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Controlling Memory Impairment in Elderly Adults Using Virtual Reality Memory Training: A Randomized Controlled Pilot Study
Open accessAbstract
Background. Memory decline is a prevalent aspect of aging but may also be the first sign of cognitive pathology. Virtual reality (VR) using immersion and interaction may provide new approaches to the treatment of memory deficits in elderly individuals. Objective. The authors implemented a VR training intervention to try to lessen cognitive decline and improve memory functions. Methods. The authors randomly assigned 36 elderly residents of a rest care facility (median age 80 years) who were impaired on the Verbal Story Recall Test either to the experimental group (EG) or the control group (CG). The EG underwent 6 months of VR memory training (VRMT) that involved auditory stimulation and VR experiences in path finding. The initial training phase lasted 3 months (3 auditory and 3 VR sessions every 2 weeks), and there was a booster training phase during the following 3 months (1 auditory and 1 VR session per week). The CG underwent equivalent face-to-face training sessions using music therapy. Both groups participated in social and creative and assisted-mobility activities. Neuropsychological and functional evaluations were performed at baseline, after the initial training phase, and after the booster training phase. Results.The EG showed significant improvements in memory tests, especially in long-term recall with an effect size of 0.7 and in several other aspects of cognition. In contrast, the CG showed progressive decline. Conclusions . The authors suggest that VRMT may improve memory function in elderly adults by enhancing focused attention.
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Sorted by citations
Hill, N. T. M., Mowszowski, L., Naismith, S. L., Chadwick, V. L., Valenzuela, M., & Lampit, A. (2017) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2016.16030360 · Cited by 782
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“Moreover, VR delivered in HMDs is being widely used for rehabilitation, assessment and even prediction of cognitive impairments in older adults (Optale et al., 2010; Corriveau Lecavalier et al., 2018; Howett et al., 2019).”
MethodVirtual reality in cognitive and motor rehabilitation: facts, fiction and fallacies
Tieri, G., Morone, G., Paolucci, S., & Iosa, M. (2018) · Expert Review of Medical Devices · doi:10.1080/17434440.2018.1425613 · Cited by 483
“VR-training, performed with HMD, resulted also effective in older adults with memory deficits with gains in memory, attention span, and executive function, but not in visuospatial processing [74].”
MethodCognitive training for people with mild to moderate dementia
Bahar-Fuchs, A., Martyr, A., Goh, A. M., Sabates, J., & Clare, L. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013069.pub2 · Cited by 342
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“Most of the existing randomized controlled trials with VR-based cognitive rehabilitation, focus in specific cognitive domains, as memory [52, 53] and attention [33], or specific deficits, as USN [22, 30].”
BackgroundZucchella, C., Sinforiani, E., Tamburin, S., Federico, A., Mantovani, E., Bernini, S., Casale, R., & Bartolo, M. (2018) · Frontiers in Neurology · doi:10.3389/fneur.2018.01058 · Cited by 297
Coyle, H., Traynor, V., & Solowij, N. (2015) · The American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2014.04.009 · Cited by 274
“Two other studies (42, 61) used a large range of tests to assess executive function (Table ) but effect sizes were small (d<.”
BackgroundMethodInfluentialAcceptance of immersive head-mounted virtual reality in older adults
Huygelier, H., Schraepen, B., van Ee, R., Vanden Abeele, V., & Gillebert, C. R. (2019) · Scientific Reports · doi:10.1038/s41598-019-41200-6 · Cited by 299
Manera, V., Chapoulie, E., Bourgeois, J., Guerchouche, R., David, R., Ondřej, J., George Drettakis, B., & Robert, P. H. (2016) · PLoS ONE · doi:10.1371/journal.pone.0151487 · Cited by 243
Effects of Using Nintendo Wii™ Exergames in Older Adults
Chao, Y., Scherer, Y. K., & Montgomery, C. A. (2014) · Journal of Aging and Health · doi:10.1177/0898264314551171 · Cited by 240
“…of using virtual reality cognitive training programs to improve general cognitive function in older adults, as well as short-term memory, orientation, attention, comprehension, repetition, naming, constructions, memory, and judgment (Chan, Ngai, Leung, & Wong, 2010; Optale et al., 2010).”
BackgroundThapa, N., Park, H. J., Yang, J., Son, H., Jang, M., Lee, J., Kang, S. W., Park, K. W., & Park, K. W. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9051283 · Cited by 230
“In older adults with MCI, VR intervention has been reported to improve memory function [12].”
