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Capturing cognitive changes in multiple sclerosis by performance-based functional and virtual reality assessments.

Wan-Yu Hsu1, Yael Goverover2, Riley M Bove1

  • 1UCSF Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco, CA, USA.

Annals of Physical and Rehabilitation Medicine
|June 6, 2022
PubMed
Summary
This summary is machine-generated.

Performance-based and virtual reality assessments show promise for evaluating cognitive impairment in multiple sclerosis (MS). These tools may better reflect real-world functioning than traditional tests, but more research is needed for clinical use.

Keywords:
CognitionEcological evaluationMultiple sclerosisNeurotechnologyReal-world assessmentVirtual reality

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Area of Science:

  • Neurology
  • Rehabilitation Science
  • Cognitive Science

Background:

  • Cognitive impairment (CI) is a core symptom of multiple sclerosis (MS) significantly affecting patients' lives.
  • Translating cognitive testing improvements to real-world functioning in MS is challenging.
  • Performance-based and virtual reality (VR) assessments offer potential solutions for evaluating functional cognition.

Purpose of the Study:

  • To review recent research on performance-based functional assessments and VR tools for assessing functional cognition in MS.
  • To evaluate the utility of these novel assessment methods in capturing the impact of cognitive changes on daily life for people with MS (PwMS).

Main Methods:

  • Narrative review of recent research applications.
  • Identification and summarization of studies using performance-based functional assessments and VR tools in MS.
  • Analysis of findings regarding the ability of these assessments to differentiate cognitive status and correlate with standard cognitive tests.

Main Results:

  • Most studies indicate functional and VR assessments can distinguish cognitive differences between individuals with and without MS, and between PwMS with and without CI.
  • Performance on some functional and VR assessments correlates with standard cognitive testing.
  • These assessments show potential for increased sensitivity in detecting cognitive changes relevant to daily life in PwMS.

Conclusions:

  • Performance-based functional and VR assessments are innovative approaches to evaluating functional cognition in MS.
  • Larger sample sizes and robust methodologies are needed to validate these assessments for clinical practice.
  • Further research is warranted to develop guidelines for implementing these promising tools in clinical settings.