The Effect of a Virtual Reality-Based Intervention Program on Cognition in Older Adults with Mild Cognitive Impairment: A Randomized Control Trial

This study aimed to investigate the association between a virtual reality (VR) intervention program and cognitive, brain and physical functions in high-risk older adults. In a randomized controlled trial, we enrolled 68 individuals with mild cognitive impairment (MCI). The MCI diagnosis was based on...

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Main Authors: Ngeemasara Thapa, Hye Jin Park, Ja-Gyeong Yang, Haeun Son, Minwoo Jang, Jihyeon Lee, Seung Wan Kang, Kyung Won Park, Hyuntae Park
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/5/1283
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author Ngeemasara Thapa
Hye Jin Park
Ja-Gyeong Yang
Haeun Son
Minwoo Jang
Jihyeon Lee
Seung Wan Kang
Kyung Won Park
Hyuntae Park
author_facet Ngeemasara Thapa
Hye Jin Park
Ja-Gyeong Yang
Haeun Son
Minwoo Jang
Jihyeon Lee
Seung Wan Kang
Kyung Won Park
Hyuntae Park
author_sort Ngeemasara Thapa
collection DOAJ
description This study aimed to investigate the association between a virtual reality (VR) intervention program and cognitive, brain and physical functions in high-risk older adults. In a randomized controlled trial, we enrolled 68 individuals with mild cognitive impairment (MCI). The MCI diagnosis was based on medical evaluations through a clinical interview conducted by a dementia specialist. Cognitive assessments were performed by neuropsychologists according to standardized methods, including the Mini-Mental State Examination (MMSE) and frontal cognitive function: trail making test (TMT) A & B, and symbol digit substitute test (SDST). Resting state electroencephalogram (EEG) was measured in eyes open and eyes closed conditions for 5 minutes each, with a 19-channel wireless EEG device. The VR intervention program (3 times/week, 100 min each session) comprised four types of VR game-based content to improve the attention, memory and processing speed. Analysis of the subjects for group–time interactions revealed that the intervention group exhibited a significantly improved executive function and brain function at the resting state. Additionally, gait speed and mobility were also significantly improved between and after the follow-up. The VR-based training program improved cognitive and physical function in patients with MCI relative to controls. Encouraging patients to perform VR and game-based training may be beneficial to prevent cognitive decline.
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spelling doaj.art-8277a62911ea46e7be1703ad5a601eea2023-11-19T23:01:17ZengMDPI AGJournal of Clinical Medicine2077-03832020-04-0195128310.3390/jcm9051283The Effect of a Virtual Reality-Based Intervention Program on Cognition in Older Adults with Mild Cognitive Impairment: A Randomized Control TrialNgeemasara Thapa0Hye Jin Park1Ja-Gyeong Yang2Haeun Son3Minwoo Jang4Jihyeon Lee5Seung Wan Kang6Kyung Won Park7Hyuntae Park8Department of Health Sciences, Graduate School, Dong-A University, Busan 49315, KoreaDepartment of Health Sciences, Graduate School, Dong-A University, Busan 49315, KoreaDepartment of Health Sciences, Graduate School, Dong-A University, Busan 49315, KoreaDepartment of Health Sciences, Graduate School, Dong-A University, Busan 49315, KoreaDepartment of Health Sciences, Graduate School, Dong-A University, Busan 49315, KoreaDepartment of Health Sciences, Graduate School, Dong-A University, Busan 49315, KoreaData Center for Korean EEG, College of Nursing, Seoul National University, Seoul 03080, KoreaDepartment of Neurology, Dong-A University College of Medicine, Busan 49201, KoreaDepartment of Health Sciences, Graduate School, Dong-A University, Busan 49315, KoreaThis study aimed to investigate the association between a virtual reality (VR) intervention program and cognitive, brain and physical functions in high-risk older adults. In a randomized controlled trial, we enrolled 68 individuals with mild cognitive impairment (MCI). The MCI diagnosis was based on medical evaluations through a clinical interview conducted by a dementia specialist. Cognitive assessments were performed by neuropsychologists according to standardized methods, including the Mini-Mental State Examination (MMSE) and frontal cognitive function: trail making test (TMT) A & B, and symbol digit substitute test (SDST). Resting state electroencephalogram (EEG) was measured in eyes open and eyes closed conditions for 5 minutes each, with a 19-channel wireless EEG device. The VR intervention program (3 times/week, 100 min each session) comprised four types of VR game-based content to improve the attention, memory and processing speed. Analysis of the subjects for group–time interactions revealed that the intervention group exhibited a significantly improved executive function and brain function at the resting state. Additionally, gait speed and mobility were also significantly improved between and after the follow-up. The VR-based training program improved cognitive and physical function in patients with MCI relative to controls. Encouraging patients to perform VR and game-based training may be beneficial to prevent cognitive decline.https://www.mdpi.com/2077-0383/9/5/1283virtual realitydementiamild cognitive impairmentelectroencephalogram
spellingShingle Ngeemasara Thapa
Hye Jin Park
Ja-Gyeong Yang
Haeun Son
Minwoo Jang
Jihyeon Lee
Seung Wan Kang
Kyung Won Park
Hyuntae Park
The Effect of a Virtual Reality-Based Intervention Program on Cognition in Older Adults with Mild Cognitive Impairment: A Randomized Control Trial
Journal of Clinical Medicine
virtual reality
dementia
mild cognitive impairment
electroencephalogram
title The Effect of a Virtual Reality-Based Intervention Program on Cognition in Older Adults with Mild Cognitive Impairment: A Randomized Control Trial
title_full The Effect of a Virtual Reality-Based Intervention Program on Cognition in Older Adults with Mild Cognitive Impairment: A Randomized Control Trial
title_fullStr The Effect of a Virtual Reality-Based Intervention Program on Cognition in Older Adults with Mild Cognitive Impairment: A Randomized Control Trial
title_full_unstemmed The Effect of a Virtual Reality-Based Intervention Program on Cognition in Older Adults with Mild Cognitive Impairment: A Randomized Control Trial
title_short The Effect of a Virtual Reality-Based Intervention Program on Cognition in Older Adults with Mild Cognitive Impairment: A Randomized Control Trial
title_sort effect of a virtual reality based intervention program on cognition in older adults with mild cognitive impairment a randomized control trial
topic virtual reality
dementia
mild cognitive impairment
electroencephalogram
url https://www.mdpi.com/2077-0383/9/5/1283
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