Visuospatial abilities and cervical spine range of motion improvement effects of a non-goal-oriented VR travel program at an older adults facility:A pilot randomized controlled trial
Authors: 
Atsuko Miyazaki, Takashi Okuyama, Hayato Mori, Kazuhisa Sato, Kenta Toshima, Atsushi HiyamaAuthors Info & Claims
Atsuko Miyazaki, Takashi Okuyama, Hayato Mori, Kazuhisa Sato, Kenta Toshima, Atsushi HiyamaAuthors Info & ClaimsPages 135 - 146
Abstract
Virtual reality (VR) programs using head-mounted displays (HMD) give older adults the opportunity for unrestricted spatial exploration, with greater movement. We conducted a single-blind randomized control trial study to determine the beneficial effects of a non-goal-directed VR traveling program using an HMD on older adults living in an assisted living facility that also caters for people with dementia. Twenty-four participants, with an average age of 88.5 years, were randomly assigned to the VR program group or the control group. The VR group participated in three weekly VR travel sessions of 30 minutes each, for four weeks. The results showed that the VR group not only experienced improvement in simple visuospatial abilities, but also in tasks involving executive function. There was also improvement in vertical and horizontal cervical spine range of motion. However, cervical range of motion in lateral bending was worse in the VR group than in the control group, suggesting a possible effect of the weight of the HMD. Training in wide visual exploration that improves cervical spine range of motion may provide an orientation opportunity to avoid falls among older adults.
References
[1]
Fady Alnajjar, Sumayya Khalid, Alistair A Vogan, Shingo Shimoda, Rui Nouchi, and Ryuta Kawashima. 2019. Emerging cognitive intervention technologies to meet the needs of an aging population: a systematic review. Frontiers in Aging Neuroscience 11 (2019), 291.
[2]
Richard N Baumgartner, Kathleen M Koehler, Dympna Gallagher, Linda Romero, Steven B Heymsfield, Robert R Ross, Philip J Garry, and Robert D Lindeman. 1998. Epidemiology of sarcopenia among the elderly in New Mexico. American journal of epidemiology 147, 8 (1998), 755–763.
[3]
Mervin Blair, Andrew Kertesz, Paul Mcmonagle, Wilda Davidson, and Nikoletta Bodi. 2006. Quantitative and qualitative analyses of clock drawing in frontotemporal dementia and Alzheimer’s disease. Journal of the International Neuropsychological Society 12, 2(2006), 159–165.
[4]
Yu-Kai Chang, Yu-Jung Tsai, Tai-Ting Chen, and Tsung-Min Hung. 2013. The impacts of coordinative exercise on executive function in kindergarten children: an ERP study. Experimental Brain Research 225, 2 (2013), 187–196.
[5]
Jasper Chen, Alan B Solinger, Jacques F Poncet, and Charles A Lantz. 1999. Meta-analysis of normative cervical motion. Spine 24, 15 (1999), 1571.
[6]
Liang-Kung Chen, Li-Kuo Liu, Jean Woo, Prasert Assantachai, Tung-Wai Auyeung, Kamaruzzaman Shahrul Bahyah, Ming-Yueh Chou, Liang-Yu Chen, Pi-Shan Hsu, Orapitchaya Krairit, 2014. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. Journal of the American Medical Directors Association 15, 2(2014), 95–101.
[7]
Błażej Cieślik, Anna Serweta, Sara Federico, and Joanna Szczepańska-Gieracha. 2021. Altered postural stability in elderly women following a single session of head-mounted display virtual reality. Acta Bioeng. Biomech 23(2021), 107–111.
[8]
C Collin, DT Wade, S Davies, and V Horne. 1988. The Barthel ADL Index: a reliability study. International disability studies 10, 2 (1988), 61–63.
[9]
N. Cronin, J. Bateman, and R. Rensink. 2014. Visuospatial function in Alzheimer’s disease and related disorders.Journal of Visualization 17, 1 (2014), 1–16.
[10]
Erwan Joël David, Julia Beitner, and Melissa Le-Hoa Võ. 2021. The importance of peripheral vision when searching 3D real-world scenes: A gaze-contingent study in virtual reality. Journal of Vision 21, 7 (2021), 3–3.
