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虚拟现实多任务训练对心脏手术患者的神经生理影响:一项采用标准化低分辨率电磁断层扫描(sLORETA)的研究。

Neurophysiological Effects of Virtual Reality Multitask Training in Cardiac Surgery Patients: A Study with Standardized Low-Resolution Electromagnetic Tomography (sLORETA).

作者信息

Tarasova Irina, Trubnikova Olga, Kupriyanova Darya, Kukhareva Irina, Sosnina Anastasia

机构信息

Department of Clinical Cardiology, Research Institute for Complex Issues of Cardiovascular Diseases, Academician LS Barbarash Blvd., 6, 650002 Kemerovo, Russia.

出版信息

Biomedicines. 2025 Jul 18;13(7):1755. doi: 10.3390/biomedicines13071755.

Abstract

Digital technologies offer innovative opportunities for recovering and maintaining intellectual and mental health. The use of a multitask approach that combines motor component with various cognitive tasks in a virtual environment can optimize cognitive and physical functions and improve the quality of life of cardiac surgery patients. This study aimed to localize current sources of theta and alpha power in patients who have undergone virtual multitask training (VMT) and a control group in the early postoperative period of coronary artery bypass grafting (CABG). A total of 100 male CABG patients (mean age, 62.7 ± 7.62 years) were allocated to the VMT group ( = 50) or to the control group ( = 50). EEG was recorded in the eyes-closed resting state at baseline (2-3 days before CABG) and after VMT course or approximately 11-12 days after CABG (the control group). Power EEG analysis was conducted and frequency-domain standardized low-resolution tomography (sLORETA) was used to assess the effect of VMT on brain activity. After VMT, patients demonstrated a significantly higher density of alpha-rhythm (7-9 Hz) current sources (t > -4.18; < 0.026) in Brodmann area 30, parahippocampal, and limbic system structures compared to preoperative data. In contrast, the control group had a marked elevation in the density of theta-rhythm (3-5 Hz) current sources (t > -3.98; < 0.017) in parieto-occipital areas in comparison to preoperative values. Virtual reality-based multitask training stimulated brain regions associated with spatial orientation and memory encoding. The findings of this study highlight the importance of neural mechanisms underlying the effectiveness of multitask interventions and will be useful for designing and conducting future studies involving VR multitask training.

摘要

数字技术为恢复和维持智力与心理健康提供了创新机遇。在虚拟环境中采用将运动成分与各种认知任务相结合的多任务方法,可优化认知和身体功能,并改善心脏手术患者的生活质量。本研究旨在定位接受虚拟多任务训练(VMT)的患者以及冠状动脉搭桥术(CABG)术后早期对照组中θ波和α波功率的当前来源。总共100名男性CABG患者(平均年龄62.7±7.62岁)被分配到VMT组(n = 50)或对照组(n = 50)。在基线(CABG前2 - 3天)以及VMT课程后或CABG后约11 - 12天(对照组),在闭眼静息状态下记录脑电图。进行了脑电图功率分析,并使用频域标准化低分辨率断层扫描(sLORETA)来评估VMT对大脑活动的影响。VMT后,与术前数据相比,患者在Brodmann区域30、海马旁回和边缘系统结构中α节律(7 - 9 Hz)电流源的密度显著更高(t > -4.18;p < 0.026)。相比之下,与术前值相比,对照组在顶枕区域θ节律(3 - 5 Hz)电流源的密度明显升高(t > -3.98;p < 0.017)。基于虚拟现实的多任务训练刺激了与空间定向和记忆编码相关的脑区。本研究结果突出了多任务干预有效性背后神经机制的重要性,将有助于设计和开展未来涉及VR多任务训练的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ef4/12292947/7f7b24ca903f/biomedicines-13-01755-g001.jpg

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