Video game training in traumatic brain injury patients: an exploratory case report study using eye tracking

Remediation of attentional impairments is an essential component of cognitive rehabilitation after traumatic brain injury (TBI). Evidence from healthy participants has demonstrated attentional improvement following playing an action video game. This exploratory study investigated its applicatio...

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Main Authors: Elham Azizi, Joanne Fielding, Larry Abel
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Journal of Eye Movement Research
Subjects:
Online Access:https://bop.unibe.ch/JEMR/article/view/8103
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author Elham Azizi
Joanne Fielding
Larry Abel
author_facet Elham Azizi
Joanne Fielding
Larry Abel
author_sort Elham Azizi
collection DOAJ
description Remediation of attentional impairments is an essential component of cognitive rehabilitation after traumatic brain injury (TBI). Evidence from healthy participants has demonstrated attentional improvement following playing an action video game. This exploratory study investigated its application in TBI participants in a multiple baselines single case experimental design (SCED). Saccadic eye movements, recognized as the visible indicators of visual attention, were assessed to evaluate the effectiveness of the game training. Three severe TBI participants were trained in an action game for 10 hours. Saccadic eye movements during a self-paced saccade and an abstract visual search task were investigated during baseline, mid training and post-training. Using Percentage of Non-overlapping Data (PND), analysis showed consistent increase in the rate of the self-paced saccades in participants 1 (PND=80%) and 2 (PND=70%). In abstract search, fixation duration showed a minimally effective decrease for participant 2 (PND= 60%) and a moderately effective reduction in participant 3 (PND= 80%). Search time showed a highly effective reduction in participant 2 (PND = 100%) and moderately effective decrease in participant 3 (PND=70%). Overall, video game training might modify allocation of attention in eye movements. More evidence is required to validate the usefulness of this novel method of the cognitive training.
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spelling doaj-art-2b0eea5f7c7f4db4bcc30164ba33a3ac2025-08-20T02:01:42ZengMDPI AGJournal of Eye Movement Research1995-86922022-06-0115110.16910/jemr.15.1.6Video game training in traumatic brain injury patients: an exploratory case report study using eye trackingElham Azizi0Joanne Fielding1Larry Abel2Mashhad University of Medical Sciences, IranMonash University, Melbourne, AustraliaMonash University, Melbourne, Australia Remediation of attentional impairments is an essential component of cognitive rehabilitation after traumatic brain injury (TBI). Evidence from healthy participants has demonstrated attentional improvement following playing an action video game. This exploratory study investigated its application in TBI participants in a multiple baselines single case experimental design (SCED). Saccadic eye movements, recognized as the visible indicators of visual attention, were assessed to evaluate the effectiveness of the game training. Three severe TBI participants were trained in an action game for 10 hours. Saccadic eye movements during a self-paced saccade and an abstract visual search task were investigated during baseline, mid training and post-training. Using Percentage of Non-overlapping Data (PND), analysis showed consistent increase in the rate of the self-paced saccades in participants 1 (PND=80%) and 2 (PND=70%). In abstract search, fixation duration showed a minimally effective decrease for participant 2 (PND= 60%) and a moderately effective reduction in participant 3 (PND= 80%). Search time showed a highly effective reduction in participant 2 (PND = 100%) and moderately effective decrease in participant 3 (PND=70%). Overall, video game training might modify allocation of attention in eye movements. More evidence is required to validate the usefulness of this novel method of the cognitive training. https://bop.unibe.ch/JEMR/article/view/8103Eye movementeye trackingsaccadesmicrosaccadesantisaccadessmooth pursuit
spellingShingle Elham Azizi
Joanne Fielding
Larry Abel
Video game training in traumatic brain injury patients: an exploratory case report study using eye tracking
Journal of Eye Movement Research
Eye movement
eye tracking
saccades
microsaccades
antisaccades
smooth pursuit
title Video game training in traumatic brain injury patients: an exploratory case report study using eye tracking
title_full Video game training in traumatic brain injury patients: an exploratory case report study using eye tracking
title_fullStr Video game training in traumatic brain injury patients: an exploratory case report study using eye tracking
title_full_unstemmed Video game training in traumatic brain injury patients: an exploratory case report study using eye tracking
title_short Video game training in traumatic brain injury patients: an exploratory case report study using eye tracking
title_sort video game training in traumatic brain injury patients an exploratory case report study using eye tracking
topic Eye movement
eye tracking
saccades
microsaccades
antisaccades
smooth pursuit
url https://bop.unibe.ch/JEMR/article/view/8103
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AT joannefielding videogametrainingintraumaticbraininjurypatientsanexploratorycasereportstudyusingeyetracking
AT larryabel videogametrainingintraumaticbraininjurypatientsanexploratorycasereportstudyusingeyetracking