Blindfolded Walking Research Articles

A gait-based paradigm to investigate central body representation in cervical dystonia patients.

Cervical dystonia (CD) is a common adult-onset idiopathic form of dystonia characterized by an abnormal head posture caused by an excessive activity of the neck muscles. The position of the head is important to direct viewpoint in the rounding environment, and the body orientation, during gait, must be coherent with the subjective straight ahead (SSA). An alteration of the SSA, as in the case of CD patients, could affect gait when visual input is not available. The aim of this study was to probe the behavior of patients with CD during blindfolded walking, investigating the ability to walk straight ahead based only on somatosensory and vestibular information. In this observational cross-sectional study, patients with CD and healthy control subjects (HC) were compared. All participants were evaluated through a gait analysis during blindfolded walking on a GAITRite carpet, relying on their own sense of straightness. Patients with CD showed lower values of path length (p < 0.001), a lower number of steps on the carpet (p < 0.001). A higher number of CD patients deviated during the task, walking out of the carpet, (p < 0.005) compared to HS. No relation was found between the dystonic side and the gait trajectory deviation. A significant correlation was found between pain symptom and gait performance. CD patients showed dysfunctions in controlling dynamic body location during walking without visual afferences, while the dystonic side does not seem to be related to the lateral deviation of the trajectory. Our results would assume that a general proprioceptive impairment could lead to an improper body position awareness in patients with CD.

Underestimation of large distances in active and passive locomotion.

Our ability to estimate distances, be it verbally or by locomotion, is exquisite at close range (action space). At distances above 100m (vista space), verbal estimates continue to be quite accurate, whereas locomotor estimates have been found to be grossly underestimated. Until now, however, the latter have been performed on a treadmill, which might not translate to real-world walking. We investigated if the motor underestimation found on the treadmill holds up in a natural environment. Observers viewed pictures of objects at distances between 10 and 245m and were asked to reproduce these distances in a blindfolded walking task (using passive movement or an active production method). Active and passive locomotor judgments underestimated far distances above 100m. We conclude that underestimation of large distances does not depend on the medium (treadmill vs. real-world) but rather on the sensory modality and effort involved in the task.

Effect of Transient Perturbations of Short-Term Memory on Target-Directed Blind Locomotion

ABSTRACTIt is difficult to walk without vision to a nearby destination if there is a time delay between watching the destination and walking toward it. Indeed, path deviation occurred when delays were introduced before initiating straight ahead blindfolded walking (R. A. Tyrrell, K. K., Rudolph, B. G., Eggers, & H. W. Leibowitz, 1993). The questions are whether the location of a 60-s delay in the walking path and whether performing a cognitive task during the delay influence the accuracy in reaching a previously seen target while walking without vision. Thirty young adults walked blindfolded and stopped when they believed they had reached a target at 8 m. Delays were 60 s in duration, were located at 0, 4, and 7 m, and involved waiting or backward counting. Significant differences were found between 0-m and 4-m delay locations for distance to target, distance travelled and path deviation (p < .05). Significant effect of backward counting during the 60-s delay was found at the 0-m delay for distance travelled (p < .05). The interaction between retaining visual guidance information during 60 s and performing a cognitive task likely influenced target-directed blind navigation.

Comparative Evaluation of Sighted and Visually Impaired Subjects using a Mobile Application for Reducing Veering during Blindfolded Walking

Measurements were conducted using a navigational application on an Android Smartphone that provides auditory and haptic feedback based on electromagnetic sensor data (compass) in order to help users walk in a straight line. Blindfolded sighted subjects attempted to walk along a 40-meter path with and without navigational assistance. Results showed that optimal settings of accuracy, sensitivity and target direction on the device can significantly reduce veering. Further, it was shown that even a short training session consisting of four trials could lead to better subsequent performance without navigational assistance.

