Effects of virtual reality-based training with BTs-Nirvana on functional recovery in stroke patients: preliminary considerations

Luca, Rosaria De; Russo, Margherita; Naro, Antonino; Tomasello, Provvidenza; Leonardi, Simona; Santamaria, Floriana; Latella, Dèsiréè; Bramanti, Alessia; Silvestri, Graciela; Bramantı, Placido; Calabrò, Rocco Salvatore

doi:10.1080/00207454.2017.1403915

Cited by 81 publications

(93 citation statements)

References 25 publications

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“…Moreover, only VRTG improved in specific cognitive domains, such as cognitive flexibility, attentional shifting, visual search, and executive and visuospatial functions, that are necessary for planning and managing daily life. Thus, VR can be considered a useful tool for patients with TBI, as demonstrated in various neurological disorders by previous studies [28–33]. Indeed, it has been shown that VRT is effective in enhancing attention, visual-spatial capacity, and motor function in patients with stroke [28, 29].…”

Section: Discussionmentioning

confidence: 99%

Improving Cognitive Function after Traumatic Brain Injury: A Clinical Trial on the Potential Use of the Semi-Immersive Virtual Reality

Luca

Maggio

Maresca

et al. 2019

Behavioural Neurology

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Traumatic brain injury (TBI) is the most common cause of long-term disability and death among young adults, and it represents an enormous socioeconomic and healthcare burden. Our purpose is to evaluate the effects of a virtual reality training with BTs-Nirvana (BTs-N) on the recovery of cognitive functions in TBI subjects, using the interactive semi-immersive program. One hundred patients with TBI were enrolled in this study and randomized into either the Traditional Cognitive Rehabilitation Group (TCRG: n=50) or the Virtual Reality Training Group (VRTG: n=50). The VRTG underwent a VRT with BTs-N, whereas the TCRG received a standard cognitive treatment. Each treatment session lasted 60 minutes and was repeated three times a week for 8 weeks. All of the patients were evaluated by a specific psychometric battery before (T0) and immediately (T1) after the end of the training. VRTG and TCRG had a significant improvement in cognitive functioning and in mood, but only VRTG presented with a significant increase in cognitive flexibility and shifting skills and in selective attention. In conclusion, our results suggest that VR may be a useful and effective approach for the rehabilitation of patients with TBI, leading to better cognitive and behavioral outcomes.

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Section: Discussionmentioning

confidence: 99%

Improving Cognitive Function after Traumatic Brain Injury: A Clinical Trial on the Potential Use of the Semi-Immersive Virtual Reality

Luca

Maggio

Maresca

et al. 2019

Behavioural Neurology

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“…In the last years there has been significant growth in the evidence for post-stroke cognitive rehabilitation [12,13], with a number of studies proposing ecologically valid VR-based simulations of ADL's as the most promising training solutions [26,27]. Notwithstanding the advantages of VR, there are several areas that require further progress.…”

Section: Discussionmentioning

confidence: 99%

“…Over the last years, rehabilitation methodologies based on virtual reality (VR) have been developed as promising solutions to improve cognitive functions [26,27]. VRbased tools have shown potential and to be ideal environments to incorporate cognitive tasks within the simulation of ADL's [28].…”

Section: Is Cognitive Rehabilitation's Impact Small or Are We Missingmentioning

confidence: 99%

A comparison of two personalization and adaptive cognitive rehabilitation approaches: a randomized controlled trial with chronic stroke patients

