Virtual Reality Interventions for Older Adults With Mild Cognitive Impairment: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e59195 - e59195

Published: Jan. 10, 2025

Background Alzheimer disease is incurable, but it possible to intervene and slow down the progression of dementia during periods mild cognitive impairment (MCI) through virtual reality (VR) technology. Objective This study aimed analyze effects VR interventions on older adults with MCI. The examined outcomes include abilities, mood, quality life, physical fitness, including general function, memory performance, attention information processing speed, executive language proficiency, visuospatial depression, daily mobility individuals, muscle gait balance. Methods A total 4 web-based databases (Web Science, PubMed, Embase, Ovid) were searched up December 30, 2023, for randomized controlled trials assessing self-reported VR-based technology cognition, fitness in (aged ≥55 years) Two reviewers independently screened search results reference lists identified papers related reviews. Data intervention components delivery behavioral change techniques used extracted. meta-analysis, risk-of-bias sensitivity analysis, subgroup analysis performed where appropriate explore potential moderators. Grading Recommendations, Assessment, Development, Evaluations (GRADE) approach was assess evidence. Results review analyzed 18 studies involving 722 delivered different immersion levels training, or cognitive-motor dual-task training. showed significant improvements (standardized mean difference [SMD] 0.2, 95% CI 0.02-0.38), speed (SMD 0.25, 0.06-0.45), function 0.22, 0.02-0.42). without therapist involvement improved as well speed. training also resulted MCI 0.31, 0.05-0.58). In addition, immersive had a impact improving 0.25; 0.01-0.50) 0.00-0.50). However, very small terms living ability, Quality evidence varied, moderate ratings certain functions low others, based GRADE approach. Conclusions can improve memory, low, further research needed confirm these findings additional health-related outcomes.

Language: Английский

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Virtual Reality for the Rehabilitation of Acquired Cognitive Disorders: A Narrative Review

Bioengineering, Journal Year: 2023, Volume and Issue: 11(1), P. 35 - 35

Published: Dec. 28, 2023

This review article explores the use of Virtual Reality (VR) technology in cognitive rehabilitation for individuals with neurological conditions, such as stroke, traumatic brain injury, and neurodegenerative diseases. The introduction highlights challenges posed by impairments limitations traditional methods. VR is presented a transformative tool that immerses interactive environments, offering promising opportunities enhancing functions improving quality life. covers foundational principles VR, its applications across different clinical conditions domains, evaluates empirical evidence supporting efficacy. It also discusses advantages, limitations, challenges, ethical considerations rehabilitation. concludes exploring future developments, including advancements technology, integration Augmented (AR) artificial intelligence (AI), importance standardized assessment tools objective evaluation outcomes.

Language: Английский

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Effectiveness of Augmented and Virtual Reality-Based Interventions in Improving Knowledge, Attitudes, Empathy and Stigma Regarding People with Mental Illnesses—A Scoping Review

Journal of Personalized Medicine, Journal Year: 2023, Volume and Issue: 13(1), P. 112 - 112

Published: Jan. 4, 2023

Interventions adopting augmented and virtual reality (AR/VR) modalities allow participants to explore experience realistic scenarios, making them useful psycho-educational tools for mental illnesses. This scoping review aims evaluate the effectiveness of AR/VR interventions in improving (1) knowledge, (2) attitudes, (3) empathy (4) stigma regarding people with Literature on published studies English up till April 2022 was searched within several databases. Sixteen articles were included. The majority conducted West (93.8%), undergraduates (68.8%) but also amongst high school students, patients, caregivers, public including online community, covered conditions psychotic illnesses, dementia, anxiety depression. A preponderance these included which employed based observed improvements knowledge (66.7%), attitudes (62.5%), (100%) reduction (71.4%) pertaining In context relatively limited studies, extant could potentially improve decrease illness. Further research needs be larger more diverse samples investigate beneficial effects different durability relevant outcomes interests over time conditions.

Language: Английский

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Changes in concentration performance and alternating attention after short-term virtual reality training in E-athletes: a pilot study

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: April 17, 2024

Abstract In the dynamic landscape of e-sports, where intense competitive gaming demands high cognitive abilities, concentration performance and alternating attention play a pivotal role. E-sports encompass diverse genres, each requiring specific functions. Maintaining unwavering focus is crucial, as split-second decisions can determine victory. The study explores potential Virtual Reality (VR) training to enhance attention, shedding light on importance possibilities optimizing abilities for e-athletes. VR emerges promising intervention, offering immersive environments exercises. investigates impact in amateur e-athletes, utilizing standardized tests. A randomized controlled trial with 66 participants reveals significant improvements group, highlighting adaptability plasticity processes. findings suggest that providing valuable insights e-sports potentially extending other fields sustained rapid task-switching. underscores convergence psychology, neuroscience, technology, paving way innovative methodologies advancements performance.

