با همکاری مشترک دانشگاه پیام نور و انجمن عصب روان‌شناسی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای روانشناسی ، گروه روان‌شناسی، دانشگاه پیام نور،تهران، ایران.

2 استاد گروه روان‌شناسی، دانشگاه پیام نور، تهران، ایران.

3 استادیار گروه روانشناسی تربیتی دانشکده روانشناسی و علوم تربیتی، دانشگاه خوارزمی، تهران، ایران.

چکیده

مقدمه: کارکردهای اجرایی، کارکردهای عالی شناختی هستند که سایر فعالیت‌های شناختی مغز را هدایت می‌کنند. کارکردهای اجرایی به فرد در انجام تکالیف یادگیری و کنش‌های هوشی کمک می‌کند. هدف پژوهش حاضر، بررسی اثربخشی توان‌بخشی شناختی کارکردهای اجرایی بر ارتقا عملکرد تحصیلی دانشجویان مشروطی بود. روش: پژوهش حاضر نیمه آزمایشی و از نوع پیش‌آزمون- پس‌آزمون با گروه گواه بود. جامعه آماری شامل کلیه دانشجویان مشروطی دانشگاه رازی کرمانشاه بود که به روش نمونه­گیری تصادفی ساده، نمونه‌ای به حجم 40 نفر انتخاب شد. سپس افراد با روش تصادفی ساده در دو گروه آزمایش و گواه قرار گرفتند. از معدل ترم گذشته به‌عنوان پیش‌آزمون و از معدل ترم جاری به‌عنوان پس‌آزمون استفاده شد. گروه آزمایش مورد مداخله توان‌بخشی شناختی توسط نرم‌افزار کاپیتان لاگ (10 جلسه و هفته‌ای 2 جلسه) قرار گرفت و گروه گواه در این مدت مداخله‌ای دریافت نکرد. جهت تحلیل داده‌ها از نرم‌افزار SPSS نسخه 23 استفاده شد. یافته‌ها: نتایج داده‌ها نشان می‌دهد که بین دو گروه بعد از تمرینات توان‌بخشی شناختی، در نمره‌ی معدل تفاوت (01/0) معنادار بود. نتیجه‌گیری: همچنین می‌توان نتیجه گرفت که توان‌بخشی شناختی کارکردهای اجرایی بر ارتقا عملکرد تحصیلی دانشجویان مشروطی مؤثر است. 

کلیدواژه‌ها

عنوان مقاله [English]

Meta-Analysis of the Effectiveness of Virtual Reality-Based Interventions on Cognitive Functions of Patients with Acquired Brain Injury

نویسندگان [English]

  • Elham Mousavi 1
  • Hossein Zare 2
  • ahmad alipour 2
  • Gholamreza Sarami foroushani 3

1 PhD Student in Psychology, Department of Psychology, Payame Noor University (PNU), Tehran, Iran.

2 Professor in Department of Psychology, Payame Noor University (PNU), Tehran, Iran.

3 Assistant Professor Educational Psychology, Faculty of Psychology and Education. Kharazmi University, Tehran, Iran.

چکیده [English]

Introduction: Executive functions are excellent cognitive functions that guide other cognitive activities of the brain. Executable functions help the individual to perform his learning tasks and intelligence operations. The purpose of this study was to investigate the effectiveness of cognitive rehabilitation of executive functions on improving the academic performance of probative students. Method: The present study was a semi-experimental design with pre-test and post-test with control group. The statistical population consisted of all probation students of Razi University of Kermanshah. A simple random sampling method was used to select 40 students. Subjects were randomly assigned to two groups of experimental and control. The mean of the last semester was used as a pre-test and The mean of the current semester was used as a post-test. The experimental group was involved in cognitive rehabilitation intervention using the captain log program (10 sessions and 2 sessions a week) and the control group did not receive intervention during this period. Data were analyzed using SPSS version 23 software. Results: The results of the data show that there was a significant difference between the two groups after the cognitive rehabilitation exercises in the mean score (0.01). Conclusion: Thus, it can be concluded that the cognitive rehabilitation of the executive functions Improving the academic performance of probative students has a significant effect.

کلیدواژه‌ها [English]

