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Postural stability and muscle co-activation among younger adults adapting to an immersive virtual reality

Röijezon, Ulrik LU orcid ; Hansson, Eva Ekvall LU ; Nae, Jenny Älmqvist LU orcid ; Östlind, Elin LU and Fransson, Per Anders LU orcid (2026) In European Journal of Applied Physiology
Abstract

Immersive visual environment can deceive our interoceptive perception of how we move relative to our environment. If the visual environment or a high reliance on vision produces straining work conditions, motion sickness or is associated with a medical disorder, the causes merit addressing. Therefore, the purpose of this study was to investigate whether postural control adapts to challenging visual environments from VR by adjusting postural stability and muscle co-contractions responses and investigate associations between stability measures and postural muscle co-contractions during VR-stimulation and control tests in quiet stance. Twenty-eight young adults participated (mean age 25.3 years, SD 4.6 years). In five sessions, they... (More)

Immersive visual environment can deceive our interoceptive perception of how we move relative to our environment. If the visual environment or a high reliance on vision produces straining work conditions, motion sickness or is associated with a medical disorder, the causes merit addressing. Therefore, the purpose of this study was to investigate whether postural control adapts to challenging visual environments from VR by adjusting postural stability and muscle co-contractions responses and investigate associations between stability measures and postural muscle co-contractions during VR-stimulation and control tests in quiet stance. Twenty-eight young adults participated (mean age 25.3 years, SD 4.6 years). In five sessions, they watched a VR simulation of a roller coast ride while a force platform recorded postural stability and electromyography recorded muscle co-contractions in leg muscles. Two control tests (quiet stance with eyes open and eyes closed), were performed before the VR sessions. The first VR session significantly increased the postural stability energy (p ≤ 0.002) and the muscle co-contraction levels (p ≤ 0.008) compared with the eyes open control test. Repeated VR sessions produced an adaptation that decreased postural stability energy (p ≤ 0.033) and muscle co-contraction levels (p ≤ 0.028). VR-stimulation made the association between postural stability responses and muscle co-contractions more prominent. Immersive visual environments can produce marked challenges to postural control, but the repeated experiences can also initiate sensory reweighting increasing resilience to visual disturbance.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
Adaptation, Immersive visual environments, Muscle activity, Postural stability, Sensorimotor rehabilitation, Virtual reality
in
European Journal of Applied Physiology
publisher
Springer
external identifiers
  • scopus:105032122444
  • pmid:41770303
ISSN
1439-6319
DOI
10.1007/s00421-026-06177-x
language
English
LU publication?
yes
additional info
Publisher Copyright: © The Author(s) 2026.
id
dec48f2b-8f1d-4acc-9111-b61d07d341a5
date added to LUP
2026-04-28 13:28:17
date last changed
2026-08-20 04:27:41
@article{dec48f2b-8f1d-4acc-9111-b61d07d341a5,
  abstract     = {{<p>Immersive visual environment can deceive our interoceptive perception of how we move relative to our environment. If the visual environment or a high reliance on vision produces straining work conditions, motion sickness or is associated with a medical disorder, the causes merit addressing. Therefore, the purpose of this study was to investigate whether postural control adapts to challenging visual environments from VR by adjusting postural stability and muscle co-contractions responses and investigate associations between stability measures and postural muscle co-contractions during VR-stimulation and control tests in quiet stance. Twenty-eight young adults participated (mean age 25.3 years, SD 4.6 years). In five sessions, they watched a VR simulation of a roller coast ride while a force platform recorded postural stability and electromyography recorded muscle co-contractions in leg muscles. Two control tests (quiet stance with eyes open and eyes closed), were performed before the VR sessions. The first VR session significantly increased the postural stability energy (p ≤ 0.002) and the muscle co-contraction levels (p ≤ 0.008) compared with the eyes open control test. Repeated VR sessions produced an adaptation that decreased postural stability energy (p ≤ 0.033) and muscle co-contraction levels (p ≤ 0.028). VR-stimulation made the association between postural stability responses and muscle co-contractions more prominent. Immersive visual environments can produce marked challenges to postural control, but the repeated experiences can also initiate sensory reweighting increasing resilience to visual disturbance.</p>}},
  author       = {{Röijezon, Ulrik and Hansson, Eva Ekvall and Nae, Jenny Älmqvist and Östlind, Elin and Fransson, Per Anders}},
  issn         = {{1439-6319}},
  keywords     = {{Adaptation; Immersive visual environments; Muscle activity; Postural stability; Sensorimotor rehabilitation; Virtual reality}},
  language     = {{eng}},
  publisher    = {{Springer}},
  series       = {{European Journal of Applied Physiology}},
  title        = {{Postural stability and muscle co-activation among younger adults adapting to an immersive virtual reality}},
  url          = {{http://dx.doi.org/10.1007/s00421-026-06177-x}},
  doi          = {{10.1007/s00421-026-06177-x}},
  year         = {{2026}},
}