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Attentional Focus in Virtual Reality

Effect of Internal and External Focus on Balance Performance: Comparison of Virtual Reality and Real World Environment

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06413758
Enrollment
42
Registered
2024-05-14
Start date
2024-11-30
Completion date
2025-06-30
Last updated
2026-08-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Attentional Focus in Virtual Reality

Keywords

Postural Control, Virtual Reality, Focus of Attention

Brief summary

The goal of this explorative observational study is to learn about the effect of internal and external focus on postural control in virtual reality and compare with the real world environment in young adults. The main question it aims to answer is: Does attentional focus effect differently on postural control in virtual reality comparing to real world environment?

Detailed description

Virtual Reality is used to improve postural control in various populations. However, exercise with virtual reality glasses cause new challenges to the user in maintaining balance. In this study, the effect of internal and external focus on postural control in the virtual reality environment will be revealed and compared with the performance in the real environment. The results of the study will guide the customization and optimization of balance training programs implemented in the virtual reality environment. A total of 38 healthy young adults will be included and allocated into Group I (Virtual Reality) or Group II (Real World) (ratio 1:1). The balance performance of the participants will be assessed with single leg stance test and bipodal stance test. The participants will be instructed to stand still and maintain balance on the forceplate in three conditions: (1) with an internal focus, (2) with an external focus, and (3) non-directional. Conditions will be applied to the participants randomly to avoid bias. Each condition will be measured three times and the mean values will be recorded as outcomes. The total displacement of center of pressure (CoP), the mean velocity of CoP, the CoP area, total mediolateral (ML) displacement, the mean velocity in ML, total anteroposterior (AP) displacement and the mean velocity in AP will assessed with K-Force Plates (Kinvent, France).

Interventions

None listed

Sponsors

Istanbul University - Cerrahpasa
Lead SponsorOTHER

Study design

Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
18 Years to 26 Years

Inclusion criteria

* Being a healthy individual between the ages of 18-26 * Lower extremity functional motor signs or sensory features should be normal or corrected * No lower extremity injury within 6 months * Not taking alcohol or medication 12 hours before * Having no virtual reality experience

Exclusion criteria

* History of epilepsy, marked dissociative seizures * Needing assistive devices to maintain upright posture * Other comorbidities that may affect postural control (dizziness, vestibular disorders, orthopedic or cardiovascular comorbidities) * Being an athlete * Positive Fukuda stepping test

Design outcomes

Primary

MeasureTime frameDescription
Total displacement of center of pressurebaselineTotal displacement of center of pressure on the force plate
The mean velocity of center of pressurebaselinethe mean velocity of center of pressure on the force plate
The area of center of pressurebaselinethe area drawn by the movement of center of pressure on the force plate
total mediolateral displacementbaselinetotal mediolateral displacement of center of pressure on the force plate
total anterolateral displacementbaselinetotal anterolateral displacement of center of pressure on the force plate
the mean velocity in mediolateralbaselinethe mean velocity of total mediolateral displacement of center of pressure on the force plate
the mean velocity in anterolateralbaselinethe mean velocity of total anterolateral displacement of center of pressure on the force plate

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 15, 2026