Skip to main content

Advertisement

Log in

Using a virtual environment to assess cognition in the elderly

  • Original Article
  • Published:
Virtual Reality Aims and scope Submit manuscript

Abstract

Early diagnosis of Alzheimer’s disease (AD) is essential if treatments are to be administered at an earlier point in time before neurons degenerate to a stage beyond repair. In order for early detection to occur tools used to detect the disorder must be sensitive to the earliest of cognitive impairments. Virtual reality technology offers opportunities to provide products which attempt to mimic daily life situations, as much as is possible, within the computational environment. This may be useful for the detection of cognitive difficulties. We develop a virtual simulation designed to assess visuospatial memory in order to investigate cognitive function in a group of healthy elderly participants and those with a mild cognitive impairment (MCI). Participants were required to guide themselves along a virtual path to reach a virtual destination which they were required to remember. The preliminary results indicate that this virtual simulation has the potential to be used for detection of early AD since significant correlations of scores on the virtual environment with existing neuropsychological tests were found. Furthermore, the test discriminated between healthy elderly participants and those with a MCI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  • Banos RM, Botella C, Perpiñá C, Alcañiz M, Lozano JA, Osma J, Gallardo M (2002) Virtual reality treatment of flying phobia. IEEE Trans Inf Technol Biomed 6:206–212

    Article  Google Scholar 

  • Blackwell A, Sahakian B, Vesey R, Semple J, Robbins T, Hodges J (2004) Detecting dementia: novel neuropsychological markers of preclinical Alzheimer’s disease. Dement Geriatr Cogn Disord 17:42–48

    Article  Google Scholar 

  • Chandler JM, Marsico M, Harper-Mozley L, Vogt R, Peng Y, Lesk VE, De Jager CA (2008) Cognitive assessment: discrimination of impairment and detection of decline in Alzheimer’s disease and mild cognitive impairment. Alzheimers Dement 4:T551–T552

    Article  Google Scholar 

  • Cherrier M, Mendez M, Perryman K (2001) Route learning performance in Alzheimer disease patients. Cogn Behav Neurol 14:159–168

    Google Scholar 

  • Coelho CM, Waters AM, Hine TJ, Wallis G (2009) The use of virtual reality in acrophobia research and treatment. J Anxiety Disord 23:563–574

    Article  Google Scholar 

  • Cullum S, Huppert FA, Mcgee M, Dening T, Ahmed A, Paykel ES, Brayne C (2000) Decline across different domains of cognitive function in normal ageing: results of a longitudinal population-based study using Camcog. Int J Geriatr Psychiatr 15:853–862

    Article  Google Scholar 

  • Cushman LA, Stein K, Duffy CJ (2008) Detecting navigational deficits in cognitive aging and alzheimer disease using virtual reality. Neurology 71:888–895

    Article  Google Scholar 

  • De Jager CA, Lesk VE, Zhu X, Marsico M, Chandler J (2008) Episodic memory test constructs affect discrimination between healthy elderly and cases with mild cognitive impairment and Alzheimer’s disease. Alzheimers Dement 4:T554–T555

    Article  Google Scholar 

  • Dening T (2009) Prescribing policy with dementia drugs: the UK nice experience. Maturitas 64:59–60

    Article  Google Scholar 

  • Dubois B, Feldman HH, Jacova C, Dekosky ST, Barberger-Gateau P, Cummings J, Scheltens P (2007) Research criteria for the diagnosis of Alzheimer’s disease: revising the Nincds–Adrda criteria. Lancet Neurol 6:734–746

    Article  Google Scholar 

  • Duffy CJ (2009) Visual motion processing in aging and Alzheimer’s disease. Ann N Y Acad Sci 1170:736–744

    Article  Google Scholar 

  • Égerházi A, Berecz R, Bartók E, Degrell I (2007) Automated neuropsychological test battery (Cantab) in mild cognitive impairment and in Alzheimer’s disease. Prog Neuropsychopharmacol Biol Psychiatry 3:746–751

    Article  Google Scholar 

  • Fields JA, Ferman TJ, Boeve BF, Smith GE (2011) Neuropsychological assessment of patients with dementing illness. Nat Rev Neurosci 7:677–687

    Google Scholar 

  • Folstein MF, Folstein SE, Mchugh PR (1975) Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198

    Article  Google Scholar 

  • Forlenza OV, Diniz BS, Gattaz WF (2010) Diagnosis and biomarkers of predementia in Alzheimer’s disease. BMC Med 8:1741–7015

    Article  Google Scholar 

  • Garcia-Palacios A, Hoffman H, Carlin A, Furness T, Botella C (2002) Virtual reality in the treatment of spider phobia: a controlled study. Behav Res Ther 40:983–993

    Article  Google Scholar 

  • Hettinga M, De Boer J, Goldberg E, Moelaert F (2009) Navigation for people with mild dementia. Stud Health Technol Inform 150:428–432

