Comparing virtual reality with traditional methods in cognitive rehabilitation in PICS syndrome.

IF 1.5 4区心理学 Q4 CLINICAL NEUROLOGY

Applied Neuropsychology-Adult Pub Date : 2025-04-21 DOI:10.1080/23279095.2025.2477184

A Despoti, I Patsaki, A Alexandropoulou, E Magkouti, D Tzoumi, N Leventakis, G Roussou, Α Papathanasiou, N Dimitriadi, P Presvelou, S Nanas, E Karatzanos

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引用次数: 0

Abstract

Introduction: Post Intensive Care Unit Syndrome (PICS) manifests deficits in physical, cognitive, and mental functions following ICU hospitalization and complicates the recovery process.

Aim: The clinical trial aimed to assess the impact of neuropsychological rehabilitation on cognitive deficits arising from ICU hospitalization. Additionally, it sought to compare the effectiveness of VR-based rehabilitation with traditional methods and investigate the safety and feasibility of VR intervention.

Methodology: Thirty participants were divided into experimental and control groups. The experimental group underwent cognitive training using VR, while the control group utilized traditional methods. Neuropsychological assessments (Addenbrooke's Cognitive Examination-Revised (ACE-R), Frontal Assessment Battery (FAB), and Geriatric Depression Scale (GDS)) were conducted before and after a 12-session intervention (three times a week for four weeks).

Results: Regardless of the intervention type, participants exhibited statistically significant improvements in general cognitive function (p = 0.02), attention (p = 0.016), visuospatial (p = 0.03), and executive functions (p = 0.011). The experimental group showed greater improvement in visuospatial function (p = 0.011), while the control group demonstrated enhanced language fluency (p = 0.019). Correlations between cognitive functions were observed in baseline measures and their differences. VR was found to be a safe, suitable, and enjoyable rehabilitation method, as indicated by Suitability Evaluation Questionnaire (SEQ) scores, with a mean of 60.7 (SD = 5.5).

Discussion: These preliminary data suggest that VR can be effective in the rehabilitation of cognitive functions in ICU survivors with PICS, especially in visuospatial abilities. Large-scale longitudinal clinical trials involving diverse patient groups are needed to explore the long-term impact of VR interventions on cognitive functions.

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虚拟现实与传统方法在PICS综合征认知康复中的比较。

重症监护室后综合征（PICS）表现为ICU住院后身体、认知和精神功能的缺陷，并使康复过程复杂化。目的：本临床试验旨在评估神经心理康复对ICU住院患者认知功能障碍的影响。此外，它试图比较基于VR的康复与传统方法的有效性，并调查VR干预的安全性和可行性。方法：将30名受试者分为实验组和对照组。实验组采用虚拟现实技术进行认知训练，对照组采用传统方法。神经心理学评估（阿登布鲁克认知测试-修订（ACE-R），额叶评估（FAB）和老年抑郁量表（GDS））在12次干预前后进行（每周三次，持续四周）。结果：无论干预类型如何，参与者在一般认知功能（p = 0.02），注意力（p = 0.016），视觉空间（p = 0.03）和执行功能（p = 0.011）方面表现出统计学上显著的改善。实验组在视觉空间功能上有较大的改善（p = 0.011），而对照组在语言流畅性上有较大的提高（p = 0.019）。在基线测量中观察到认知功能之间的相关性及其差异。适应性评估问卷（SEQ）评分显示，虚拟现实是一种安全、适宜、愉快的康复方法，平均得分为60.7 （SD = 5.5）。讨论：这些初步数据表明，VR可以有效地恢复ICU患者的认知功能，特别是视觉空间能力。需要涉及不同患者群体的大规模纵向临床试验来探索VR干预对认知功能的长期影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.50

自引率

11.80%

发文量

134

期刊介绍： pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.