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...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Nature Portfolio
2023-02-01
|
Series: | Scientific Reports |
Online Access: | https://doi.org/10.1038/s41598-023-29299-0 |
_version_ | 1828035298852864000 |
---|---|
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. |
first_indexed | 2024-04-10T15:44:49Z |
format | Article |
id | doaj.art-fd3bfb4f7fc44d62a4cd1755bdfffe5f |
institution | Directory Open Access Journal |
issn | 2045-2322 |
language | English |
last_indexed | 2024-04-10T15:44:49Z |
publishDate | 2023-02-01 |
publisher | Nature Portfolio |
record_format | Article |
series | Scientific Reports |
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 |
work_keys_str_mv | AT caterinaformica theeffectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT lillabonanno theeffectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT desireelatella theeffectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT mariacristinaferrera theeffectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT giuseppamaresca theeffectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT annalisalogiudice theeffectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT chiarasorbera theeffectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT ameliabrigandi theeffectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT giuseppedilorenzo theeffectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT silviamarino theeffectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT caterinaformica effectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT lillabonanno effectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT desireelatella effectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT mariacristinaferrera effectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT giuseppamaresca effectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT annalisalogiudice effectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT chiarasorbera effectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT ameliabrigandi effectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT giuseppedilorenzo effectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy AT silviamarino effectofcomputerassistedrehabilitationenvironmentcarenincognitiveimpairmentandcopingstrategiesinparkinsonsdiseaseapreliminarystudy |