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Virtual Environments for Cognitive and Physical Training in Elderly with Mild Cognitive Impairment: A Pilot Study

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Augmented Reality, Virtual Reality, and Computer Graphics (AVR 2017)

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 10325))

Abstract

This work aims at providing an evaluation of the acceptability and the usability of a virtual reality-based intervention developed for the physical and cognitive training of mild cognitive impaired elderlies. To perform this evaluation, participants enrolled in the intervention group (n = 4) of a randomized controlled trial to test the system were interviewed, and their adherence and their performances in the virtual environments for cognitive training were evaluated. In spite of the small sample, the active participation and the unanimous positive judgement of all the participants led to the conclusion that the training program was well accepted and enjoyable. Participants also claimed reduced level of anxiety in their ADL. On the basis of these encouraging results, a second trial, with enlarged sample and with a system implementing the improvements required to overcome the limitations and the problems highlighted with this pilot study, will be performed in the next future.

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References

  1. World Health Organization, Dementia: a public health priority. World Health Organization (2012)

    Google Scholar 

  2. Haxby, J.V., Rapoport, S.I.: Abnormalities of regional brain metabolism in Alzheimer’s disease and their relation to functional impairment. Progress Neuro-Psychopharmacol. Biol. Psychiatry 10(3), 427–438 (1986). Elsevier

    Article  Google Scholar 

  3. Prvulovic, D., Hubl, D., Sack, A., Melillo, L., Maurer, K., Frölich, L., et al.: Functional imaging of visuospatial processing in Alzheimer’s disease. Neuroimage 17(3), 1403–1414 (2002). Elsevier

    Article  Google Scholar 

  4. Crutch, S.J., Lehmann, M., Schott, J.M., Rabinovici, G.D., Rossor, M.N., Fox, N.C.: Posterior cortical atrophy. Lancet Neurol. 11(2), 170–178 (2012). Elsevier

    Article  Google Scholar 

  5. Mendez, M.: Posterior cortical atrophy: a visual variant of Alzheimer’s disease. In: Vision in Alzheimer’s Disease, pp. 112–125. Karger Publishers (2004)

    Google Scholar 

  6. Fukui, T., Lee, E.: Visuospatial function is a significant contributor to functional status in patients with Alzheimer’s disease. American Journal of Alzheimer’s Disease & Other Dementias® 24(4), 313–321 (2009). SAGE Publications Sage CA, Los Angeles, CA

    Article  Google Scholar 

  7. Johnson, D.K., Storandt, M., Morris, J.C., Galvin, J.E.: Longitudinal study of the transition from healthy aging to Alzheimer disease. Arch. Neurol. 66(10), 1254–1259 (2009). American Medical Association

    Article  Google Scholar 

  8. Rizzo, M., Reinach, S., McGehee, D., Dawson, J.: Simulated car crashes and crash predictors in drivers with Alzheimer disease. Arch. Neurol. 54(5), 545–551 (1997). American Medical Association

    Article  Google Scholar 

  9. Ball, K., Owsley, C.: Driving competence: It’s not a matter of age. J. Am. Geriatrics Soc. 51(10), 1499–1501 (2003). Wiley Online Library

    Article  Google Scholar 

  10. Petersen, R.C., Smith, G.E., Waring, S.C., Ivnik, R.J., Tangalos, E.G., Kokmen, E.: Mild cognitive impairment: clinical characterization and outcome. Arch. Neurol. 56(3), 303–308 (1999). American Medical Association

    Article  Google Scholar 

  11. Mariani, E., Monastero, R., Mecocci, P.: Mild cognitive impairment: a systematic review. J. Alzheimer’s Dis. 12(1), 23–35 (2007). IOS Press

    Article  Google Scholar 

  12. Beydoun, M.A., Beydoun, H.A., Gamaldo, A.A., Teel, A., Zonderman, A.B., Wang, Y.: Epidemiologic studies of modifiable factors associated with cognition and dementia: systematic review and meta-analysis. BMC Public Health 14(1), 643 (2014). BioMed Central

    Article  Google Scholar 

  13. Andrieu, S., Coley, N., Lovestone, S., Aisen, P.S., Vellas, B.: Prevention of sporadic Alzheimer’s disease: lessons learned from clinical trials and future directions. Lancet Neurol. 14(9), 926–944 (2015). Elsevier