BackgroundZhang, H., Huntley, J. D., Bhome, R., Holmes, B. E., Cahill, J., Gould, R. L., Wang, H., Yu, X., & Howard, R. J. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-027062 · Cited by 236
“ipants with probable AD based on the reported average Mini-Mental State Examination (MMSE) score.(46)”
MethodD'Cunha, N. M., Nguyen, D. T., Naumovski, N., McKune, A. J., Kellett, J., Georgousopoulou, E. N., Frost, J. S., & Isbel, S. T. (2019) · Gerontology · doi:10.1159/000500040 · Cited by 218
Dermody, G., Whitehead, L., Wilson, G., & Glass, C. (2020) · Journal of Medical Internet Research · doi:10.2196/17331 · Cited by 209
“Other studies completed VR therapy more regularly, with Levy [55] administering it weekly over a 12-week period, Benham [53] completing it twice weekly for 6 weeks, White [59] completing it 3 times per week over a 7-week period, and Optale [56] completing 3 sessions per fortnight.”
BackgroundMethodInfluentialAugmented and Virtual Reality Evolution and Future Tendency
Muñoz-Saavedra, L., Miró-Amarante, L., & Domínguez-Morales, M. (2020) · Applied Sciences · doi:10.3390/app10010322 · Cited by 231
Using virtual reality for cognitive training of the elderly
García-Betances, R. I., Jiménez-Mixco, V., Arredondo, M. T., & Cabrera-Umpiérrez, M. F. (2015) · American Journal of Alzheimer's Disease & Other Dementias® · doi:10.1177/1533317514545866 · Cited by 187
“Immersive VR environments have also been used for neuropsychological assessment and CR therapies such as phobias, stress, anxiety, exercise, and memory problems.(27,28,30-36) The potential of VR and of virtual environments (VEs) is presently being investigated by several research groups and laboratories, focusing on c…”
BackgroundMethodCheng, Y., Wu, W.-Y., Feng, W., Wang, J.-Q., Chen, Y., Shen, Y., Li, Q., Zhang, X., & Li, C.-B. (2012) · BMC Medicine · doi:10.1186/1741-7015-10-30 · Cited by 174
“Among the studies included in the meta-analyses, most used singledomain CogTr, focusing either on memory [2,9-14], reasoning [2,15-17], processing speed [2,17-21], reading [22], solving arithmetic problems [22], or strategy training [23].”
MethodA Succinct Overview of Virtual Reality Technology Use in Alzheimer’s Disease
García-Betances, R. I., Arredondo, M. T., Fico, G., & Cabrera-Umpiérrez, M. F. (2015) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2015.00080 · Cited by 212
“…spatial memory, temporal order memory, prospective memory, short-term, and working memory, etc. (Kalová et al., 2005; Burgess et al., 2006; Optale et al., 2010; Weniger et al., 2011; Bellassen et al., 2012; Shamsuddin et al., 2012; Yeh et al., 2012; Bur-dea et al., 2013; Tarnanas et al.,…”
BackgroundComputerised cognitive training for preventing dementia in people with mild cognitive impairment
Gates, N. J., Vernooij, R. W. M., Nisio, M. D., Karim, S., March, E. G., Martínez, G., & Rutjes, A. W. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012279.pub2 · Cited by 186
The Potential of Immersive Virtual Reality for Cognitive Training in Elderly
Bauer, A. C. M., & Andringa, G. (2020) · Gerontology · doi:10.1159/000509830 · Cited by 167
“To date, studies make recommendations [46, 59, 60] for remote guidance of immersive VR by elderly from their residential setting, but implementation is lacking.”
BackgroundChan, S. H. M., Qiu, L., Esposito, G., Ky, P. M., Tam, K., & Cui, J. (2021) · Virtual Reality · doi:10.1007/s10055-021-00604-4 · Cited by 200
“The present findings on physiological indicators of stress align with past findings that show lower stress levels in nature compared to urban settings (Brown et al. 2013; Lee et al. 2011; Park et al. 2010).”
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Pongan, É., Tillmann, B., Lévêque, Y., Trombert, B., Getenet, J. C., Auguste, N., Dauphinot, V., Haouari, H. E., Navez, M., Dorey, J., et al. (2017) · Journal of Alzheimer s Disease · doi:10.3233/jad-170410 · Cited by 158
“…beneficial effects of MI on cognitive functioning in patients with AD or associated disorders, in particular improved global cognitive functioning [12], autobiographic memory [13, 14], implicit memory [15, 16], and verbal memory [17, 18] as well as attention and executive functions [12, 19, 20].”