Role of visual input in the control of dynamic balance: variability and instability of gait in treadmill walking while blindfolded

While vision obviously plays an essential role in orienting and obstacle avoidance, its role in the regulation of dynamic balance is not yet fully understood. The objective of this study was to assess dynamic stability while blindfolded, under optimal conditions that minimized the fear of falling. The hypothesis was that visual deprivation could be compensated for by using other sensory strategies to stabilize gait. One hundred healthy adults (aged 20-69 years) participated in the study. They were previously accustomed to blindfolded treadmill walking wearing a safety harness. Their preferred walking speeds (PWS) were assessed with eyes open (PWSEO) and with eyes closed (blindfolded, PWSEC). Three five-minute tests were performed: (A) normal walking at PWSEO, (B) blindfolded walking at PWSEC, and (C) normal walking at PWSEC. Trunk acceleration was measured with a lightweight inertial sensor. Dynamic stability was assessed by using (1) acceleration root mean square (RMS), which estimates the variability of the signal, and hence, the smoothness of the trunk movement and (2) local dynamic stability (LDS), which reflects the efficiency of the motor control to stabilize the trunk. Although walking at PWSEC with eyes open (comparing conditions A and C) had a slight impact on gait stability (relative difference: RMS +4 %, LDS -5 %), no destabilizing effect of visual deprivation (B vs. C, RMS -4 %, LDS -1 %) was observed. Therefore, it is concluded that when reassuring conditions are offered to individuals while walking, they are able to adopt alternative sensory strategies to control dynamic equilibrium without the help of vision.

The brain's sense of walking: a study on the intertwine between locomotor imagery and internal locomotor models in healthy adults, typically developing children and children with cerebral palsy.

Motor imagery and internal motor models have been deeply investigated in literature. It is well known that the development of motor imagery occurs during adolescence and it is limited in people affected by cerebral palsy. However, the roles of motor imagery and internal models in locomotion as well as their intertwine received poor attention. In this study we compared the performances of healthy adults (n = 8, 28.1 ± 5.1 years old), children with typical development (n = 8, 8.1 ± 3.8 years old) and children with cerebral palsy (CCP) (n = 12, 7.5 ± 2.9 years old), measured by an optoelectronic system and a trunk-mounted wireless inertial magnetic unit, during three different tasks. Subjects were asked to achieve a target located at 2 or 3 m in front of them simulating their walking by stepping in place, or actually walking blindfolded or normally walking with open eyes. Adults performed a not significantly different number of steps (p = 0.761) spending not significantly different time between tasks (p = 0.156). Children with typical development showed task-dependent differences both in terms of number of steps (p = 0.046) and movement time (p = 0.002). However, their performance in simulated and blindfolded walking (BW) were strictly correlated (R = 0.871 for steps, R = 0.673 for time). Further, their error in BW was in mean only of −2.2% of distance. Also CCP showed significant differences in number of steps (p = 0.022) and time (p < 0.001), but neither their number of steps nor their movement time recorded during simulated walking (SW) were found correlated with those of blindfolded and normal walking (NW). Adults used a unique strategy among different tasks. Children with typical development seemed to be less reliable on their motor predictions, using a task-dependent strategy probably more reliable on sensorial feedback. CCP showed less efficient performances, especially in SW, suggesting an altered locomotor imagery.

Manipulation of visual information does not change the accuracy of distance estimation during a blindfolded walking task

While humans rely on vision during navigation, they are also competent at navigating non-visually. However, non-visual navigation over large distances is not very accurate and can accumulate error. Currently, it is unclear whether this accumulation of error is due to the visual estimate of the distance or to the locomotor production of the distance. In a series of experiments, using a blindfolded walking test, we examine whether enhancing the visual estimate of the distance to a previously seen target, through environmental enrichment, visual imagery, or repeated exposure would improve the accuracy of blindfold navigation across different distances. We also attempt to decrease the visual estimate in order to see if the opposite effect would occur. Our results would indicate that manipulation of the static visual distance estimate did not change the navigation accuracy to any great extent. The only condition that improved accuracy was repeated exposure to the environment through practice. These results suggest that error observed during blindfold navigation may be due to the locomotor production of the distance, rather than the visual process.

