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Cognitive evaluation by tasks in a virtual reality environment in multiple sclerosis.

Delphine Lamargue-Hamel1, Mathilde Deloire2, Aurore Saubusse2

  • 1Université de Bordeaux, France; INSERM U.862, Neurocentre Magendie, Bordeaux, France.

Journal of the Neurological Sciences
|December 17, 2015
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Summary

Virtual reality assessments show promise for identifying cognitive impairment in multiple sclerosis (MS). Many individuals with MS struggled with virtual reality tasks, highlighting the need for better ecological evaluations.

Keywords:
CognitionCognitive assessmentEcological evaluationMultiple sclerosisNeuropsychologyVirtual reality

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Virtual Reality Applications

Background:

  • Cognitive impairment is common in multiple sclerosis (MS), necessitating comprehensive neuropsychological assessments.
  • The ecological validity of traditional cognitive tests in MS remains poorly understood.
  • Cognitive ecological evaluation methods are underutilized in MS research.

Purpose of the Study:

  • To investigate the utility of virtual reality (VR) for cognitive assessment in individuals with MS.
  • To evaluate cognitive functioning in a simulated daily environment for persons with MS.

Main Methods:

  • Employed VR-based ecological assessments, including the Urban DailyCog® task and a driving simulator.
  • Included 30 participants with MS and moderate to severe cognitive impairment.
  • Utilized traditional neuropsychological testing alongside VR evaluations.

Main Results:

  • A significant majority of participants (80%) failed the Urban DailyCog® VR task.
  • Over half (52%) of participants did not pass the driving simulator assessment.
  • VR assessments revealed substantial challenges in daily cognitive functioning for individuals with MS.

Conclusions:

  • VR-based cognitive assessments are effective in detecting cognitive deficits in MS.
  • These findings support the use of VR for more ecologically valid cognitive evaluations in MS.
  • Virtual reality offers a promising avenue for improving the assessment of cognitive impairment in multiple sclerosis.