文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

使用基于虚拟现实的斯特鲁普任务检测轻度认知障碍:具身行为标志物的横断面研究

Detection of mild cognitive impairment using a virtual reality-based stroop task: a cross-sectional study of embodied behavioral markers.

作者信息

Park Jin-Hyuck

机构信息

Department of Occupational Therapy, College of Medical Science, Soonchunhyang University, Asan, Republic of Korea.

出版信息

J Neuroeng Rehabil. 2025 Aug 9;22(1):176. doi: 10.1186/s12984-025-01714-9.


DOI:10.1186/s12984-025-01714-9
PMID:40783531
Abstract

BACKGROUND: Executive dysfunction is commonly impaired in individuals with mild cognitive impairment (MCI). Traditional tools like the Stroop test are widely used to evaluate this domain but lack ecological validity. Virtual reality (VR)-based cognitive assessments, grounded in embodied cognition, may offer a more immersive and sensitive approach to detecting subtle executive dysfunction. METHODS: This study developed and validated a novel VR-based Stroop Test (VRST) that simulates a real-life clothing-sorting task involving incongruent word-color stimuli. A total of 413 older adults (224 healthy controls and 189 with MCI) completed the VRST using a hand-held controller. Behavioral metrics including task completion time, 3D(three-dimensional) trajectory length, and hesitation latency were collected. Participants also underwent traditional assessments: the Korean version of the Montreal Cognitive Assessment (MoCA-K), the paper-based Stroop test, and the Corsi Block Test (CBT). Receiver operating characteristic curves and Spearman correlations were used to analyze discriminant power and construct validity. RESULTS: All VR-derived behavioral markers effectively differentiated older adults with MCI from HCs, with 3D trajectory length showing the highest area under the curve (0.981), followed by hesitation latency (0.967). These surpassed the MoCA-K (0.962). Significant correlations were observed between VRST outcomes and global cognition (MoCA-K), inhibition (Stroop), and working memory (CBT), supporting convergent validity. Importantly, baseline motor abilities did not significantly differ between groups, suggesting that executive function could contributed to performance differences. CONCLUSIONS: The VRST provides a valid, reliable, and scalable means of detecting MCI-related executive dysfunction through embodied cognitive-motor interaction. Its ability to capture subtle behavioral changes in a realistic context suggests strong potential for use in both clinical and community-based cognitive screening settings. TRIAL REGISTRATION: This study was retrospectively registered in the Thai Clinical Trial Registration with identifier TCTR 20250625011.

摘要

背景:在轻度认知障碍(MCI)患者中,执行功能障碍较为常见。像斯特鲁普测试这样的传统工具被广泛用于评估这一领域,但缺乏生态效度。基于虚拟现实(VR)的认知评估,以具身认知为基础,可能为检测细微的执行功能障碍提供一种更具沉浸感和敏感性的方法。 方法:本研究开发并验证了一种基于VR的新型斯特鲁普测试(VRST),该测试模拟了一项涉及不一致文字 - 颜色刺激的现实生活衣物分类任务。共有413名老年人(224名健康对照者和189名MCI患者)使用手持控制器完成了VRST。收集了包括任务完成时间、三维轨迹长度和犹豫潜伏期在内的行为指标。参与者还接受了传统评估:韩国版蒙特利尔认知评估(MoCA - K)、纸质斯特鲁普测试和科西方块测试(CBT)。使用受试者工作特征曲线和斯皮尔曼相关性分析判别能力和结构效度。 结果:所有源自VR的行为指标都能有效区分MCI老年人与健康对照者,三维轨迹长度的曲线下面积最高(0.981),其次是犹豫潜伏期(0.967)。这些指标超过了MoCA - K(0.962)。在VRST结果与整体认知(MoCA - K)、抑制功能(斯特鲁普测试)和工作记忆(CBT)之间观察到显著相关性,支持了聚合效度。重要的是,两组之间的基线运动能力没有显著差异,这表明执行功能可能导致了表现差异。 结论:VRST通过具身认知 - 运动交互提供了一种有效、可靠且可扩展的检测与MCI相关的执行功能障碍的方法。它在现实情境中捕捉细微行为变化的能力表明其在临床和社区认知筛查环境中具有强大的应用潜力。 试验注册:本研究在泰国临床试验注册中心进行了回顾性注册,标识符为TCTR 20250625011。

相似文献

[1]
Detection of mild cognitive impairment using a virtual reality-based stroop task: a cross-sectional study of embodied behavioral markers.

