Realidad virtual y demencia

Pérez, Elvira Díaz; Lozano, José Antonio Flórez

doi:10.33588/rn.6610.2017438

Cited by 14 publications

(6 citation statements)

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“…The idea of using this novel training stems from the growing evidence that VR could be effective in different patient populations, including those affected by neurological (such as stroke, traumatic brain injury and multiple sclerosis), psychiatric and other motor disorders. [35][36][37][38][39][40][41][42][43] According to this data, we found that VR led to better results than conventional training, as in our patient it promoted a reduction of depressive and psychiatric symptoms, an improvement in motor-cognitive function and communication abilities with a higher engagement and participation thanks to dynamic gaming interaction. Indeed, its gaming-like structure activates a key motivational mechanism for the achievement of rehabilitation goals.…”

Section: Exsecutive Functions Verbal Fluence Reasoningsupporting

confidence: 62%

Advances in neuroRehabilitation of TREM2-related dementia

Luca¹,

Marra²,

Pollicino³

et al. 2022

Medicine

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Rationable:The aim of this study is to investigate the effects of an advanced neuroRehabilitation protocol using virtual reality in the treatment of a patient with fronto-temporal dementia due to TREM2 mutation.Patient's concern: A 41-year-old caucasian male, affected by Nasu-Hakola Disease (NHD), presented a 1-year history of change in behavioral and cognitive functioning, before our observation. The onset of the disease was characterized by severe pain in the lower limbs and knees with limitations in the performance of daily life activities.Diagnosis: Motor and cognitive deficits in NHD.Interventions: As the patient was in a chronic phase, to manage his cognitive and motor status, we decided to treat him by using a specific rehabilitation protocol, including 2 different types of training: conventional cognitive and motor treatment and a combined advanced approach using the virtual reality rehabilitation system (VRRS). The two protocols were separated by 4 weeks of rest, to avoid/reduce a cumulative effect. The patient's cognitive and motor profile was assessed three times: that is before (at T0) and after (at T1) the conventional training as well as at the beginning (T2) and at the end of the combined experimental approach (T3).Outcomes: After the combined therapeutic approach with the virtual reality rehabilitation system, we observed a significant reduction in anxiety, apathy, indifference and depressive symptoms with a more evident motor improvement involving the head and the trunk control.Lessons: Virtual reality can be considered a promising tool for the motor and cognitive rehabilitation of rare neurodegenerative disorders, including patients with NHD.Abbreviations: CCT = conventional cognitive training, CNS = central nervous system, CT = conventional training, FTD = frontotemporal dementia, NHD = Nasu-Hakola disease, RCI = reliable change index, SCT-VRRS = standard cognitive training-virtual reality rehabilitation system, SPT = standard physiotherapy, VR = virtual reality, VRRS = virtual reality rehabilitation system.

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Section: Exsecutive Functions Verbal Fluence Reasoningsupporting

confidence: 62%

Advances in neuroRehabilitation of TREM2-related dementia

Luca¹,

Marra²,

Pollicino³

et al. 2022

Medicine

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“…Cognitive declines are also reported in anxiety, mood, bipolar, and personality disorders, where similarly broad cognitive training could be useful to alleviate cognitive decline, reduce premature brain aging [ 59 - 62 , 64 , 150 , 251 , 252 ], and increase remission [ 166 , 230 ], and where the success of cognitive training in disorders such as schizophrenia, ADHD, developmental disorders, and dementia could be applied. Cognitive training and virtual reality could also improve broad motor and cognitive functions in patients with neurological disorders such as stroke, traumatic brain injury, Parkinson disease, and multiple sclerosis [ 61 , 247 ]. Attention bias modification appears to be successful in treating negative cognitive and attentional biases in patients with mood and anxiety disorders [ 163 ].…”

