A Review of the Application of Virtual Reality Technology in the Diagnosis and Treatment of Cognitive Impairment

Yao, Liu; Tan, Wenjun; Chen, Chao; Liu, Chunyan; Yang, Jinzhu; Zhang, Yanchun

doi:10.3389/fnagi.2019.00280

Cited by 60 publications

(33 citation statements)

References 20 publications

(22 reference statements)

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“…In this regard, Cotelli and Colleagues argue that currently the available evidence is insufficient to draw conclusions about the effects of tele-rehabilitation on cognition, health related quality of life or participant satisfaction, highlighting that the quality of the clinical studies' designs need to be improved. An encouragement to the tele-rehabilitation use comes from a recent review that confirms Virtual-reality technology as a very effective tool for cognitive assessment and recovery in patients with cognitive impairment (51). Moreover, a recent meta-analysis conducted on Exergames (Physically-active video games) concluded that benefits were observed with this kind of treatment for both healthy elderly and clinical populations with cognitive impairments (52).…”

Section: Discussionmentioning

confidence: 99%

Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI

et al. 2020

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Background: Patients with Mild Cognitive Impairment (MCI) and Vascular Cognitive Impairment (VCI) are at a high risk of progressing to dementia. Recent guidelines indicate the importance of promoting multidimensional and multi-domain interventions to prevent further decline. Due to its growing effectiveness, comparable to conventional face-to-face interventions, the use of technology is gaining relevance. Tele-rehabilitation systems have the potential to engage patients in multi-dimensional activity programs and to guarantee a low-cost continuum of care through remote control. A possible limitation of such programs is represented by the lack of familiarization with technology and computers in elderly people. The purpose of this study is to describe the feasibility, adherence, and appreciation of the GOAL Tele-R system, administered by a web-application through remote control in patients with MCI/VCI.Methods: Feasibility of the Tele-R system was evaluated by means of distribution of patients' attrition along the study phases, controlling for potential systematic bias in drop-out rates due to the technological device. Adherence was evaluated analyzing drop-out rates and indexes of carried out activities. Patients' appreciation was analyzed through ad hoc satisfaction questionnaire items.Results: Out of 86 approached patients, 25 (29%) were not enrolled, 30 (35%) dropped-out after randomization, and 31 (36%) completed the study (standard care group n = 12, the tele-R group n = 19). Compared to the tele-R group, rates of drop-outs resulted significantly higher for the standard care group (34 vs. 62%, respectively, p = 0.029). Taking into account baseline characteristics, females resulted in a statistically significant higher rate of drop-outs compared to males (66 vs. 27%, respectively, p = 0.003). Overall adherence to the proposed activities was 84% (85% for cognitive module and 83% for physical activity module). Concerning satisfaction, participants provided a good mean level of appreciation (3.7 ± 0.8, range 1–5), a positive feedback for usability, and a subjective perception of cognitive, emotional, and physical benefits due to the training.Conclusion: The GOAL Tele-R system seems a feasible technological rehabilitation program, reaching an acceptable level of adherence and appreciation in patients with an MCI/VCI condition.Clinical Trial Registration:www.ClinicalTrials.gov, ID: NCT03383549 (registration date: 26/dec/2017).

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Section: Discussionmentioning

confidence: 99%

Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI

et al. 2020

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“…In summary, VR provides participants a feeling of presence that is similar to real life [ 23 , 24 ]. The present study demonstrated that VR technology, such as the VRCTS, was a time-saving, efficient and attractive method to evaluate cognitive function.…”

Section: Discussionmentioning

confidence: 99%

Verification of using virtual reality to evaluate deficiencies in cognitive function among patients with schizophrenia in the remission stage: a cross-sectional study

Huang

Sun

et al. 2021

BMC Psychiatry

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Background Schizophrenia is associated with widespread cognitive impairment. The MATRICS Consensus Cognitive Battery (MCCB) is most frequently used to assess cognitive function. However, the MCCB test is time consuming for the clinician. Virtual reality (VR) has emerged as an adjunctive tool to overcome this limitation and provides a new means to assess cognitive function. Methods The present study examined the validity and safety of using VR technology to assess cognitive function in Han Chinese patients with schizophrenia (SZs). The VR cognition training system (VRCTS) was used to simulate real-life supermarkets and assess cognitive function. Thirty-two SZs and 25 healthy controls (HCs) underwent VRCTS and MCCB assessments. An auxiliary diagnosis model was created based on the outcomes of the VRCTS to classify SZs and HCs by cognitive impairment. Results Significant differences in completion time between the SZs and HCs were detected using the VRCTS. SZs spent more time completing tasks than HCs. The outcome of VRCTS significantly correlated with the MCCB. The auxiliary diagnosis model had a sensitivity of 88.89% and a specificity of 88.89%. Conclusions These results support the use of VR technology in the assessment of cognitive impairment in Han Chinese schizophrenia patients. Trial registration China Clinical Trial Registry, ChiVTR1800016121. Registered 13 May 2018, http://www.chictr.org.cn/showproj.aspx?proj=27233

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“…The combined system enables us to measure eye movements while showing VR animations. VR is also an effective tool for both diagnosis and intervention in the research field of neurodegenerative disorders ( 16 – 18 ). Previous studies reported that interventions with using VR technology improved motor and cognitive functions of people with disorders such as stroke, MCI, AD, and PD ( 19 , 20 ).…”

Section: Introductionmentioning

confidence: 99%

Assessing Saccadic Eye Movements With Head-Mounted Display Virtual Reality Technology

2020

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A Review of the Application of Virtual Reality Technology in the Diagnosis and Treatment of Cognitive Impairment

Cited by 60 publications

References 20 publications

Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI

Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI

Verification of using virtual reality to evaluate deficiencies in cognitive function among patients with schizophrenia in the remission stage: a cross-sectional study

Assessing Saccadic Eye Movements With Head-Mounted Display Virtual Reality Technology

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