Gao, Z., Lee, J. E., McDonough, D. J., & Albers, C. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9061986 · Cited by 153
“Although these two studies [9,39] targeted similar cognitive domains, such as executive function, memory, and visuoconstruction/visuospatial skills, as health outcomes, the two differed in terms”
BackgroundEffect of Virtual Reality on Cognition in Stroke Patients
Kim, B. R., Chun, M. H., Kim, L. S., & Park, J. Y. (2011) · Annals of Rehabilitation Medicine · doi:10.5535/arm.2011.35.4.450 · Cited by 149
Siegel, C., & Dorner, T. E. (2017) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2017.01.012 · Cited by 140
Moreno, A., Wall, K. J., Thangavelu, K., Craven, L., Ward, E., & Dissanayaka, N. N. (2019) · Alzheimer s & Dementia Translational Research & Clinical Interventions · doi:10.1016/j.trci.2019.09.016 · Cited by 139
“[43] VR memory training (VRMT) Immersive 3 sessions per week for 3 months in the initial phase, 2 sessions a week for 3 months in the booster phase 30 minutes Not specified Not reported”
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“The immersion methods utilized in previous studies investigating VR cognitive training in older people have employed desktop-based systems [55,56], screen and sensors [62], screen and glasses [65,66], and head-mounted display and fixed joystick setups [63].”
InfluentialTechnologies in Home-Based Digital Rehabilitation: Scoping Review
Arntz, A. R., Weber, F., Handgraaf, M., Lällä, K., Korniloff, K., Murtonen, K.-P., Chichaeva, J., Kidritsch, A., Heller, M., Sakellari, Ε., et al. (2023) · JMIR Rehabilitation and Assistive Technologies · doi:10.2196/43615 · Cited by 158
Cherniack, E. P. (2010) · Disability and Rehabilitation Assistive Technology · doi:10.3109/17483107.2010.542570 · Cited by 120
“76 on the Verbal Story Recall Test) were randomised to receive a complex intervention that included a training phase of three 15 min VR sessions every other week for 2 weeks, followed by weekly sessions for 3 months or receive a control intervention [22].”
MethodLee, T.-S. W., Goh, S. J. A., Quek, S. Y., Phillips, R., Guan, C., Cheung, Y. B., Feng, L., Teng, S. S. W., Wang, C. C., Chin, Z. Y., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0079419 · Cited by 119
“Several studies have demonstrated that cognitive training can improve cognitive functioning in various domains such as memory [4–7], attention [8–9], processing speed [10–12] and executive functioning [11,12] in elderly populations, and that such gains can result in better functional outcomes even up to five years aft…”
BackgroundRaglio, A., Bellelli, G., Mazzola, P., Bellandi, D., Giovagnoli, A. R., Farina, E., Stramba-Badiale, M., Gentile, S., Gianelli, M. V., Ubezio, M. C., et al. (2012) · Maturitas · doi:10.1016/j.maturitas.2012.05.016 · Cited by 118
Park, J., Liao, Y., Kim, D.-R., Song, S., Lim, J. H., Park, H., Lee, Y., & Park, K. W. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17093030 · Cited by 108
“Firstly, it is inconsistent with a previous study [24] that reported that long-term intervention (six months of VR memory training) in the elderly significantly improved memory function.”
ResultVirtual reality and cognitive rehabilitation: A review of current outcome research
Larson, E. B., Feigon, M., Gagliardo, P., & Dvorkin, A. Y. (2014) · Neurorehabilitation · doi:10.3233/nre-141078 · Cited by 105
Impact of Virtual Reality (VR) Experience on Older Adults’ Well-Being
Lin, C. X., Lee, C., Lally, D., & Coughlin, J. F. (2018) · Lecture Notes in Computer Science · doi:10.1007/978-3-319-92037-5_8 · Cited by 91
“[6], VR has been suggested to have possibilities for triggering behavior change [7].”
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Innes, K. E., Selfe, T. K., Khalsa, D. S., & Kandati, S. (2017) · Journal of Alzheimer s Disease · doi:10.3233/jad-160867 · Cited by 99
“…[78], and nursing home residents [79]; of therapist-delivered music programs in psychiatric in-patients with cognitive impairment [80] and Italian elders with memory loss [81]; and of passive music listening in Taiwanese AD patients [82] showed little or no improvement in cognitive indices.”
