DOI QR코드

DOI QR Code

The opportunities of virtual reality in the rehabilitation of children with attention deficit hyperactivity disorder: a literature review

  • Bashiri, Azadeh (Health Information Management Department, School of Allied-Medical Sciences, Tehran University of Medical Sciences) ;
  • Ghazisaeedi, Marjan (Health Information Management Department, School of Allied-Medical Sciences, Tehran University of Medical Sciences) ;
  • Shahmoradi, Leila (Health Information Management Department, School of Allied-Medical Sciences, Tehran University of Medical Sciences)
  • Received : 2017.01.06
  • Accepted : 2017.04.11
  • Published : 2017.11.15

Abstract

Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in childhood. This disorder, in addition to its main symptoms, creates significant difficulties in education, social performance, and personal relationships. Given the importance of rehabilitation for these patients to combat the above issues, the use of virtual reality (VR) technology is helpful. The aim of this study was to highlight the opportunities for VR in the rehabilitation of children with ADHD. This narrative review was conducted by searching for articles in scientific databases and e-Journals, using keywords including VR, children, and ADHD. Various studies have shown that VR capabilities in the rehabilitation of children with ADHD include providing flexibility in accordance with the patients' requirements; removing distractions and creating an effective and safe environment away from real-life dangers; saving time and money; increasing patients' incentives based on their interests; providing suitable tools to perform different behavioral tests and increase ecological validity; facilitating better understanding of individuals' cognitive deficits and improving them; helping therapists with accurate diagnosis, assessment, and rehabilitation; and improving working memory, executive function, and cognitive processes such as attention in these children. Rehabilitation of children with ADHD is based on behavior and physical patterns and is thus suitable for VR interventions. This technology, by simulating and providing a virtual environment for diagnosis, training, monitoring, assessment and treatment, is effective in providing optimal rehabilitation of children with ADHD.