[11]
Elsa Dent, Paul Kowal, and Emiel O Hoogendijk. 2016. Frailty measurement in research and clinical practice: a review. European journal of internal medicine 31 (2016), 3–10.
[12]
Gordana Dermody, Lisa Whitehead, Graham Wilson, Courtney Glass, 2020. The role of virtual reality in improving health outcomes for community-dwelling older adults: systematic review. Journal of medical internet research 22, 6 (2020), e17331.
[13]
Toby J Ellmers, Adam J Cocks, and William R Young. 2020. Evidence of a link between fall-related anxiety and high-risk patterns of visual search in older adults during adaptive locomotion. The Journals of Gerontology: Series A 75, 5 (2020), 961–967.
[14]
Kristine E Ensrud, Susan K Ewing, Brent C Taylor, Howard A Fink, Peggy M Cawthon, Katie L Stone, Teresa A Hillier, Jane A Cauley, Marc C Hochberg, Nicolas Rodondi, 2008. Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Archives of internal medicine 168, 4 (2008), 382–389.
[15]
Yu Fang, Ryoichi Nakashima, Kazumichi Matsumiya, Ichiro Kuriki, and Satoshi Shioiri. 2015. Eye-head coordination for visual cognitive processing. PloS one 10, 3 (2015), e0121035.
[16]
Edward G Freedman. 2008. Coordination of the eyes and head during visual orienting. Experimental brain research 190, 4 (2008), 369–387.
[17]
Edward G Freedman and David L Sparks. 1997. Eye-head coordination during head-unrestrained gaze shifts in rhesus monkeys. Journal of neurophysiology 77, 5 (1997), 2328–2348.
[18]
Calum A Hamilton, Fiona E Matthews, Paul C Donaghy, John-Paul Taylor, John T O’Brien, Nicola Barnett, Kirsty Olsen, Jim Lloyd, George Petrides, Ian G McKeith, 2021. Cognitive decline in mild cognitive impairment with Lewy bodies or Alzheimer disease: a prospective cohort study. The American Journal of Geriatric Psychiatry 29, 3(2021), 272–284.
[19]
Michal Harciarek and Krzysztof Jodzio. 2005. Neuropsychological differences between frontotemporal dementia and Alzheimer’s disease: a review. Neuropsychology Review 15, 3 (2005), 131–145.
[20]
Patricia Heyn, Beatriz C Abreu, and Kenneth J Ottenbacher. 2004. The effects of exercise training on elderly persons with cognitive impairment and dementia: a meta-analysis. Archives of physical medicine and rehabilitation 85, 10(2004), 1694–1704.
[21]
Seungjae Hyun, Yeonjin Lee, and Sangshin Park. 2022. No travel worsens depression: reciprocal relationship between travel and depression among older adults. Annals of General Psychiatry 21, 1 (2022), 1–6.
[22]
Masumi Ishihara, Tami Saito, Takashi Sakurai, Hiroyuki Shimada, and Hidenori Arai. 2018. Effect of a positive photo appreciation program on depressive mood in older adults: a pilot randomized controlled trial. International journal of environmental research and public health 15, 7(2018), 1472.
[23]
Jae Myeong Kang, Nambeom Kim, Sook Young Lee, Soo Kyun Woo, Geumjin Park, Byeong Kil Yeon, Jung Woon Park, Jung-Hae Youn, Seung-Ho Ryu, Jun-Young Lee, 2021. Effect of cognitive training in fully immersive virtual reality on visuospatial function and frontal-occipital functional connectivity in predementia: randomized controlled trial. Journal of medical Internet research 23, 5 (2021), e24526.
[24]
Ryuta Kawashima, Deborah Lewis Hiller, Sheryl L Sereda, Michelle Antonczak, Kara Serger, Denise Gannon, Shinji Ito, Hiroshi Otake, Daisaku Yunomae, Akihito Kobayashi, 2015. SAIDO learning as a cognitive intervention for dementia care: a preliminary study. Journal of the American Medical Directors Association 16, 1(2015), 56–62.
