Assessment of convalescent brain-damaged patients using a virtual shopping test with different task difficulties.

We developed a Virtual Shopping Test (VST) for realistic cognitive assessment using virtual reality technology. The objectives of this study were to investigate: (i) the differences in task performance, brain activation, and subjective assessments in relation to the task difficulty level; and (ii) t...

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Published in:Journal of Pain Management Vol. 9; no. 3; pp. 301 - 311
Main Authors: Sayaka Okahashi, Hokuto Mizumoto, Akiko Komae, Katsuhiro Ueno, Masato Yokoyama, Akinori Nagano, Keiko Seki, Toshiko Futaki, Zhiwei Luo
Format: pictorial research tables/charts Journal Article
Published: Nova Science Publishers, Inc. 2016
Online Access:View this record in EBSCOhost
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      dt: 2016
      vid: 9
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      pub: Nova Science Publishers, Inc.
      place: Hauppauge, New York
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        atl: Assessment of convalescent brain-damaged patients using a virtual shopping test with different task difficulties.
      aug:
        au:
          Sayaka Okahashi
          Hokuto Mizumoto
          Akiko Komae
          Katsuhiro Ueno
          Masato Yokoyama
          Akinori Nagano
          Keiko Seki
          Toshiko Futaki
          Zhiwei Luo
        affil: Division of Occupational Therapy, Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Japan
      sug:
        subj:
          Task Performance and Analysis
          Cognition
          Shopping
          Brain Injuries
          Psychological Tests
          Questionnaires
          Hemodynamics
          Spectroscopy, Near-Infrared
          Human
      ab: We developed a Virtual Shopping Test (VST) for realistic cognitive assessment using virtual reality technology. The objectives of this study were to investigate: (i) the differences in task performance, brain activation, and subjective assessments in relation to the task difficulty level; and (ii) the significance of each task by comparing performance data with conventional cognitive assessments and subjective assessments. Subjects were asked to buy two specific items in Task 1, four items in Task 2, and six items in Task 3 at a virtual mall. The tasks and questionnaires were conducted by convalescent brain-damaged patients and healthy adults. Hemodynamic changes in the prefrontal cortex (PFC) during activation due to the tasks were examined using functional near-infrared spectroscopy. The mean total time was longer for the patients than for the healthy subjects in all tasks; PFC responses in the patients were greater in Task 2 than in Task 1; the patients subjectively evaluated these tasks as more difficult than healthy adults. Some VST variables correlated with the score of conventional assessment of basic executive functions in Task 1, with that of everyday memory in Task 2, and with that of applied attention in Task 3. In conclusion, the results suggest that the difficulty of the 4-item shopping task may have been sufficient to cause brain activation in the brain-damaged patients. Each task shows different neuropsychological tendency and we need further examination in various types of patients for clinical phase.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
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      ougenre: Article
    language: English
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