J Neuroeng Rehabil. 2025-8-9

[2]
Virtual reality and cognitive rehabilitation for older adults with mild cognitive impairment: A systematic review.

Ageing Res Rev. 2024-1

[3]
Virtual Reality Gamification of Visual Search, Response Inhibition, and Visual Short-Term Memory Tasks for Cognitive Assessment: Experimental Study.

JMIR Form Res. 2025-7-29

[4]
Assessment of Instrumental Activities of Daily Living in Older Adults with Subjective Cognitive Decline Using the Virtual Reality Functional Capacity Assessment Tool (VRFCAT).

J Prev Alzheimers Dis. 2018

[5]
Plasma and cerebrospinal fluid amyloid beta for the diagnosis of Alzheimer's disease dementia and other dementias in people with mild cognitive impairment (MCI).

Cochrane Database Syst Rev. 2014-6-10

[6]
Occupational therapy for cognitive impairment in stroke patients.

Cochrane Database Syst Rev. 2022-3-29

[7]
Turkish Version of the Video-Naming Test for Assessing Verb Anomia (DVAQ-30): Normative Data for the Adult Turkish Population and Validation Study in Mild Cognitive Impairment and Alzheimer's Disease.

Int J Lang Commun Disord. 2025

[8]
Virtual reality applications based on instrumental activities of daily living (iADLs) for cognitive intervention in older adults: a systematic review.

J Neuroeng Rehabil. 2023-12-19

[9]
The Parkinson's Disease Composite of Executive Functioning: A Measure for Detecting Cognitive Decline in Clinical Trials.

Neurology. 2024-7-23

[10]
Mini-Mental State Examination (MMSE) for the detection of Alzheimer's disease and other dementias in people with mild cognitive impairment (MCI).

Cochrane Database Syst Rev. 2015-3-5

本文引用的文献

[1]
Discriminant Power of Smartphone-Derived Keystroke Dynamics for Mild Cognitive Impairment Compared to a Neuropsychological Screening Test: Cross-Sectional Study.

J Med Internet Res. 2024-10-30

[2]
Integrating Biomarkers From Virtual Reality and Magnetic Resonance Imaging for the Early Detection of Mild Cognitive Impairment Using a Multimodal Learning Approach: Validation Study.

J Med Internet Res. 2024-4-17

[3]
Digital Marker for Early Screening of Mild Cognitive Impairment Through Hand and Eye Movement Analysis in Virtual Reality Using Machine Learning: First Validation Study.

J Med Internet Res. 2023-10-20

[4]
[A cognitive function test utilizing eye tracking technology in virtual reality].

Nihon Ronen Igakkai Zasshi. 2023

[5]
Aging effects of haptic input on postural control under a dual-task paradigm.

Exp Gerontol. 2022-10-15

[6]
Rapid cognitive assessment tools for screening of mild cognitive impairment in the preoperative setting: A systematic review and meta-analysis.

J Clin Anesth. 2022-6

[7]
A Virtual Supermarket Program for the Screening of Mild Cognitive Impairment in Older Adults: Diagnostic Accuracy Study.

JMIR Serious Games. 2021-12-3

[8]
Motor dysfunction in mild cognitive impairment as tested by kinematic analysis and transcranial magnetic stimulation.

Clin Neurophysiol. 2021-2

[9]
Machine-Learning Algorithms Based on Screening Tests for Mild Cognitive Impairment.

Am J Alzheimers Dis Other Demen. 2020

[10]
Inhibitory Control Deficits in Individuals with Amnestic Mild Cognitive Impairment: a Meta-Analysis.

Neuropsychol Rev. 2020-3

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索