HCMar 7

Pre-Clinical Latency Characterization of VRxBioRelax: A Real-Time EMG Biofeedback System for Muscle Relaxation in Virtual Reality

arXiv:2603.07353v1
Predicted impact top 95% in HC · last 90 daysOriginality Incremental advance
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This system provides a low-latency, immersive tool for remote interoceptive training and stress reduction, particularly benefiting individuals suffering from chronic upper trapezius tension. It is an incremental improvement over traditional biofeedback systems.

The paper introduces VRxBioRelax, a virtual reality biofeedback system designed to promote upper trapezius muscle relaxation using sEMG data. The system achieved an average end-to-end latency of 25.34 ms, with 99.3% of frames arriving within 50 ms, demonstrating its responsiveness for real-time applications.

Chronic tension in the upper trapezius (UT), often caused by poor ergonomics, prolonged posture, or psychological stress, contributes to musculoskeletal discomfort, headaches, and impaired interoceptive awareness. Although surface electromyography (sEMG) biofeedback can promote UT relaxation, traditional systems using conventional displays often fail to sustain engagement. Virtual reality (VR) offers a more immersive alternative, provided that latency remains below perceptual thresholds. We introduce VRxBioRelax, a closed-loop VR biofeedback system that streams sEMG data from Delsys Trigno Avanti sensors via MQTT to a Unity scene. Muscle activation drives a dynamic dawn-to-dusk landscape synchronized with a progressive muscle relaxation protocol. To validate system responsiveness, 87,716 EMG samples from the NinaPro DB2 dataset were replayed at $\sim$75 Hz. Timestamps at four key stages-acquisition, Root Mean Square (RMS) processing, network receipt, and rendering-revealed mean latencies of 0.50 ms (processing), 5.62 ms (network), and 19.22 ms (rendering), yielding an average end-to-end delay of 25.34 ms. Notably, 99.3% of frames arrived within 50 ms. One-sided t-tests confirmed mean latency was significantly lower than both the 30 ms VR comfort limit ($t_{87\,715}=-25.2$, $p=5.9{\times}10^{-140}$) and the 50 ms clinical benchmark ($t_{87\,715}=-133.3$, $p<10^{-300}$). These findings support VRxBioRelax for use in remote interoceptive training, stress reduction, and telepresence-enabled rehabilitation.

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