[25]
Hyelin Kim, Eunju Woo, and Muzaffer Uysal. 2015. Tourism experience and quality of life among elderly tourists. Tourism management 46(2015), 465–476.
[26]
Pawel Kiper, Alfonc Baba, Mahmoud Alhelou, Giorgia Pregnolato, Lorenza Maistrello, Michela Agostini, and Andrea Turolla. 2020. Assessment of the cervical spine mobility by immersive and non-immersive virtual reality. Journal of Electromyography and Kinesiology 51 (2020), 102397.
[27]
Giuliana Klencklen, Olivier Després, and André Dufour. 2012. What do we know about aging and spatial cognition? Reviews and perspectives. Ageing research reviews 11, 1 (2012), 123–135.
[28]
Wataru Koyano, Hiroshi Shibata, Katsuharu Nakazato, Hiroshi Haga, and Yasuo Suyama. 1991. Measurement of competence: reliability and validity of the TMIG Index of Competence. Archives of gerontology and geriatrics 13, 2 (1991), 103–116.
[29]
Eric B Larson, LI Wang, James D Bowen, Wayne C McCormick, Linda Teri, Paul Crane, and Walter Kukull. 2006. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Annals of internal medicine 144, 2 (2006), 73–81.
[30]
M Powell Lawton and Elaine M Brody. 1969. Assessment of older people: self-maintaining and instrumental activities of daily living. The gerontologist 9, 3_Part_1 (1969), 179–186.
[31]
Carole Leung, Kai Chun Wong, Winnie WY So, Zita CK Tse, Duo Li, Yuan Cao, and David HK Shum. 2022. The application of technology to improve cognition in older adults: A review and suggestions for future directions. PsyCh Journal 11, 4 (2022), 583–599.
[32]
Jennapher Lingo VanGilder, Christopher S Walter, Caitlin R Hengge, and Sydney Y Schaefer. 2020. Exploring the relationship between visuospatial function and age-related deficits in motor skill transfer. Aging clinical and experimental research 32, 8 (2020), 1451–1458.
[33]
Mark Mapstone, Teresa M Steffenella, and Charles J Duffy. 2003. A visuospatial variant of mild cognitive impairment: getting lost between aging and AD. Neurology 60, 5 (2003), 802–808.
[34]
Radka Ivanova Massaldjieva. 2018. Differentiating normal cognitive aging from cognitive impairment no dementia: a focus on constructive and visuospatial abilities. Gerontology 9(2018), 167.
[35]
Labour Ministry of Health and Welfare. 2016. The Situation of Users of Nursing Care Insurance Facilities. Ministry of Health, Labour and Welfare. Retrieved November 22, 2022 from https://www.mhlw.go.jp/toukei/saikin/hw/kaigo/service16/dl/kekka-gaiyou_05.pdf
[36]
Akira Miyake, Naomi P Friedman, David A Rettinger, Priti Shah, and Mary Hegarty. 2001. How are visuospatial working memory, executive functioning, and spatial abilities related? A latent-variable analysis.Journal of experimental psychology: General 130, 4 (2001), 621.
[37]
Atsuko Miyazaki and Hayato Mori. 2020. Frequent karaoke training improves frontal executive cognitive skills, tongue pressure, and respiratory function in elderly people: pilot study from a randomized controlled trial. International Journal of Environmental Research and Public Health 17, 4(2020), 1459.
[38]
Atsuko Miyazaki, Takashi Okuyama, Hayato Mori, Kazuhisa Sato, Masahiko Ichiki, and Rui Nouchi. 2020. Drum communication program intervention in older adults with cognitive impairment and dementia at nursing home: Preliminary evidence from pilot randomized controlled trial. Frontiers in aging neuroscience 12 (2020), 142.
[39]
J. Money, D. Alexander, and H.T. Walker. 1965. A Standardized Road-map Test of Direction Sense: Manual. Johns Hopkins Press, Baltimore, MD 21218, United States. https://books.google.co.jp/books?id=W2sHGQAACAAJ
[40]
Eric A Morris and Erick Guerra. 2015. Mood and mode: does how we travel affect how we feel?Transportation 42, 1 (2015), 25–43.