    Google Scholar 

  • Holden MK (2005) Virtual environments for motor rehabilitation: review. CyberPsychol Behav 8:187–211

    Article  Google Scholar 

  • Jacova C, Kertesz A, Blair M, Fisk JD, Feldman HH (2007) Neuropsychological testing and assessment for dementia. Alzheimer’s Dement 3:299–317

    Article  Google Scholar 

  • Klein D, Steinberg M, Galik E, Steele C, Sheppard J, Warren A, Lyketsos C (1999) Wandering behaviour in community-residing persons with dementia. Int J Geriatr Psychiat 14:272–279

    Article  Google Scholar 

  • Marques A, Queirós C, Rocha N (2008) Virtual reality and neuropsychology: a cognitive rehabilitation approach for people with psychiatric disabilities. In: Sharkey P, Lopes Santos PL, Weiss P, Brooks T (eds) ICDVRAT – Proceedings of 7th International Conference on Disability Virtual Reality and Associated Technologies, 8–11 Sep 2008. Maia, Portugal, pp 39–46

  • McKenna P, Warrington EK (1980) Testing for nominal dysphasia. J Neurol Neurosurg Psychiatry 43:781–788

    Article  Google Scholar 

  • Moffat SD, Zonderman AB, Resnick SM (2001) Age differences in spatial memory in a virtual environment navigation task. Neurobiol Aging 22:787–796

    Article  Google Scholar 

  • Pasquier F (1999) Early diagnosis of dementia: neuropsychology. J Neurol 246:6–15

    Article  Google Scholar 

  • Pengas G, Patterson K, Arnold RJ, Bird CM, Burgess N, Nestor PJ (2010) Lost and found: bespoke memory testing for Alzheimer’s disease and semantic dementia. J Alzheimer’s Dis 21:1347–1365

    Google Scholar 

  • Pengas G, Williams GB, Acosta-Cabronero J, Ash TW, Hong YT, Izquierdo-Garcia D, Fryer TD, Hodges JR, Nestor PJ (2012) The relationship of topographical memory performance to regional neurodegeneration in Alzheimer’s disease. Front Aging Neurosci 4:17

  • Petersen RC (2011) Mild cognitive impairment. N Engl J Med 364:2227–2234

    Article  Google Scholar 

  • Petersen RC, Doody R, Kurz A, Mohs RC, Morris JC, Rabins PV, Winblad B (2001) Current concepts in mild cognitive impairment. Arch Neurol 58:1985–1992

    Article  Google Scholar 

  • Rizzo AS, Kim GJ (2005) A swot analysis of the field of virtual reality rehabilitation and therapy. Presence Teleop Virtual Environ 14:119–146

    Article  Google Scholar 

  • Singh-Manoux A, Kivimäki M (2010) The importance of cognitive ageing for understanding dementia. Age 32:509–512

    Article  Google Scholar 

  • Slater M, Pertaub DP, Barker C, Clark DM (2006) An experimental study on fear of public speaking using a virtual environment. CyberPsychol Behav 9:627–633

    Article  Google Scholar 

  • Tippett WJ, Lee JH, Zakzanis KK, Black SE, Mraz R, Graham SJ (2009) Visually navigating a virtual world with real-world impairments: a study of visually and spatially guided performance in individuals with mild cognitive impairments. J Clin Exp Neuropsychol 31:447–454

    Article  Google Scholar 

  • Tombaugh TN, McIntyre NJ (1992) The mini-mental state examination: a comprehensive review. J Am Geriatr Soc 40:922–935

    Google Scholar 

  • Wan Shamsuddin S, Ugail H, Lesk VE (2011a) Development and usability evaluation of virtual environment for early diagnosis of dementia. In: Proceedings of the 2nd visual informatics: sustaining research and innovations, pp 13–22

  • Wan Shamsuddin S, Walters ER, Ugail H, Lesk VE (2011b) Evaluation of users acceptance in virtual environment for early diagnosis of dementia. Paper presented at world conference on information technology, Antalya Turkey

  • Werner P, Rabinowitz S, Klinger E, Korczyn AD, Josman N (2009) Use of the virtual action planning supermarket for the diagnosis of mild cognitive impairment. Dement Geriatr Cogn Disord 27:301–309

    Article  Google Scholar 

Download references

Acknowledgments

The authors would like to express their gratitude to the School of Computing, Informatics and Media, School of Social and International Studies, Rebecca Durrans in the Division of Psychology, University of Bradford and University of Sultan Zainal Abidin (UniSZA) for the support and facilities provided. We also thank Nick Farrar from Adult and Community Services at Bradford Metropolitan District Council and all the participants for taking part.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elizabeth R. Walters.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lesk, V.E., Wan Shamsuddin, S.N., Walters, E.R. et al. Using a virtual environment to assess cognition in the elderly. Virtual Reality 18, 271–279 (2014). https://doi.org/10.1007/s10055-014-0252-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10055-014-0252-2

Keywords

Navigation