The effect of Computer Assisted Rehabilitation Environment (CAREN) in cognitive impairment and coping strategies in Parkinson's disease: a preliminary study

Abstract Parkinson’s disease is a neurodegenerative disorder characterized by different motor, vegetative, behavioral, and cognitive impairments, with worsening quality of life. Virtual reality devices have given promising results in neurorehabilitation as they can provide multisensory stimulation i...

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Main Authors: Caterina Formica, Lilla Bonanno, Desiree Latella, Maria Cristina Ferrera, Giuseppa Maresca, Anna Lisa Logiudice, Chiara Sorbera, Amelia Brigandì, Giuseppe Di Lorenzo, Silvia Marino
Format: Article
Language:English
Published: Nature Portfolio 2023-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-29299-0
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author Caterina Formica
Lilla Bonanno
Desiree Latella
Maria Cristina Ferrera
Giuseppa Maresca
Anna Lisa Logiudice
Chiara Sorbera
Amelia Brigandì
Giuseppe Di Lorenzo
Silvia Marino
author_facet Caterina Formica
Lilla Bonanno
Desiree Latella
Maria Cristina Ferrera
Giuseppa Maresca
Anna Lisa Logiudice
Chiara Sorbera
Amelia Brigandì
Giuseppe Di Lorenzo
Silvia Marino
author_sort Caterina Formica
collection DOAJ
description Abstract Parkinson’s disease is a neurodegenerative disorder characterized by different motor, vegetative, behavioral, and cognitive impairments, with worsening quality of life. Virtual reality devices have given promising results in neurorehabilitation as they can provide multisensory stimulation in a realistic environment. This study aims to test the efficacy of virtual reality training by using Computer Assisted Rehabilitation Environment in cognitive impairment in a sample of PD. 31 patients affected by PD were enrolled. All PD patients underwent 24 sessions of Computer Assisted Rehabilitation Environment training. The participants were assessed at baseline (T0) and after two months (T1). Our results suggested that Computer Assisted Rehabilitation Environment training may be effective in the cognitive and emotional domains, particularly by improving executive function, anxiety, and depressive symptoms. These changes have helped to improve self-efficacy and coping strategies. These results indicate greater cognitive and physical effort to overcome stressors. Our results show that Computer Assisted Rehabilitation Environment training was beneficial in improving cognitive functions. Longer duration training may be especially beneficial for patients with mild cognitive impairment. Our findings open the door to tailored personalized treatments based on the patient's motor and cognitive profiles.
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spelling doaj.art-fd3bfb4f7fc44d62a4cd1755bdfffe5f2023-02-12T12:12:02ZengNature PortfolioScientific Reports2045-23222023-02-011311910.1038/s41598-023-29299-0The effect of Computer Assisted Rehabilitation Environment (CAREN) in cognitive impairment and coping strategies in Parkinson's disease: a preliminary studyCaterina Formica0Lilla Bonanno1Desiree Latella2Maria Cristina Ferrera3Giuseppa Maresca4Anna Lisa Logiudice5Chiara Sorbera6Amelia Brigandì7Giuseppe Di Lorenzo8Silvia Marino9IRCCS Centro Neurolesi “Bonino-Pulejo”IRCCS Centro Neurolesi “Bonino-Pulejo”IRCCS Centro Neurolesi “Bonino-Pulejo”IRCCS Centro Neurolesi “Bonino-Pulejo”IRCCS Centro Neurolesi “Bonino-Pulejo”IRCCS Centro Neurolesi “Bonino-Pulejo”IRCCS Centro Neurolesi “Bonino-Pulejo”IRCCS Centro Neurolesi “Bonino-Pulejo”IRCCS Centro Neurolesi “Bonino-Pulejo”IRCCS Centro Neurolesi “Bonino-Pulejo”Abstract Parkinson’s disease is a neurodegenerative disorder characterized by different motor, vegetative, behavioral, and cognitive impairments, with worsening quality of life. Virtual reality devices have given promising results in neurorehabilitation as they can provide multisensory stimulation in a realistic environment. This study aims to test the efficacy of virtual reality training by using Computer Assisted Rehabilitation Environment in cognitive impairment in a sample of PD. 31 patients affected by PD were enrolled. All PD patients underwent 24 sessions of Computer Assisted Rehabilitation Environment training. The participants were assessed at baseline (T0) and after two months (T1). Our results suggested that Computer Assisted Rehabilitation Environment training may be effective in the cognitive and emotional domains, particularly by improving executive function, anxiety, and depressive symptoms. These changes have helped to improve self-efficacy and coping strategies. These results indicate greater cognitive and physical effort to overcome stressors. Our results show that Computer Assisted Rehabilitation Environment training was beneficial in improving cognitive functions. Longer duration training may be especially beneficial for patients with mild cognitive impairment. Our findings open the door to tailored personalized treatments based on the patient's motor and cognitive profiles.https://doi.org/10.1038/s41598-023-29299-0
spellingShingle Caterina Formica
Lilla Bonanno
Desiree Latella
Maria Cristina Ferrera
Giuseppa Maresca
Anna Lisa Logiudice
Chiara Sorbera
Amelia Brigandì
Giuseppe Di Lorenzo
Silvia Marino
The effect of Computer Assisted Rehabilitation Environment (CAREN) in cognitive impairment and coping strategies in Parkinson's disease: a preliminary study
Scientific Reports
title The effect of Computer Assisted Rehabilitation Environment (CAREN) in cognitive impairment and coping strategies in Parkinson's disease: a preliminary study
title_full The effect of Computer Assisted Rehabilitation Environment (CAREN) in cognitive impairment and coping strategies in Parkinson's disease: a preliminary study
title_fullStr The effect of Computer Assisted Rehabilitation Environment (CAREN) in cognitive impairment and coping strategies in Parkinson's disease: a preliminary study
title_full_unstemmed The effect of Computer Assisted Rehabilitation Environment (CAREN) in cognitive impairment and coping strategies in Parkinson's disease: a preliminary study
title_short The effect of Computer Assisted Rehabilitation Environment (CAREN) in cognitive impairment and coping strategies in Parkinson's disease: a preliminary study
title_sort effect of computer assisted rehabilitation environment caren in cognitive impairment and coping strategies in parkinson s disease a preliminary study
url https://doi.org/10.1038/s41598-023-29299-0
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