Keywords

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Publishing, 2013.
  2. Lee JM, Cho BH, Ku JH, Kim JS, Lee JH, Kim IY, et al., editors. A study on the system for treatment of ADHD using virtual reality. In: Proceedings of the 23rd Annual International Conference of the IEEE; 2001 Oct 25-28; Istanbul, Turkey. Piscataway (NJ): IEEE Engineering in Medicine and Biology Society; 2001.
  3. Yeh SC, Tsai CF, Fan YC, Liu PC, Rizzo A, editors. An innovative ADHD assessment system using virtual reality. In: 2012 IEEE EMBS International Conference on Biomedical Engineering and Sciences; 2012 Dec 17-19; Langkawi, Malaysia.
  4. Strickland DC, McAllister D, Coles CD, Osborne S. An Evolution of Virtual Reality Training Designs for Children With Autism and Fetal Alcohol Spectrum Disorders. Top Lang Disord 2007;27:226-41. https://doi.org/10.1097/01.TLD.0000285357.95426.72
  5. Hurks PP, Hendriksen JG. Retrospective and prospective time deficits in childhood ADHD: the effects of task modality, duration, and symptom dimensions. Child Neuropsychol 2011;17:34-50.
  6. Brown SJ, inventor. Health Hero Network, Inc. Method for diagnosis and treatment of psychological and emotional conditions using a microprocessor-based virtual reality simulator. United States patent US6186145 B1. 1996 June 21.
  7. Kim J, Lee Y, Han D, Min K, Kim D, Lee C. The utility of quantitative electroencephalography and Integrated Visual and Auditory Continuous Performance Test as auxiliary tools for the Attention Deficit Hyperactivity Disorder diagnosis. Clin Neurophysiol 2015;126:532-40. https://doi.org/10.1016/j.clinph.2014.06.034
  8. Cubillo A, Halari R, Ecker C, Giampietro V, Taylor E, Rubia K. Reduced activation and inter-regional functional connectivity of fronto-striatal networks in adults with childhood Attention-Deficit Hyperactivity Disorder (ADHD) and persisting symptoms during tasks of motor inhibition and cognitive switching. J Psychiatr Res 2010;44:629-39. https://doi.org/10.1016/j.jpsychires.2009.11.016
  9. Heller MD, Roots K, Srivastava S, Schumann J, Srivastava J, Hale TS. A Machine Learning-Based Analysis of Game Data for Attention Deficit Hyperactivity Disorder Assessment. Games Health J 2013;2:291-8. https://doi.org/10.1089/g4h.2013.0058
  10. Goldstein S. Handbook of neurodevelopmental and genetic disorders in children. 2nd ed. New York: Guilford Publication, 2010.
  11. Kim JW, Sharma V, Ryan ND. Predicting methylphenidate response in ADHD using machine learning approaches. Int J Neuropsychopharmacol 2015;18:pyv052. https://doi.org/10.1093/ijnp/pyv052
  12. Schweitzer JB, Cummins TK, Kant CA. Attention-deficit/hyperactivity disorder. Med Clin North Am 2001;85:757-77. https://doi.org/10.1016/S0025-7125(05)70339-4
  13. Duda M, Ma R, Haber N, Wall DP. Use of machine learning for behavioral distinction of autism and ADHD. Transl Psychiatry 2016;6:e732. https://doi.org/10.1038/tp.2015.221
  14. Bioulac S, Lallemand S, Rizzo A, Philip P, Fabrigoule C, Bouvard MP. Impact of time on task on ADHD patient's performances in a virtual classroom. Eur J Paediatr Neurol 2012;16:514-21. https://doi.org/10.1016/j.ejpn.2012.01.006
  15. Gongsook P. Time simulator in virtual reality for children with attention deficit hyperactivity disorder. Berlin: Springer; 2012:490-3.
  16. Barkley RA, Koplowitz S, Anderson T, McMurray MB. Sense of time in children with ADHD: effects of duration, distraction, and stimulant medication. J Int Neuropsychol Soc 1997;3:359-69.
  17. Schwebel DC, Gaines J, Severson J. Validation of virtual reality as a tool to understand and prevent child pedestrian injury. Accid Anal Prev 2008;40:1394-400. https://doi.org/10.1016/j.aap.2008.03.005
  18. Reid D. Virtual reality and the person-environment experience. Cyberpsychol Behav 2002;5:559-64. https://doi.org/10.1089/109493102321018204
  19. Nolin P, Stipanicic A, Henry M, Lachapelle Y, Lussier-Desrochers D, Rizzo AS, et al. ClinicaVR: Classroom-CPT: a virtual reality tool for assessing attention and inhibition in children and adolescents. Comput Human Behav 2016;59:327-33. https://doi.org/10.1016/j.chb.2016.02.023
  20. Satava RM. Medical virtual reality. The current status of the future. Stud Health Technol Inform 1996;29:100-6.
  21. Johnson D, editor. Virtual environments in army aviation training. In: Proceedings of the 8th Annual Training Technology Technical Group Meeting; Mountain View (CA), USA. 1994.
  22. Parsons TD, Bowerly T, Buckwalter JG, Rizzo AA. A controlled clinical comparison of attention performance in children with ADHD in a virtual reality classroom compared to standard neuropsychological methods. Child Neuropsychol 2007;13:363-81. https://doi.org/10.1080/13825580600943473
  23. Rizzo AA, Buckwalter JG. Virtual reality and cognitive assessment and rehabilitation: the state of the art. Stud Health Technol Inform 1997;44:123-45.
