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Fig 1.

A: Example of acupuncture manipulation education system (AMES) and two different types of visual feedbacks: concurrent and post-trial visual feedback. B: Experimental setup and procedure.

The experiment comprised two sessions: simple and complicated lifting/thrusting movements. Each session consisted of (1) a pre-training test, (2) training across eight trials, and (3) a post-training test. During the pre- and post-training tests, participants performed acupuncture needle manipulations without any visual information, and aimed to mimic the motion template as closely as possible (+). A simulation of their own motion (green line) overlapped the motion template (red line) in the concurrent visual feedback (VF) group; the motion information (green line) of the post-trial VF group was presented, along with the motion template (red line), immediately subsequent to each trial.

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Fig 1 Expand

Fig 2.

Data processing and statistical analysis.

Identified sampled motion unit (a). Slicing and collection sampled motion units (b). Normalization to resample the observed data to a specific number (i.e., 50) and calculated magnitude error (c). Normalization with rescaling of the lift/thrusting amplitude to between 0 and 1 (d). Calculated shape and mean squared error (e).

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Fig 2 Expand

Fig 3.

A: Estimated regression curve for the motion patterns of each participant during acupuncture needle manipulation (red dot: pre-training test, blue dot: post-training test). Mean response curve of the motion patterns of each group (red line: pre-training test, blue line: post-training test, black line: a motion template for the lifting/thrusting movement). Both the concurrent and post-trial VF groups exhibited a greater number of deviations from the motion template during the pre-training test (red line) and fewer deviations during the post-training test (blue line) in session 2. B: Both the concurrent and post-trial VF groups exhibited greater motion pattern improvements during the complicated, but not the simple, lifting/thrusting session.

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Fig 3 Expand

Fig 4.

A: In the magnitude error analysis, both the concurrent and post-trial VF groups exhibited greater error reductions during the simple lifting/thrusting session. B: During the training period, the concurrent VF group exhibited reduced error magnitudes across all trials, while the post-trial VF group exhibited greater error magnitudes during the initial trials, which gradually decreased in later trials.

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Fig 4 Expand

Fig 5.

The characteristics of both conditions (concurrent and post-trial VF) are summarized.

The modality, latent process, and results of each condition are included to facilitate understanding of each visual feedback condition.

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Fig 5 Expand