Clinical Validation of a Virtual Environment Test for Safe Street Crossing in the Assessment of Acquired Brain Injury Patients with and without Neglect

  • Patricia Mesa-Gresa
  • Jose A. Lozano
  • Roberto Llórens
  • Mariano Alcañiz
  • María Dolores Navarro
  • Enrique Noé
Part of the Lecture Notes in Computer Science book series (LNCS, volume 6947)

Abstract

Acquired brain injury (ABI) is a complex disease that involves loss of brain functions related to cognitive and motor capabilities and that can produce unilateral spatial neglect (USN). The heterogeneity of the symptoms of these disorders causes a lack of consensus on suitable tools for evaluation and treatment. Recently, several studies have initiated the application of virtual reality (VR) systems as an evaluation instrument for neuropsychological disorders. Our main objective was to evaluate the validity of the VR Street Crossing Test (VRSCT) as an assessment tool. Twenty-five patients with ABI were evaluated with traditional tests and with the VRSCT. The results showed significant correlations between the conventional tests and the measures obtained with the VRSCT in non-negligent patients. Moreover, the VRSCT indicated significant differences in performance of negligent and non-negligent subjects. These pilot results indicate that ABI patients with and without USN can be assessed by the therapists using the VRSCT system as a complementary tool.

Keywords

Acquired brain injury unilateral spatial neglect pencil-and-paper tests cognitive assessment virtual reality rehabilitation 

References

  1. 1.
    Ríos-Lago, M., Benito-León, J., Paul, N., Tirapu-Ustárroz, J.: Neurophychology of Acquired Brain Injury. In: Tirapu-Ustárroz, J., Ríos-Lago, M., Maestú, F. (eds.) Neuropsychology Handbook, Viguera, Barcelona, pp. 311–341 (2006)Google Scholar
  2. 2.
    Rose, F.D., Brooks, B.M., Rizzo, A.A.: Virtual Reality in Brain Damage Rehabilitation: Review. Cyberpsychol. Behav. 8, 241–261 (2005)CrossRefGoogle Scholar
  3. 3.
    Dawson, A.M., Baxbaum, L.J., Rizzo, A.A.: The Virtual Reality Lateralized Attention Test: Sensitivity and Validity of a New Clinical Tool for Assessing Hemispatial Neglect, pp. 77–82. IEEE, Los Alamitos (2008)Google Scholar
  4. 4.
    Tsirlin, I., Dipierrix, E., Chokron, S., Coquillart, S., Ohlmann, T.: Uses of Virtual Reality for Diagnosis, Rehabilitation and Study of Unilateral Spatial Neglect: Review and Analysis. Cyberpsychol. Behav. 12, 175–181 (2009)CrossRefGoogle Scholar
  5. 5.
    Ting, D.S.J., Pollock, A., Dutton, G.N., Doubal, F.N., Ting, D.S.W., Thomson, M., Dhillon, B.: Visual Neglect Following Stroke: Current Concepts and Future Focus. Surv. Ophthalmol. 56, 114–134 (2011)CrossRefGoogle Scholar
  6. 6.
    Peña-Casanova, J., Gramunt Fombuena, N., Gich Fullà, J. (eds.): Neurophychological Tests. Elsevier, Barcelona (2006)Google Scholar
  7. 7.
    Katz, N., Ring, H., Naveh, Y., Kizony, R., Feintuch, U., Weiss, P.L.: Interactive Virtual Environment Training for Safe Street Crossing of Right Hemisphere Stroke Patients with Unilateral Spatial Neglect. Disabil. Rehabil. 29, 177–181 (2005)Google Scholar
  8. 8.
    Peñasco-Martín, B., De los Reyes-Guzmán, A., Gil-Agudo, A., Bernal-Sahún, A., Pérez-Aguilar, B., De la Peña-González, I.: Application of Virtual Reality in the Motor Aspects of Neurorehabilitation. Rev. Neurol. 8, 481–488 (2010)Google Scholar
  9. 9.
    Fordell, H., Bodin, K., Bucht, G., Malm, J.: A Virtual Reality Test Battery for Assessment and Screenig of Spatial Neglect. Acta Neurol. Scand. 123, 167–174 (2011)CrossRefGoogle Scholar
  10. 10.
    Broeren, J., Samuelsson, H., Stibrant-Sunnerhagen, K., Blomstrand, C., Rydmark, M.: Neglect Assessment as an Aplication of Virtual Reality. Acta Neurol. Scand. 116, 157–163 (2007)CrossRefGoogle Scholar
  11. 11.
    Dvorkin, A.Y., Rymer, W.Z., Harvey, R.L., Bogey, R.A., Patton, J.L.: Assessment and Monitoring of Recovery of Spatial Neglect within a Virtual Environment, pp. 88–92. IEEE, Los Alamitos (2008)Google Scholar
  12. 12.
    Kim, D.Y., Chang, W.H., Park, T.H., Lim, J.Y., Han, K., Kim, I.Y., Kim, S.I.: Assessment of Post-stroke Extrapersonal Neglect Using a Three-Dimensional Immersive Virtual Street Crossing Program. Acta Neurol. Scand. 121, 171–177 (2010)CrossRefGoogle Scholar
  13. 13.
    Weiss, P.L., Naveh, Y., Katz, N.: Design and Testing of a Virtual Environment to Train Stroke Patients with Unilateral Spatial Neglect to Cross a Street Safely. Occup. Ther. Int. 10, 39–55 (2003)CrossRefGoogle Scholar
  14. 14.
    Navarro, M.D., Alcañiz, M., Ferri, J., Lozano, J.A., Herrero, N., Chirivella, J.: Preliminary Validation of Ecotrain-Cognitive: A Virtual Environment Task for Safe Street Crossing in Acquired Brain Injury Patients with and without Unilateral Spatial Neglect. J. Cyber. Ther. Rehabil. 2, 199–203 (2009)Google Scholar

Copyright information

© IFIP International Federation for Information Processing 2011

Authors and Affiliations

  • Patricia Mesa-Gresa
    • 1
  • Jose A. Lozano
    • 1
  • Roberto Llórens
    • 1
  • Mariano Alcañiz
    • 1
    • 2
  • María Dolores Navarro
    • 3
  • Enrique Noé
    • 3
  1. 1.Instituto Interuniversitario de Investigación en Bioingeniería y Tecnología Orientada al Ser Humano, LabHumanUniversidad Politécnica de ValenciaValenciaSpain
  2. 2.Instituto de Salud Carlos IIICiber, Fisiopatología Obesidad y Nutrición, CB06/03Spain
  3. 3.Servicio de NeuroRehabilitación. Hospital NISA Valencia al Mar y Sevilla Aljarafe, Fundación NISAValenciaSpain

Personalised recommendations