Evaluation and retraining of adults' cognitive impairments: Which role for virtual reality technology?

Pugnetti, Luigi; Mendozzi, Laura; Motta, Achille; Cattaneo, Annamaria; Barbieri, Elena; Brancotti, Aaron

doi:10.1016/0010-4825(94)00040-w

Cited by 102 publications

(49 citation statements)

References 4 publications

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“…When discussion of the potential for VR applications in neuropsychology first emerged in the mid-1990s (Pugnetti et al, 1995;Rizzo, 1994;Rose, Attree, & Johnson, 1996), the technology to deliver on the anticipated "visions" was not in place. Consequently, during these early years VR suffered from a somewhat imbalanced "expectation-to-delivery" ratio, as most users trying systems during that time will attest.…”

Section: Introductionmentioning

confidence: 98%

Analysis of assets for virtual reality applications in neuropsychology

Rizzo

Schultheis

Kerns

et al. 2004

Neuropsychological Rehabilitation

390

261

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Virtual reality (VR) technology offers new opportunities for the development of innovative neuropsychological assessment and rehabilitation tools. VR-based testing and training scenarios that would be difficult, if not impossible, to deliver using conventional neuropsychological methods are now being developed that take advantage of the assets available with VR technology. If empirical studies continue to demonstrate effectiveness, virtual environment applications could provide new options for targeting cognitive and functional impairments due to traumatic brain injury, neurological disorders, and learning disabilities. This article focuses on specifying the assets that are available with VR for neuropsychological applications along with discussion of current VRbased research that serves to illustrate each asset. VR allows for the precise presentation and control of dynamic multi-sensory 3D stimulus environments, as well as providing advanced methods for recording behavioural responses. This serves as the basis for a diverse set of VR assets for neuropsychological approaches that are detailed in this article. We take the position that when combining these assets within the context of functionally relevant, ecologically valid virtual environments, fundamental advancements can emerge in how human cognition and functional behaviour is assessed and rehabilitated.Correspondence should be addressed to

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Section: Introductionmentioning

confidence: 98%

Analysis of assets for virtual reality applications in neuropsychology

Rizzo

Schultheis

Kerns

et al. 2004

Neuropsychological Rehabilitation

390

261

View full text Add to dashboard Cite

show abstract

“…stroke, traumatic brain injury, spinal cord injury, cerebral palsy, multiple sclerosis, etc.) (Deutsch & McCoy, 2017; Howard, 2017; Klamroth-Marganska et al, 2014; Lange et al, 2012; Merians et al, 2010), and for the assessment and rehabilitation of attention, memory, spatial skills, and other cognitive functions in both clinical and unimpaired populations (Bogdanova, Yee, Ho, & Cicerone, 2016; Matheis et al, 2007; Parsons, Rizzo, Rogers, & York, 2009; Pugnetti et al, 1995; Rizzo, 1994; Rizzo et al, 2006; Valladares-Rodriguez et al, 2016). …”

Section: Introductionmentioning

confidence: 99%

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

Rizzo

Shilling

2017

European Journal of Psychotraumatology

142

107

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Numerous reports indicate that the incidence of posttraumatic stress disorder (PTSD) in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) military personnel has created a significant behavioural healthcare challenge. These findings have served to motivate research on how to better develop and disseminate evidence-based treatments for PTSD. The current article presents the use of Virtual Reality (VR) as a clinical tool to address the assessment, prevention, and treatment of PTSD, based on the VR projects that were evolved at the University of Southern California Institute for Creative Technologies since 2004. A brief discussion of the definition and rationale for the clinical use of VR is followed by a description of a VR application designed for the delivery of prolonged exposure (PE) for treating Service Members (SMs) and Veterans with combat- and sexual assault-related PTSD. The expansion of the virtual treatment simulations of Iraq and Afghanistan for PTSD assessment and prevention is then presented. This is followed by a forward-looking discussion that details early efforts to develop virtual human agent systems that serve the role of virtual patients for training the next generation of clinical providers, as healthcare guides that can be used to support anonymous access to trauma-relevant behavioural healthcare information, and as clinical interviewers capable of automated behaviour analysis of users to infer psychological state. The paper will conclude with a discussion of VR as a tool for breaking down barriers to care in addition to its direct application in assessment and intervention.

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“…Research in the late 1990s began tentatively with attempts to establish whether the effects of interaction with real and virtual environments were functionally equivalent at a neuropsychological level, using evidence gained from brain imaging technology [16,17]; electrophysiological studies [18] and transfer of training paradigms [19]. Research has now evolved to a point where VR is regarded as an invaluable tool in examining the neural correlates of everyday cognition in the injured and intact brain.…”

Section: Vr and Neuropsychological Rehabilitationmentioning

confidence: 99%

Virtual enriched environments in paediatric neuropsychological rehabilitation following traumatic brain injury: Feasibility, benefits and challenges

Penn

Rose

Johnson

2009

Developmental Neurorehabilitation

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A frequent consequence of traumatic brain injury (TBI) is a significant reduction in patients' cerebral activation/arousal, which clinicians agree is not conducive to optimal rehabilitation outcomes. In the context of paediatric rehabilitation, sustained periods of inactivity are particularly undesirable, as contemporary research has increasingly called into question the Kennard principle that youth inherently promotes greater neural plasticity and functional recovery following TBI. Therefore, the onus to create rehabilitation conditions most conducive to harnessing plasticity falls squarely on the shoulders of clinicians. Having noted the efficacy of environmental enrichment in promoting neural plasticity and positive functional outcomes in the animal literature, some researchers have suggested that the emerging technology of Virtual Reality (VR) could provide the means to increase patients' cerebral activation levels via the use of enriched Virtual Environments (VEs). However, 10 years on, this intuitively appealing concept has received almost no attention from researchers and clinicians alike. This paper overviews recent research on the benefits of enriched environments in the injured brain and identifies the potential and challenges associated with implementing VR-based enrichment in paediatric neuropsychological rehabilitation.

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Evaluation and retraining of adults' cognitive impairments: Which role for virtual reality technology?

Cited by 102 publications

References 4 publications

Analysis of assets for virtual reality applications in neuropsychology

Analysis of assets for virtual reality applications in neuropsychology

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

Virtual enriched environments in paediatric neuropsychological rehabilitation following traumatic brain injury: Feasibility, benefits and challenges

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