  24. Rose FD, Attree EA, Brooks BM, Andrews TK. Learning and memory in virtual environments: A role in neurorehabilitation? Questions (and occasional answers) from the University of East London. Presence: Teleoper Virtual Environ 2001;10:345-58. https://doi.org/10.1162/1054746011470208
  25. Gongsook P, editor. Time simulator in virtual reality for children with attention deficit hyperactivity disorder. In: Herrlich M, Malaka R, Masuch M, editors. Entertainment Computing - ICEC 2012. ICEC 2012. Lecture Notes in Computer Science, vol 7522. Berlin; Springer; 2012
  26. Barrett J. Side effects of virtual environments: a review of the literature. Edinburgh S (Australia): DSTO Information Sciences Laboratory; 2004.
  27. Schneider SM, Hood LE. Virtual reality: a distraction intervention for chemotherapy. Oncol Nurs Forum 2007;34:39-46. https://doi.org/10.1188/07.ONF.39-46
  28. Brooks JO, Goodenough RR, Crisler MC, Klein ND, Alley RL, Koon BL, et al. Simulator sickness during driving simulation studies. Accid Anal Prev 2010;42:788-96. https://doi.org/10.1016/j.aap.2009.04.013
  29. Lawson BD. Motion sickness symptomatology and origins. In: Hale KS, Stanney KM, editors. Handbook of virtual environments: design, implementation, and applications. 2nd ed. Boca Raton (FL): CRC Press, 2014:531-600.
  30. Stanney KM, Mourant RR, Kennedy RS. Human factors issues in virtual environments: a review of the literature. Presence 1998;7:327-51. https://doi.org/10.1162/105474698565767
  31. Hu S, Davis MS, Klose AH, Zabinsky EM, Meux SP, Jacobsen HA, et al. Effects of spatial frequency of a vertically striped rotating drum on vection-induced motion sickness. Aviat Space Environ Med 1997;68:306-11.
  32. Rizzo AA, Buckwalter JG, Bowerly T, Van Der Zaag C, Humphrey L, Neumann U, et al. The virtual classroom: a virtual reality environment for the assessment and rehabilitation of attention deficits. Cyber Psychol Behav 2000;3:483-99. https://doi.org/10.1089/10949310050078940
  33. Rose FD, Brooks BM, Rizzo AA. Virtual reality in brain damage rehabilitation: review. Cyberpsychol Behav 2005;8:241-62. https://doi.org/10.1089/cpb.2005.8.241
  34. Pollak Y, Weiss PL, Rizzo AA, Weizer M, Shriki L, Shalev RS, et al. The utility of a continuous performance test embedded in virtual reality in measuring ADHD-related deficits. J Dev Behav Pediatr 2009;30:2-6. https://doi.org/10.1097/DBP.0b013e3181969b22
  35. Adams R, Finn P, Moes E, Flannery K, Rizzo AS. Distractibility in Attention/Deficit/ Hyperactivity Disorder (ADHD): the virtual reality classroom. Child Neuropsychol 2009;15:120-35. https://doi.org/10.1080/09297040802169077
  36. Diaz-Orueta U, Garcia-Lopez C, Crespo-Eguilaz N, Sanchez-Carpintero R, Climent G, Narbona J. AULA virtual reality test as an attention measure: convergent validity with Conners' Continuous Performance Test. Child Neuropsychol 2014;20:328-42. https://doi.org/10.1080/09297049.2013.792332
  37. Kim IY, Cho BH, Jang DP, Lee JH, Lee JM, Kim JS, et al., editors. Attention enhancement system using virtual reality and EEG biofeedback. In: Proceedings of the IEEE Virtual Reality Conference 2002; 2002 Mar 24 - 28; Orlando (FL), USA.
  38. Gaitatzes A, Papaioannou G, Christopoulos D, editors. Virtual reality systems and applications. In: Proceedings of the ACM symposium on Virtual reality software and technology 2006; 2006 Nov 1-3; Limassol, Cyprus.
  39. Dehn MJ. Working memory and academic learning: Assessment and intervention. Hoboken (NJ): John Wiley & Sons, 2011.
  40. Self T, Scudder RR, Weheba G, Crumrine D. A virtual approach to teaching safety skills to children with autism spectrum disorder. Top Lan Disord 2007;27:242-53. https://doi.org/10.1097/01.TLD.0000285358.33545.79
  41. Riva G, Mantovani F, Gaggioli A. Presence and rehabilitation: toward second-generation virtual reality applications in neuropsychology. J Neuroeng Rehabil 2004;1:9. https://doi.org/10.1186/1743-0003-1-9
  42. Parsons TD, Rizzo AA. Neuropsychological assessment of attentional processing using virtual reality. Annual Rev CyberTher Telemed 2008;6:23-8.
  43. Knight RG, Titov N. Use of virtual reality tasks to assess prospective memory: applicability and evidence. Brain impairment. 2009;10:3-13. https://doi.org/10.1375/brim.10.1.3
  44. Albani G, Raspelli S, Carelli L, Morganti F, Weiss PL, Kizony R, et al. Executive functions in a virtual world: a study in Parkinson's disease. Ann Rev CyberTher Telemed 2010;8:73-7.
  45. Muhlberger A, Jekel K, Probst T, Schecklmann M, Conzelmann A, Andreatta M, et al. The influence of methylphenidate on hyperactivity and attention deficits in children with ADHD: a virtual classroom test. J Atten Disord 2016 May 13 [Epub]. pii: 1087054716647480.
