Visual feedback to improve the accessibility of head-mounted displays for persons with balance impairments

The objective of this research is to improve the accessibility of Head-Mounted Displays (HMDs) for users with balance impairments while they are in immersive Virtual Environments (VEs). Previous research has shown that most users experience some imbalance in a fully immersive VE. However, this imbalance is significantly worse in users with balance deficits. Thus, this research aims to determine an effective visual feedback technique to improve balance of persons while using VEs to improve the accessibility of HMDs. In order to do that, we conducted a study with seven users without impairment and seven users with balance impairments due to Multiple Sclerosis (MS). We investigated how a static reference frame (SRF) (e.g., a cross-hair always rendered in the same position on the user's display screen) impacts the participants' balances in VR. Results indicate that a SRF significantly improves balance in VR for users with MS. Based on these results, we propose guidelines for designing more accessible VEs for persons with balance impairments.