Obstacle Circumvention Strategies During Omnidirectional Treadmill Walking in Virtual Reality.

Obstacle circumvention is an important task for community ambulation that is challenging to replicate in research and clinical environments. Omnidirectional treadmills combined with virtual reality (ODT-VR) offer a promising solution, allowing users to change walking direction and speed while walking in large, simulated environments. However, the extent to which such a setup yields circumvention strategies representative of overground walking in the real world (OVG-RW) remains to be determined. This study examined obstacle circumvention strategies in ODT-VR versus OVG-RW and measured how they changed with practice. Fifteen healthy young individuals walked while avoiding an interferer, performing four consecutive blocks of trials per condition. Distance at onset trajectory deviation, minimum distance from the interferer, and walking speed were compared across conditions and blocks. In ODT-VR, larger clearances and slower walking speeds were observed. In contrast, onset distances and proportions of right-side circumvention were similar between conditions. Walking speed increased from the first to the second block exclusively. Results suggest the use of a cautious locomotor behavior while using the ODT-VR setup, with some key features of circumvention strategies being preserved. Although ODT-VR setups offer exciting prospects for research and clinical applications, consideration should be given to the generalizability of findings to the real world.