Virtual reality in neurologic rehabilitation of spatial disorientation

<p>Abstract</p> <p>Background</p> <p>Topographical disorientation (TD) is a severe and persistent impairment of spatial orientation and navigation in familiar as well as new environments and a common consequence of brain damage. Virtual reality (VR) provides a new tool...

Full description

Bibliographic Details
Main Authors: Kober Silvia, Wood Guilherme, Hofer Daniela, Kreuzig Walter, Kiefer Manfred, Neuper Christa
Format: Article
Language:English
Published: BMC 2013-02-01
Series:Journal of NeuroEngineering and Rehabilitation
Subjects:
Online Access:http://www.jneuroengrehab.com/content/10/1/17
_version_ 1818040418396274688
author Kober Silvia
Wood Guilherme
Hofer Daniela
Kreuzig Walter
Kiefer Manfred
Neuper Christa
author_facet Kober Silvia
Wood Guilherme
Hofer Daniela
Kreuzig Walter
Kiefer Manfred
Neuper Christa
author_sort Kober Silvia
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Topographical disorientation (TD) is a severe and persistent impairment of spatial orientation and navigation in familiar as well as new environments and a common consequence of brain damage. Virtual reality (VR) provides a new tool for the assessment and rehabilitation of TD. In VR training programs different degrees of active motor control over navigation may be implemented (i.e. more passive spatial navigation vs. more active). Increasing demands of active motor control may overload those visuo-spatial resources necessary for learning spatial orientation and navigation. In the present study we used a VR-based verbally-guided passive navigation training program to improve general spatial abilities in neurologic patients with spatial disorientation.</p> <p>Methods</p> <p>Eleven neurologic patients with focal brain lesions, which showed deficits in spatial orientation, as well as 11 neurologic healthy controls performed a route finding training in a virtual environment. Participants learned and recalled different routes for navigation in a virtual city over five training sessions. Before and after VR training, general spatial abilities were assessed with standardized neuropsychological tests.</p> <p>Results</p> <p>Route finding ability in the VR task increased over the five training sessions. Moreover, both groups improved different aspects of spatial abilities after VR training in comparison to the spatial performance before VR training.</p> <p>Conclusions</p> <p>Verbally-guided passive navigation training in VR enhances general spatial cognition in neurologic patients with spatial disorientation as well as in healthy controls and can therefore be useful in the rehabilitation of spatial deficits associated with TD.</p>
first_indexed 2024-12-10T08:14:13Z
format Article
id doaj.art-f998686a70074c3a98b7eb80a1e5f933
institution Directory Open Access Journal
issn 1743-0003
language English
last_indexed 2024-12-10T08:14:13Z
publishDate 2013-02-01
publisher BMC
record_format Article
series Journal of NeuroEngineering and Rehabilitation
spelling doaj.art-f998686a70074c3a98b7eb80a1e5f9332022-12-22T01:56:31ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032013-02-011011710.1186/1743-0003-10-17Virtual reality in neurologic rehabilitation of spatial disorientationKober SilviaWood GuilhermeHofer DanielaKreuzig WalterKiefer ManfredNeuper Christa<p>Abstract</p> <p>Background</p> <p>Topographical disorientation (TD) is a severe and persistent impairment of spatial orientation and navigation in familiar as well as new environments and a common consequence of brain damage. Virtual reality (VR) provides a new tool for the assessment and rehabilitation of TD. In VR training programs different degrees of active motor control over navigation may be implemented (i.e. more passive spatial navigation vs. more active). Increasing demands of active motor control may overload those visuo-spatial resources necessary for learning spatial orientation and navigation. In the present study we used a VR-based verbally-guided passive navigation training program to improve general spatial abilities in neurologic patients with spatial disorientation.</p> <p>Methods</p> <p>Eleven neurologic patients with focal brain lesions, which showed deficits in spatial orientation, as well as 11 neurologic healthy controls performed a route finding training in a virtual environment. Participants learned and recalled different routes for navigation in a virtual city over five training sessions. Before and after VR training, general spatial abilities were assessed with standardized neuropsychological tests.</p> <p>Results</p> <p>Route finding ability in the VR task increased over the five training sessions. Moreover, both groups improved different aspects of spatial abilities after VR training in comparison to the spatial performance before VR training.</p> <p>Conclusions</p> <p>Verbally-guided passive navigation training in VR enhances general spatial cognition in neurologic patients with spatial disorientation as well as in healthy controls and can therefore be useful in the rehabilitation of spatial deficits associated with TD.</p>http://www.jneuroengrehab.com/content/10/1/17Topographical disorientationBrain damageWay-finding trainingVirtual rehabilitationVisuo-spatial memoryVisual navigation
spellingShingle Kober Silvia
Wood Guilherme
Hofer Daniela
Kreuzig Walter
Kiefer Manfred
Neuper Christa
Virtual reality in neurologic rehabilitation of spatial disorientation
Journal of NeuroEngineering and Rehabilitation
Topographical disorientation
Brain damage
Way-finding training
Virtual rehabilitation
Visuo-spatial memory
Visual navigation
title Virtual reality in neurologic rehabilitation of spatial disorientation
title_full Virtual reality in neurologic rehabilitation of spatial disorientation
title_fullStr Virtual reality in neurologic rehabilitation of spatial disorientation
title_full_unstemmed Virtual reality in neurologic rehabilitation of spatial disorientation
title_short Virtual reality in neurologic rehabilitation of spatial disorientation
title_sort virtual reality in neurologic rehabilitation of spatial disorientation
topic Topographical disorientation
Brain damage
Way-finding training
Virtual rehabilitation
Visuo-spatial memory
Visual navigation
url http://www.jneuroengrehab.com/content/10/1/17
work_keys_str_mv AT kobersilvia virtualrealityinneurologicrehabilitationofspatialdisorientation
AT woodguilherme virtualrealityinneurologicrehabilitationofspatialdisorientation
AT hoferdaniela virtualrealityinneurologicrehabilitationofspatialdisorientation
AT kreuzigwalter virtualrealityinneurologicrehabilitationofspatialdisorientation
AT kiefermanfred virtualrealityinneurologicrehabilitationofspatialdisorientation
AT neuperchrista virtualrealityinneurologicrehabilitationofspatialdisorientation