Faria

Pinho

Badia

2020

J NeuroEngineering Rehabil

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Background: Paper-and-pencil tasks are still widely used for cognitive rehabilitation despite the proliferation of new computer-based methods, like VR-based simulations of ADL's. Studies have established construct validity of VR assessment tools with their paper-and-pencil version by demonstrating significant associations with their traditional construct-driven measures. However, VR rehabilitation intervention tools are mostly developed to include mechanisms such as personalization and adaptation, elements that are disregarded in their paper-and-pencil counterparts, which is a strong limitation of comparison studies. Here we compare the clinical impact of a personalized and adapted paper-and-pencil training and a content equivalent and more ecologically valid VR-based ADL's simulation. Methods: We have performed a trial with 36 stroke patients comparing Reh@City v2.0 (adaptive cognitive training through everyday tasks VR simulations) with Task Generator (TG: content equivalent and adaptive paper-and-pencil training). The intervention comprised 12 sessions, with a neuropsychological assessment pre, post-intervention and follow-up, having as primary outcomes: general cognitive functioning (assessed by the Montreal Cognitive Assessment-MoCA), attention, memory, executive functions and language specific domains. Results: A within-group analysis revealed that the Reh@City v2.0 improved general cognitive functioning, attention, visuospatial ability and executive functions. These improvements generalized to verbal memory, processing speed and self-perceived cognitive deficits specific assessments. TG only improved in orientation domain on the MoCA, and specific processing speed and verbal memory outcomes. However, at follow-up, processing speed and verbal memory improvements were maintained, and a new one was revealed in language. A between-groups analysis revealed Reh@City v2.0 superiority in general cognitive functioning, visuospatial ability, and executive functions on the MoCA.

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“…Cognition refers to the mental processes associated with processing information and responding with appropriate actions. 81 Cognitive impairment is a common effect of neurodegenerative diseases, traumatic brain injuries, and stroke and can lead to reduced ability to perform self-care tasks and participate in social and community activities. Different multistimuli therapeutic VR systems, for example, BTS-Nirvana 82 and VRROOM 83 have been tested in attempts to provide relaxation, or as tools for attention and memory training in traumatic brain injury and stroke patients.…”

Section: Vr In Psychiatry and Medicine Todaymentioning

confidence: 99%

A prescription for “nature” – the potential of using virtual nature in therapeutics

White¹,

Yeo²,

Vassiljev³

et al. 2018

NDT

184

130

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Many studies suggest that increased exposure to urban greenness is associated with better population health. Accessing nature can in some circumstances, however, be difficult, especially for individuals with mobility constraints. Therefore, a growing body of work is investigating the ways to replace the in vivo experience with forms of “virtual” contact, in order to provide these individuals with at least some benefits of the natural environment. The aim of this paper is to provide a review of previous use of virtual reality (VR) nature in health and care settings and contemplate the potential use of this technology in future. Our central question is whether engaging with virtual nature can contribute to enhanced physical and emotional well-being in housebound or mobility-constrained individuals. We conclude that while contact with real-world nature is preferred, VR use can be an alternative in cases when in vivo contact with nature is not possible. There are many possibilities for the use of VR technology in psychiatric and medical care; however, the risks, benefits, and cost efficiency of these attempts should be carefully assessed and the outcomes should be measured in a scientifically valid manner. The current review has nonetheless demonstrated that VR nature could play a role in each of the proposed mediating mechanisms linking natural environments and health.

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Effects of virtual reality-based training with BTs-Nirvana on functional recovery in stroke patients: preliminary considerations

Abstract: According to these preliminary data, VRT with I-SIP can be considered a useful complementary treatment to potentiate functional recovery, with regard to attention, visual-spatial deficits, and motor function in patients affected by stroke.

Cited by 81 publications

References 25 publications

Improving Cognitive Function after Traumatic Brain Injury: A Clinical Trial on the Potential Use of the Semi-Immersive Virtual Reality

Improving Cognitive Function after Traumatic Brain Injury: A Clinical Trial on the Potential Use of the Semi-Immersive Virtual Reality

A comparison of two personalization and adaptive cognitive rehabilitation approaches: a randomized controlled trial with chronic stroke patients

A prescription for “nature” – the potential of using virtual nature in therapeutics

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Effects of virtual reality-based training with BTs-Nirvana on functional recovery in stroke patients: preliminary considerations

Abstract: According to these preliminary data, VRT with I-SIP can be considered a useful complementary treatment to potentiate functional recovery, with regard to attention, visual-spatial deficits, and motor function in patients affected by stroke.

Cited by 81 publications

References 25 publications

Improving Cognitive Function after Traumatic Brain Injury: A Clinical Trial on the Potential Use of the Semi-Immersive Virtual Reality

Improving Cognitive Function after Traumatic Brain Injury: A Clinical Trial on the Potential Use of the Semi-Immersive Virtual Reality

A comparison of two personalization and adaptive cognitive rehabilitation approaches: a randomized controlled trial with chronic stroke patients

A prescription for &ldquo;nature&rdquo; &ndash; the potential of using virtual nature in therapeutics

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Product

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A prescription for “nature” – the potential of using virtual nature in therapeutics