Wayfinding and path integration deficits detected using a virtual reality mobile app in patients with traumatic brain injury

The ability to navigate is supported by a wide network of brain areas which are particularly vulnerable to disruption brain injury, including traumatic brain injury (TBI). Wayfinding and the ability to orient back to the direction you have recently come (path integration) may likely be impacted in d...

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Main Authors: Caroline Seton, Antoine Coutrot, Michael Hornberger, Hugo J. Spiers, Rebecca Knight, Caroline Whyatt
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9997943/?tool=EBI
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author Caroline Seton
Antoine Coutrot
Michael Hornberger
Hugo J. Spiers
Rebecca Knight
Caroline Whyatt
author_facet Caroline Seton
Antoine Coutrot
Michael Hornberger
Hugo J. Spiers
Rebecca Knight
Caroline Whyatt
author_sort Caroline Seton
collection DOAJ
description The ability to navigate is supported by a wide network of brain areas which are particularly vulnerable to disruption brain injury, including traumatic brain injury (TBI). Wayfinding and the ability to orient back to the direction you have recently come (path integration) may likely be impacted in daily life but have so far not been tested with patients with TBI. Here, we assessed spatial navigation in thirty–eight participants, fifteen of whom had a history of TBI, and twenty–three control participants. Self-estimated spatial navigation ability was assessed using the Santa Barbara Sense of Direction (SBSOD) scale. No significant difference between TBI patients and a control group was identified. Rather, results indicated that both participant groups demonstrated ‘good’ self–inferred spatial navigational ability on the SBSOD scale. Objective navigation ability was tested via the virtual mobile app test Sea Hero Quest (SHQ), which has been shown to predict real–world navigation difficulties and assesses (a) wayfinding across several environments and (b) path integration. Compared to a sub-sample of 13 control participants, a matched subsample of 10 TBI patients demonstrated generally poorer performance on all wayfinding environments tested. Further analysis revealed that TBI participants consistently spent a shorter duration viewing a map prior to navigating to goals. Patients showed mixed performance on the path integration task, with poor performance evident when proximal cues were absent. Our results provide preliminary evidence that TBI impacts both wayfinding and, to some extent, path integration. The findings suggest long–lasting clinical difficulties experienced in TBI patients affect both wayfinding and to some degree path integration ability.
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spelling doaj.art-3ff255971be0459ea488fdf9948075f42023-03-12T05:32:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01183Wayfinding and path integration deficits detected using a virtual reality mobile app in patients with traumatic brain injuryCaroline SetonAntoine CoutrotMichael HornbergerHugo J. SpiersRebecca KnightCaroline WhyattThe ability to navigate is supported by a wide network of brain areas which are particularly vulnerable to disruption brain injury, including traumatic brain injury (TBI). Wayfinding and the ability to orient back to the direction you have recently come (path integration) may likely be impacted in daily life but have so far not been tested with patients with TBI. Here, we assessed spatial navigation in thirty–eight participants, fifteen of whom had a history of TBI, and twenty–three control participants. Self-estimated spatial navigation ability was assessed using the Santa Barbara Sense of Direction (SBSOD) scale. No significant difference between TBI patients and a control group was identified. Rather, results indicated that both participant groups demonstrated ‘good’ self–inferred spatial navigational ability on the SBSOD scale. Objective navigation ability was tested via the virtual mobile app test Sea Hero Quest (SHQ), which has been shown to predict real–world navigation difficulties and assesses (a) wayfinding across several environments and (b) path integration. Compared to a sub-sample of 13 control participants, a matched subsample of 10 TBI patients demonstrated generally poorer performance on all wayfinding environments tested. Further analysis revealed that TBI participants consistently spent a shorter duration viewing a map prior to navigating to goals. Patients showed mixed performance on the path integration task, with poor performance evident when proximal cues were absent. Our results provide preliminary evidence that TBI impacts both wayfinding and, to some extent, path integration. The findings suggest long–lasting clinical difficulties experienced in TBI patients affect both wayfinding and to some degree path integration ability.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9997943/?tool=EBI
spellingShingle Caroline Seton
Antoine Coutrot
Michael Hornberger
Hugo J. Spiers
Rebecca Knight
Caroline Whyatt
Wayfinding and path integration deficits detected using a virtual reality mobile app in patients with traumatic brain injury
PLoS ONE
title Wayfinding and path integration deficits detected using a virtual reality mobile app in patients with traumatic brain injury
title_full Wayfinding and path integration deficits detected using a virtual reality mobile app in patients with traumatic brain injury
title_fullStr Wayfinding and path integration deficits detected using a virtual reality mobile app in patients with traumatic brain injury
title_full_unstemmed Wayfinding and path integration deficits detected using a virtual reality mobile app in patients with traumatic brain injury
title_short Wayfinding and path integration deficits detected using a virtual reality mobile app in patients with traumatic brain injury
title_sort wayfinding and path integration deficits detected using a virtual reality mobile app in patients with traumatic brain injury
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9997943/?tool=EBI
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