Abstract
This study investigated whether exploration of computer-generated environments can selectively enhance spatial memory in patients with multiple sclerosis (MS). Fifteen patients and 15 healthy subjects who controlled their movements in a virtual house using a joystick recalled the spatial layout of the environments better than 15 patients and 15 controls who merely watched the active participants' progress. Among passive subjects, only healthy controls did significantly better than active participants in the recall of virtual objects. There were no significant differences between active and passive participants' recall of correct object locations in the virtual environments. MS patients' recall of the spatial layout and of the virtual objects was significantly worse than that of healthy subjects, but patients' data did not correlate with traditional neuropsychological measures of spatial memory. It is suggested that virtual reality can be used in MS patients to assess aspects of spatial memory that are not measured by traditional tests.
Sommario
Questo studio ha esaminato come la modalità attiva o passiva di esplorazione di ambienti possa influenzare differenti aspetti della memoria visuo-spaziale di soggetti sani e pazienti con sclerosi multipla (SM), nell'ipotesi the la prima modalitd favorisca Pacquisizione di informazioni topografiche mentre la seconda quella di informazioni topologiche. 15 pazienti e 15 soggetti sani the hanno esplorato attivamente un appartamento virtuale hanno memorizzato la sua pianta topografica meglio di 15 pazienti e di 15 soggetti sani the hanno osservato passivamente il percorso dei partecipanti attivi. Tra i soggetti passivi, solo i controlli sani hanno ricordato il contenuto degli ambienti esplorati significativamente meglio dei partecipanti attivi. Non sono emerse significative differenze tra partecipanti attivi e passivi concernenti il ricordo della posizione the gli oggetti avevano negli ambienti virtuali. 1 pazienti con SM hanno avuto prestazioni inferiori paragonate a quelle dei controlli sani nella memoria topografica the nella memoria di oggetti, ma queste non sono risultate correlate con test tradizionali di memoria visuo-spaziale. Nonostante i pazienti con SM dimostrino deficit della memoria visuo-spaziale, l'esplorazione attiva migliora la capacitd di acquisire una rappresentazione topografica di uno spazio complesso, come avviene nei soggetti sani, mentre la semplice osservazione non pare con ferire il vantaggio atteso nel ricordo dei contenuti degli ambienti. La rappresentazione virtuale di ambienti e pertanto utile per effettuare valutazioni della memoria spaziale the concernono aspetti topografici non valutabili con i test tradizionali.
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Pugnetti, L., Mendozzi, L., Brooks, B. et al. Active versus passive exploration of virtual environments modulates spatial memory in MS patients: a yoked control study. Ital J Neuro Sci 19 (Suppl 6), S424–S430 (1998). https://doi.org/10.1007/BF00539600
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DOI: https://doi.org/10.1007/BF00539600