Browse > Article
http://dx.doi.org/10.15324/kjcls.2018.50.4.492

Effect of a Dual-task Virtual Reality Program for Seniors with Mild Cognitive Impairment  

Hwang, Jung-Ha (Department of Occupational Therapy, Gwangyang Health Sciences University)
Park, Mi-Suk (Department of Medical Laboratory Science, Gimhae College)
Publication Information
Korean Journal of Clinical Laboratory Science / v.50, no.4, 2018 , pp. 492-500 More about this Journal
Abstract
This study examined the effects of a dual-task virtual reality program on the cognitive function and EEG for patients with mild cognitive impairment. A dual-task virtual reality program was performed in the experimental groups while conventional occupational therapy was carried out in the control group for 30 minutes per session, which was done five days per week for 6 weeks. The results were as follows. First, the memory of the cognitive function and balance was improved significantly in the experimental group with the dual-task virtual reality program compared to the control group with the traditional occupational therapy. Second, EEG was also increased significantly in the experimental group compared to the control group. The results of this study suggest that the dual-task virtual reality program was an effective treatment method for the elderly with mild cognitive impairment and would be a cornerstone of basic data that will be helpful to those suffering from a range of diseases.
Keywords
Computerized neurocognitive function test; Dual-task virtual reality program; Electroencephalogram; Mild cognitive impairment;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Gates N, Fiatarone Singh MA, Sachdev PS, Valenzuela M. The effect of exercise training on cognitive function in older adults with mild cognitive impairment: A meta-analysis of randomized controlled trials. Am J Geriatr Psychiatry. 2013;21:1086-1097. https://doi.org/10.1016/j.jagp.2013.02.018.   DOI
2 Deutsch JE, Borbely M, Filler J, Huhn K, Guarrera-Bowlby P. Use of a low-cost, commercially available gaming console(Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther. 2008;88:1196-1207. https://doi.org/10.2522/ptj.20080062.   DOI
3 Montero-Odasso M, Muir SW, Speechley M. Dual-task complexity affects gait in people with mild cognitive impairment: The interplay between gait variability, dual tasking, and risk of falls. Arch Phys Med Rehabil. 2012;93:293-299. https://doi.org/10. 1016/j.apmr.2011.08.026.   DOI
4 Putman JA. EEG biofeedback on a female stroke patient with depression: A case study. J Neurother. 2001;5:27-38. https://doi.org/10.1300/J184v05n03_04.
5 Macaluso E, Eimer M, Frith CD, Driver J. Preparatory states in crossmodal spatial attention: spatial specificity and possible control mechanisms. Exp Brain Res. 2003;149:62-72. https://doi.org/10.1007/s00221-002-1335-y.   DOI
6 Koh JJ. A review of long-term care insurance for the elderly by access to an aging society. Law and Policy. 2018;24:27-61.   DOI
7 Petersen RC, Mild cognitive impairment as a diagnostic entity. J Intern Med. 2004;256:183-194. https://doi.org/10.1111/j.1365-2796.2004.01388.x.   DOI
8 Lee HJ. The effect of the cognitive rehabilitation upon EEG and Cognition in the Alzheimer's dementia. Korean J Soc Sci. 2010;5:1217-1226.
9 Winblad B, Palmer K, Kivipelto M, Jelic V, Fratiglioni L, Wahlund LO, et al. Mild cognitive impairment-beyond controversies, towards a consensus: Report of the international working group on mild cognitive impairment. J Intern Med. 2004;256:240-246. https://doi.org/10.1111/j.1365-2796.2004.01380.x.   DOI
10 Jiang ZY. Study on EEG power and coherence in patients with mild cognitive impairment during working memory task. J Zhejiang Univ Sci B. 2005;6:1213-1219. https://doi.org/10.1631/jzus.2005.B1213.   DOI
11 Erickson KI, Colcombe SJ, Wadhwa R, Bherer L, Peterson MS, Scalf PE, et al. Training-induced functional activation changes in dual-task processing: an FMRI study. Cereb Cortex. 2007;17:192-204. https://doi.org/10.1093/cercor/bhj137.
12 Bruno D, Reiss PT, Petkova E, Sidtis JJ, Pomara N. Decreased recall of primary words predicts cognitive decline. Arch Clin Neuropsychol. 2013;28;95-103. https://doi.org/10.1093/arclin/acs116.   DOI
13 Pulummer-D'Amato P, Altmann LJ, Behrman AL, Marseske M. Interference between cognition, double-limb support, and swing during gait in community-dwelling individuals poststroke. Neurorehabil Neural Repair. 2010;24:542-549. https://doi.org/10.1177/1545968309357926.   DOI
14 Lee BT, Lee KM. Neural basis involved in the interference effects during dual task: interaction between calculation and memory retrieval. The Korean Society for Cognitive Science. 2007;18:159-178. https://www.kci.go.kr/kciportal/landing/article.kci?arti_id=ART001064316.   DOI
15 Kim CS. Analysis of the continuous monitored electroencephalogram patterns in intensive care unit. Korean J Clin Lab Sci. 2017;49:294-299. https://doi.org/10.15324/kjcls2017.49.3.294.   DOI
16 Coben LA, Danzinger W Storandt M. A longitudinal EEG study of mild senile dementia of Alzheimer's type: changes at 1 year and 2.5 years. Electroencephalogr Clin Neurophysiol. 1985;61:101-112. https://doi.org/10.1016/0013-4694(85)91048-X.   DOI
17 Kang WK, Kang MH, Yang JL, Ku EJ, Kim SK. The comparison of EEG activity by computer assisted cognitive rehabilitation program in the normal elderly and the elderly with dementia. Korean Soci Occupat. 2009;17:1-13.
