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虚拟现实与非侵入性脑刺激相结合:整合两种方法用于轻度认知障碍的认知康复

Virtual Reality Meets Non-invasive Brain Stimulation: Integrating Two Methods for Cognitive Rehabilitation of Mild Cognitive Impairment.

作者信息

Mancuso Valentina, Stramba-Badiale Chiara, Cavedoni Silvia, Pedroli Elisa, Cipresso Pietro, Riva Giuseppe

机构信息

Applied Technology for Neuro-Psychology Lab, Istituto Auxologico Italiano, Istituto di Ricovero e Cura a Carattere Scientifico, Milan, Italy.

Department of Psychology, E-Campus University, Novedrate, Italy.

出版信息

Front Neurol. 2020 Sep 30;11:566731. doi: 10.3389/fneur.2020.566731. eCollection 2020.

Abstract

Mild cognitive impairment (MCI) refers to a subtle, general cognitive decline with a detrimental impact on elderlies' independent living and quality of life. Without a timely diagnosis, this condition can evolve into dementia over time, hence the crucial need for early detection, prevention, and rehabilitation. For this purpose, current neuropsychological interventions have been integrated with (i) virtual reality, which immerses the user in a controlled, ecological, and safe environment (so far, both virtual reality-based cognitive and motor rehabilitation have revealed promising positive outcomes); and (ii) non-invasive brain stimulation, i.e., transcranial magnetic or electric brain stimulation, which has emerged as a promising cognitive treatment for MCI and Alzheimer's dementia. To date, these two methods have been employed separately; only a few studies (limited to motor rehabilitation) have suggested their integration. The present paper suggests to extend this integration to cognitive rehabilitation as well as to provide a multimodal stimulation that could enhance cognitive training, resulting in a more efficient rehabilitation.

摘要

轻度认知障碍(MCI)是指一种轻微的、全身性的认知衰退,对老年人的独立生活和生活质量产生不利影响。若不及时诊断,这种情况可能会随着时间的推移发展为痴呆症,因此早期检测、预防和康复至关重要。为此,目前的神经心理学干预已与以下两种方法相结合:(i)虚拟现实,它将用户沉浸在一个可控、生态且安全的环境中(到目前为止,基于虚拟现实的认知和运动康复都已显示出有希望的积极效果);(ii)非侵入性脑刺激,即经颅磁刺激或经颅电刺激,它已成为一种有前景的针对MCI和阿尔茨海默病痴呆症的认知治疗方法。迄今为止,这两种方法一直是分开使用的;只有少数研究(仅限于运动康复)提出了将它们结合起来的建议。本文建议将这种结合扩展到认知康复,并提供一种多模式刺激,以增强认知训练,从而实现更有效的康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d370/7561425/1d5c1a1d7979/fneur-11-566731-g0001.jpg

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