Using Virtual Reality to Improve Apathy in Residential Aged Care: Mixed Methods Study
Saredakis, D., Keage, H. A., Corlis, M., & Loetscher, T. (2020) · Journal of Medical Internet Research · doi:10.2196/17632 · Cited by 82
“7) compared with a control group receiving music therapy [50].”
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“27,28 Therefore, we think that in VR-based interventions, adapting the presented scenarios according to the affected cognitive function of the participant will provide a greater therapeutic effect.”
Carroll, J., Hopper, L., Farrelly, A. M., Lombard-Vance, R., Bamidis, P. D., & Konstantinidis, E. I. (2021) · Frontiers in Virtual Reality · doi:10.3389/frvir.2021.655338 · Cited by 80
“Finally, fi ve studies can be categorized as “ Immersive VR ” (Gamito et al., 2010; Optale et al., 2010; Corno et al., 2014; Parijat et al., 2014; Lokka et al., 2018) and each study accurately described itself as such.”
BackgroundVirtual reality and mental health in older adults: a systematic review
Skurla, M. D., Rahman, A. T., Salcone, S., Mathias, L., Shah, B., Forester, B. P., & Vahia, I. V. (2021) · International Psychogeriatrics · doi:10.1017/s104161022100017x · Cited by 95
Moulaei, K., Sharifi, H. P., Bahaadinbeigy, K., & Dinari, F. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05563-z · Cited by 85
Novel insights into the rehabilitation of memory post acquired brain injury: a systematic review
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“These positive findings are consistent with findings in healthy elderly participants experiencing memory deficits (Optale et al., 2009).”
ResultZhu, K., Zhang, Q., He, B., Huang, M., Lin, R., & Li, H. (2022) · JMIR Serious Games · doi:10.2196/32117 · Cited by 79
Gates, N. J., Rutjes, A. W., Nisio, M. D., Karim, S., Chong, L., March, E. G., Martínez, G., & Vernooij, R. W. M. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012277.pub2 · Cited by 88
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“This VR world encourages patients with cognitive impairment to maintain selective attention [13].”
BackgroundYang, Q., Zhang, L. C., Chang, F., Yang, H., Chen, B., & Liu, Z. (2025) · Journal of Medical Internet Research · doi:10.2196/59195 · Cited by 80
“One of the two pre-2013 papers were excluded due to unspecified levels of cognitive impairment, which could have affected the identification of cognitive deficits [38].”
Liu, Z., He, Z., Yuan, J., Lin, H., Fu, C., Zhang, Y., Wang, N., Li, G., Bu, J., Chen, M., et al. (2022) · Brain Sciences · doi:10.3390/brainsci13010079 · Cited by 70
“Previous studies have been conducted to help patients improve episodic memory by showing them familiar environments, including streets, residences, and childhood scenes [56,57].”
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Virtual environments as memory training devices in navigational tasks for older adults
Lokka, I. E., Çöltekin, A., Wiener, J. M., Fabrikant, S. I., & Röcke, C. (2018) · Scientific Reports · doi:10.1038/s41598-018-29029-x · Cited by 65
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Brown‐Johnson, C. G., Berrean, B., & Cataldo, J. K. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2014.12.006 · Cited by 71
“Virtual reality interactions are effective approaches to behavior change for both cancer patients and older adults [17, 18].”
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“…studies, for instance working memory training (Buschkuehl et al., 2008; Richmond et al., 2011; Rose et al., 2015), virtual reality training (Optale et al., 2010; Lövdén et al., 2012), and game training (Basak et al., 2008; Nouchi et al., 2012; van Muijden et al., 2012; Baniqued et al.,…”
BackgroundWu, J., Ma, Y., & Ren, Z. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.01811 · Cited by 63
“Seven studies (Optale et al., 2010; Man et al., 2012; Amjad et al., 2018; Hwang and Park, 2018; Choi and Lee, 2019; Park et al., 2019; Yang et al., 2019) were comprised comparisons between VR technology and conventional rehabilitation methods (including health education, memory training,…”
BackgroundInfluentialSaredakis, D., Keage, H. A., Corlis, M., Ghezzi, E. S., Loffler, H., & Loetscher, T. (2021) · Journal of Medical Internet Research · doi:10.2196/29210 · Cited by 61
“Positive outcomes, ranging from small to large effects, found in the review by Dermody et al [42], included improved pain scores in community-dwelling older adults using VR games ( d =−1.54) [43], and improvements in long-term recall ( d =0.70) using VR memory training in aged care residents [44].”
