Use of Virtual Reality to Improve Spatial Orientation in Alzheimer's Disease and Mild Cognitive Impairment: A Systematic Review.

Wojciech Gulin, Monika Oziemblewska, Ludmila Zajac-Lamparska
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Abstract

Background: Alzheimer's disease is a chronic, neurodegenerative condition that leads to a significant cognitive decline. One of the symptoms that greatly reduces the quality of daily functioning is the deterioration of spatial orientation abilities. A non-pharmacological treatment option for Alzheimer's disease, which is also employed to improve the cognitive functioning of individuals with mild cognitive impairment, is virtual reality training.

Objective: To the best of the authors' knowledge, there is no existing systematic review on the use of virtual reality training to enhance spatial orientation in individuals with Alzheimer's disease or mild cognitive impairment. The review was therefore conducted to fill this gap. The findings of this review may support the efficacy of virtual reality in enhancing spatial orientation.

Methods: Five databases were searched. The primary inclusion criteria were study participants aged over 60 years with a diagnosis of Alzheimer's disease or mild cognitive impairment and the use of virtual reality for improving spatial orientation. Six studies meeting these criteria were ultimately included in the review.

Results: All included studies demonstrated an improvement in the spatial orientation of individuals with Alzheimer's disease or mild cognitive impairment following virtual reality training. This indicates the effectiveness of virtual reality technology in cognitive rehabilitation.

Conclusion: As virtual reality cognitive training has proven effective, its use should be more widely adopted. Further research on the application of virtual reality for enhancing spatial orientation in individuals with dementia is recommended.

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使用虚拟现实改善阿尔茨海默病和轻度认知障碍的空间定向:系统综述。
背景:阿尔茨海默病是一种慢性神经退行性疾病,可导致显著的认知能力下降。空间定位能力的退化是大大降低日常功能质量的症状之一。虚拟现实训练是阿尔茨海默病的一种非药物治疗选择,也被用于改善轻度认知障碍患者的认知功能。目的:据作者所知,目前还没有关于使用虚拟现实训练增强阿尔茨海默病或轻度认知障碍患者空间定向的系统综述。因此,进行审查是为了填补这一空白。本综述的研究结果可能支持虚拟现实在增强空间定向方面的功效。方法:检索5个数据库。主要入选标准是年龄在60岁以上,诊断为阿尔茨海默病或轻度认知障碍的研究参与者,并使用虚拟现实技术改善空间定向。符合这些标准的6项研究最终纳入了综述。结果:所有纳入的研究都表明,在虚拟现实训练后,患有阿尔茨海默病或轻度认知障碍的个体在空间定向方面有所改善。这表明虚拟现实技术在认知康复中的有效性。结论:虚拟现实认知训练已经被证明是有效的,它的应用应该得到更广泛的推广。建议进一步研究虚拟现实在增强痴呆患者空间定向方面的应用。
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