000131486 001__ 131486
000131486 005__ 20241125101145.0
000131486 0247_ $$2doi$$a10.1186/s12984-023-01292-8
000131486 0248_ $$2sideral$$a136841
000131486 037__ $$aART-2023-136841
000131486 041__ $$aeng
000131486 100__ $$aBuele, Jorge
000131486 245__ $$aVirtual reality applications based on instrumental activities of daily living (iADLs) for cognitive intervention in older adults: a systematic review
000131486 260__ $$c2023
000131486 5060_ $$aAccess copy available to the general public$$fUnrestricted
000131486 5203_ $$aBackground: In recent years, the use of virtual reality (VR) as a complementary intervention in treating cognitive impairment has significantly increased. VR applications based on instrumental activities of daily living (iADL-VR) could offer a promising approach with greater ecological validity for intervention in groups with cognitive impairments. However, the effectiveness of this approach is still debated. Objective: This systematic review aims to synthesize the effects of iADL-VR interventions to rehabilitate, train, or stimulate cognitive functions in healthy adults and people with mild cognitive impairment (MCI) and different types of dementia. Methods: A systematic search was performed in the Scopus, PubMed, IEEE Xplore, Web of Science, and APA PsycNet databases until September 2022 and repeated in April 2023. The selected studies met the search terms, were peer-reviewed, included an iADL-VR intervention, and were written in English. Descriptive, qualitative studies, reviews, cognitive assessment, non-intervention studies, those unrelated to VR or iADL, those focused on motor aspects, and non-degenerative disorders were excluded. The PEDro scale was used to assess the methodological quality of the controlled studies. To present and synthesize the results, we organized the extracted data into three tables, including PEDro scores, participant characteristics, and study characteristics. Results: Nineteen studies that met the inclusion and exclusion criteria were included. The total sample reached 590 participants, mostly women (72.67%). Approximately 30% were diagnosed with Alzheimer’s disease or dementia, and 20% had mild cognitive impairment. Variables such as authors and year of publication, study design, type of intervention and VR applied, duration of the intervention, main findings, and conclusions were extracted. Regarding demographic characteristics, the sample size, age, sex, years of education, neurological diagnosis, dropouts, and the city and country where the intervention took place were recorded. Almost all studies showed improvements in some or all the outcomes after the intervention, generally greater in the iADL-VR group than in the control group. Conclusion: iADL-VR interventions could be beneficial in improving the performance of cognitive functions in older adults and people with MCI and different types of dementia. The ecological component of these tasks makes them very suitable for transferring what has been learned to the real world. However, such transfer needs to be confirmed by further studies with larger and more homogeneous samples and longer follow-up periods. This review had no primary funding source and was registered with PROSPERO under registration ID: 375166.
000131486 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000131486 590__ $$a5.2$$b2023
000131486 592__ $$a1.291$$b2023
000131486 591__ $$aENGINEERING, BIOMEDICAL$$b25 / 123 = 0.203$$c2023$$dQ1$$eT1
000131486 593__ $$aRehabilitation$$c2023$$dQ1
000131486 591__ $$aREHABILITATION$$b4 / 170 = 0.024$$c2023$$dQ1$$eT1
000131486 593__ $$aHealth Informatics$$c2023$$dQ1
000131486 591__ $$aNEUROSCIENCES$$b46 / 310 = 0.148$$c2023$$dQ1$$eT1
000131486 594__ $$a9.6$$b2023
000131486 655_4 $$ainfo:eu-repo/semantics/review$$vinfo:eu-repo/semantics/publishedVersion
000131486 700__ $$aVarela-Aldás, José Luis
000131486 700__ $$0(orcid)0000-0002-9408-1280$$aPalacios-Navarro, Guillermo$$uUniversidad de Zaragoza
000131486 7102_ $$15008$$2785$$aUniversidad de Zaragoza$$bDpto. Ingeniería Electrón.Com.$$cÁrea Tecnología Electrónica
000131486 773__ $$g20 (2023), 168 [31 pp.]$$pJ. neuroeng. rehabilitat.$$tJournal of NeuroEngineering and Rehabilitation$$x1743-0003
000131486 8564_ $$s1545336$$uhttps://zaguan.unizar.es/record/131486/files/texto_completo.pdf$$yVersión publicada
000131486 8564_ $$s2335446$$uhttps://zaguan.unizar.es/record/131486/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000131486 909CO $$ooai:zaguan.unizar.es:131486$$particulos$$pdriver
000131486 951__ $$a2024-11-22-12:04:19
000131486 980__ $$aARTICLE