[41]
Ziad S Nasreddine, Natalie A Phillips, Valérie Bédirian, Simon Charbonneau, Victor Whitehead, Isabelle Collin, Jeffrey L Cummings, and Howard Chertkow. 2005. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society 53, 4 (2005), 695–699.
[42]
Rui Nouchi, Qingqiang Hu, Toshiki Saito, Natasha Yuriko dos Santos Kawata, Haruka Nouchi, and Ryuta Kawashima. 2021. Brain training and sulforaphane intake interventions separately improve cognitive performance in healthy older adults, whereas a combination of these interventions does not have more beneficial effects: evidence from a randomized controlled trial. Nutrients 13, 2 (2021), 352.
[43]
Rui Nouchi, Haruka Nouchi, Jerome Dinet, and Ryuta Kawashima. 2021. Cognitive training with neurofeedback using NIRS improved cognitive functions in young adults: Evidence from a randomized controlled trial. Brain sciences 12, 1 (2021), 5.
[44]
Mihoko Otake-Matsuura, Seiki Tokunaga, Kumi Watanabe, Masato S Abe, Takuya Sekiguchi, Hikaru Sugimoto, Taishiro Kishimoto, and Takashi Kudo. 2021. Cognitive intervention through Photo-Integrated Conversation Moderated by Robots (PICMOR) program: a randomized controlled trial. Frontiers in Robotics and AI 8 (2021), 633076.
[45]
Katherine L Possin. 2010. Visual spatial cognition in neurodegenerative disease. Neurocase 16, 6 (2010), 466–487.
[46]
Natália Bezerra Mota Quental, Sonia Maria Dozzi Brucki, and Orlando Francisco Amodeo Bueno. 2009. Visuospatial function in early Alzheimer’s disease: Preliminary study. Dementia & Neuropsychologia 3 (2009), 234–240.
[47]
Lenore Sawyer Radloff. 1977. The CES-D scale: A self-report depression scale for research in the general population. Applied psychological measurement 1, 3 (1977), 385–401.
[48]
C Rainville, N Marchand, and R Passini. 2002. Performances of patients with a dementia of the Alzheimer type in the Standardized Road-Map test of Direction Sense. Neuropsychologia 40, 5 (2002), 567–573.
[49]
Katharina Rifai and Siegfried Wahl. 2016. Specific eye–head coordination enhances vision in progressive lens wearers. Journal of Vision 16, 11 (2016), 5–5.
[50]
Ronenn Roubenoff. 1996. Applications of bioelectrical impedance analysis for body composition to epidemiologic studies. The American journal of clinical nutrition 64, 3 (1996), 459S–462S.
[51]
John W Rowe and Robert L Kahn. 1997. Successful aging. The gerontologist 37, 4 (1997), 433–440.
[52]
Shirin Salimi, Muireann Irish, David Foxe, John R Hodges, Olivier Piguet, and James R Burrell. 2019. Visuospatial dysfunction in Alzheimer’s disease and behavioural variant frontotemporal dementia. Journal of the neurological sciences 402 (2019), 74–80.
[53]
Hilla Sarig-Bahat, Patrice L Weiss, and Yocheved Laufer. 2009. Cervical motion assessment using virtual reality. Spine 34, 10 (2009), 1018–1024.
[54]
Kenichiro Sato, Yoshiki Niimi, Tatsuo Mano, Atsushi Iwata, and Takeshi Iwatsubo. 2022. Automated Evaluation of Conventional Clock-Drawing Test Using Deep Neural Network: Potential as a Mass Screening Tool to Detect Individuals With Cognitive Decline.Frontiers in neurology 13 (2022), 896403–896403.
[55]
Kenneth F Schulz, Douglas G Altman, and David Moher. 2010. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. Journal of Pharmacology and pharmacotherapeutics 1, 2(2010), 100–107.
[56]
Andrew K Simpson, Debdut Biswas, John W Emerson, Brandon D Lawrence, and Jonathan N Grauer. 2008. Quantifying the effects of age, gender, degeneration, and adjacent level degeneration on cervical spine range of motion using multivariate analyses. Spine 33, 2 (2008), 183–186.