18 Baker M, Akrofi K, Schiffer R, Boyle MW. EEG patterns in mild cognitive impairment (MCI) patients. Open Neuroimag J. 2008;2:52-55. https://doi.org/10.2174/1874440000802010052.   DOI
19 Bherer L, Kramer AF, Peterson MS, Colcombe S, Erickson K, Becic E. Training effects on dual-task performance: Are there age-related differences in plasticity of attentional control?. Psychol Aging. 2005;20:695-709. https://doi.org/10.1037/0882-7974. 20.4.695.   DOI
20 Lee HJ, Hwang KO. The effects of cognitive rehabilitation program on EEG for patients with vascular dementia. J Spec Edu & Rehab Sci. 2014;53:213-230. https://doi.org/10.15870/jsers.2014.06.53.2.213.
21 Heyn P, Abreu BC, Ottenbacher KJ. The effects of exercise training on elderly persons with cognitive impairment and dementia:A meta-analysis. Arch Phys Med Rehabil. 2004;85: 1694-1704. https://doi.org/10.1016/j.apmr.2004.03.019.   DOI
22 Smiley-Oyen AL, Lowry KA, Francois SJ, Kohut ML, Ekkekakis P. Exercise, fitness, and neurocognitive function in dlder adults: The "selective improvement" and "cardiovascular fitness" hypotheses. Ann Behav Med. 2008;36:280-291. https://doi.org/10.1007/s12160-008-9064-5.   DOI
23 Deutsch JE. Using virtual reality to improve walking post-stroke: translation to individuals with diabetes. J Diabetes Sci Technol. 2011;5:309-314. https://doi.org/10.1177/193229681100500216.   DOI
24 Rizzo AA, Buckwalter JG. Virtual reality and cognitive assessment and rehabilitation: The state of the art. Stud Health Technol Inform. 1997;44:123-146. https://doi.org/10.3233/978-1-60750-888-5-123.
25 Grealy MA, Johnson DA, Rushton SK. Improving cognitive function after brain injury: The use of exercise and virtual reality. Arch Phys Med Rehabil. 1999;80:661-667. https://doi.org/10.1016/S0003-9993(99)90169-7.   DOI
26 Pichierri G, Wolf P, Murer K, de Bruin ED. Cognitive and cognitive-motor interventions affecting physical functioning: A systematic review. BMC Geriatr. 2011;11:1-19. https://doi.org/10.1186/1471-2318-11-29.   DOI
27 Mountain G, Mozley, Craig C, Ball L. Occupational Therapy led health promotion for older people: feasibility of the lifestyle matters program. British J Occupation Ther. 2008;71:406-413. https://doi.org/10.1177/030802260807101002.   DOI
28 Hill NT, Mowszowski L, Naismith SL, Chadwick VL, Valenzuela M, Lampit A. computerized cognitive training in older adults with mild cognitive impairment or dementia: a systematic review and meta-Analysis. Am J Psychiatry. 2017;174:329-340. https://doi.org/10.1176/appi.ajp.2016.16030360.   DOI
29 Mirelman A, Maidan I, Herman T, Deutsch JE, Giladi N, Hausdorff JM. Virtual reality for gait training: can it induce motor learning to enhance complex walking and reduce fall risk in patients with parkinson's disease?. J Gerontol A Biol Sci Med Sci. 2011;66:234-240. https://doi.org/10.1093/gerona/glq201.
30 Kim KM, Park HT, Park JH, Lim ST, Kwon YC, Park KW. The effect of dual task exercise on gait parameter in mild cognitive impairment. J Sport Sci. 2017;26:1065-1073.
31 Hwang JH, Lee SM. The effect of virtual reality program on the cognitive function and balance of the people with mild cognitive impairment. J Phys Ther Sci. 2017;29:1283-1286. https://doi.org/10.1589/jpts.29.1283.   DOI
32 Her JG, Park KD, Yang YA, Ko TS, Kim HS, Lee JS, et al. Effects of balance training with various dual-task conditions on stroke patient. J Phys Ther Sci. 2011; 23:713-717. https://doi.org/10.1589/jpts.23.713.   DOI
33 You JH, Shetty A, Jones T, Shields K, Belay Y, Brown D. Effects of dual-task cognitive gait intervention on memory and gait dynamic in olders adults with a history of falls: A preliminary investigation. Neuro Rehabilitation. 2009;24:193-198. https://doi.org/10.3233/NRE-2009-0468.
34 van Iersel MB, Ribbers H, Munneke M, Born GF, Rikkert MG. The effect of cognitive dual tasks on balance during walking in physically fit elderly people. Arch Phys Med Rehabil. 2007;88:187-191. https://doi.org/10.1016/j.apmr.2006.10.031.   DOI
35 Song GB, Park EC. The effects of balance training on balance pad and sand on balance and gait ability in stroke patients. J Korean Soc Phys Med. 2016;11:45-52. https://doi.org/10.13066/kspm.2016.11.1.45.   DOI
36 Dierks T, Jelic V, Pascual-Marqui RD, Wahlund LO, Julin P, Linden DE, et al. Spatial pattern of cerebral glucose metabolism(PET) correlates with localization of intracerebral EEG-generators in Alzheimer's disease. Cli Neur, 2000;111:1817-1824. https://doi.org/10.1016/S1388-2457(00)00427-2.   DOI
37 Spirduso WW, Francis K, Eakin T, Stanford C. Quantification of manual force control and tremor. J Mot Behav. 2005;37:197-210. https://doi.org/10.3200/JMBR.37.3. 197-210.   DOI