Virtual reality training can effectively improve the cognitive functioning and functional fitness of persons with subjective cognitive decline
10.3760/cma.j.issn.0254-1424.2023.04.007
- VernacularTitle:虚拟现实训练对养老机构主观认知下降患者认知功能和功能性体适能的影响
- Author:
Zhicheng SUN
1
;
Tong WANG
;
Xiaomei GU
;
Jinlin MA
;
Na ZHANG
;
Yajun DONG
;
Ruiyu GUO
;
Hui LI
Author Information
1. 南京医科大学附属老年医院康复医学科,南京 210024
- Keywords:
Virtual reality training;
Nursing homes;
Cognitive decline;
Cognitive functioning;
Functional fitness;
Elderly medical care
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(4):320-325
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of virtual reality (VR) training on the cognitive functioning and functional fitness of nursing home residents with subjective cognitive decline (SCD).Methods:Fifty-six of such residents were randomly divided into an observation group and a control group, each of 28. Both groups received health education and routine care, but the observation group was additionally provided with 45 minutes of VR training three times a week for 6 months. The training included Baduanjin, magic, flying bird, supermarket shopping, gravity ball and gym episodes. Both groups′ cognition was evaluated using the subjective cognitive decline questionnaire (SCD-Q), the Montreal cognitive assessment (MoCA), the Rivermead Behavioural Memory Test (second edition) (RBMT-Ⅱ), a digit symbol substitution test (DSST), an animal fluency test (AFT) and trail-making test A-B (TMT A-B). Functional fitness was quantified using the 8-foot up-and-go test (8UGT), a 30-second arm curl test (30sACT), a 30-second chair stand test (30sCST), a back scratching test (BST), the sit-and-reach test (CSRT) and a 2-minute step test (2MST) before and after the 6-month intervention.Results:After the intervention, the average SCD-Q, MoCA, RBMT-Ⅱ, DSST, TMT-A, and TMT-B scores of the observation group were significantly better than before the intervention, and significantly better than the control group′s averages. And except for the back scratching their functional results were also significantly better, on average, than those of the control group.Conclusions:VR training can effectively improve the cognition and functional fitness of nur-sing home residents with SCD. Such training is worthy of promotion and wider application in nursing homes.