    Article  Google Scholar 

  14. Willis, S.L., Tennstedt, S.L., Marsiske, M., Ball, K., Elias, J., Koepke, K.M., et al.: Long-term effects of cognitive training on everyday functional outcomes in older adults. JAMA 296(23), 2805–2814 (2006). American Medical Association

    Article  Google Scholar 

  15. Reijnders, J., van Heugten, C., van Boxtel, M.: Cognitive interventions in healthy older adults and people with mild cognitive impairment: a systematic review. Ageing Res. Rev. 12(1), 263–275 (2013). Elsevier

    Article  Google Scholar 

  16. Wolinsky, F.D., Unverzagt, F.W., Smith, D.M., Jones, R., Wright, E., Tennstedt, S.L.: The effects of the ACTIVE cognitive training trial on clinically relevant declines in health-related quality of life. J. Gerontol. 61(5), S281–S287 (2006). Oxford University Press

    Article  Google Scholar 

  17. Calero-Garcia, M.D., Navarro-González, E., Muñoz-Manzano, L.: Influence of level of activity on cognitive performance and cognitive plasticity in elderly persons. Arch. Gerontol. Geriatr. 45(3), 307–318 (2007)

    Article  Google Scholar 

  18. Calero, M.D., Dolores, M., Navarro, E.: Cognitive plasticity as modulating variable on the effects of memory training in elderly persons. Arch. Clin. Neuropsychol. 22(1), 63–72 (2007)

    Article  Google Scholar 

  19. Bamidis, P.D., Fissler, P., Papageorgiou, S.G., Zilidou, V., Konstantinidis, E.I., Billis, A.S., Tsilikopoulou, G.: Gains in cognition through combined cognitive and physical training: the role of training dosage and severity of neurocognitive disorder. Frontiers Aging Neurosci. 7, 152 (2015)

    Article  Google Scholar 

  20. García-Betances, R.I., Jiménez-Mixco, V., Arredondo, M.T., Cabrera-Umpiérrez, M.F.: Using virtual reality for cognitive training of the elderly. Am. J. Alzheimer’s Dis. Other Dementias 30(1), 49–54 (2015). SAGE Publications

    Article  Google Scholar 

  21. Flynn, D., Van, S.P., Blackman, T., Femcott, C., Hobbs, B., Calderon, C.: Developing a virtual reality–based methodology for people with dementia: a feasibility study. CyberPsychol. Behav. 6(6), 591–611 (2003). Mary Ann Liebert, Inc.

    Article  Google Scholar 

  22. Coyle, H., Traynor, V., Solowij, N.: Computerized and virtual reality cognitive training for individuals at high risk of cognitive decline: systematic review of the literature. Am. J. Geriatric Psychiatry 23(4), 335–359 (2015). Elsevier

    Article  Google Scholar 

  23. Sacco, M., Redaelli, C., Zangiacomi, A., Greci, L., Di Santo, S., Leone, A., Vezzoli, A.: GOJI an advanced virtual environment supporting training of physical and cognitive activities to prevent dementia occurrence in elderly with minor cognitive disorders. In: Andò, B., Siciliano, P., Marletta, V., Monteriù, A. (eds.) Ambient Assisted Living. Biosystems & Biorobotics, vol. 11, pp. 429–437. Springer International Publishing, Switzerland (2015)

    Chapter  Google Scholar 

  24. Venkatesh, V.: Determinants of perceived ease of use: Integrating control, intrinsic motivation, and emotion into the technology acceptance model. Inf. Syst. Res. 11(4), 342–365 (2000). Informs

    Article  Google Scholar 

  25. Dillon, A., Morris, M.G.: User acceptance of new information technology: theories and models. In: Annual Review of Information Science and Technology. Information Today, Medford (1996)

    Google Scholar 

  26. Mazzoleni, S., Turchetti, G., Palla, I., Posteraro, F., Dario, P.: Acceptability of robotic technology in neuro-rehabilitation: Preliminary results on chronic stroke patients. Comput. Methods Programs Biomed. 116(2), 116–122 (2014). Elsevier

    Article  Google Scholar 

  27. Marzorati, M., Di Santo, S.G., Mrakic-Sposta, S., Moretti, S., Jesuthasan, N., Caroppo, A., et al.: Supporting physical and cognitive training for preventing the occurrence of dementia using an integrated system: a pilot study. In: 6th EAI International Conference on Wireless Mobile Communication and Healthcare - Transforming Healthcare Through Innovations in Mobile and Wireless Technologies, Milan, Italy, 14–16 November 2016. Springer (2016) (In press)

