150 Participants Needed

Virtual Reality for Cognitive Impairment

SC
I
Overseen ByIsenberg
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of California, San Diego
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if combining virtual reality (VR) with physical activity can boost brain health in older adults. Researchers will divide participants into three groups: one will engage in physical activities like cycling, another will participate in VR-based cognitive games, and the third will combine both activities. The trial lasts 16 weeks and examines the impact of these activities on brain and physical health. Suitable candidates include English speakers aged 50 to 85 who can safely ride a stationary bike. As an unphased trial, this study provides participants with a unique opportunity to contribute to innovative research that could enhance brain health strategies for older adults.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.

What prior data suggests that this virtual reality intervention is safe for cognitive impairment?

Research shows that older adults generally handle virtual reality (VR) cognitive training well. Studies have examined its usability and found that only a few people report mild dizziness or nausea, known as VR sickness. Importantly, VR is a promising tool to boost motivation and improve thinking and memory skills.

For activities that combine physical and mental exercises using VR, evidence shows these can enhance thinking skills in older adults with memory problems. The data suggest that participants usually experience improvements without major negative effects, indicating the treatment is safe and typically harmless.

Overall, previous studies have shown that the treatments tested in this trial are safe and beneficial, with few negative effects reported. Participants generally manage these activities well, making them a promising option for improving brain health.12345

Why are researchers excited about this trial?

Researchers are excited about using virtual reality (VR) for cognitive impairment because it offers an innovative way to enhance both physical and mental activities simultaneously. Unlike traditional methods like medication or standard physical exercises, this approach combines physical cycling with a VR spatial navigation game, potentially boosting brain function more effectively. The VR aspect uniquely engages users by simulating real-world navigation tasks, which may help improve memory and cognitive skills in a more immersive and interactive way. This dual activity could lead to better overall cognitive improvements compared to traditional single-focus treatments.

What evidence suggests that this trial's treatments could be effective for cognitive impairment?

Research has shown that virtual reality (VR) activities can enhance memory and thinking skills in older adults, particularly those with memory problems. Studies have found that fully immersive VR training can boost overall brain function in individuals with mild memory issues. In this trial, participants may engage in various activities.

One group will participate in VR activities that combine physical exercise and mental challenges, which have strong evidence of significantly improving thinking skills. These combined activities have improved attention, mental abilities, and quality of life for those with memory difficulties.

Another group will focus on physical activities, like cycling, known to support brain health by increasing blood flow and stimulating brain activity, helping to maintain or improve thinking skills.

A third group will engage in cognitive activities using VR spatial navigation only. Overall, combining physical and mental challenges through VR appears promising for improving brain health in older adults.13567

Are You a Good Fit for This Trial?

This trial is for English-speaking adults aged 50-85 who can safely ride a stationary bike. It's not suitable for those with dementia, severe sensory deficits, neurological disorders, or an inability to cycle safely. People with MRI contraindications like pacemakers or a fear of needles/blood are also excluded.

Inclusion Criteria

I am between 50 and 85 years old.
Can ride a stationary bike without any safety concerns.
Fluent in English

Exclusion Criteria

You have major problems with your sense of touch, taste, or smell.
I have a history of a neurological disorder.
I cannot safely perform the required physical activities.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in one of three interventions: physical activity, VR cognitive activity, or combined VR physical and cognitive activity to improve brain health and cognition

16 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Cognitive Activity (VR)
  • Physical Activity
  • Physical and Cognitive Activity
Trial Overview The study tests three interventions over 16 weeks: physical activity alone, VR cognitive activity alone, and a combination of both VR physical and cognitive activities. The goal is to see which intervention best improves brain health and cognition in older adults.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Active Control
Group I: Combined, simultaneous physical and cognitive activityExperimental Treatment1 Intervention
Group II: Physical activity - Cycling onlyActive Control1 Intervention
Group III: Cognitive activity - VR spatial navigation onlyActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Diego

Lead Sponsor

Trials
1,215
Recruited
1,593,000+

Published Research Related to This Trial

Home-based virtual reality (VR) exercise is safe and feasible for individuals with mild cognitive impairment, with participants completing 99% of the prescribed sessions over 6 weeks without major adverse events.
While most participants enjoyed the VR program and reported physical benefits, no significant changes were observed in physical or cognitive outcomes after the 6-week intervention.
The Use of Home-Based Nonimmersive Virtual Reality to Encourage Physical and Cognitive Exercise in People With Mild Cognitive Impairment: A Feasibility Study.Sheehy, L., Sveistrup, H., Knoefel, F., et al.[2022]
A systematic review of 17 randomized controlled trials involving 744 participants found that virtual reality (VR) cognitive training significantly improved global cognitive function and executive function in individuals with mild cognitive impairment (MCI).
The improvements in cognitive function were moderate in effect size, but the training did not show significant benefits for delayed memory, immediate memory, attention, or daily living activities, indicating that while VR can help with certain cognitive aspects, its effects may be limited and short-term.
Effects of virtual reality cognitive training in individuals with mild cognitive impairment: A systematic review and meta-analysis.Zhong, D., Chen, L., Feng, Y., et al.[2021]
A 4-week program of nonimmersive virtual reality (VR) exercise significantly improved cognitive functions, such as attention and memory, in 13 adults with traumatic brain injury (TBI) compared to control groups.
A single session of VR exercise also led to notable improvements in reaction and movement times, suggesting that even short bouts of exercise in a virtual environment can enhance cognitive performance in TBI patients.
Improving cognitive function after brain injury: the use of exercise and virtual reality.Grealy, MA., Johnson, DA., Rushton, SK.[2022]

Citations

Effects of Cognitive Training with Virtual Reality in Older AdultsA recent meta-analysis confirmed that immersive VR interventions in older adults with cognitive decline yield significant improvements in memory ...
Effects of fully immersive virtual reality training on cognitive ...The results showed that fully immersive VR training was effective in improving the global cognitive function of MCI patients; the difference ...
Efficacy of virtual reality technology interventions for ...Using the 95% prediction interval (PI) results, we found that VR technology did not significantly affect the cognitive abilities of people with cognitive ...
The role of virtual reality-based cognitive training in ...These findings underscore the potential of VR as a multifaceted tool to boost motivation, facilitate cognitive recovery, and improve emotional state.
Efficacy of virtual reality-based training programs and games ...VR has shown promise in improving cognitive skills, memory, and overall cognitive function in various conditions, including Alzheimer's disease ...
Cognitive Training Using Virtual Reality: An Assessment of ...This study evaluated the usability and VR sickness rather than validating the clinical efficacy of VR cognitive training, allowing for an unbiased assessment.
Cognitive rehabilitation using virtual reality in subjective ...Using virtual reality-based training to improve cognitive function, instrumental activities of daily living and neural efficiency in older ...
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