  46. Rapport MD, Chung KM, Shore G, Denney CB, Isaacs P. Upgrading the science and technology of assessment and diagnosis: laboratory and clinic-based assessment of children with ADHD. J Clin Child Psychol 2000;29:555-68. https://doi.org/10.1207/S15374424JCCP2904_8
  47. Fairley M. Fun and games: virtual reality turns the work of rehab into play. Northglenn (CO): Western Media LLC, 2010.
  48. Pollak Y, Shomaly HB, Weiss PL, Rizzo AA, Gross-Tsur V. Methylphenidate effect in children with ADHD can be measured by an ecologically valid continuous performance test embedded in virtual reality. CNS Spectr 2010;15:125-30. https://doi.org/10.1017/S109285290002736X
  49. Anton R, Opris D, Dobrean A, David D, Rizzo AS, editors. Virtual reality in rehabilitation of attention deficit/hyperactivity disorder The instrument construction principles. In: Virtual Rehabilitation International Conference, 2009; 2009 Jun 29 - Jul 2; Haifa, Israel.
  50. Areces D, Rodriguez C, Garcia T, Cueli M, Gonzalez-Castro P. Efficacy of a continuous performance test based on virtual reality in the diagnosis of ADHD and its clinical presentations. J Atten Disord 2016 Feb 19 [Epub]. pii: 1087054716629711.
  51. Ehlis A. A biofeedback training in schoolchildren with an attentiondeficit/hyperactivity disorder (ADHD). Tuebingen (Germany): University Hospital Tuebingen, 2016.
  52. Negut A, Jurma AM, David D. Virtual-reality-based attention assessment of ADHD: ClinicaVR: Classroom-CPT versus a traditional continuous performance test. Child Neuropsychol 2017;23:692-712. https://doi.org/10.1080/09297049.2016.1186617
  53. Wang M, Reid D. Virtual reality in pediatric neurorehabilitation: attention deficit hyperactivity disorder, autism and cerebral palsy. Neuroepidemiology 2011;36:2-18. https://doi.org/10.1159/000320847
  54. Gutierrez-Maldonado J, Letosa-Porta A, Rus-Calafell M, Penaloza-Salazar C. The assessment of attention deficit hyperactivity disorder in children using continous performance tasks in virtual environments. Anu Psicol/UB J Psycho 2009;40:211-22.
  55. Clancy TA, Rucklidge JJ, Owen D. Road-crossing safety in virtual reality: a comparison of adolescents with and without ADHD. J Clin Child Adolesc Psychol 2006;35:203-15. https://doi.org/10.1207/s15374424jccp3502_4
  56. Othmer S, Kaiser D. Implementation of virtual reality in EEG biofeedback. Cyberpsycho Behav 2000;3:415-20. https://doi.org/10.1089/10949310050078878
  57. Cho BH, Ku J, Jang DP, Kim S, Lee YH, Kim IY, et al. The effect of virtual reality cognitive training for attention enhancement. Cyberpsychol Behav 2002;5:129-37. https://doi.org/10.1089/109493102753770516
  58. McCloy R, Stone R. Science, medicine, and the future. Virtual reality in surgery. BMJ 2001;323:912-5. https://doi.org/10.1136/bmj.323.7318.912
  59. Botella C, Banos RM, Villa H, Perpina C, Garcia-Palacios A. Virtual reality in the treatment of claustrophobic fear: A controlled, multiplebaseline design. Behav Ther 2000;31:583-95. https://doi.org/10.1016/S0005-7894(00)80032-5
  60. Holden MK. Virtual environments for motor rehabilitation: review. Cyberpsychol Behav 2005;8:187-211. https://doi.org/10.1089/cpb.2005.8.187
  61. Luiselli JK. Effective practices for children with autism: educational and behavior support interventions that work. Oxford: Oxford University Press, 2008.
  62. Slate SE, Meyer TL, Burns WJ, Montgomery DD. Computerized cognitive training for severely emotionally disturbed children with ADHD. Behav Modif 1998;22:415-37. https://doi.org/10.1177/01454455980223012
  63. Pugnetti L, Mendozzi L, Motta A, Cattaneo A, Barbieri E, Brancotti A. Evaluation and retraining of adults' cognitive impairment: which role for virtual reality technology? Comput Biol Med 1995;25:213-27. https://doi.org/10.1016/0010-4825(94)00040-W
  64. Hale KS, Stanney KM, Stone RJ, Hannigan FP. Applications of virtual environments: an overview. In: Hale KS, Stanney KM, editors. Handbook of virtual environments: design, implementation, and applications. 2nd ed. Boca Raton (FL): CRC Press, 2014. p. 883-957.
  65. Iovannone R, Dunlap G, Huber H, Kincaid D. Effective educational practices for students with autism spectrum disorders. Focus Autism Other Dev Disabil 2003;18:150-65. https://doi.org/10.1177/10883576030180030301
  66. Anttila H, Autti-Ramo I, Suoranta J, Makela M, Malmivaara A. Effectiveness of physical therapy interventions for children with cerebral palsy: a systematic review. BMC Pediatr 2008;8:14. https://doi.org/10.1186/1471-2431-8-14
  67. Moreau G, Guay M, Achim A, Rizzo A, Lageix P. The virtual classroom: An ecological version of the continuous performance test-A pilot study. Annual Rev Cyberther Telemed 2006;4:59-66.
  68. Toplak ME, Dockstader C, Tannock R. Temporal information processing in ADHD: findings to date and new methods. J Neurosci Methods 2006;151:15-29. https://doi.org/10.1016/j.jneumeth.2005.09.018