Manipulating perception versus action in recalibration tasks

We conducted six experiments to examine how manipulating perception versus action affects perception-action recalibration in real and imagined blindfolded walking tasks. Participants first performed a distance estimation task (pretest) and then walked through an immersive virtual environment on a treadmill for 10min. Participants then repeated the distance estimation task (posttest), the results of which were compared with their pretest performance. In Experiments 1a, 2a, and 3a, participants walked at a normal speed during recalibration, but the rate of visual motion was either twice as fast or half as fast as the participants' walking speed. In Experiments 1b, 2b, and 3b, the rate of visual motion was kept constant, but participants walked at either a faster or a slower speed. During pre- and posttest, we used either a blindfolded walking distance estimation task or an imagined walking distance estimation task. Additionally, participants performed the pretest and posttest distance estimation tasks in either the real environment or the virtual environment. With blindfolded walking as the distance estimation task for pre- and posttest, we found a recalibration effect when either the rate of visual motion or the walking speed was manipulated during the recalibration phase. With imagined walking as the distance estimation task, we found a recalibration effect when the rate of visual motion was manipulated, but not when the walking speed was manipulated in both the real environment and the virtual environment. Discussion focuses on how spatial-updating processes operate on perception and action and on representation and action.

Perception of 3-D location based on vision, touch, and extended touch

Perception of the near environment gives rise to spatial images in working memory that continue to represent the spatial layout even after cessation of sensory input. As the observer moves, these spatial images are continuously updated. This research is concerned with (1) whether spatial images of targets are formed when they are sensed using extended touch (i.e., using a probe to extend the reach of the arm) and (2) the accuracy with which such targets are perceived. In Experiment 1, participants perceived the 3-D locations of individual targets from a fixed origin and were then tested with an updating task involving blindfolded walking followed by placement of the hand at the remembered target location. Twenty-four target locations, representing all combinations of two distances, two heights, and six azimuths, were perceived by vision or by blindfolded exploration with the bare hand, a 1-m probe, or a 2-m probe. Systematic errors in azimuth were observed for all targets, reflecting errors in representing the target locations and updating. Overall, updating after visual perception was best, but the quantitative differences between conditions were small. Experiment 2 demonstrated that auditory information signifying contact with the target was not a factor. Overall, the results indicate that 3-D spatial images can be formed of targets sensed by extended touch and that perception by extended touch, even out to 1.75m, is surprisingly accurate.

Is “Circling” Behavior in Humans Related to Postural Asymmetry?

In attempting to walk rectilinearly in the absence of visual landmarks, persons will gradually turn in a circle to eventually become lost. The aim of the present study was to provide insights into the possible underlying mechanisms of this behavior. For each subject (N = 15) six trajectories were monitored during blindfolded walking in a large enclosed area to suppress external cues, and ground irregularities that may elicit unexpected changes in direction. There was a substantial variability from trial to trial for a given subject and between subjects who could either veer very early or relatively late. Of the total number of trials, 50% trajectories terminated on the left side, 39% on the right side and 11% were defined as “straight”. For each subject, we established a “turning score” that reflected his/her preferential side of veering. The turning score was found to be unrelated to any evident biomechanical asymmetry or functional dominance (eye, hand…). Posturographic analysis, used to assess if there was a relationship between functional postural asymmetry and veering revealed that the mean position of the center of foot pressure during balance tests was correlated with the turning score. Finally, we established that the mean position of the center of pressure was correlated with perceived verticality assessed by a subjective verticality test. Together, our results suggest that veering is related to a “sense of straight ahead” that could be shaped by vestibular inputs.

Path integration: Effect of curved path complexity and sensory system on blindfolded walking

Path integration refers to the ability to integrate continuous information of the direction and distance traveled by the system relative to the origin. Previous studies have investigated path integration through blindfolded walking along simple paths such as straight line and triangles. However, limited knowledge exists regarding the role of path complexity in path integration. Moreover, little is known about how information from different sensory input systems (like vision and proprioception) contributes to accurate path integration. The purpose of the current study was to investigate how sensory information and curved path complexity affect path integration. Forty blindfolded participants had to accurately reproduce a curved path and return to the origin. They were divided into four groups that differed in the curved path, circle (simple) or figure-eight (complex), and received either visual (previously seen) or proprioceptive (previously guided) information about the path before they reproduced it. The dependent variables used were average trajectory error, walking speed, and distance traveled. The results indicated that (a) both groups that walked on a circular path and both groups that received visual information produced greater accuracy in reproducing the path. Moreover, the performance of the group that received proprioceptive information and later walked on a figure-eight path was less accurate than their corresponding circular group. The groups that had the visual information also walked faster compared to the group that had proprioceptive information. Results of the current study highlight the roles of different sensory inputs while performing blindfolded walking for path integration.