[57]
M Joseph Sirgy, P Stephanes Kruger, Dong-Jin Lee, and Grace B Yu. 2011. How does a travel trip affect tourists’ life satisfaction?Journal of Travel research 50, 3 (2011), 261–275.
[58]
John D Storey. 2002. A direct approach to false discovery rates. Journal of the Royal Statistical Society: Series B (Statistical Methodology) 64, 3 (2002), 479–498.
[59]
M Sugishita, Y Koshizuka, S Sudou, K Sugishita, Isao Hemmi, H Karasawa, M Ihara, T Asada, and B Mihara. 2018. The validity and reliability of the Japanese version of the Mini-Mental State Examination (MMSE-J) with the original procedure of the attention and calculation task (2001). Japanese Journal of Cognitive Neuroscience 20, 2 (2018), 91–110.
[60]
Jill M Thompson, CJ Hamilton, John M Gray, JG Quinn, Paul Mackin, Allan H Young, and I Nicol Ferrier. 2006. Executive and visuospatial sketchpad resources in euthymic bipolar disorder: Implications for visuospatial working memory architecture. Memory 14, 4 (2006), 437–451.
[61]
Yosuke Tomita, Shigeya Tanaka, Shingo Takahashi, and Nobuyuki Takeuchi. 2020. Detecting cognitive decline in community-dwelling older adults using simple cognitive and motor performance tests. Geriatrics & Gerontology International 20, 3 (2020), 212–217.
[62]
Kenta Toshima. 2021. Deepening Occupational Therapy (60) VR Trips at Welfare Facilities. Occupational Therapy Journal 55, 13 (2021), 1501–1505.
[63]
Tomoko Totsune, Izumi Matsudaira, and Yasuyuki Taki. 2021. Curiosity–tourism interaction promotes subjective wellbeing among older adults in Japan. Humanities and Social Sciences Communications 8, 1(2021), 1–11.
[64]
Muzaffer Uysal, M Joseph Sirgy, Eunju Woo, and Hyelin Lina Kim. 2016. Quality of life (QOL) and well-being research in tourism. Tourism Management 53(2016), 244–261.
[65]
Steven Van Andel, Thomas B McGuckian, Daniel Chalkley, Michael H Cole, and Gert-Jan Pepping. 2019. Principles of the guidance of exploration for orientation and specification of action. Frontiers in Behavioral Neuroscience 13 (2019), 231.
[66]
Peiyuan Wang, Frank J Infurna, and Sydney Y Schaefer. 2019. Predicting motor skill learning in older adults using visuospatial performance. Journal of motor learning and development 8, 1 (2019), 38–51.
[67]
David Watson, Lee Anna Clark, and Auke Tellegen. 1988. Development and validation of brief measures of positive and negative affect: the PANAS scales.Journal of personality and social psychology 54, 6(1988), 1063.
[68]
Robert E Wheeler and M Torchiano. 2010. Permutation tests for linear models in R. The Comprehensive R Archive Network 1, 2 (2010), 1–36.
[69]
Robert S Wilson, Sue E Leurgans, Patricia A Boyle, and David A Bennett. 2011. Cognitive decline in prodromal Alzheimer disease and mild cognitive impairment. Archives of neurology 68, 3 (2011), 351–356.
[70]
James W Youdas, Tom R Garrett, Vera J Suman, Connie L Bogard, Horace O Hallman, and James R Carey. 1992. Normal range of motion of the cervical spine: an initial goniometric study. Physical therapy 72, 11 (1992), 770–780.
[71]
Linghan Zhang and Junyi Zhang. 2018. Impacts of leisure and tourism on the elderly’s quality of life in intimacy: A comparative study in Japan. Sustainability 10, 12 (2018), 4861.
[72]
Shizhe Zhu, Youxin Sui, Ying Shen, Yi Zhu, Nawab Ali, Chuan Guo, and Tong Wang. 2021. Effects of virtual reality intervention on cognition and motor function in older adults with mild cognitive impairment or dementia: a systematic review and meta-analysis. Frontiers in Aging Neuroscience 13 (2021), 586999.
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- Visuospatial abilities and cervical spine range of motion improvement effects of a non-goal-oriented VR travel program at an older adults facility:A pilot randomized controlled trial
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