Cited by

  1. Virtual reality method to analyze visual recognition in mice vol.13, pp.5, 2017, https://doi.org/10.1371/journal.pone.0196563
  2. Autism and virtual reality head-mounted displays: a state of the art systematic review vol.12, pp.3, 2017, https://doi.org/10.1108/jet-01-2018-0004
  3. Use of Virtual Reality for the Therapy of Children with Attention Deficit Hyperactivity Disorder vol.292, pp.None, 2019, https://doi.org/10.1051/matecconf/201929201042
  4. The Effectiveness of Web-Based Interventions Delivered to Children and Young People With Neurodevelopmental Disorders: Systematic Review and Meta-Analysis vol.21, pp.11, 2017, https://doi.org/10.2196/13478
  5. The Role of Bottom-Up and Top-Down Cortical Interactions in Adaptation to Natural Scene Statistics vol.13, pp.None, 2017, https://doi.org/10.3389/fncir.2019.00009
  6. Development of Virtual Reality Continuous Performance Test Utilizing Social Cues for Children and Adolescents with Attention-Deficit/Hyperactivity Disorder vol.22, pp.3, 2017, https://doi.org/10.1089/cyber.2018.0377
  7. Three-dimensional virtual reality: Applications to the 12 grand challenges of social work vol.37, pp.1, 2017, https://doi.org/10.1080/15228835.2019.1599765
  8. Virtual Remediation Versus Methylphenidate to Improve Distractibility in Children With ADHD: A Controlled Randomized Clinical Trial Study vol.24, pp.2, 2017, https://doi.org/10.1177/1087054718759751
  9. Project Westdrive: Unity City With Self-Driving Cars and Pedestrians for Virtual Reality Studies vol.7, pp.None, 2017, https://doi.org/10.3389/fict.2020.00001
  10. Self-Management Intervention for Attention and Executive Functions Using Equine-Assisted Occupational Therapy Among Children Aged 6-14 Diagnosed with Attention Deficit/Hyperactivity Disorder vol.26, pp.3, 2017, https://doi.org/10.1089/acm.2019.0374
  11. Antonyms: A Computer Game to Improve Inhibitory Control of Impulsivity in Children with Attention Deficit/Hyperactivity Disorder (ADHD) vol.11, pp.4, 2017, https://doi.org/10.3390/info11040230
  12. Self-Regulation in Children with Neurodevelopmental Disorders “SR-MRehab: Un Colegio Emocionante”: A Protocol Study vol.17, pp.12, 2020, https://doi.org/10.3390/ijerph17124198
  13. Are We There Yet? Immersive Virtual Reality to Improve Cognitive Function in Dementia and Mild Cognitive Impairment vol.60, pp.7, 2017, https://doi.org/10.1093/geront/gnz132
  14. Use of Virtual Reality Working Memory Task and Functional Near-Infrared Spectroscopy to Assess Brain Hemodynamic Responses to Methylphenidate in ADHD Children vol.11, pp.None, 2021, https://doi.org/10.3389/fpsyt.2020.564618
  15. The Virtual Challenge: Virtual Reality Tools for Intervention in Children with Developmental Coordination Disorder vol.8, pp.4, 2017, https://doi.org/10.3390/children8040270
  16. Virtual Reality Therapy in Mental Health vol.17, pp.1, 2017, https://doi.org/10.1146/annurev-clinpsy-081219-115923
  17. A Lean UX Process Model for Virtual Reality Environments Considering ADHD in Pupils at Elementary School in COVID-19 Contingency vol.21, pp.11, 2017, https://doi.org/10.3390/s21113787
  18. Equine-Assisted Services for Children with Attention-Deficit/Hyperactivity Disorder: A Systematic Review vol.27, pp.6, 2017, https://doi.org/10.1089/acm.2020.0482
  19. The potential for emerging technologies to support self-regulation in children with ADHD: A literature review vol.31, pp.None, 2017, https://doi.org/10.1016/j.ijcci.2021.100421