A Novel GA-FCM Strategy for Motion Learning and Prediction: Application in Wireless Tracking of Intelligent Subjects

Wireless local area network (WLAN) is used for indoor tracking of mobile terminals (MT), e.g., handheld devices carried by human subjects, mobile robots, automated guided vehicles (AGV), etc. Trilateral radiolocation is suitable for indoors using various parameters of the electromagnetic wave. However, there is always a risk of wireless disconnection between MT and access points (AP). WLAN-based tracking is, therefore. vulnerable to disconnection and might fail in subject tracking at times. Modification of physical network reduces risk of disconnection. Alternatively, complementary techniques based on soft-computing provide even more robustness for uninterrupted wireless tracking without physical modification. This article presents a novel path prediction approach based on decision support system (DSS) to resolve this problem. The goal is to use the knowledge of past MT trajectory to compensate for missing information during disconnections. By learning kinematical as well as decisional behaviors of an intelligent MT, its future trajectory is predictable. The system has been evaluated using trajectories of an ActivMedia Pioneer robot, and blind-folded walking locus in indoors as examples of intelligent MTs. Locational error in prediction of human motion is limited to 1 m. The result is comparable with the related works with up to 10% improvement in locational accuracy. Robot motion prediction has been obtained with high accuracy (likelihood) of 80–90% which further shows the robustness of the developed system.

Leaky integration during blindfolded walking along veering paths

We compare travel distance estimation from path integration during walking with path integration from visual flow. For visually simulated self-movement humans typically underestimate travel distance, which can be explained by leaky path integration. The amount of leak, i.e., the underestimation, is determined by the length of the path. For visually simulated movements along curved paths that veer left and right around a central forward direction estimates of the start-to-end distance decrease as the veering, i.e., the path length increases. Leaky path integration for visual travel distance estimation thus takes place along the actually traversed path even when a straight beeline distance is calculated. We studied whether the same leaky path integration occurs during real self-motion when vestibular and proprioceptive cues are available instead of vision. Sixteen subjects walked blindfolded from a starting point to targets 20, 30 or 40 m away, guided by an experimenter. They walked either along a straight line, or along paths that deviated first to the right and then to the left (or vice versa) before they reached the end point. This increased the path length by 5, 10, 20 or 30%. Subjects then gave a verbal estimate of their beeline distance from the starting point. Like in the visually simulated case, distance estimates for the same start-to-end distance of 40 m dropped as the path length increased, consistent with the prediction of the leaky integration model. We conclude that travel distance estimation is similar for visual and for vestibular/proprioceptive cues.

How does presentation method and measurement protocol affect distance estimation in real and virtual environments?

We conducted two experiments that compared distance perception in real and virtual environments in six visual presentation methods using either timed imagined walking or direct blindfolded walking, while controlling for several other factors that could potentially impact distance perception. Our presentation conditions included unencumbered real world, real world seen through an HMD, virtual world seen through an HMD, augmented reality seen through an HMD, virtual world seen on multiple, large immersive screens, and photo-based presentation of the real world seen on multiple, large immersive screens. We found that there was a similar degree of underestimation of distance in the HMD and large-screen presentations of virtual environments. We also found that while wearing the HMD can cause some degree of distance underestimation, this effect depends on the measurement protocol used. Finally, we found that photo-based presentation did not help to improve distance perception in a large-screen immersive display system. The discussion focuses on points of similarity and difference with previous work on distance estimation in real and virtual environments.

More errors in an action-based response: blindfolded walking and the horizontal-vertical illusion

More errors in an action-based response: blindfolded walking and the horizontal-vertical illusion

Interaction With an Immersive Virtual Environment Corrects Users' Distance Estimates

Two experiments examined whether prior interaction within an immersive virtual environment (VE) enabled people to improve the accuracy of their distance judgments and whether an improved ability to estimate distance generalized to other means of estimating distances. Prior literature has consistently found that users of immersive VEs underestimate distances by approximately 50%. In each of the two experiments, 16 participants viewed objects in an immersive VE and estimated their distance to them by means of blindfolded walking tasks before and after interacting with the VE. The interaction task significantly corrected users' underestimation bias to nearly veridical. Differences between pre- and post-interaction mean distance estimation accuracy were large (d = 4.63), and significant (p < .001), and they generalized across response task. This finding limits the generality of the underestimation effect in VEs and suggests that distance underestimation in VEs may not be a road block to the development of VE applications. Potential or actual applications of this research include the improvement of VE systems requiring accurate spatial awareness.

