Does providing real-time augmented feedback affect the performance of repeated lower limb loading to exhaustion?

• We examined the effect of feedback on repeated single-leg hopping to exhaustion.
• Tactile and visual feedbacks have a similar effect on hop height maintenance.
• Dual feedback affects hopping cadence and height variably.

IntroductionThis study aimed to determine whether real-time augmented feedback influenced performance of single-leg hopping to volitional exhaustion.MethodsTwenty-seven healthy, male participants performed single-leg hopping (2.2 Hz) with (visual and tactile feedback for a target hop height) or without feedback on a force plate. Repeated measures ANOVA were used to determine differences in vertical stiffness (k), duration of flight (tf) and loading (tl) and vertical height displacement during flight (zf) and loading (zl). A Friedman 2-way ANOVA was performed to compare the percentage of trials between conditions that were maintained at 2.2 Hz ± 5%. Correlations were performed to determine if the effects were similar when providing tactile or visual feedback synchronously with the audible cue.ResultsAugmented feedback resulted in maintenance of the tf, zf and zl between the start and end of the trials compared to hopping with no feedback (p < 0.01). With or without feedback there was no change in tl and k from start to end. Without feedback, 21 of 27 participants maintained >70% of total hops at 2.2 ± 5% Hz and this was significantly lower (p = 0.01) with tactile (13/27) and visual (15/27) feedback. There was a strong correlation between tactile and visual feedback for duration of hopping cycle (Spearman's r = 0.74, p ≤ 0.01).ConclusionFeedback was detrimental to being able to maintain hopping cadence in some participants while other participants were able to achieve the cadence and target hop height. This indicates variability in the ability to use real-time augmented feedback effectively.