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一项使用注视控制游戏改善轻度认知障碍患者认知表现和瞳孔反应的试点研究。

A Pilot Study to Improve Cognitive Performance and Pupil Responses in Mild Cognitive Impaired Patients Using Gaze-Controlled Gaming.

作者信息

Solé Puig Maria, Bustos Valenzuela Patricia, Romeo August, Supèr Hans

机构信息

Unitat d'Avaluació de la Cognició, l'Atenció i l'Aprenentatge (ACAP), 08035 Barcelona, Spain.

Vision and Control of Action Group, Department of Cognition, Development and Educational Psychology, University of Barcelona, 08035 Barcelona, Spain.

出版信息

Vision (Basel). 2024 Apr 24;8(2):25. doi: 10.3390/vision8020025.

DOI:10.3390/vision8020025
PMID:38804346
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11130921/
Abstract

Mild cognitive impairment (MCI) may progress to severe forms of dementia, so therapy is needed to maintain cognitive abilities. The neural circuitry for oculomotor control is closely linked to that which controls cognitive behavior. In this study, we tested whether training the oculomotor system with gaze-controlled video games could improve cognitive behavior in MCI patients. Patients played a simple game for 2-3 weeks while a control group played the same game using a mouse. Cognitive improvement was assessed using the MoCA screening test and CANTAB. We also measured eye pupil and vergence responses in an oddball paradigm. The results showed an increased score on the MoCA test specifically for the visuospatial domain and on the Rapid Visual Information Processing test of the CANTAB battery. Pupil responses also increased to target stimuli. Patients in the control group did not show significant improvements. This pilot study provides evidence for the potential cognitive benefits of gaze-controlled gaming in MCI patients.

摘要

轻度认知障碍(MCI)可能会发展为严重形式的痴呆症,因此需要进行治疗以维持认知能力。眼球运动控制的神经回路与控制认知行为的神经回路紧密相连。在本研究中,我们测试了使用注视控制的视频游戏训练眼球运动系统是否可以改善MCI患者的认知行为。患者玩了2至3周的简单游戏,而对照组使用鼠标玩相同的游戏。使用蒙特利尔认知评估量表(MoCA)筛查测试和剑桥神经心理测试自动化成套系统(CANTAB)评估认知改善情况。我们还在oddball范式中测量了眼瞳孔和聚散反应。结果显示,MoCA测试中,特别是在视觉空间领域的得分以及CANTAB电池组的快速视觉信息处理测试得分有所提高。瞳孔对目标刺激的反应也增加了。对照组的患者没有显示出明显改善。这项初步研究为注视控制游戏对MCI患者潜在的认知益处提供了证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2eb/11130921/d34b0ed6aacb/vision-08-00025-g006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2eb/11130921/f6e04cb6e300/vision-08-00025-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2eb/11130921/64f141af6415/vision-08-00025-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2eb/11130921/d34b0ed6aacb/vision-08-00025-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2eb/11130921/b4831382a92d/vision-08-00025-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2eb/11130921/590d131a33dd/vision-08-00025-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2eb/11130921/f6e04cb6e300/vision-08-00025-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2eb/11130921/c730e22ac00d/vision-08-00025-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2eb/11130921/64f141af6415/vision-08-00025-g005.jpg
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本文引用的文献

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Effectiveness of Computerized Cognitive Training in Delaying Cognitive Function Decline in People With Mild Cognitive Impairment: Systematic Review and Meta-analysis.计算机化认知训练对延缓轻度认知障碍患者认知功能下降的有效性:系统评价和荟萃分析。
J Med Internet Res. 2022 Oct 27;24(10):e38624. doi: 10.2196/38624.
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Pupillometry as an integrated readout of distinct attentional networks.瞳孔测量作为不同注意网络的综合读出指标。
Trends Neurosci. 2022 Aug;45(8):635-647. doi: 10.1016/j.tins.2022.05.003. Epub 2022 Jun 1.
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Pupillary response in reward processing in adults with major depressive disorder in remission.
缓解期成年重性抑郁障碍患者奖赏加工中的瞳孔反应。
J Int Neuropsychol Soc. 2023 Mar;29(3):306-315. doi: 10.1017/S1355617722000224. Epub 2022 May 12.
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Stability of Montreal Cognitive Assessment in Individuals with Mild Cognitive Impairment: Potential Influence of Practice Effect.蒙特利尔认知评估在轻度认知障碍个体中的稳定性:练习效应的潜在影响。
J Alzheimers Dis. 2022;87(3):1401-1412. doi: 10.3233/JAD-220003.
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A Pilot Study of Interactive-Video Games in People with Mild Cognitive Impairment.轻度认知障碍患者互动视频游戏的初步研究。
Int J Environ Res Public Health. 2022 Mar 16;19(6):3536. doi: 10.3390/ijerph19063536.
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Are Video Games Effective to Promote Cognition and Everyday Functional Capacity in Mild Cognitive Impairment/Dementia Patients? A Meta-Analysis of Randomized Controlled Trials.视频游戏是否能有效促进轻度认知障碍/痴呆患者的认知和日常功能能力?一项随机对照试验的荟萃分析。
J Alzheimers Dis. 2021;84(1):329-341. doi: 10.3233/JAD-210545.
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Effectiveness of Brain Gaming in Older Adults With Cognitive Impairments: A Systematic Review and Meta-Analysis.脑游戏对认知障碍老年人的有效性:系统评价和荟萃分析。
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