InfluentialPark, E., Yun, B., Min, Y.-S., Lee, Y., Moon, S.-J., Huh, J., Cha, H., Chang, Y., & Jung, T. (2019) · Cognitive and Behavioral Neurology · doi:10.1097/wnn.0000000000000197 · Cited by 61
“…input devices (eg, keyboard, mouse, and joystick) have been shown to improve cognitive abilities in individuals (Kim et al, 2011; Man et al, 2013; Optale et al, 2010; Pietrzak et al, 2014); however, the current MR-based cognitive training system is more promising in that it uniquely enables the…”
BackgroundLessons Learned from a Human-Centered Design of an Immersive Exergame for People with Dementia
Karaosmanoglu, S., Rings, S., Kruse, L., Stein, C., & Steinicke, F. (2021) · Proceedings of the ACM on Human-Computer Interaction · doi:10.1145/3474679 · Cited by 66
Yu, D., Li, X., & Lai, F. H. (2022) · Aging & Mental Health · doi:10.1080/13607863.2022.2076202 · Cited by 60
“, 2020) had a moderate methodological quality and seven studies (Kim et al., 2011; Liao et al., 2019; Maggio et al., 2018; Optale et al., 2010; J. S. Park et al., 2020; Tarnanas et al., 2014; Thapa et al., 2020) were of good quality.”
BackgroundPapaioannou, T., Voinescu, A., Petrini, K., & Fraser, D. S. (2022) · Journal of Alzheimer s Disease · doi:10.3233/jad-210672 · Cited by 67
“For example, a study included in Hung et al. [17] and Wu et al. [16], used both auditory and VR training in the intervention group for 6 months [42].”
Telehealth Delivery of Memory Rehabilitation Following Stroke
Lawson, D. W., Stolwyk, R. J., Ponsford, J. L., McKenzie, D. P., Downing, M. G., & Wong, D. (2020) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617719000651 · Cited by 57
Digital healthcare for dementia and cognitive impairment: A scoping review
Sohn, M., Yang, J., Sohn, J. Y., & Lee, J.-H. (2022) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2022.104413 · Cited by 60
An exploratory fNIRS study with immersive virtual reality: a new method for technical implementation
Seraglia, B., Gamberini, L., Priftis, K., Scatturin, P., Martinelli, M., & Cutini, S. (2011) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2011.00176 · Cited by 61
“Nowadays, Virtual Reality (VR) is a useful tool in several fields and has reached a considerable value in medical, psychological, and neuropsychological treatments (Wiederhold and Wiederhold, 2000; Merians et al., 2006; Optale et al., 2010; Tanaka et al., 2010; Tomikawa et al., 2010).”
MethodSelf-citationDehn, L. B., Kater, L., Piefke, M., Botsch, M., Drießen, M., & Beblo, T. (2017) · Computers in Human Behavior · doi:10.1016/j.chb.2017.10.019 · Cited by 61
Sayma, M., Tuijt, R., Cooper, C., & Walters, K. R. (2019) · The Gerontologist · doi:10.1093/geront/gnz132 · Cited by 57
Yun, S. J., Hyun, S. E., Oh, B., & Seo, H. G. (2023) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-023-01215-7 · Cited by 58
“A higher immersion level allows patients to readily focus on therapy without external interference [17].”
BackgroundChan, J. Y. C., Chan, T. K., Wong, M. P. F., Cheung, R. S. M., Yiu, K. K. L., & Tsoi, K. K. F. (2020) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5314 · Cited by 50
“cognitive functions of older adults.(8,9) Another study applied the VR daily living exercises in patients with stroke.”
BackgroundTechnologically-enhanced psychological interventions for older adults: a scoping review
Riboni, F. V., Comazzi, B., Bercovitz, K. E., Castelnuovo, G., Molinari, E., & Pagnini, F. (2020) · BMC Geriatrics · doi:10.1186/s12877-020-01594-9 · Cited by 59
“For example, one study found that older adults who underwent intense six-month VR memory training, involving auditory stimulation and VR experiences in pathfinding, showed improvements in memory tests, especially in the long-term recall, in comparison with those in a control group who demonstrated a decline [25].”
BackgroundBenefits in Alzheimer’s Disease of Sensory and Multisensory Stimulation
Yang, H., Luo, Y., Hu, Q., Tian, X., & Wen, H. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-201554 · Cited by 54
“Optale et al. [110] performed VR visual and auditory training onthirty-sixpatients.”
