2D Virtual Reality-Based Exercise Improves Spatial Navigation in Institutionalized Non-robust Older Persons: A Preliminary Data Report of a Single-Blind, Randomized, and Controlled Study

Oliveira, Luciana Mendes; Souza, Eric Hudson Evangelista e; Alves, Mariana Rocha; Carneiro, Lara; Fagundes, Daniel Ferreira; Paula, Alfredo Maurício Batista de; Engedal, Knut; Nascimento, Osvaldo J. M.

doi:10.3389/fneur.2020.609988

Cited by 9 publications

(4 citation statements)

References 25 publications

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“…For example, VR-based exposure therapy has been used for eating disorders [ 53 ] and combat-related posttraumatic stress disorders [ 52 ]. For older people, VR-based therapies integrated with movement therapy have been found to improve spatial navigation [ 54 ]. Furthermore, some studies have applied game elements to VR-based rehabilitation such as serious games and virtual spatial wayfinding games [ 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

Virtual Reality Technology in Cognitive Rehabilitation Application: Bibliometric Analysis

He¹,

Cao²,

Le³

et al. 2022

JMIR Serious Games

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Background In recent years, with the development of computer science and medical science, virtual reality (VR) technology has become a promising tool for improving cognitive function. Research on VR-based cognitive training has garnered increasing attention. Objective This study aimed to investigate the application status, research hot spots, and emerging trends of VR in cognitive rehabilitation over the past 20 years. Methods Articles on VR-based cognitive rehabilitation from 2001 to 2021 were retrieved from the Web of Science Core Collection. CiteSpace software was used for the visual analysis of authors and countries or regions, and Scimago Graphica software was used for the geographic visualization of published countries or regions. Keywords were clustered using the gCLUTO software. Results A total of 1259 papers were included. In recent years, research on the application of VR in cognitive rehabilitation has been widely conducted, and the annual publication of relevant literature has shown a positive trend. The main research areas include neuroscience and neurology, psychology, computer science, and rehabilitation. The United States ranked first with 328 papers, and Italy ranked second with 140 papers. Giuseppe Riva, an Italian academic, was the most prolific author with 29 publications. The most frequently cited reference was “Using Reality to Characterize Episodic Memory Profiles in Amnestic Mild Cognitive Impairment and Alzheimer’s Disease: Influence of Active and Passive Encoding.” The most common keywords used by researchers include “virtual reality,” “cognition,” “rehabilitation,” “performance,” and “older adult.” The largest source of research funding is from the public sector in the United States. Conclusions The bibliometric analysis provided an overview of the application of VR in cognitive rehabilitation. VR-based cognitive rehabilitation can be integrated into multiple disciplines. We conclude that, in the context of the COVID-19 pandemic, the development of VR-based telerehabilitation is crucial, and there are still many problems that need to be addressed, such as the lack of consensus on treatment methods and the existence of safety hazards.

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Section: Discussionmentioning

confidence: 99%

Virtual Reality Technology in Cognitive Rehabilitation Application: Bibliometric Analysis

He¹,

Cao²,

Le³

et al. 2022

JMIR Serious Games

View full text Add to dashboard Cite

show abstract

“…This is the first time that exercise has been shown to improve spatial navigation in a healthy adult population using a virtual maze task. A recent pilot study in 14 older adults (aged ≥ 60) found that 2 months of exergaming significantly improved spatial navigation as assessed by the immediate course performance maze time in the Floor Maze Test, a task of exocentric and allocentric navigation (Oliveira et al, 2020 ). Previous reports have also found cross-sectional evidence in adolescents that enhanced cardiorespiratory fitness levels are associated with increased hippocampal volume, which was subsequently associated with spatial learning on a Virtual Water Morris Maze (Herting and Nagel, 2012 ; Prathap et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Examining the Effect of Increased Aerobic Exercise in Moderately Fit Adults on Psychological State and Cognitive Function

Basso

Oberlin

Satyal

et al. 2022

Front. Hum. Neurosci.