Section: Resultsmentioning

confidence: 99%

“…Nevertheless, there are also barriers to providing and expanding virtual reality tools. For example, the high cost of equipment acts as a significant barrier, however, lower priced equipment or mobile phones can be used as substitutes [ 137 , 220 , 247 ]. Additionally, virtual reality tools are based on recent technological advancements, and there is little quality research on the use of industry-standard equipment and even less so for low-cost virtual reality options.…”

Section: Discussionmentioning

confidence: 99%

Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review

Philippe¹,

Sikder²,

Jackson³

et al. 2022

JMIR Ment Health

150

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Background The COVID-19 pandemic has shifted mental health care delivery to digital platforms, videoconferencing, and other mobile communications. However, existing reviews of digital health interventions are narrow in scope and focus on a limited number of mental health conditions. Objective To address this gap, we conducted a comprehensive systematic meta-review of the literature to assess the state of digital health interventions for the treatment of mental health conditions. Methods We searched MEDLINE for secondary literature published between 2010 and 2021 on the use, efficacy, and appropriateness of digital health interventions for the delivery of mental health care. Results Of the 3022 records identified, 466 proceeded to full-text review and 304 met the criteria for inclusion in this study. A majority (52%) of research involved the treatment of substance use disorders, 29% focused on mood, anxiety, and traumatic stress disorders, and >5% for each remaining mental health conditions. Synchronous and asynchronous communication, computerized therapy, and cognitive training appear to be effective but require further examination in understudied mental health conditions. Similarly, virtual reality, mobile apps, social media platforms, and web-based forums are novel technologies that have the potential to improve mental health but require higher quality evidence. Conclusions Digital health interventions offer promise in the treatment of mental health conditions. In the context of the COVID-19 pandemic, digital health interventions provide a safer alternative to face-to-face treatment. However, further research on the applications of digital interventions in understudied mental health conditions is needed. Additionally, evidence is needed on the effectiveness and appropriateness of digital health tools for patients who are marginalized and may lack access to digital health interventions.

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“…VR has been successfully used in the elderly and in individuals who had stroke and Parkinson's disease to enhance the ability to perform activities of daily living [13], in individuals at high risk for cognitive decline [14] to reduce anxiety in older adults consulting for the first time in a memory clinic [15], and in individuals with NCDs for memory rehabilitation [16]. Interestingly, VR has been used in the diagnosis, cognitive training, and caregiver education for major NCD due to AD [17,18], to improve executive function in individuals with NCDs due to traumatic brain injury [19], cognitive rehabilitation of mild cognitive impairment [[20], [21], [22]], and stroke [23,24].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of the use of virtual reality and its effects on cognition in individuals with neurocognitive disorders

Moreno

Wall

Thangavelu

et al. 2019

A&D Transl Res & Clin Interv

103

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Introduction Virtual reality (VR) interventions are increasingly used in individuals with brain injuries. The objective of this study was to determine the effects of VR on overall cognitive functioning in individuals with neurocognitive disorders (NCDs). Methods Using Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, a systematic review of the published literature on immersive and nonimmersive VR technologies targeting cognition in minor and major NCDs was conducted: (PROSPERO registration number: CRD42019121953). Results A total of 22 studies were included in the review, for an aggregated sample of 564 individuals with NCDs. Most of the studies were conducted on patients who had stroke (27.3%), followed by mild cognitive impairment (22.7%) and Alzheimer's disease (13.6%). VR interventions used for cognitive rehabilitation suggested to improve cognition (e.g. memory, dual tasking, and visual attention), and secondarily to psychological functioning (e.g. reduction of anxiety, higher levels of well‐being, and increased use of coping strategies). Conclusion VR interventions are useful to improve cognition and psychological symptoms in NCDs.

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Realidad virtual y demencia

Cited by 14 publications

References 0 publications

Advances in neuroRehabilitation of TREM2-related dementia

Advances in neuroRehabilitation of TREM2-related dementia

Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review

A systematic review of the use of virtual reality and its effects on cognition in individuals with neurocognitive disorders

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