Using verbal and blind-walking distance estimates to investigate the two visual systems hypothesis

Verbal estimates of egocentric distance are usually too short at distances greater than several meters, yet blindfolded walking to previously viewed targets can be surprisingly accurate. We present evidence from three experiments for the existence of two visual pathways with differentencodings of perceived egocentric distance. We found that (1) blind-walking estimates of egocentric distance are consistently more accurate than verbal reports; (2) an indoor versus outdoor environment selectively influences verbal reports; and (3) wearing prism lenses, which displace the visual field vertically, selectively influences the blind-walking estimates. We interpret these results in terms of the two visual systems hypothesis.

The effect of feedback training on distance estimation in virtual environments

It is often noted that distances are significantly underestimated in computer-simulated (virtual) environments. Two experiments examine observers' ability to use error corrective feedback to improve the accuracy of judgments of egocentric and exocentric distances. In Experiment 1, observers viewed objects in an immersive virtual environment and estimated their distance through a blindfolded walking task. Different groups received feedback on either egocentric, exocentric or none of these judgments. Receiving feedback improved observers' ability to estimate only those distances for which feedback was provided. These effects persisted for at least 1 week. In Experiment 2, observers estimated egocentric distance by means of both a direct and indirect walking task. Receiving feedback on the direct walking task predominantly improved direct estimates and not indirect estimates. These findings suggest that although feedback training offers a relatively straightforward and immediate way of overcoming problems of distance estimation, its effects are specific to both the type of judgment and the type of response. Copyright © 2005 John Wiley & Sons, Ltd.

Differential effects of labyrinthine dysfunction on distance and direction during blindfolded walking of a triangular path.

While we walk through the environment, we constantly receive inputs from different sensory systems. For us to accomplish a given task, for example to reach a target location, the sensory information has to be integrated to update our knowledge of self-position and self-orientation with respect to the target so that we can correctly plan and perform the remaining trajectory. As has been shown previously, vestibular information plays a minor role in the performance of linear goal-directed locomotion when walking blindfolded toward a previously seen target within a few meters. The present study extends the question of whether vestibular information is a requirement for goal-directed locomotion by studying a more complex task that also involves rotation: walking a triangular path. Furthermore, studying this task provides information about how we walk a given trajectory, how we move around corners, and whether we are able to return to the starting point. Seven young male, five labyrinthine-defective (LD) and five age- and gender-matched control subjects were asked to walk a previously seen triangular path, which was marked on the ground, first without vision (EC) and then with vision (EO). Each subject performed three clockwise (CW) and three counterclockwise (CCW) walks under the EC condition and one CW and CCW walk under the EO condition. The movement of the subjects was recorded by means of a 3D motion analysis system. Analysis of the data showed that LD subjects had, in the EC condition, a significantly larger final arrival error, which was due to increased directional errors during the turns. However, there was no difference between the groups as regards the overall path length walked. This shows that LD subjects were able to plan and execute the given trajectory without vision, but failed to turn correctly around the corners. Hence, the results demonstrate that vestibular information enhances the ability to perform a planned trajectory incorporating whole body rotations when no visual feedback is available.

Figural Aftereffects Elicited by Gross Action Patterns: The Role of Kinesthetic Aftereffects in the Arm-Shoulder Musculature

Abstract To differentiate between the influence of kinesthetic aftereffects in the arm-shoulder musculature versus ancillary gait and vestibular cues upon the production of figural aftereffects, 40 volunteer subjects were employed in tasks which required that they identify the shape of various pathways while walking through them blindfolded. During the initial and final traversals of a straight “test” pathway the subjects used a different hand to hold the guide stick than that used as they walked through the curved “inspection” pathways. It was found that 67.5% of the subjects reported aftereffects (perceived that the straight pathway was curved in a direction opposite to that walked in the curved pathway) under the conditions described. It was concluded that figural aftereffects of movement elicited by blindfolded walking may be independent of kinesthetic aftereffects in the arm-shoulder musculature—possibly because of the manner in which guide sticks were employed. Theoretical and methodological implications of the findings were discussed.