Linking cognitive functioning and postural balance control through virtual reality environmental manipulations.
cognitive function
cognitive impairment
dementia
dual task
head-mounted display virtual reality technology
posture
saccade
vestibular
Journal
Frontiers in aging neuroscience
ISSN: 1663-4365
Titre abrégé: Front Aging Neurosci
Pays: Switzerland
ID NLM: 101525824
Informations de publication
Date de publication:
2022
2022
Historique:
received:
26
05
2022
accepted:
28
07
2022
entrez:
19
9
2022
pubmed:
20
9
2022
medline:
20
9
2022
Statut:
epublish
Résumé
Dementia is becoming a relevant problem worldwide. A simple screening at an early stage will be important to detect the risk of developing dementia. Vestibular dysfunction is likely to be associated with cognitive impairment. Since head-mounted display (HMD) virtual reality (VR) technology has the potential to activate the vestibular function, assessing postural sway with visual stimulation using HMD VR technology could be potentially useful for dementia screening. The purpose of this study is to evaluate the effect of HMD-based VR visual stimuli on posture in older adults and the relationship between the stimulated body sway behaviors and cognitive performance. Using a cross-sectional study design, we investigated the effect of an optokinetic design-based room with stripes (OKR) VR environment oscillating forwards and backwards at 23/60Hz. Center of pressure (COP) displacement was measured in older adults aged 65 years and over in the OKR VR environment. The frequency response of COP was compared to the cognitive performance of the Montreal Cognitive Assessment (MoCA). 20 healthy older adults (70.4 ± 4.9 years; 27.2 ± 1.6 MoCA score) and 3 people with mild cognitive impairment (74.7 ± 4.0 years; 20.3 ± 2.1 MoCA score) were assessed. The results reveal that the oscillating OKR VR environment induced different postural sway in the anterior-posterior direction in the real world. Correlation analysis shows that the cognitive test score was associated with the frequency response of stimulated postural sway in the anterior-posterior direction (frequency Band 1 of 0-0.5Hz related to the visual and vestibular systems: Outcomes would suggest that a potential link may emerge between cognition and posture when the HMD-based VR visual stimuli are applied. The simple screening of stimulated postural sway could explain cognitive functioning. Further studies are warranted to clarify the vestibular system and spatial cognitive function more specifically in the proposed assessment system.
Sections du résumé
Background
UNASSIGNED
Dementia is becoming a relevant problem worldwide. A simple screening at an early stage will be important to detect the risk of developing dementia. Vestibular dysfunction is likely to be associated with cognitive impairment. Since head-mounted display (HMD) virtual reality (VR) technology has the potential to activate the vestibular function, assessing postural sway with visual stimulation using HMD VR technology could be potentially useful for dementia screening.
Objective
UNASSIGNED
The purpose of this study is to evaluate the effect of HMD-based VR visual stimuli on posture in older adults and the relationship between the stimulated body sway behaviors and cognitive performance.
Method
UNASSIGNED
Using a cross-sectional study design, we investigated the effect of an optokinetic design-based room with stripes (OKR) VR environment oscillating forwards and backwards at 23/60Hz. Center of pressure (COP) displacement was measured in older adults aged 65 years and over in the OKR VR environment. The frequency response of COP was compared to the cognitive performance of the Montreal Cognitive Assessment (MoCA).
Results
UNASSIGNED
20 healthy older adults (70.4 ± 4.9 years; 27.2 ± 1.6 MoCA score) and 3 people with mild cognitive impairment (74.7 ± 4.0 years; 20.3 ± 2.1 MoCA score) were assessed. The results reveal that the oscillating OKR VR environment induced different postural sway in the anterior-posterior direction in the real world. Correlation analysis shows that the cognitive test score was associated with the frequency response of stimulated postural sway in the anterior-posterior direction (frequency Band 1 of 0-0.5Hz related to the visual and vestibular systems:
Conclusion
UNASSIGNED
Outcomes would suggest that a potential link may emerge between cognition and posture when the HMD-based VR visual stimuli are applied. The simple screening of stimulated postural sway could explain cognitive functioning. Further studies are warranted to clarify the vestibular system and spatial cognitive function more specifically in the proposed assessment system.