  • VR- based cognitive intervention
  • Cognitive rehabilitation
  • Acquired brain injury
  • Cognitive functions
Alashram, A. R., Annino, G., Padua, E., Romagnoli, C. & Mercuri, N. B. (2019). Cognitive rehabilitation post traumatic brain injury: A systematic review for emerging use of virtual reality technology. Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia, 66, 209–219.
Ali Akbari, M., Alipour, A., Ebrahimi Moghadam, H., Fekrati, M. (2017). The Effect of Virtual Reality (VR) on Psychological Disorders in Cancer Cases. Military Caring Science, 4 (1 (11)), 49-57.
Aminov, A., Rogers, J. M., Middleton, S., Caeyenberghs, K., & Wilson, P. H. (2018). What do randomized controlled trials say about virtual rehabilitation in stroke? A systematic literature review and meta-analysis of upper-limb and cognitive outcomes. Journal of neuroengineering and rehabilitation, 15(1), 29.
Begemann, M. J., Brand, B. A., Ćurčić-Blake, B., Aleman, A., & Sommer, I. E. (2020). Efficacy of non-invasive brain stimulation on cognitive functioning in brain disorders: a meta-analysis. Psychological Medicine, 1-22.
Ben-Yishay, Y., Piasetsky, E. B., & Rattok, J. (1987). A systematic method for ameliorating disorders in basic attention. In M. J. Meier, A. L. Benton, & L. Diller (Eds.), Neuropsychological rehabilitation (pp. 165–181). The Guilford Press.
Cameirão, M. S., Badia, S. B., Oller, E. D., & Verschure, P. F. (2010). Neurorehabilitation using the virtual reality based Rehabilitation Gaming System: methodology, design, psychometrics, usability and validation. Journal of neuroengineering and rehabilitation, 7, 48.
Cicerone, K. D., Dahlberg, C., Kalmar, K., Langenbahn, D. M., Malec, J. F., Bergquist, T. F & Herzog, J. (2000). Evidence-based cognitive rehabilitation: recommendations for clinical practice. Archives of physical medicine and rehabilitation, 81(12), 1596-1615.
Clemenson, G.D., Deng,W., Gage, F.H. (2015). Environmental enrichment and neurogenesis: From mice to humans. Curr. Opin. Behav .Sci, 4, 56–62.
Corbetta, M., Ramsey, L., Callejas, A., Baldassarre, A., Hacker, C. D., Siegel, J. S., Astafiev, S. V., Rengachary, J., Zinn, K., Lang, C. E., Connor, L. T., Fucetola, R., Strube, M., Carter, A. R., & Shulman, G. L. (2015). Common behavioral clusters and subcortical anatomy in stroke. Neuron85(5), 927–941.
da Silva Cameirão, M., Bermúdez I Badia, S., Duarte, E., & Verschure, P. F. (2011). Virtual reality based rehabilitation speeds up functional recovery of the upper extremities after stroke: a randomized controlled pilot study in the acute phase of stroke using the rehabilitation gaming system. Restorative neurology and neuroscience29(5), 287–298.
Dahdah, M. N., Bennett, M., Prajapati, P., Parsons, T. D., Sallivan, E., Diver, S. (2017). Application of virtual environments in a multi-disciplinary day neurorehabilitation program to improve executive functioning using the Stroop task. NeuroRehabilitation, 41,721–734.
Dams-O'Connor, K., & Gordon, W. A. (2010). Role and impact of cognitive rehabilitation. Psychiatric Clinics33(4), 893-904.
das Nair, R., Cogger, H., Worthington, E., & Lincoln, N. B. (2016). Cognitive rehabilitation for memory deficits after stroke. The Cochrane database of systematic reviews9(9), CD002293.
De Luca, R., Calabrò, R. S., & Bramanti, P. (2018). Cognitive rehabilitation after severe acquired brain injury: current evidence and future directions. Neuropsychological rehabilitation, 28(6), 879-898.
Faria, A. L., Andrade, A., Soares, L., Badia, S. B. (2016). Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living: a randomized controlled trial with stroke patients. Journal of NeuroEngineering and Rehabilitation,13:96-108.
Fong, K.N., Chow, K.Y., Chan, B.C. et al. (2010). Usability of a virtual reality environment simulating an automated teller machine for assessing and training persons with acquired brain injury. J NeuroEngineering Rehabil, 719.
Gorbanian, E., Alivandi Vafa, M., Farhoodi, M., Nazari, M. A. (2020). Effect of Computer-based Cognitive Rehabilitation Intervention on Selective Attention, Sustained Attention, and Divided Attention of Patients with Stroke in Tabriz. Scientific Journal of Rehabilitation Medicine, 9(1), 137-146. (Persian).
Georges, A., & M Das, J. (2021). Traumatic Brain Injury. In StatPearls. StatPearls Publishing.
Grealy, M. A., Johnson, D. A., & Rushton, S. K. (1999). Improving cognitive function after brain injury: the use of exercise and virtual reality. Archives of physical medicine and rehabilitation80(6), 661-667.
Halligan, P. W., & Wade, D. T. (Eds.). (2005). The effectiveness of rehabilitation for cognitive deficits. Oxford University Press, USA.
Howard, M.C. (2017). A meta-analysis and systematic literature review of virtual reality rehabilitation programs. Comput. Hum. Behav., 70, 317-327.