Tabbaa, L., Ang, C. S., Rose, V., Siriaraya, P., Stewart, I., Jenkins, K. G., & Matsangidou, M. (2019) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3290605.3300466 · Cited by 50
“Furthermore, VR has been explored as a tool for memory training [40] and improving functional autonomy such as cooking activities [41].”
Chaze, F., Hayden, L., Azevedo, A., Kamath, A., Bucko, D., Kashlan, Y., Dube, M., De Paula, J., Jackson, A., Reyna, C., et al. (2022) · Journal of Rehabilitation and Assistive Technologies Engineering · doi:10.1177/20556683211072384 · Cited by 72
“The researchers suggest that virtual reality memory training can be an effective tool to help improve memory function in elderly adults.(18) A recent longitudinal one-month-long pilot study(31) examined the effectiveness of a music and reminiscence cognitive stimulation interactive platform Musiquence for people livin…”
BackgroundReminiscence Therapy using Image-Based Rendering in VR
Chapoulie, E., Guerchouche, R., Petit, P., Chaurasia, G., Robert, P. H., & George Drettakis, B. (2014) · IEEE Conference on Virtual Reality and 3D User Interfaces (VR) · doi:10.1109/vr.2014.6802049 · Cited by 46
“More recent results show that memory function can be improved with immersive audio-visual VR for the elderly [24].”
BackgroundGates, N. J., Rutjes, A. W., Di Nisio, M., Karim, S., Chong, L.-Y., March, E., Martínez, G., & Vernooij, R. W. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012278.pub2 · Cited by 46
The Efficacy of a Virtual Reality-Based Mindfulness Intervention
Yildirim, C., & O'Grady, T. (2020) · IEEE International Conference on Artificial Intelligence and Virtual Reality (AIVR) · doi:10.1109/aivr50618.2020.00035 · Cited by 49
Facial Electromyography-based Adaptive Virtual Reality Gaming for Cognitive Training
Reidy, L., Chan, D., Nduka, C. C., & Güneş, H. (2020) · INTERNATIONAL CONFERENCE ON MULTIMODAL INTERACTION · doi:10.1145/3382507.3418845 · Cited by 52
“ry). Optale et al. conducted a 6-month long randomised controlled pilot study investigating the efficacy of their VR training intervention in lessening cognitive decline and improving memory functions [37]. The VR tasks asked the user to navigate a simple environment and tested their capacity to recall the route they h…”
MethodButtazzoni, A. N., Parker, A., & Minaker, L. M. (2021) · Health & Place · doi:10.1016/j.healthplace.2021.102597 · Cited by 49
VR usability from elderly cohorts: Preparatory challenges in overcoming technology rejection
Coldham, G., & Cook, D. M. (2017) · 2017 National Information Technology Conference (NITC) · doi:10.1109/nitc.2017.8285645 · Cited by 47
“As the global population greets the growing number of senior citizens who live longer and under more healthy conditions, there is a growing requirement to understand virtual reality componentry as useful instruments for assistive technologies, authentic training, and purposerelated experiences [10].”
BackgroundVirtual Reality Training for Public Speaking—A QUEST-VR Framework Validation
Poeschl, S. (2017) · Frontiers in ICT · doi:10.3389/fict.2017.00013 · Cited by 47
“, 2009) as well as memory training (Optale et al., 2010).”
BackgroundPanerai, S., Catania, V., Rundo, F., & Ferri, R. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.01730 · Cited by 44
“Several studies have shown that VR can produce a significant clinical impact and most of them have focused on the use of VR as an assessment tool, while some others show impact on rehabilitation training of cognitive, motor, social, and daily life functions (Standen and Brown, 2005; Keshner and Weiss, 2007; Optale et…”
BackgroundChiu, H.-M., Hsu, M., & Ouyang, W. (2022) · International Journal of Human-Computer Studies · doi:10.1016/j.ijhcs.2022.102957 · Cited by 46
Virtual Reality Technology in Cognitive Rehabilitation Application: Bibliometric Analysis
He, D., Cao, S., Le, Y., Wang, M., Chen, Y., & Qian, B. (2022) · JMIR Serious Games · doi:10.2196/38315 · Cited by 72
“Optale et al [14] conducted a randomized controlled trial to examine the effectiveness of a VR intervention in older adults with memory deficits.”
