Enhancing lower-limb rehabilitation: a scoping review of augmented reality environment

Abstract Background Lower-limb rehabilitation is crucial for restoring motor function in individuals with physical impairments; however, traditional rehabilitation approaches often encounter challenges such as limited resources and reduced patient motivation. Augmented reality (AR) offers an innovat...

Full description

Saved in:
Bibliographic Details
Main Authors: Yuanyuan Liu, Qiong Zhang, Weiyi Li
Format: Article
Language:English
Published: BMC 2025-05-01
Series:Journal of NeuroEngineering and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s12984-025-01643-7
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850270806937960448
author Yuanyuan Liu
Qiong Zhang
Weiyi Li
author_facet Yuanyuan Liu
Qiong Zhang
Weiyi Li
author_sort Yuanyuan Liu
collection DOAJ
description Abstract Background Lower-limb rehabilitation is crucial for restoring motor function in individuals with physical impairments; however, traditional rehabilitation approaches often encounter challenges such as limited resources and reduced patient motivation. Augmented reality (AR) offers an innovative approach by enriching rehabilitation with interactive and engaging experiences, thereby enhancing both motivation and treatment outcomes. AR environments enable patients to practice exercises in an immersive setting that emulates real-life scenarios, potentially increasing adherence and improving functional recovery. Methods This scoping review analyzed 25 peer-reviewed studies on the use of AR within the “Environment” component of the Human–Computer-Environment system for lower-limb rehabilitation. We present a taxonomy of existing AR systems, categorizing them by rehabilitation tasks (content) and interaction modes (form), which identify both physical and virtual elements that contribute to a supportive AR environment. Discussion The findings suggest that well-designed AR environments offer a flexible and cost-effective approach to various rehabilitation tasks. Customization is essential for addressing specific rehabilitation stages, including muscle strengthening, balance improvement, and gait training. The integration of multisensory feedback, such as visual, auditory, and haptic cues, enhances patient engagement and provides real-time performance monitoring. Effective AR environments must also account for the distinct needs of each limb, particularly for bilateral impairments, and ensure sufficient space for safe movement. By providing an individualized rehabilitation experience, AR environments have the potential to significantly improve patient motivation and outcomes. Future research should explore the integration of AR environments with assistive technologies, such as wearable devices and exoskeletons, to further enhance rehabilitation possibilities.
format Article
id doaj-art-91f01c91a1374b8b842a221cd7a42fb1
institution OA Journals
issn 1743-0003
language English
publishDate 2025-05-01
publisher BMC
record_format Article
series Journal of NeuroEngineering and Rehabilitation
spelling doaj-art-91f01c91a1374b8b842a221cd7a42fb12025-08-20T01:52:25ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032025-05-0122112010.1186/s12984-025-01643-7Enhancing lower-limb rehabilitation: a scoping review of augmented reality environmentYuanyuan Liu0Qiong Zhang1Weiyi Li2Department of Industrial Design, School of Mechanical Engineering and Automation, Shahe Campus, Beihang UniversityDepartment of Industrial Design, School of Mechanical Engineering and Automation, Shahe Campus, Beihang UniversityDepartment of Industrial Design, School of Mechanical Engineering and Automation, Shahe Campus, Beihang UniversityAbstract Background Lower-limb rehabilitation is crucial for restoring motor function in individuals with physical impairments; however, traditional rehabilitation approaches often encounter challenges such as limited resources and reduced patient motivation. Augmented reality (AR) offers an innovative approach by enriching rehabilitation with interactive and engaging experiences, thereby enhancing both motivation and treatment outcomes. AR environments enable patients to practice exercises in an immersive setting that emulates real-life scenarios, potentially increasing adherence and improving functional recovery. Methods This scoping review analyzed 25 peer-reviewed studies on the use of AR within the “Environment” component of the Human–Computer-Environment system for lower-limb rehabilitation. We present a taxonomy of existing AR systems, categorizing them by rehabilitation tasks (content) and interaction modes (form), which identify both physical and virtual elements that contribute to a supportive AR environment. Discussion The findings suggest that well-designed AR environments offer a flexible and cost-effective approach to various rehabilitation tasks. Customization is essential for addressing specific rehabilitation stages, including muscle strengthening, balance improvement, and gait training. The integration of multisensory feedback, such as visual, auditory, and haptic cues, enhances patient engagement and provides real-time performance monitoring. Effective AR environments must also account for the distinct needs of each limb, particularly for bilateral impairments, and ensure sufficient space for safe movement. By providing an individualized rehabilitation experience, AR environments have the potential to significantly improve patient motivation and outcomes. Future research should explore the integration of AR environments with assistive technologies, such as wearable devices and exoskeletons, to further enhance rehabilitation possibilities.https://doi.org/10.1186/s12984-025-01643-7Augmented realityLower-limb rehabilitationAR environment designMultisensory interactionsMotor function recovery
spellingShingle Yuanyuan Liu
Qiong Zhang
Weiyi Li
Enhancing lower-limb rehabilitation: a scoping review of augmented reality environment
Journal of NeuroEngineering and Rehabilitation
Augmented reality
Lower-limb rehabilitation
AR environment design
Multisensory interactions
Motor function recovery
title Enhancing lower-limb rehabilitation: a scoping review of augmented reality environment
title_full Enhancing lower-limb rehabilitation: a scoping review of augmented reality environment
title_fullStr Enhancing lower-limb rehabilitation: a scoping review of augmented reality environment
title_full_unstemmed Enhancing lower-limb rehabilitation: a scoping review of augmented reality environment
title_short Enhancing lower-limb rehabilitation: a scoping review of augmented reality environment
title_sort enhancing lower limb rehabilitation a scoping review of augmented reality environment
topic Augmented reality
Lower-limb rehabilitation
AR environment design
Multisensory interactions
Motor function recovery
url https://doi.org/10.1186/s12984-025-01643-7
work_keys_str_mv AT yuanyuanliu enhancinglowerlimbrehabilitationascopingreviewofaugmentedrealityenvironment
AT qiongzhang enhancinglowerlimbrehabilitationascopingreviewofaugmentedrealityenvironment
AT weiyili enhancinglowerlimbrehabilitationascopingreviewofaugmentedrealityenvironment