Background. Memory decline is a prevalent aspect of aging but may also be the first sign of cognitive pathology. Virtual reality (VR) using immersion and interaction may provide new approaches to the treatment of memory deficits in elderly individuals. Objective. The authors implemented a VR training intervention to try to lessen cognitive decline and improve memory functions. Methods. The authors randomly assigned 36 elderly residents of a rest care facility (median age 80 years) who were impaired on the Verbal Story Recall Test either to the experimental group (EG) or the control group (CG). The EG underwent 6 months of VR memory training (VRMT) that involved auditory stimulation and VR experiences in path finding. The initial training phase lasted 3 months (3 auditory and 3 VR sessions every 2 weeks), and there was a booster training phase during the following 3 months (1 auditory and 1 VR session per week). The CG underwent equivalent face-to-face training sessions using music therapy. Both groups participated in social and creative and assisted-mobility activities. Neuropsychological and functional evaluations were performed at baseline, after the initial training phase, and after the booster training phase. Results.The EG showed significant improvements in memory tests, especially in long-term recall with an effect size of 0.7 and in several other aspects of cognition. In contrast, the CG showed progressive decline. Conclusions . The authors suggest that VRMT may improve memory function in elderly adults by enhancing focused attention.

The human visual system is highly tuned to perceive actual motion as well as to extrapolate dynamic information from static pictures of objects or creatures captured in the middle of motion. Processing of implied motion activates higher-order visual areas that are also involved in processing biological motion. Imagery and observation of actual movements performed by others engenders selective activation of motor and premotor areas that are part of a mirror-neuron system matching action observation and execution. By using single-pulse transcranial magnetic stimulation, we found that the mere observation of static snapshots of hands suggesting a pincer grip action induced an increase in corticospinal excitability as compared with observation of resting, relaxed hands, or hands suggesting a completed action. This facilitatory effect was specific for the muscle that would be activated during actual execution of the observed action. We found no changes in responsiveness of the tested muscles during observation of nonbiological entities with (e.g., waterfalls) or without (e.g., icefalls) implied motion. Thus, extrapolation of motion information concerning human actions induced a selective activation of the motor system. This indicates that overlapping motor regions are engaged in the visual analysis of physical and implied body actions. The absence of motor evoked potential modulation during observation of end posture stimuli may indicate that the observation–execution matching system is preferentially activated by implied, ongoing but not yet completed actions.

Perception of the final position of a moving object or creature is distorted forward along its actual or implied motion path, thus enabling anticipation of its forthcoming position. In a previous research, we demonstrated that viewing static snapshots that imply body actions activates the human motor system. What remains unknown, however, is whether extrapolation of dynamic information and motor activation are higher for upcoming than past action phases. By using single-pulse transcranial magnetic stimulation, we found that observation of start and middle phases of grasp and flick actions engendered a significantly higher motor facilitation than observing their final postures. Differential motor facilitation during start and end postures was independent of finger configuration at the different hand apertures. Subjective ratings showed that modulation of motor facilitation was not due to the amount of implied motion per se but to the forward direction of the motion path toward upcoming phases. Thus, motor facilitation proved maximal for the snapshots evoking ongoing but incomplete actions. The results provide compelling evidence that the frontal component of the observation–execution matching system is preferentially activated by the anticipatory simulation of future action phases and thus plays an important role in the predictive coding of others’ motor behaviors.