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Regular physical exercise can decrease the risk for obesity, diabetes, and cardiovascular disease, increase life expectancy, and promote psychological health and neurocognitive functioning. Cross-sectional studies show that cardiorespiratory fitness level (VO2 max) is associated with enhanced brain health, including improved mood state and heightened cognitive performance. Interventional studies are consistent with these cross-sectional studies, but most have focused on low-fit populations. Few such studies have asked if increasing levels of physical activity in moderately fit people can significantly enhance mood, motivation, and cognition. Therefore, the current study investigated the effects of increasing aerobic exercise in moderately fit individuals on psychological state and cognitive performance. We randomly assigned moderately fit healthy adults, 25–59 years of age, who were engaged in one or two aerobic exercise sessions per week to either maintain their exercise regimen (n = 41) or increase their exercise regimen (i.e., 4–7 aerobic workouts per week; n = 39) for a duration of 3 months. Both before and after the intervention, we assessed aerobic capacity using a modified cardiorespiratory fitness test, and hippocampal functioning via various neuropsychological assessments including a spatial navigation task and the Mnemonic Similarity Task as well as self-reported measures including the Positive and Negative Affect Scale, Beck Anxiety Inventory, State-Trait Anxiety Inventory, Perceived Stress Scale, Rumination Scale, Eating Disorders Examination, Eating Attitudes Test, Body Attitudes Test, and Behavioral Regulation of Exercise Questionnaire. Consistent with our initial working hypotheses, we found that increasing exercise significantly decreased measures of negative affect, including fear, sadness, guilt, and hostility, as well as improved body image. Further, we found that the total number of workouts was significantly associated with improved spatial navigation abilities and body image as well as reduced anxiety, general negative affect, fear, sadness, hostility, rumination, and disordered eating. In addition, increases in fitness levels were significantly associated with improved episodic memory and exercise motivation as well as decreased stress and disordered eating. Our findings are some of the first to indicate that in middle-aged moderately-fit adults, continuing to increase exercise levels in an already ongoing fitness regimen is associated with additional benefits for both psychological and cognitive health.

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“…Spatial navigation and internal representations of the body in space were shown to be impaired in PPPD patients, measured by the virtual version of the Morris water maze test [74]. Improving organisation and orientation through virtual reality appears as a promising treatment target and has been tested in other conditions such as early dementia [75]. Evidence is still limited, but virtual reality interventions are likely to grow in importance and offer insights both into the nature and pathophysiology of PPPD [76].…”

Section: Virtual Realitymentioning

confidence: 99%

Treatment of Persistent Postural-Perceptual Dizziness (PPPD)

Trinidade,

Cabreira,

Kaski

et al. 2023

Curr Treat Options Neurol

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Keypoints• Much of our current understanding on how to treat PPPD is based on work done on its predecessors, but evidence for treatments on PPPD itself is growing. • Vestibular rehabilitation, CBT, and serotonin reuptake inhibitors, used as sole interventions for PPPD, can reduce dizzinessrelated handicap by a clinically meaningful amount from a high symptom level to a mild or low moderate level. Although preliminary data suggest benefit in combining treatment modalities, high-quality adequately powered trials are needed to provide stronger evidence and establish optimal treatment protocols. • Novel interventions such as virtual reality and electrical stimulation have been explored as potential future treatment options.

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2D Virtual Reality-Based Exercise Improves Spatial Navigation in Institutionalized Non-robust Older Persons: A Preliminary Data Report of a Single-Blind, Randomized, and Controlled Study

Cited by 9 publications

References 25 publications

Virtual Reality Technology in Cognitive Rehabilitation Application: Bibliometric Analysis

Virtual Reality Technology in Cognitive Rehabilitation Application: Bibliometric Analysis

Examining the Effect of Increased Aerobic Exercise in Moderately Fit Adults on Psychological State and Cognitive Function

Treatment of Persistent Postural-Perceptual Dizziness (PPPD)

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