Virtual Reality based tools for the rehabilitation of cognitive and executive functions: the V-STORE

Cognitive rehabilitation is represented by the application of a lot of procedures in order to enhance development of skills and strategies necessary to overcome cognitive deficits. Computer-based tools can be fruitfully used in the assessment and rehabilitation of cognitive and executive functions. In particular Virtual Reality could play a key role in the rehabilitation of psychological functions due to a creation of synthetic environments where it is possible to carry on tasks very similar to the ones experienced in real contexts. After an analysis of the main characteristics and open issues of the PC and VR based cognitive rehabilitation, the major aim of this paper is to describe: a) the rationale for the use of Virtual Reality in this field and b) some VR tools (V-Store, V-Tol, V-Wcst) used with a particular category of dysfunction, the Dysexecutive Syndrome, typical of the patients with frontal lobe injuries and other neurological diseases. In particular the description of V-Store is provided.

[1]  S. Adamovich,et al.  Virtual reality-augmented rehabilitation for patients following stroke. , 2002, Physical therapy.

[2]  M. Tarr,et al.  Virtual reality in behavioral neuroscience and beyond , 2002, Nature Neuroscience.

[3]  S K Rushton,et al.  Improving cognitive function after brain injury: the use of exercise and virtual reality. , 1999, Archives of physical medicine and rehabilitation.

[4]  P. Clark,et al.  Current directions in computer-assisted cognitive rehabilitation. , 2002, NeuroRehabilitation.

[5]  M J Griffin,et al.  Virtual reality environments for psycho-neuro-physiological assessment and rehabilitation. , 1997, Studies in health technology and informatics.

[6]  Giuseppe Riva,et al.  Design of Clinically Oriented Virtual Environments: A Communicational Approach , 2000, Cyberpsychology Behav. Soc. Netw..

[7]  B. Milner Effects of Different Brain Lesions on Card Sorting: The Role of the Frontal Lobes , 1963 .

[8]  E. Drewe,et al.  The effect of type and area of brain lesion on Wisconsin card sorting test performance. , 1974, Cortex; a journal devoted to the study of the nervous system and behavior.

[9]  A. Rizzo,et al.  Basic issues in the use of virtual environments for mental health applications. , 1998, Studies in health technology and informatics.

[10]  D Cunningham,et al.  Virtual reality: a wholistic approach to rehabilitation. , 1999, Studies in health technology and informatics.

[11]  R T Kurlychek,et al.  Computers in the cognitive rehabilitation of brain-injured persons. , 1987, Critical reviews in medical informatics.

[12]  T. Shallice Specific impairments of planning. , 1982, Philosophical transactions of the Royal Society of London. Series B, Biological sciences.

[13]  Maggie Campbell The rehabilitation of brain injured children: the case for including physical exercise and virtual reality: a clinical perspective , 2002, Pediatric rehabilitation.

[14]  D. A. Grant,et al.  A behavioral analysis of degree of reinforcement and ease of shifting to new responses in a Weigl-type card-sorting problem. , 1948, Journal of experimental psychology.

[15]  L. Diller,et al.  Interventions for cognitive deficits in brain-injured adults. , 1981, Journal of consulting and clinical psychology.

[16]  E. A. Berg,et al.  A simple objective technique for measuring flexibility in thinking. , 1948, The Journal of general psychology.

[17]  R. Bornstein,et al.  Contribution of various neuropsychological measures to detection of frontal lobe impairment , 1986 .

[18]  William Acker,et al.  A computerized approach to psychological screening—The Bexley-Maudsley Automated Psychological Screening and The Bexley-Maudsley Category Sorting Test , 1982 .

[19]  Y Ginarte-Arias,et al.  [Cognitive rehabilitation. Theoretical and methodological aspects]. , 2002, Revista de neurologia.

[20]  Wayne A. Gordon,et al.  Cognitive remediation: Issues in research and practice , 1989 .

[21]  G Riva,et al.  Virtual reality as telemedicine tool: technology, ergonomics and actual applications. , 2000, Technology and health care : official journal of the European Society for Engineering and Medicine.

[22]  K C Lun,et al.  Telemedicinal virtual reality for cognitive rehabilitation. , 2000, Studies in health technology and informatics.

[23]  H. Nelson A Modified Card Sorting Test Sensitive to Frontal Lobe Defects , 1976, Cortex.

[24]  G Riva,et al.  Virtual reality as clinical tool: immersion and three-dimensionality in the relationship between patient and therapist. , 2001, Studies in health technology and informatics.

[25]  K. C. Lun,et al.  Virtual reality for relearning daily living skills , 2000, Int. J. Medical Informatics.

[26]  Eva Lindh Waterworth,et al.  Focus, Locus, and Sensus: The Three Dimensions of Virtual Experience , 2001, Cyberpsychology Behav. Soc. Netw..

[27]  G Riva,et al.  Virtual reality in neuroscience: a survey. , 1998, Studies in health technology and informatics.

[28]  A P Shimamura,et al.  Cognitive impairment following frontal lobe damage and its relevance to human amnesia. , 1989, Behavioral neuroscience.

[29]  Albert A. Rizzo,et al.  Virtual environment applications in clinical neuropsychology , 2000, Proceedings IEEE Virtual Reality 2000 (Cat. No.00CB37048).

[30]  Jurgen Broeren,et al.  Virtual Reality and Haptics as an Assessment Device in the Postacute Phase after Stroke , 2002, Cyberpsychology Behav. Soc. Netw..

[31]  P. Tonin,et al.  Virtual Reality as an assessment tool for arm motor deficits after brain lesions. , 2001, Studies in health technology and informatics.

[32]  Albert A. Rizzo,et al.  Virtual reality and cognitive assessment and rehabilitation: the state of the art. , 1997, Studies in health technology and informatics.

[33]  Mauro Rubens Silva Virtual Reality in Latin American Clinical Psychology and the VREPAR Project , 2002, Cyberpsychology Behav. Soc. Netw..

[34]  D L Braff,et al.  The generalized pattern of neuropsychological deficits in outpatients with chronic schizophrenia with heterogeneous Wisconsin Card Sorting Test results. , 1991, Archives of general psychiatry.

[35]  L Pugnetti,et al.  Evaluation and retraining of adults' cognitive impairment: which role for virtual reality technology? , 1995, Computers in biology and medicine.

[36]  L. Pugnetti,et al.  VR experience with neurological patients: basic cost/benefit issues. , 1998, Studies in health technology and informatics.

[37]  Kenneth J. Ottenbacher,et al.  Virtual Reality in the Assessment of Selected Cognitive Function After Brain Injury , 2001, American journal of physical medicine & rehabilitation.

[38]  D. Stuss,et al.  Wisconsin Card Sorting Test performance in patients with focal frontal and posterior brain damage: effects of lesion location and test structure on separable cognitive processes , 2000, Neuropsychologia.

[39]  A. Rizzo,et al.  The status of virtual reality for the cognitive rehabilitation of persons with neurological disorders and acquired brain injury. , 1997, Studies in health technology and informatics.

[40]  R. Heaton,et al.  Use of Neuropsychological tests to predict adult patients' everyday functioning. , 1981, Journal of consulting and clinical psychology.

[41]  M. Grealy,et al.  The rehabilitation of brain injured children: the case for including physical exercise and virtual reality. , 2000, Pediatric rehabilitation.

[42]  G.C. Burdea,et al.  Virtual reality-enhanced stroke rehabilitation , 2001, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[43]  Giuseppe Riva,et al.  Virtual environments in neuroscience , 1998, IEEE Transactions on Information Technology in Biomedicine.