Kalaria, R. N., Akinyemi, R., & Ihara, M. (2016). Stroke injury, cognitive impairment and vascular dementia. Biochimica et biophysica acta1862(5), 915–925.
Kim, O., Pang, Y., & Kim, J. H. (2019). The effectiveness of virtual reality for people with mild cognitive impairment or dementia: a meta-analysis. BMC psychiatry19(1), 219.
Leśniak, M., Bak, T., Czepiel, W., Seniów, J., & Członkowska, A. (2008). Frequency and prognostic value of cognitive disorders in stroke patients. Dementia and geriatric cognitive disorders26(4), 356–363.
Levin, M. F., Weiss, P. L., & Keshner, E. A. (2015). Emergence of virtual reality as a tool for upper limb rehabilitation: incorporation of motor control and motor learning principles. Physical therapy95(3), 415–425.
Madigan, N. K., DeLuca, J., Diamond, B. J., Tramontano, G., & Averill, A. (2000). Speed of information processing in traumatic brain injury: Modality-specific factors. The Journal of head trauma rehabilitation15(3), 943-956.
Maier, M., Ballester, B. R., Leiva Bañuelos, N., Duarte Oller, E., & Verschure, P. (2020). Adaptive conjunctive cognitive training (ACCT) in virtual reality for chronic stroke patients: a randomized controlled pilot trial. Journal of neuroengineering and rehabilitation17(1), 42.
Mani, K., Cater, B., & Hudlikar, A. (2017). Cognition and return to work after mild/moderate traumatic brain injury: a systematic review. Work58(1), 51-62.
Mesrabadi, J. (2016). Meta Analysis: Concepts, Software& Reporting. Azarbaijan Shahid Madani University, Tabriz, Iran. (Persian).
Morgan, C., Novak, I., Badawi, N. (2013). Enriched environments and motor outcomes in cerebral palsy: Systematic review and meta-analysis. Pediatrics, 132, e735–e746.
Mousavi, S., Zare, H., & Etemadifar, M. (2020). Evaluating the effectiveness of cognitive rehabilitation on everyday memory in multiple sclerosis patients. Neuropsychological rehabilitation, 30(6), 1013–1023.
Mousavi, S., Zare, H., Etemadifar, M., & Taher Neshatdoost, H. (2018). Memory rehabilitation for the working memory of patients with multiple sclerosis (MS). Journal of clinical and experimental neuropsychology40(4), 405–410.
Perez-Marcos, D., Bieler-Aeschlimann, M., & Serino, A. (2018). Virtual Reality as a Vehicle to Empower Motor-Cognitive Neurorehabilitation. Frontiers in psychology9, 2120.
Powell, T. (2013). The brain injury work book: Exercises for cognitive rehabilitation, 2th ed. Translated by zare, H., Mousavi, Sh. 2020, 3th ed, Tehran: Arjmand pub. (Persian).
Rasquin, S. M., Lodder, J., Ponds, R. W., Winkens, I., Jolles, J., & Verhey, F. R. (2004). Cognitive functioning after stroke: a one-year follow-up study. Dementia and geriatric cognitive disorders18(2), 138–144.
Rohling, M. L., Faust, M. E., Beverly, B., & Demakis, G. (2009). Effectiveness of cognitive rehabilitation following acquired brain injury: a meta-analytic re-examination of Cicerone et al.'s (2000, 2005) systematic reviews. Neuropsychology, 23(1), 20–39.
Tsaousides, T., & Gordon, W. A. (2009). Cognitive rehabilitation following traumatic brain injury: assessment to treatment. The Mount Sinai journal of medicine, New York, 76(2), 173–181.
Vartanian, M., Hatami, J., Khazaei. A., Bahrami Ehsan, H. (2016). Effectiveness of group therapy based on cognitive rehabilitation of memory and executive functioning in patients with traumatic brain injury. Applied Psychological Research Quarterly, 7(2),105- 126. (Persian).
Verschure, P. (2012). Distributed Adaptive Control: A theory of the Mind, Brain, Body Nexus. BICA 2012.
Virk, S., Williams, T., Brunsdon, R., Suh, F., & Morrow, A. (2015). Cognitive remediation of attention deficits following acquired brain injury: A systematic review and meta-analysis. NeuroRehabilitation, 36(3), 367-377.
Voinescu, A., Sui, J., & Stanton Fraser, D. (2021). Virtual Reality in Neurorehabilitation: An Umbrella Review of Meta-Analyses. Journal of clinical medicine, 10(7), 1478.
Wiley, E., Khattab, S., & Tang, A. (2020). Examining the effect of virtual reality therapy on cognition post-stroke: a systematic review and meta-analysis. Disability and rehabilitation. Assistive technology, 1–11. Advance online publication.
Wilson, B, A., Gracey, F., Evans, J. J., Bateman, A. (2009). Neuropsychological Rehabilitation: Theory, Models, Therapy and Outcome. Translated by Zare, H., Nazari, S.M., Abedin, M. 2019, 2th ed, Tehran: Arjmand pub. (Persian).
Wilson,B.A., Winegardner, J., van Heugten, C.M., Ownsworth, T. (2017). Neuropsychological Rehabilitation: The International Handbook, 1st ed. Translated by Zare, H., Abdollahi, M.H. 2020, Tehran: Samt pub. (Persian).
Winson, R., Wilson, B. A., Bateman, A. (2017). The brain injury rehabilitation workbook. translated by zare, H., hassanzadeh, S. 2019, Tehran: Arjmand pub. (Persian).
Yip, B. C., & Man, D. W. (2013). Virtual reality-based prospective memory training program for people with acquired brain injury. NeuroRehabilitation, 32(1), 103–115.