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Virtual reality and cognitive rehabilitation for older adults with mild cognitive impairment: A systematic review

Title: Virtual reality and cognitive rehabilitation for older adults with mild cognitive impairment: A systematic review
Authors: Tortora C.; Di Crosta A.; La Malva P.; Prete G.; Ceccato I.; Mammarella N.; Di Domenico A.; Palumbo R.
Contributors: Tortora, C.; Di Crosta, A.; La Malva, P.; Prete, G.; Ceccato, I.; Mammarella, N.; Di Domenico, A.; Palumbo, R.
Publication Year: 2024
Collection: ARUd'A - Archivio Istituzionale della ricerca dell'università Chieti-Pescara (IRIS)
Subject Terms: Cognitive impairment; MCI; Older adult; Rehabilitation; Review; Virtual reality
Description: Virtual Reality (VR) has been gaining increasing attention as a potential ecological and effective intervention system for treating Mild Cognitive Impairment (MCI). However, it remains unclear the efficacy and effectiveness of VR-based cognitive rehabilitation therapy (VR-CRT) in comparison with cognitive rehabilitation therapy (CRT). Consequently, a systematic review on Pubmed, Scopus, PsycInfo, and Web Of Science was conducted to assess the state of the art of the literature published between 2003 and April 2023. Only articles that adopted CRT as control group and that included some measure of at least one domain among overall cognitive function, executive function and functional status were included. Participants needed to be older adults aged 65 or over with a diagnosis of MCI. The risk of bias and the quality of evidence were assessed using the Version 2 of the Cochrane risk-of-bias tool for randomized trials. Initially, 6503 records were considered and screened after removing duplicates (n = 1321). Subsequently, 81 full texts were assessed for eligibility. Four articles met the inclusion criteria but 2 of them were merged as they were describing different outcomes of the same research project. Consequently, 3 overall studies with a total of 130 participants were included in the final analysis. Due to the high heterogeneity in the methodology and outcome measures employed, it was not possible to conduct a meta-analysis. Included studies used semi-immersive (k = 2) and full-immersive (k = 1) VR systems in their research. Two articles evaluated overall cognitive function through the MoCA together with specific tests for executive functions (n = 69), while one study adopted a comprehensive neuropsychological battery to evaluate both cognitive function and executive function (n = 61). Finally, one study evaluated functional status through instrumental activities of daily living (n = 34). A However, the limited number of studies, the small sample size, and the potential issues with the quality and methodology of ...
Document Type: article in journal/newspaper
File Description: ELETTRONICO
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/38036103; info:eu-repo/semantics/altIdentifier/wos/WOS:001139131200001; volume:93; firstpage:102146; numberofpages:11; journal:AGEING RESEARCH REVIEWS; https://hdl.handle.net/11564/822231; https://www.sciencedirect.com/science/article/pii/S1568163723003057?via=ihub
DOI: 10.1016/j.arr.2023.102146
Availability: https://hdl.handle.net/11564/822231; https://doi.org/10.1016/j.arr.2023.102146; https://www.sciencedirect.com/science/article/pii/S1568163723003057?via=ihub
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.3870CAE2
Database: BASE