    Google Scholar 

  28. Alloni, A., Sinforiani, E., Zucchella, C., Sandrini, G., Bernini, S., Cattani, B., et al.: Computer-based cognitive rehabilitation: the CoRe system. Disab. Rehabil., 1–11 (2015). Taylor & Francis

    Google Scholar 

  29. Hamming, R.W.: Error detecting and error correcting codes. Bell Syst. Techn. J. 29(2), 147–160 (1950). Wiley Online Library

    Article  MathSciNet  Google Scholar 

  30. Krebs, H.I., Hogan, N., Aisen, M.L., Volpe, B.T.: Robot-aided neurorehabilitation. IEEE Trans. Rehabil. Eng. 6(1), 75–87 (1998). IEEE

    Article  Google Scholar 

  31. García-Vergara, S., Howard, A.M.: Three-dimensional fitt’s law model used to predict movement time in serious games for rehabilitation. In: Shumaker, R., Lackey, S. (eds.) VAMR 2014. LNCS, vol. 8526, pp. 287–297. Springer, Cham (2014). doi:10.1007/978-3-319-07464-1_27

    Google Scholar 

  32. Ferris, S.H., Farlow, M.: Language impairment in Alzheimer’s disease and benefits of acetylcholinesterase inhibitors. Clin. Interv. Aging 8, 1007–1014 (2013)

    Article  Google Scholar 

  33. Daum, I., Quinn, N.: Reaction times and visuospatial processing in Parkinson’s disease. J. Clin. Exp. Neuropsychol. 13(6), 972–982 (1991). Taylor & Francis

    Article  Google Scholar 

  34. Carpenter, P.A., Just, M.A., Keller, T.A., Eddy, W., Thulborn, K.: Graded functional activation in the visuospatial system with the amount of task demand. J. Cogn. Neurosci. 11(1), 9–24 (1999). MIT Press

    Article  Google Scholar 

  35. Oxley, J.A., Fildes, B., Ihsen, E., Charlton, J.L., Day, R.H.: Simulation of the road crossing task for older and younger adult pedestrians: a validation study. In: Road Safety Research and Enforcement Conference, 1997, Hobart, Tasmania, Australia (1997)

    Google Scholar 

  36. Holland, C.A., Rabbitt, P.: People’s awareness of their age-related sensory and cognitive deficits and the implications for road safety. Appl. Cogn. Psychol. 6(3), 217–231 (1992)

    Article  Google Scholar 

  37. Daigneault, G., Joly, P., Frigon, J.Y.: Executive functions in the evaluation of accident risk of older drivers. J. Clin. Exp. Neuropsychol. 24(2), 221–238 (2002)

    Article  Google Scholar 

  38. Oxley, J.A., Ihsen, E., Fildes, B.N., Charlton, J.L., Day, R.H.: Crossing roads safely: an experimental study of age differences in gap selection by pedestrians. Accid. Anal. Prev. 37(5), 962–971 (2005)

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan, Italy

    Sara Arlati

  2. Institute of Industrial Technologies and Automation, National Research Council, Milan, Italy

    Sara Arlati, Andrea Zangiacomi, Luca Greci & Marco Sacco

  3. IRCCS Fondazione Santa Lucia, Rome, Italy

    Simona Gabriella di Santo & Flaminia Franchini

Authors
  1. Sara Arlati
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  2. Andrea Zangiacomi
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  3. Luca Greci
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  4. Simona Gabriella di Santo
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  5. Flaminia Franchini
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  6. Marco Sacco
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Corresponding author

Correspondence to Sara Arlati .

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Editors and Affiliations

  1. University of Salento, Lecce, Italy

    Lucio Tommaso De Paolis

  2. University of Paris-Sud, Orsay, France

    Patrick Bourdot

  3. University of Salento, Lecce, Italy

    Antonio Mongelli

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Arlati, S., Zangiacomi, A., Greci, L., di Santo, S.G., Franchini, F., Sacco, M. (2017). Virtual Environments for Cognitive and Physical Training in Elderly with Mild Cognitive Impairment: A Pilot Study. In: De Paolis, L., Bourdot, P., Mongelli, A. (eds) Augmented Reality, Virtual Reality, and Computer Graphics. AVR 2017. Lecture Notes in Computer Science(), vol 10325. Springer, Cham. https://doi.org/10.1007/978-3-319-60928-7_8

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  • DOI: https://doi.org/10.1007/978-3-319-60928-7_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60927-0

  • Online ISBN: 978-3-319-60928-7

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