Language: Английский

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Gait Training with Virtual Reality-Based Real-Time Feedback for Chronic Post-Stroke Patients: A Pilot Study

Healthcare, Journal Year: 2025, Volume and Issue: 13(2), P. 203 - 203

Published: Jan. 20, 2025

Background: Virtual reality-based training has been widely used for post-stroke patients due to its positive effects on functional aspects by promoting brain plasticity. Objective: This study aimed investigate the effectiveness of gait with virtual real-time feedback motor function, balance, and spatiotemporal parameters in patients. Methods: Fifteen (n = 15) chronic stroke were randomly assigned either treadmill (experimental group n 8) or (control 7). For experimental that participated, a treadmill, an Oculus Rift VR device, smart insoles VR-based feedback. Regarding feedback, patient wore performed 30 min day, three times week, 5 weeks. The control participated Motor function was measured using Fugl-Meyer assessment. Balance timed up go test Berg balance scale. Gait performance Optogait. normality Shapiro–Wilk test, Wilcoxon signed-rank within-group comparison, Mann–Whitney U between-group comparison. Results: In analyses, both groups showed significant improvements ability. According pre- post-treatment results, greater improvement assessment group: 4.75 vs. 1.57) observed compared (p < 0.05). ability, −3.10 −1.12) scale 3.00 1.71) parameters, affected step length (5.35 2.01), stride (3.86 1.75), single support (2.61 1.22), cadence (0.07 0.02) Conclusions: suggested performance.

Language: Английский

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Virtual reality-enhanced rehabilitation for improving musculoskeletal function and recovery after trauma

Journal of Orthopaedic Surgery and Research, Journal Year: 2025, Volume and Issue: 20(1)

Published: April 23, 2025

Orthopedic trauma remains a critical challenge in modern healthcare, often resulting severe mobility limitations, acute pain, and delayed recovery. Conventional rehabilitation techniques, though effective, fail to address the individualized, high-precision interventions needed for musculoskeletal injuries like fractures, joint instability, ligament tears, muscular atrophy. Virtual reality (VR) technologies, such as Apple Vision Pro HTC Vive Pro, offer transformative approach by enhancing diagnostic precision, effectiveness, patient engagement through interactive, immersive environments that improve clinical outcomes. These VR technologies provide real-time biomechanical data, mechanics, muscle coordination, movement patterns, allowing clinicians design personalized programs. can thus facilitate neuromuscular re-education, proprioception, enhance coordination. Studies have shown VR-based advances functional recovery, improves pain management, reduces psychological barriers associated with immobility. also facilitates telemedicine, increasing accessibility patients geographic or issues. However, while may it is important note they fall short accurate motion tracking, particularly fine motor control tasks. This scoping review follows PRISMA guidelines explore potential of orthopedic rehabilitation, analyzing its capabilities, interventions, feedback systems. Despite this, remain, including regulatory challenges, limitations haptic feedback, high cost, compliance. By presenting balanced perspective on landscape care, this paper emphasizes need rigorous validation, advancements, interdisciplinary collaboration. Ultimately, offers significantly recovery outcomes, engagement, streamline protocols, but successful integration into practice must be approached both optimism caution.

Language: Английский

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Virtual Reality-Based Therapy Improves Fatigue, Impact, and Quality of Life in Patients with Multiple Sclerosis. A Systematic Review with a Meta-Analysis

Sensors, Journal Year: 2021, Volume and Issue: 21(21), P. 7389 - 7389

Published: Nov. 6, 2021

Patients with multiple sclerosis (PwMS) have a high level of fatigue and reduced quality life (QoL) due to the impact (MS). Virtual reality-based therapy (VRBT) is being used reduce disability in PwMS. The aim this study was assess effect VRBT on fatigue, MS, QoL PwMS.A systematic review meta-analysis conducted through bibliographic search PubMed, Scopus, Web Science, PEDro up April 2021. We included randomized controlled trials (RCTs) PwMS that received comparison conventional (CT) including physiotherapy, balance strength exercises, stretching or physical activity, among others; simple observation; order MS-impact, QoL. size calculated using Cohen's standardized mean difference 95% confidence interval (95% CI).Twelve RCTs provided data from 606 (42.83 ± 6.86 years old 70% women) were included. methodological mean, according Scale, 5.83 0.83 points. Our global findings showed effective at reducing (SMD -0.33; CI -0.61, -0.06), lowering MS -0.3; -0.55, -0.04), increasing overall (0.5; 0.23, 0.76). Subgroup analysis following: (1) better than CT -0.4; -0.7, -0.11), as well improving mental dimension 0.51; 0.02, 1); (2) observation -0.61; -0.97, -0.23) 0.79; 0.3, 1.28); (3) when combined CT, more 0.6, 0.13, 1.07), 0.87; 1.43), dimensions 0.6; 0.08, 1.11) QoL.VRBT

