Immersive virtual reality intervention to enhance cognitive-affective neuropsychological functions in post-COVID-19 condition (...), 2026, Pete et al

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Full title: Immersive virtual reality intervention to enhance cognitive-affective neuropsychological functions in post-COVID-19 condition: Research protocol and a case report

Kinga Nedda Pete, János Tamás Varga, Zsuzsanna Valachiné Geréb, Orsolya Gőbel, Cecília Sik-Lanyi, Veronika Müller, Renáta Cserjési

Highlights​

  • Post-COVID cognitive impairment is a relatively new challenge with few established rehabilitation protocols.
  • VR-based gamified cognitive training with breathing reduces mental fog and boosts motivation, adherence, and well-being
  • The intervention caused no cybersickness and was received very positively by the user.
  • Cognitive functions showed measurable improvement after just six sessions.
  • This approach offers an effective, engaging, and innovative method for COVID-19 rehabilitation.

Abstract​

Objective​

Post-COVID-19 condition (PCC) includes persistent cognitive, affective, and physical symptoms after SARS-CoV-2 infection. This study proposes a 6-week virtual reality (VR)-based cognitive intervention to improve cognitive-affective functions in individuals with PCC and presents initial results through a case report.

Method​

A 46-year-old female with PCC completed a 6-week immersive VR-based cognitive intervention. Neuropsychological and psychological assessments occurred at baseline, after VR intervention (2-month follow-up), and at 5-month follow-up. The VR intervention included cognitive activities and diaphragmatic breathing exercises. Immersion, presence, cybersickness and other aspects of the VR experience were systematically evaluated.

Results​

The patient showed improvements in attention, executive functions, processing speed and performance in VR cognitive games. Reductions in perceived cognitive deficits and depression, along with enhanced functional status, resilience, self-esteem and emotional flexibility, were observed. However, anxiety and life satisfaction exhibited unexpected trends. The participant reported high satisfaction with the VR intervention and no notable cybersickness symptoms.

Conclusions​

This study contributes to the limited literature on VR interventions for PCC, showcasing its potential in neuropsychological rehabilitation and proposing a possible rehabilitation protocol.

Open access: https://www.sciencedirect.com/science/article/pii/S0001691826000168
 
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