BrightArm&amp;#x2122; therapy for patients with advanced dementia: A feasibility study

Burdea, Grigore; Rabin, Bryan; Rethage, Dario; Damiani, Frank; Hundal, Jasdeep; Fitzpatrick, C.

doi:10.1109/icvr.2013.6662101

Cited by 7 publications

(8 citation statements)

References 5 publications

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“…Three participants showed a slight increase in depression of 1 to 3 points compared to their pre-intervention levels. The improvement in the participants' emotive state following the BrightBrainer therapy is in line with the earlier BrightArm studies [12,13] using integrative (motor + cognitive) training. Reduction in depressive symptoms by up to 50% in geriatric participants was previously induced by playing Wii games half an hour, three times/week [25].…”

Section: Discussionsupporting

confidence: 88%

“…By contrast, Burdea and his group performed a feasibility study of integrative VR (cognitive and motor rehabilitation) on patients with advance-stage AD who were residents of an SNF dementia ward [12]. Unlike other studies which utilized a keyboard or joystick as the patient's interface with the simulation, this feasibility study employed the novel BrightArm rehabilitation table [13].…”

Section: Introductionmentioning

confidence: 99%

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Feasibility study of theBrightBrainer™ integrative cognitive rehabilitation system for elderly with dementia

Burdea

Polistico

Krishnamoorthy

et al. 2014

Disability and Rehabilitation: Assistive Technology

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Purpose To describe the development of BrightBrainer™ integrative cognitive rehabilitation system and determine clinical feasibility with nursing home-bound dementia patients. Method BrightBrainer cognitive rehabilitation simulations were first played uni-manually, then bimanually. Participants sat in front of a laptop and interacted through a game controller that measured hand movements in 3D, as well as flexion of both index fingers. Interactive serious games were designed to improve basic and complex attention (concentration, short-term memory, dual tasking), memory recall, executive functioning and emotional well-being. Individual simulations adapted automatically to each participant's level of motor functioning. The system underwent feasibility trials spanning 16 sessions over 8 weeks. Participants were evaluated pre- and post-intervention, using standardized neuropsychological measures. Computerized measures of movement repetitions and task performance were stored on a remote server. Results Group analysis for 10 participants showed statistically significant improvement in decision making (p<0.01), with trend improvements in depression (p<0.056). Improvements were also seen in processing speed (p<0.13) and auditory attention (p<0.17); however, these were not statistically significant (partly attributable to the modest sample size). Eight of nine neuropsychological tests showed changes in the improvement direction indicating an effective rehabilitation (p<0.01). BrightBrainer technology was well tolerated with mean satisfaction ratings of 4.9/5.0 across participants. Conclusions Preliminary findings demonstrate utility within an advanced dementia population, suggesting that it will be beneficial to evaluate BrightBrainer through controlled clinical trials and to investigate its application in other clinical populations.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Feasibility study of theBrightBrainer™ integrative cognitive rehabilitation system for elderly with dementia

Burdea

Polistico

Krishnamoorthy

et al. 2014

Disability and Rehabilitation: Assistive Technology

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“…For the sake of the present mini-review, they may be roughly summarized as follows: (1) attention (Kalová et al, 2005 ; Anguera et al, 2013 ); (2) executive functions (Yeh et al, 2012 ; Tarnanas et al, 2013 ); (3) memory, comprising: non-verbal episodic memory, allocentric and egocentric spatial memory, temporal order memory, prospective memory, short-term, and working memory, etc. (Kalová et al, 2005 ; Burgess et al, 2006 ; Optale et al, 2010 ; Weniger et al, 2011 ; Bellassen et al, 2012 ; Shamsuddin et al, 2012 ; Yeh et al, 2012 ; Burdea et al, 2013 ; Tarnanas et al, 2013 ; Jebara et al, 2014 ; Lee et al, 2014 ; Serino and Riva, 2015 ); (4) orientation, specifically: allothetic, visuospatial, wayfinding, spatial navigation, topographical disorientation, etc. (Kalová et al, 2005 ; Burgess et al, 2006 ; Hort et al, 2007 ; Lange et al, 2007 ; Cushman et al, 2008 ; Zakzanis et al, 2009 ; Nedelska et al, 2012 ); and also (5) executive functions and IADL (Hofmann et al, 2003 ; Van Schaik et al, 2008 ; Buss, 2009 ; Yeh et al, 2012 ; Tarnanas et al, 2013 , 2014 ; Allain et al, 2014 ; Jekel et al, 2015 ).…”

Section: Categorization Of Vr Applications Used In Admentioning

confidence: 99%

A Succinct Overview of Virtual Reality Technology Use in Alzheimer’s Disease

García-Betances

Arredondo

Fico

et al. 2015

Front. Aging Neurosci.

120

121

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We provide a brief review and appraisal of recent and current virtual reality (VR) technology for Alzheimer’s disease (AD) applications. We categorize them according to their intended purpose (e.g., diagnosis, patient cognitive training, caregivers’ education, etc.), focus feature (e.g., spatial impairment, memory deficit, etc.), methodology employed (e.g., tasks, games, etc.), immersion level, and passive or active interaction. Critical assessment indicates that most of them do not yet take full advantage of virtual environments with high levels of immersion and interaction. Many still rely on conventional 2D graphic displays to create non-immersive or semi-immersive VR scenarios. Important improvements are needed to make VR a better and more versatile assessment and training tool for AD. The use of the latest display technologies available, such as emerging head-mounted displays and 3D smart TV technologies, together with realistic multi-sensorial interaction devices, and neuro-physiological feedback capacity, are some of the most beneficial improvements this mini-review suggests. Additionally, it would be desirable that such VR applications for AD be easily and affordably transferable to in-home and nursing home environments.

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“…Since the time of this traditional definition of VR, rapid progress in technology means that it is increasingly possible to 'convince users that they are immersed' through various modalities such as head mounted displays, three dimensional (3D) displays, joysticks, gloves, and haptic feedback from robotic arms. Currently there is increasing evidence for the use of VR in cognitive rehabilitation in schizophrenia 9 , depression 10 , neurodegenerative disorders 11 , and dementia 12 . Essentially, VR technology is proving to be a discernible tool in the assessment, diagnosis, and treatment of chronic neurological and psychiatric disorders.…”

Section: Introductionmentioning

confidence: 99%