Language: Английский

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A systematic review of virtual brainstorming from the perspective of creativity: affordances, framework, and outlook

Digital Creativity, Journal Year: 2022, Volume and Issue: 33(2), P. 96 - 127

Published: April 3, 2022

This study explores virtual reality (VR) as an emerging tool integrated into brainstorming activities to enhance creativity, and systematically reviews existing studies provide advanced literature review on this subject. Moreover, we propose a framework for enhancing creativity in (VB) based the 4Ps (person, process, product, press) of which provides guidance leveraging VB creativity. Furthermore, eight affordances are identified creativity: anonymity, appraisal, avatars, immersion, multiple communication, recording, simulated objects, tracing. The potential perspectives study's also explored, deserves further investigation.

Language: Английский

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Benefits of Telerehabilitation for Patients With Severe Acquired Brain Injury: Promising Results From a Multicenter Randomized Controlled Trial Using Nonimmersive Virtual Reality

Journal of Medical Internet Research, Journal Year: 2023, Volume and Issue: 25, P. e45458 - e45458

Published: July 25, 2023

In neurorehabilitation, the use of innovative technologies offers many opportunities to monitor and improve health status patients with severe acquired brain injury (SABI). Telerehabilitation allows for continuity service through entire rehabilitation cycle, including assessment, intervention, consultation, education, affording early reintegration positively enhancing quality life (QoL).The main purpose this multicenter randomized controlled trial was test effectiveness advanced training provided using a nonimmersive virtual reality system (ie, VRRS HomeKit device) in improving functional outcomes SABI.In total, 40 SABI their caregivers visiting 2 Italian centers were enrolled study protocol into groups. Of patients, 20 (50%) underwent experimental (teleneuro-VRRS group), whereas other administered usual territorial rehabilitative treatments (UTRTs; control group). To investigate motor neuropsychological functioning, evaluated before (T0) at end (T1) each session by multispecialist team complete clinical psychometric battery: Barthel Index (BI), Tinetti Scale (TS), Modified Ashworth (MAS), Montreal Cognitive Assessment (MoCa), Frontal Battery (FAB), Beck Depression Inventory II (BDI-II), Short Form Health Survey 36 (SF-36), Psychological General Well-Being (PGWBI). addition, Caregiver Burden (CBI) caregiver emotional burden status.The teleneuro-VRRS group achieved statistically significant improvement both general outcomes, as well psychological well-being QoL, compared group. particular, BI (P<.001), FAB BDI-II (P<.001) outcome scales best improvement. The also significantly improved (CBI; P<.004). Between-group analysis showed statistical differences anxiety (effect size [ES]=0.85, P<.02) self-control (ES=0.40, P<.03) subtests PGWBI social role functioning (ES=0.85, subtest SF-36, confirmed quite medium large ESs.Our results suggest that is suitable alternative tool or complementary (level independence) cognitive (frontal/executive abilities) reducing behavioral alterations (anxiety depression symptoms) SABI, beneficial impact on caregivers' distress management, mitigating promoting positive aspects caring.ClinicalTrials.gov NCT03709875; https://classic.clinicaltrials.gov/ct2/show/NCT03709875.

Language: Английский

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Reviewing the Horizon: The Future of Extended Reality and Artificial Intelligence in Neurorehabilitation for Brain Injury Recovery

Information, Journal Year: 2024, Volume and Issue: 15(8), P. 501 - 501

Published: Aug. 21, 2024

People with disorders of consciousness, either as a consequence an acquired brain injury or traumatic injury, may pose serious challenges to medical and/or rehabilitative centers increased burden on caregivers and families. The objectives this study were follows: explore the use extended reality critical means support in people consciousness injuries; evaluate its impact recovery processes; assess improvements participants’ quality life, reduce families by using artificial-intelligence-based programs. A selective review newest empirical studies interventions patients injuries was conducted over last decade. potential for bias is acknowledged. conceptual framework detailed. data showed that programs successfully enhanced adaptive responding participants involved, improved their life. reduced accordingly. Extended artificial intelligence be viewed crucial injuries.

Language: Английский

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