Backgroundda Costa, R. Q. M., Pompeu, J. E., Moretto, E. G., Silva, J. M., dos Santos, M. D., Nitríni, R., & Brucki, S. M. D. (2021) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617721000655 · Cited by 41
Lachowicz, M., Żurek, A., Jamro, D., Serweta-Pawlik, A., & Żurek, G. (2024) · Scientific Reports · doi:10.1038/s41598-024-59539-w · Cited by 39
“While previous studies have explored the benefits of VR training in cognitive domains, such as memory 34,35 , decision-making 36 , spatial awareness 37 , visuospatial memory 38 and other CF, to our knowledge, there have been no studies to date regarding VR training of concentration performance and…”
BackgroundBuele, J., Aldás, J. V., & Palacios-Navarro, G. (2023) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-023-01292-8 · Cited by 53
“In (n = 8) [54, 57, 60, 61, 66–68, 70 ], dropouts”
BackgroundMethodInfluentialThe effects of exergames on emotional well-being of older adults
Zheng, H., Li, J., Salmon, C., & Theng, Y. (2020) · Computers in Human Behavior · doi:10.1016/j.chb.2020.106383 · Cited by 31
Xu, B., Sui, Y., Zhu, C., Yang, X., Zhou, J., Li, L., Ren, L., & Wang, X. (2017) · Neurological Sciences · doi:10.1007/s10072-017-2878-9 · Cited by 37
Matsangidou, M., Frangoudes, F., Schiza, E. C., Neokleous, K. C., Papayianni, E., Xenari, K., Avraamides, M. N., & Pattichis, C. S. (2022) · Virtual Reality · doi:10.1007/s10055-022-00639-1 · Cited by 35
“…deficiencies (Cheng et al. 2014; Ijaz et al. 2019; Loprinzi et al. 2013; Littbrand et al. 2011; Pitkälä et al. 2013; Potter et al. 2011), memory (Optale et al. 2010) spatial navigation (Cushman et al. 2008; Zakzanis et al. 2009), and executive functions such as planning activities (Manera et…”
BackgroundBinarelli, G., Duivon, M., Joly, F., Ahmed-Lecheheb, D., & Lange, M. (2023) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2023.2187288 · Cited by 35
Virtual reality for older users: a systematic literature review
Silva, R. S., Mol, A. M., & Ishitani, L. (2019) · International Journal of Virtual Reality · doi:10.20870/ijvr.2019.19.1.2908 · Cited by 35
Shaigetz, V. G., Proulx, C., Cabral, A., Choudhury, N., Hewko, M. D., Kohlenberg, E. M., Segado, M., Smith, M. S. D., & Debergue, P. (2021) · JMIR Rehabilitation and Assistive Technologies · doi:10.2196/26629 · Cited by 37
“In a systematic review of VR cognitive rehabilitation, Larson et al [21] identify a few randomized controlled trials demonstrating effective training for memory [22-24], executive functioning [25], and visual attention [26] and conclude that further studies in the field are needed.”
BackgroundHouse, G., Burdea, G., Polistico, K., Roll, D., Kim, J., Grampurohit, N., Damiani, F., Keeler, S., Hundal, J. S., & Pollack, S. Z. (2015) · Disability and Rehabilitation Assistive Technology · doi:10.3109/17483107.2015.1068384 · Cited by 34
“ment on memory tests when the participants were exposed to 3 months of intensive virtual reality training followed by 3 months of periodic booster sessions [39].”
BackgroundDobrowolski, P., Skorko, M., Pochwatko, G., Myśliwiec, M., & Grabowski, A. (2021) · Frontiers in Virtual Reality · doi:10.3389/frvir.2020.604008 · Cited by 37
Benefits of computer-based memory and attention training in healthy older adults.
Chambon, C., Herrera, C., Romaiguère, P., Paban, V., & Alescio‐Lautier, B. (2014) · Psychology and Aging · doi:10.1037/a0037477 · Cited by 36
Kim, E. Y., & Kim, K. W. (2013) · Aging & Mental Health · doi:10.1080/13607863.2013.868404 · Cited by 35
“The study by Optale et al. (2010) that provided elderly subjects with mild memory impairment with problem-solving tasks, including auditory and novel visual stimuli such as taking a walk on a virtual, exotic beach, reported improved memory functions, especially in long-term recall.”
