Visual-Attentional Load Unveils Slowed Processing Speed in Multiple Sclerosis Patients: A Pilot Study with a Tablet-Based Videogame

Slowing in information processing speed (IPS) is the key cognitive deficit in multiple sclerosis (MS). Testing IPS in different cognitive load conditions by using computerized tools might reveal initial IPS slowness underestimated by classic paper-and-pencil tests. To investigate the extent to which...

Full description

Bibliographic Details
Main Authors: Marco Pitteri, Caterina Dapor, Stefano Ziccardi, Maddalena Guandalini, Riccardo Meggiato, Massimiliano Calabrese
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/10/11/871
_version_ 1797547501709950976
author Marco Pitteri
Caterina Dapor
Stefano Ziccardi
Maddalena Guandalini
Riccardo Meggiato
Massimiliano Calabrese
author_facet Marco Pitteri
Caterina Dapor
Stefano Ziccardi
Maddalena Guandalini
Riccardo Meggiato
Massimiliano Calabrese
author_sort Marco Pitteri
collection DOAJ
description Slowing in information processing speed (IPS) is the key cognitive deficit in multiple sclerosis (MS). Testing IPS in different cognitive load conditions by using computerized tools might reveal initial IPS slowness underestimated by classic paper-and-pencil tests. To investigate the extent to which IPS can be affected by increased task demands, we developed three tasks based on the manipulation of the visual-attentional load, delivered with a home-made, tablet-based videogame. Fifty-one patients with MS (pwMS), classified as having no cognitive impairment in classic paper-and-pencil tests, and 20 healthy controls (HC) underwent the videogame tasks; reaction times (RTs) and accuracy were recorded. A significant reduced performance of pwMS as compared with HC was found on the videogame tasks, with pwMS being on average slower and less accurate than HC. Furthermore, pwMS showed a significantly more pronounced decrement in accuracy as a function of the visual-attentional load, suggesting a higher susceptibility to increased task demands. Significant correlations among the Symbol Digit Modalities Test (SDMT) and the videogame mean RTs and accuracy were found, providing evidence for the concurrent validity of the videogame as a valid tool to test IPS in pwMS. The high potential that might derive from the adoption of computerized assessment tools in clinical practice should be taken into consideration and investigated further.
first_indexed 2024-03-10T14:44:59Z
format Article
id doaj.art-97675c6a125e438ab4cb3f4219d693f6
institution Directory Open Access Journal
issn 2076-3425
language English
last_indexed 2024-03-10T14:44:59Z
publishDate 2020-11-01
publisher MDPI AG
record_format Article
series Brain Sciences
spelling doaj.art-97675c6a125e438ab4cb3f4219d693f62023-11-20T21:27:53ZengMDPI AGBrain Sciences2076-34252020-11-01101187110.3390/brainsci10110871Visual-Attentional Load Unveils Slowed Processing Speed in Multiple Sclerosis Patients: A Pilot Study with a Tablet-Based VideogameMarco Pitteri0Caterina Dapor1Stefano Ziccardi2Maddalena Guandalini3Riccardo Meggiato4Massimiliano Calabrese5Neurology Section, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeurology Section, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeurology Section, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeurology Section, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeurology Section, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeurology Section, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalySlowing in information processing speed (IPS) is the key cognitive deficit in multiple sclerosis (MS). Testing IPS in different cognitive load conditions by using computerized tools might reveal initial IPS slowness underestimated by classic paper-and-pencil tests. To investigate the extent to which IPS can be affected by increased task demands, we developed three tasks based on the manipulation of the visual-attentional load, delivered with a home-made, tablet-based videogame. Fifty-one patients with MS (pwMS), classified as having no cognitive impairment in classic paper-and-pencil tests, and 20 healthy controls (HC) underwent the videogame tasks; reaction times (RTs) and accuracy were recorded. A significant reduced performance of pwMS as compared with HC was found on the videogame tasks, with pwMS being on average slower and less accurate than HC. Furthermore, pwMS showed a significantly more pronounced decrement in accuracy as a function of the visual-attentional load, suggesting a higher susceptibility to increased task demands. Significant correlations among the Symbol Digit Modalities Test (SDMT) and the videogame mean RTs and accuracy were found, providing evidence for the concurrent validity of the videogame as a valid tool to test IPS in pwMS. The high potential that might derive from the adoption of computerized assessment tools in clinical practice should be taken into consideration and investigated further.https://www.mdpi.com/2076-3425/10/11/871multiple sclerosisspeed of processingvisual-attentional loadvideogamecomputerized assessment
spellingShingle Marco Pitteri
Caterina Dapor
Stefano Ziccardi
Maddalena Guandalini
Riccardo Meggiato
Massimiliano Calabrese
Visual-Attentional Load Unveils Slowed Processing Speed in Multiple Sclerosis Patients: A Pilot Study with a Tablet-Based Videogame
Brain Sciences
multiple sclerosis
speed of processing
visual-attentional load
videogame
computerized assessment
title Visual-Attentional Load Unveils Slowed Processing Speed in Multiple Sclerosis Patients: A Pilot Study with a Tablet-Based Videogame
title_full Visual-Attentional Load Unveils Slowed Processing Speed in Multiple Sclerosis Patients: A Pilot Study with a Tablet-Based Videogame
title_fullStr Visual-Attentional Load Unveils Slowed Processing Speed in Multiple Sclerosis Patients: A Pilot Study with a Tablet-Based Videogame
title_full_unstemmed Visual-Attentional Load Unveils Slowed Processing Speed in Multiple Sclerosis Patients: A Pilot Study with a Tablet-Based Videogame
title_short Visual-Attentional Load Unveils Slowed Processing Speed in Multiple Sclerosis Patients: A Pilot Study with a Tablet-Based Videogame
title_sort visual attentional load unveils slowed processing speed in multiple sclerosis patients a pilot study with a tablet based videogame
topic multiple sclerosis
speed of processing
visual-attentional load
videogame
computerized assessment
url https://www.mdpi.com/2076-3425/10/11/871
work_keys_str_mv AT marcopitteri visualattentionalloadunveilsslowedprocessingspeedinmultiplesclerosispatientsapilotstudywithatabletbasedvideogame
AT caterinadapor visualattentionalloadunveilsslowedprocessingspeedinmultiplesclerosispatientsapilotstudywithatabletbasedvideogame
AT stefanoziccardi visualattentionalloadunveilsslowedprocessingspeedinmultiplesclerosispatientsapilotstudywithatabletbasedvideogame
AT maddalenaguandalini visualattentionalloadunveilsslowedprocessingspeedinmultiplesclerosispatientsapilotstudywithatabletbasedvideogame
AT riccardomeggiato visualattentionalloadunveilsslowedprocessingspeedinmultiplesclerosispatientsapilotstudywithatabletbasedvideogame
AT massimilianocalabrese visualattentionalloadunveilsslowedprocessingspeedinmultiplesclerosispatientsapilotstudywithatabletbasedvideogame