Identifiants
pubmed: 36118684
doi: 10.3389/fnagi.2022.954050
pmc: PMC9476829
doi:
Types de publication
Journal Article
Langues
eng
Pagination
954050Informations de copyright
Copyright © 2022 Imaoka, Hauri, Flury and de Bruin.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
J Electromyogr Kinesiol. 2012 Feb;22(1):131-6
pubmed: 22100720
Neurology. 2000 Nov 28;55(10):1431-41
pubmed: 11094095
Neurophysiol Clin. 2008 Dec;38(6):411-21
pubmed: 19026961
Otol Neurotol. 2016 Sep;37(8):1137-42
pubmed: 27466890
PeerJ. 2020 Nov 18;8:e10363
pubmed: 33240666
Front Aging Neurosci. 2019 Oct 18;11:280
pubmed: 31680934
J Gerontol A Biol Sci Med Sci. 1996 Mar;51(2):M45-52
pubmed: 8612103
Front Neurol. 2016 Feb 15;7:14
pubmed: 26913019
Alzheimers Dement (N Y). 2019 Aug 31;5:409-419
pubmed: 31508479
Gerontology. 2017;63(1):67-83
pubmed: 27172932
Dement Geriatr Cogn Dis Extra. 2016 Jun 25;6(2):252-67
pubmed: 27489559
Front Neurosci. 2018 Mar 20;12:171
pubmed: 29615859
J Biomech. 2017 Nov 7;64:8-15
pubmed: 28893391
Front Psychiatry. 2020 Sep 17;11:572938
pubmed: 33093838
Lancet Neurol. 2019 Jan;18(1):88-106
pubmed: 30497964
J Neurol Phys Ther. 2010 Jun;34(2):105-10
pubmed: 20588097
Front Med (Lausanne). 2020 Nov 16;7:533675
pubmed: 33304909
Ann Phys Rehabil Med. 2017 Jun;60(3):164-176
pubmed: 27017533
Ann Biomed Eng. 2020 Apr;48(4):1241-1255
pubmed: 31916127
BMJ. 2015 Jun 16;350:h3029
pubmed: 26079686
Trends Cogn Sci. 2013 Mar;17(3):134-41
pubmed: 23428935
Front Physiol. 2018 Mar 28;9:293
pubmed: 29643816
Clin Microbiol Infect. 2019 Jan;25(1):54-59
pubmed: 29906592
Hepatology. 2014 Jul;60(1):408-18
pubmed: 24277656
Neurobiol Aging. 2009 May;30(5):793-807
pubmed: 17920729
Nat Rev Neurosci. 2011 Apr;12(4):217-30
pubmed: 21415848
Front Neurol. 2017 Oct 26;8:538
pubmed: 29123498
J Hum Kinet. 2021 Jan 29;76:117-129
pubmed: 33603929
Eur Rev Aging Phys Act. 2019 Nov 03;16:20
pubmed: 31700552
Exp Brain Res. 2020 Mar;238(3):689-698
pubmed: 32036414
Gait Posture. 2022 Mar;93:252-258
pubmed: 35227962
Front Syst Neurosci. 2017 May 31;11:34
pubmed: 28620284
Semin Hear. 2015 Feb;36(1):49-74
pubmed: 27516710
Lancet. 2020 Aug 8;396(10248):413-446
pubmed: 32738937
Behav Brain Res. 2009 Sep 14;202(2):153-61
pubmed: 19463696
J Am Geriatr Soc. 2005 Apr;53(4):695-9
pubmed: 15817019
Curr Alzheimer Res. 2019;16(12):1143-1150
pubmed: 31418661
Phys Ther. 2017 Mar 1;97(3):290-309
pubmed: 28204720
Semin Pediatr Neurol. 2019 Oct;31:30-40
pubmed: 31548022
Neurorehabil Neural Repair. 2015 Nov-Dec;29(10):933-49
pubmed: 25712470
Alzheimers Dement (Amst). 2017 Nov 06;10:66-74
pubmed: 29780858
J Alzheimers Dis. 2020;75(1):23-43
pubmed: 32280091
Curr Opin Neurol. 2017 Feb;30(1):84-89
pubmed: 27845944
Brain Res Bull. 2006 Apr 14;69(3):294-305
pubmed: 16564425
Gait Posture. 2010 Jan;31(1):37-41
pubmed: 19775892
Clin EEG Neurosci. 2007 Apr;38(2):62-5
pubmed: 17515169
BMJ Open. 2016 Apr 27;6(4):e010767
pubmed: 27121704
J Alzheimers Dis. 2018;64(2):643-655
pubmed: 29945351
Otolaryngol Clin North Am. 2000 Jun;33(3):519-33
pubmed: 10815035
Braz J Otorhinolaryngol. 2019 Mar - Apr;85(2):183-192
pubmed: 29370980
Front Neurosci. 2020 Feb 07;13:1439
pubmed: 32116484
Aging Ment Health. 2020 May;24(5):705-708
pubmed: 30691295