The computer-based cognitive testing in vascular cognitive impairment patients

Background: Studies on virtual reality applications in the diagnosis, monitoring and rehabilitation of cognitive disorders are increasing. Objective: The aim of this study is to evaluate neuropsychological tests and viral cognitive impairment in patients with vascular cognitive impairment due to small vessel disease with virtual supermarket application (SSU), a virtual reality application. Subjects and Methods: 75 small vessel patients were included in this study. Thirty-nine patients who were diagnosed with vascular cognitive impairment as a result of detailed conventional neuropsychological tests were identified as a group of patients with normal neuropsychological tests. Two grubes were applied to detail neuropsychological tests as well as mood and functionality scales and SSU. Statistical analysis of the data was performed with the SPSS 22.0 program. Findings: The patient and control group showed a significant difference between the neuropsychological test scores. Neuropsychological test results showed a statistically significant difference between the groups in terms of the exact amount of SSU and duration and duration. There were several levels of relationship between SSI duration and neuropsychological test results. The patients and control group of the SSU were found to have a correct classification rate of 77.8% in discrimination. SSU duration cut-off value of 5.51 minutes has been shown to be useful as a diagnostic test with 80% sensitivity and 75% specificity. Conclusion: In practice, neuropsychological tests are used which require long-term diagnosis of cognitive impairment and require specialist expertise. SSU has been found to differentiate between cases of cognitive impairment in small vessel patients. With SSU, vascular cognitive impairment can be detected early by testing more patients in a shorter time. Key words: Stroke, Stroke results, Vascular cognitive impairment, Virtual supermarket application, Neuropsychological test In this study, it was aimed to evaluate the cognitive impairments that occur in Amnestic Mild Cognitive Impairment (aMCI) patients by using both neuropsychological testing and Virtual Supermarket Application (VSM). Method: Thirty-seven aMCI patients (mean age: 66,46) and 57 gender, education and age matched healthy controls (mean age: 70,41) were participated in this study. A detailed neuropsychological test battery and Virtual Super Market (VSM) was applied to all participants. Results: There was a significant difference in neuropsychological test scores between aMCI with patients and healthy controls. aMCI-Multiple Domain (aMCI-MD) patients performed lower in SSU variables than aMCI-Single Domain (aMCI-SD) and healthy controls. aMCI-MD patients completed the VSM longer than aMCI-SD patients and controls. With the correlation analyses which all participants were included, several levels of correlations between neuropsychological test scores and Duration variables were detected. The VSM test was found to discriminate between the aMCI and healthy controls with a correct classification rate of 80.9 %. Conclusion: The possible diagnosis of aMCI-SD/MD can be determined by neuropsychological tests. A more practical and screening tool can be used in the VSM clinic with the correct classification rate than more the Mini Mental State Test. This test has been shown to distinguish between aMCI and healthy controls. Keywords: Mild Cognitive Impairment, Neuropsychological Assessment, Virtual Super Market