PMID- 38539671 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240330 IS - 2076-3425 (Print) IS - 2076-3425 (Electronic) IS - 2076-3425 (Linking) VI - 14 IP - 3 DP - 2024 Mar 15 TI - Immersive Virtual Reality for Treatment of Unilateral Spatial Neglect via Eye-Tracking Biofeedback: RCT Protocol and Usability Testing. LID - 10.3390/brainsci14030283 [doi] LID - 283 AB - About one-third of stroke survivors present unilateral spatial neglect (USN) that negatively impacts the rehabilitation outcome. We reported the study protocol and usability results of an eye-tracking (ET) biofeedback immersive virtual reality (iVR) protocol. Healthy controls and stroke patients with and without USN underwent a single session of the three iVR tasks. The system usability scale (SUS), adverse events (AEs), and ET data were collected and analyzed via parametric analysis. Twelve healthy controls (six young adults and six older adults) and seven patients with a diagnosis of single ischemic stroke (four without USN and three with confirmed diagnosis of USN) completed the usability investigation. SUS results showed good acceptability of the system for healthy controls and stroke patients without USN. ET results showed a lower performance for patients with USN concerning healthy controls and stroke patients without USN, in particular in the exploration of the left visual field. The results showed that the proposed iVR-ET biofeedback protocol is a safe and well-tolerated technique in patients with USN. The real-time feedback can induce a performance response supporting its investigation such as a treatment approach. FAU - Martino Cinnera, Alex AU - Martino Cinnera A AUID- ORCID: 0000-0001-7267-3253 AD - IRCCS Santa Lucia Foundation, 00179 Rome, Italy. FAU - Verna, Valeria AU - Verna V AUID- ORCID: 0000-0003-1000-7655 AD - IRCCS Santa Lucia Foundation, 00179 Rome, Italy. FAU - Marucci, Matteo AU - Marucci M AUID- ORCID: 0000-0001-6431-9238 AD - Braintrends Limited, Applied Neuroscience, 00192 Rome, Italy. AD - Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy. FAU - Tavernese, Aurora AU - Tavernese A AD - IRCCS Santa Lucia Foundation, 00179 Rome, Italy. FAU - Magnotti, Luisa AU - Magnotti L AD - IRCCS Santa Lucia Foundation, 00179 Rome, Italy. FAU - Matano, Alessandro AU - Matano A AD - IRCCS Santa Lucia Foundation, 00179 Rome, Italy. FAU - D'Acunto, Chiara AU - D'Acunto C AD - Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy. FAU - Paolucci, Stefano AU - Paolucci S AUID- ORCID: 0000-0002-3105-1148 AD - IRCCS Santa Lucia Foundation, 00179 Rome, Italy. FAU - Morone, Giovanni AU - Morone G AUID- ORCID: 0000-0003-3602-4197 AD - Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy. FAU - Betti, Viviana AU - Betti V AUID- ORCID: 0000-0003-3429-2104 AD - IRCCS Santa Lucia Foundation, 00179 Rome, Italy. AD - Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy. FAU - Tramontano, Marco AU - Tramontano M AUID- ORCID: 0000-0001-6034-0638 AD - Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater University of Bologna, 40138 Bologna, Italy. AD - Unit of Occupational Medicine, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy. LA - eng PT - Journal Article DEP - 20240315 PL - Switzerland TA - Brain Sci JT - Brain sciences JID - 101598646 PMC - PMC10968842 OTO - NOTNLM OT - exergaming OT - eye movements OT - neglect OT - neurorehabilitation OT - stroke rehabilitation OT - visual deficits COIS- Matteo Marucci is employed in Braintrends Limited, Applied Neuroscience. The other authors declare no conflicts of interest. EDAT- 2024/03/28 06:45 MHDA- 2024/03/28 06:46 PMCR- 2024/03/15 CRDT- 2024/03/28 01:03 PHST- 2024/02/26 00:00 [received] PHST- 2024/03/12 00:00 [revised] PHST- 2024/03/14 00:00 [accepted] PHST- 2024/03/28 06:46 [medline] PHST- 2024/03/28 06:45 [pubmed] PHST- 2024/03/28 01:03 [entrez] PHST- 2024/03/15 00:00 [pmc-release] AID - brainsci14030283 [pii] AID - brainsci-14-00283 [pii] AID - 10.3390/brainsci14030283 [doi] PST - epublish SO - Brain Sci. 2024 Mar 15;14(3):283. doi: 10.3390/brainsci14030283.