BackgroundWhat Do We Know about The Use of Virtual Reality in the Rehabilitation Field? A Brief Overview
Naro, A., & Calabrò, R. S. (2021) · Electronics · doi:10.3390/electronics10091042 · Cited by 33
“, 2010 [96] 36 MCI VR memory training 2/week, 12 weeks Better cognitive outcome after VR”
BackgroundMethodMultipurpose Virtual Reality Environment for Biomedical and Health Applications
Torner, J., Skouras, S., Molinuevo, J. L., Gispert, J. D., & Alpiste, F. (2019) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2019.2926786 · Cited by 32
“functioning in people with mild cognitive impairment [16] 81”
BackgroundDelgado, F., & Ananian, C. D. (2020) · Games for Health Journal · doi:10.1089/g4h.2019.0159 · Cited by 32
“18,19 While there have been several studies examining the effects of non-VR-HMD systems on balance and gait outcomes with OAs, 8–12 research examining the effects of VR-HMD is limited.”
Afifi, T. D., Collins, N. L., Rand, K., Fujiwara, K., Mazur, A. P., Otmar, C. D., Dunbar, N. E., Harrison, K., & Logsdon, R. G. (2021) · Innovation in Aging · doi:10.1093/geroni/igab014 · Cited by 34
“Other researchers have found that VR can enhance autobiographical memory in older adults with MCI (Benoit, 2015) and that VR can improve memory in older adults with MCI more than music therapy (Optale et al., 2010).”
BackgroundRisk Profiles of Alzheimer Disease
Bilbul, M., & Schipper, H. M. (2011) · Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques · doi:10.1017/s0317167100012129 · Cited by 34
Study of virtual reality for mild cognitive impairment: A bibliometric analysis using CiteSpace
Zhu, K., Lin, R., & Li, H. (2021) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2021.12.007 · Cited by 31
“One of Optale’s studies tested the effects of VR cognitive interventions on memory improvement among older adults and concluded that VR cognitive interventions could improve memory function by enhancing hearing stimulation [27].”
BackgroundVirtual reality in the diagnostics and therapy of neurological diseases
Słyk, S., Zarzycki, M. Z., Kocwa-Karnaś, A., & Domitrz, I. (2019) · Expert Review of Medical Devices · doi:10.1080/17434440.2019.1693892 · Cited by 30
“Memory impaired elderly adults without serious medical conditions (cancer, stroke, or other brain diseases) were trained for 6 months using immersive VR memory training [36].”
MethodResult
Metadata
- Authors
- Optale, G., Urgesi, C., Busato, V., Marin, S., Piron, L., Priftis, K., Gamberini, L., Capodieci, S., & Bordin, A.
- Affiliations
- Association of Medical Psychotherapists, Venice, Italy, , Psychosexology, ASL12, Mestre, Venice, Italy
- University of Udine (IT)
- Consorzio Sociale CPS gestore centro servizi “Anni Sereni” Rest-Home, Scorzè, Venice, Italy
- Association of Medical Psychotherapists, Venice, Italy, Psychosexology, ASL12, Mestre, Venice, Italy
- University of Padua (IT)
- Association of Medical Psychotherapists, Venice, Italy
- Corresponding author
- Optale, Gabriele
- Venue
- Neurorehabilitation and Neural Repair
- Publisher
- SAGE Publications
- Published
- 2009-11-24
- Volume
- 24
- Issue
- 4
- Pages
- 348-357
- ISSN
- 0888-4390 (ISSN-L)
- 1545-9683
- 1552-6844
- OpenAlex
- W2131366419
- Cited by
- 318
- References
- 48
- Citations by year
- 2026: 13 · 2025: 21 · 2024: 31 · 2023: 29 · 2022: 37 · 2021: 35 · 2020: 39 · 2019: 27 · 2018: 15 · 2017: 20 · 2016: 12 · 2015: 4 · 2014: 15 · 2013: 8 · 2012: 4
- FWCI
- 5.07
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Neurorehabilitation and neural repair (publishedVersion)
- PubMed (publishedVersion)
- Padua Research Archive (University of Padova) (submittedVersion, other-oa)
- Institutional Research Information System (University of Udine) (submittedVersion)
- Funders
- Ministero della Salute
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Keywords
- memory impairment, older adults, cognitive decline, music therapy, auditory stimulation, path finding, focused attention, nursing home residents, cognitive rehabilitation
- MeSH terms
- Acoustic Stimulation, Aged, 80 and over, Analysis of Variance, Attention, Female, Humans, Male, Memory Disorders, Music Therapy, Neuropsychological Tests, Pilot Projects, Mental Recall, Time Factors, User-Computer Interface, Single-Blind Method, Treatment Outcome
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