), respectively (p = 0,166). In multisensory stimulation, average gaming score was lower in patients with migraine without aura compared to healthy individuals (median [IQR] 82.2 [78.8–86.3] vs. 78.6 [74.0–82.4], p = 0.028). In women with migraine, exposure to new sensory modality upon visual stimuli in the fourth, seventh, and tenth rounds (median [IQR] 78.1 [74.1–82.0], 79.7 [77.2–82.5], 76.5 [70.2–82.1]) exhibited lower game scores compared to visual stimuli only (median [IQR] 82.3 [77.9–87.8], 84.2 [79.7–85.6], 80.8 [79.0–85.7], p = 0.044, p = 0.049, p = 0.016). According to the Sensory Profile Questionnaire results, sensory sensitivity, and sensory avoidance scores of patients with migraine (median [IQR] score 45.5 [41.0–54.7] and 47.0 [41.5–51.7]) were significantly higher than healthy participants (median [IQR] score 39.0 [34.0–44.2] and 40.0 [34.0–48.0], p < 0.001, p = 0.001).ConclusionThe virtual dynamic game approach showed for the first time that the gaming performance of patients with migraine without aura was negatively affected by the addition of auditory, verbal, and haptic stimuli onto visual stimuli. Multisensory integration of sensory modalities including haptic stimuli is disturbed even in the interictal period in women with migraine. Virtual games can be employed to assess the impact of sensory problems in the course of the disease. Also, sensory training could be a potential therapy target to improve multisensory processing in migraine.

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Section: Methodsmentioning

confidence: 87%