Cincinnati Children’s Hospital Medical Center TEAM VR – Real-Time Sensorimotor Feedback for Injury Prevention Assessed in Virtual Reality

Start Date

February 22, 2016

End Date

May 2, 2021

Current Status

Active Development

Project Client:

Adam Kiefer

Sports Medicine

Project Lead:

Ian Anderson

UCSIM | Center for Simulations & Virtual Environments Research

Project Sponsor:

Chris M. Collins

UCSIM | Center for Simulations & Virtual Environments Research

Project Description

Cincinnati Children’s Hospital Medical Center TEAM VR, in the Sports Medicine Division, has been awarded an NIH grant “Real-Time Sensorimotor Feedback for Injury Prevention Assessed in Virtual Reality,” (1U01AR067997-01A1) to implement and test fully-immersive virtual reality environments to assess sport-specific training improvements.  UCSIM has previously developed the sports stadium virtual environments in which the assessments will take place, and in this phase of the project, will add interactive soccer, basketball, and volleyball scenarios for student athletes. UCSIM will develop a Unity project software application that provides a set of virtual reality sports scenarios that fully integrates with the CCHMC TEAM VR lab, Motion Analysis and Cortex system, and custom HMD system.


Traumatic, debilitating anterior cruciate ligament (ACL) injuries occur at a 2 to 10-fold greater rate in female than male athletes. Consequently, there is a larger population of females that endure significant pain, functional limitations, and radiographic signs of knee osteoarthritis (OA) within 12 to 20 years FOLLOWING injury. To reduce the burden of OA, The National Public Health Agenda for Osteoarthritis recommends expanding and refining evidence-based prevention of ACL injury. Specialized training that targets modifiable risk factors shows statistical efficacy in high-risk athletes; however, clinically meaningful reduction of risk has not been achieved. A critical barrier that limits successful training outcomes is the requirement of qualified instructors to deliver personalized, intuitive, and accessible feedback to young athletes. Thus, a key gap in knowledge is how to efficiently deliver objective, effective feedback during training for injury prevention. The investigators long-term goal is to reduce ACL injuries and the subsequent sequela in young female athletes. The overall objective of this proposal is to implement and test innovative augmented neuromuscular training (aNMT) techniques to enhance sensorimotor learning and reduce biomechanical risk factors for ACL injury. The rationale that underlies this proposal is that, after completion, the investigators will be equipped to more effectively deliver biofeedback and decelerate the trend of increasing ACL injury rates in female athletes. This contribution will be significant for the reduction of the long-term sequel following ACL injury in young females.

Project Media

CCHMC Pediatric Grand Rounds – February 21, 2017

Virtual Reality is Changing the Healthcare Game: The State of the Art at Cincinnati Children’s

See full video of the Grand Rounds presentation at: