Virtual Reality-Based Timed Up and Go Test in Young Adults

Официальное название

Validity and Reliability of an Immersive Virtual Reality Adaptation of the Timed Up and Go Test in Asymptomatic Young Adults

Обзор

Functional mobility encompasses the essential motor skills required for individuals to perform activities of daily living independently and safely. One of the most commonly used methods for assessing this parameter is the Timed Up and Go (TUG) test. The TUG test involves standing up from a chair, walking, turning, walking back three meters, and sitting down, and it is a measurement tool that has demonstrated high sensitivity and reliability in clinical practice for evaluating lower extremity function, mobility, and fall risk. However, tests conducted in conventional clinical settings have limitations in terms of standardization due to examiner-related variability, environmental influences, and measurement subjectivity. These factors may lead to measurement errors, particularly when detecting small performance differences. Advances in virtual reality (VR) technology offer an innovative approach to the assessment and training of motor performance by recreating real-life scenarios in a three-dimensional and interactive manner. VR-based systems allow simultaneous observation of motor and cognitive processes while enhancing user motivation and engagement, thereby making the assessment process more dynamic. Recent studies have demonstrated that VR applications are effective tools in neurological rehabilitation, particularly in conditions such as multiple sclerosis (MS), for improving balance, walking speed, and functional mobility. A review of the existing literature reveals that studies evaluating the validity and reliability of VR-based functional tests are limited. Moreover, to date, no study has specifically focused on the validity and reliability of the TUG test in an immersive VR environment for assessing lower extremity functional mobility. Therefore, this study aims to address a significant gap in the literature by being one of the first investigations to examine the validity and reliability of a VR-based version of the TUG test. This study aims to determine the feasibility, validity, and reliability of the TUG test administered in an immersive VR environment in asymptomatic young adults aged 18-30 years. Additionally, the relationships between VR-based TUG outcomes and the 4-Meter Walk Test, the Four Square Step Test, and lower extremity muscle strength measurements will be examined.

Вмешательства

• Другое Clinical Assessments
  Participants will perform the Timed Up and Go test using an immersive virtual reality application developed for the Meta Quest 3 platform. The virtual environment digitally replicates the conventional test setup, including the starting position, turning point, and seating area. Test duration is automatically recorded by the system. The virtual reality-based assessment is designed to provide a standardized, objective, and reproducible evaluation of functional mobility and will be repeated to asse

Первичные конечные точки

• Timed Up and Go Test - Virtual Reality (TUG-VR) [Срок оценки: Baseline and 1-week follow-up]

Вторичные конечные точки (5)

• Timed Up and Go Test - Conventional [Срок оценки: Baseline]
• 4-Meter Walk Test [Срок оценки: Baseline]
• Four Square Step Test [Срок оценки: Baseline]
• Lower Extremity Muscle Strength [Срок оценки: Baseline]
• Participant Satisfaction [Срок оценки: Baseline]

Критерии участия

Критерии включения

• Aged between 18 and 30 years,
• Asymptomatic, with no musculoskeletal, neurological, or cardiovascular symptoms,
• Ability to perform activities of daily living independently,
• Visual, auditory, and vestibular functions suitable for virtual reality applications,
• Ability to understand and follow instructions in Turkish,
• Willingness to participate voluntarily in the study.

Критерии исключения

• History of lower extremity injury, surgical intervention, or serious musculoskeletal condition within the past six months,
• Presence of vestibular disorders, balance impairment, visual or hearing impairments,
• Experiencing symptoms of "VR sickness," such as nausea, dizziness, or spatial disorientation during virtual reality applications,
• History of neurological, cardiovascular, or metabolic diseases,
• Regular participation in heavy exercise or professional sports activities,
• Cognitive impairment that prevents understanding of test instructions,
• Voluntary withdrawal from the study during the research process.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Модель наблюдения

Другое

Центры проведения

Turkey (Türkiye) · 1 центр

• Selcuk University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitat — Konya

Публикации

• Maden C, Gozacan Karabulut D, Bagci B. Validity and reliability of an immersive virtual reality adaptation of the 6-minute pegboard and ring test. Hand Surg Rehabil. 2025 Feb;44(1):101981. doi: 10.1016/j.hansur.2024.101981. Epub 2024 Oct 30. PMID 39486588
• Massetti T, Trevizan IL, Arab C, Favero FM, Ribeiro-Papa DC, de Mello Monteiro CB. Virtual reality in multiple sclerosis - A systematic review. Mult Scler Relat Disord. 2016 Jul;8:107-12. doi: 10.1016/j.msard.2016.05.014. Epub 2016 May 21. PMID 27456884
• Maggio MG, Russo M, Cuzzola MF, Destro M, La Rosa G, Molonia F, Bramanti P, Lombardo G, De Luca R, Calabro RS. Virtual reality in multiple sclerosis rehabilitation: A review on cognitive and motor outcomes. J Clin Neurosci. 2019 Jul;65:106-111. doi: 10.1016/j.jocn.2019.03.017. Epub 2019 Mar 18. PMID 30898488
• Casuso-Holgado MJ, Martin-Valero R, Carazo AF, Medrano-Sanchez EM, Cortes-Vega MD, Montero-Bancalero FJ. Effectiveness of virtual reality training for balance and gait rehabilitation in people with multiple sclerosis: a systematic review and meta-analysis. Clin Rehabil. 2018 Sep;32(9):1220-1234. doi: 10.1177/0269215518768084. Epub 2018 Apr 13. PMID 29651873
• Kear BM, Guck TP, McGaha AL. Timed Up and Go (TUG) Test: Normative Reference Values for Ages 20 to 59 Years and Relationships With Physical and Mental Health Risk Factors. J Prim Care Community Health. 2017 Jan;8(1):9-13. doi: 10.1177/2150131916659282. Epub 2016 Jul 25. PMID 27450179
• Herman T, Giladi N, Hausdorff JM. Properties of the 'timed up and go' test: more than meets the eye. Gerontology. 2011;57(3):203-10. doi: 10.1159/000314963. Epub 2010 May 20. PMID 20484884

Идентификаторы

NCT: NCT07362004 · SelcukU_PT_VR_TUG_ADAPTATION_1

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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