Executive Function Evaluation System Based on Wiping Desk Behavior in Virtual Space

Sho Ooi, Akihito Mihara, Mutsuo Sano, H. Tabuchi, F. Saito, S. Umeda
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Abstract

In this study, we report the development of a virtual reality (VR) system that evaluates executive function based on cleaning behaviors in real-time. It is known that patients with acquired brain injuries present adverse symptoms such as attention, memory, and functional disorders, as well as aphasia. Current methods to evaluate acquired brain injuries include tests such as the behavioral assessment of the dysexecutive syndrome (BADS) and digital clinical assessment for attention (D-CAT) tests; however, these tests require special/specific toolkits, and the methods are rigorous when applied for real-time dynamic evaluation. Moreover, patients are often burdened by the need to undergo paper tests as required by the evaluation methods. In this context, we propose and verify the efficacy of a method that offers real-time dynamic evaluation of acquired brain injury based on daily-living activities such as cooking, cleaning, and shopping. In this study, we focus on executive function relating to acquired brain injury, and we propose a real-time dynamic evaluation method for executive functioning using VR, which enables the automatic evaluation of subjects’ table-cleaning behavior. Our results indicate that our system can automatically assess subjects’ table cleaning behavior based on BADS test, while affording a cleaning behavior maximum average accuracy of 75.5%.
基于虚拟空间擦台行为的执行功能评价系统
在这项研究中,我们报告了一个虚拟现实(VR)系统的开发,该系统基于实时的清洁行为来评估执行功能。众所周知,获得性脑损伤患者会出现不良症状,如注意力、记忆和功能障碍,以及失语。目前评估获得性脑损伤的方法包括执行障碍综合征(BADS)行为评估和数字临床注意力评估(D-CAT)测试;然而,这些测试需要特殊/特定的工具包,并且在应用于实时动态评估时,方法是严格的。此外,根据评估方法的要求,患者往往需要接受纸质检查,这给患者带来了负担。在此背景下,我们提出并验证了一种基于日常生活活动(如烹饪、清洁和购物)对获得性脑损伤进行实时动态评估的方法的有效性。在本研究中,我们关注与后天性脑损伤相关的执行功能,提出了一种基于VR的执行功能实时动态评估方法,该方法可以自动评估受试者的清洁桌子行为。结果表明,该系统可以基于BADS测试自动评估受试者的桌子清洁行为,同时提供清洁行为的最高平均准确率为75.5%。
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