Physle Daily
Neurological Rehab Randomised controlled trial

Virtual reality-based music attention training for acquired brain injury: A randomized crossover study.

Researchers in this study wanted to see whether training attention through a virtual reality drumming game could help people recover cognitive abilities after brain injury. They recruited 24 people who were about three months into their recovery and gave them two different types of training over eight weeks, switching between them halfway through. One group did virtual reality-based music attention training (a four-level drumming program designed to sharpen focus), while the other did conventional cognitive training using card sorting and computerized tasks.

Both groups showed improvements in some areas, but they improved in somewhat different ways. The virtual reality group showed clearer gains on tests measuring attention and processing speed, while the conventional group improved more on working memory and overall mental status. This raises an interesting question about whether adding music and immersive technology to attention training might offer a particular benefit for people recovering from brain injury.

This study looked at whether practicing attention through a virtual reality drumming game could help people think more clearly after a brain injury. Twenty-four people who had experienced a stroke or similar brain injury participated in the study, trying both a virtual reality game and traditional computerized training over two months.

The people who used the virtual reality drumming game showed improvements on tests that measure how quickly you can shift your attention and process information. People who did the traditional training improved on different types of thinking skills, like remembering things held in mind and overall mental sharpness.

Both types of training appeared to help, though in somewhat different ways. What this means for your own recovery is unclear from just one study, so it is worth having an open conversation with your rehabilitation team about what kinds of training might suit your particular goals and preferences.

This is a summary of research, not medical advice. Talk to your own healthcare provider about anything affecting your care.

This crossover design offers a useful window into how music-based immersive training might influence cognitive recovery in the early post-injury window. The virtual reality group showed statistically significant improvements on the Trail Making Test parts B and B-A (p = 0.009 and p = 0.018 respectively), which measure processing speed and executive switching, alongside gains on the Clinical Dementia Rating scale (p = 0.035).

The conventional group improved on spatial working memory (p = 0.005) and MMSE scores (p = 0.003), suggesting the two approaches engage somewhat different cognitive domains. The sample is small and the study does not clarify why music-based training appeared to preferentially benefit attention measures, leaving the mechanism somewhat open.

The timing at three months post-injury is clinically relevant, though longer-term retention and generalization to daily function remain unreported. For practitioners, this suggests virtual reality attention training shows promise as one option among several, particularly if attention and processing speed are focal rehab targets, though the evidence base remains early and warrants replication with larger groups.

1

Virtual reality-based music attention training produced significant improvements in Trail Making Test performance and Clinical Dementia Rating scores in people with acquired brain injury.

2

Conventional cognitive training (card sorting and computerized tasks) showed significant improvements in spatial working memory and MMSE scores in the same population.

3

Both interventions appeared effective but influenced somewhat different cognitive domains, suggesting they may engage attention through different mechanisms.

Source

Annals of the New York Academy of Sciences

Jeong E, Ham Y, Lee SJ et al. · 2024

doi: 10.1111/nyas.15249

Read paper →
Previously in Neurological
2026-07-08[Comparative effectiveness of various methods of physical rehabilitation in the complex treatment of patients with dyscirculatory encephalopathy with vestibulo-atactic syndrome].2026-07-07High-intensity interval versus moderate-intensity continuous cycling training in Parkinson's disease: a randomized trial.2026-07-06Effects of exercise in people with multiple sclerosis: a systematic review and meta-analysis. Browse the full Neurological archive →
A note on accuracy

Summaries are AI-generated from each paper's abstract and are for learning, not clinical decision-making. They may miss nuance or occasionally misstate details from the source, so always read the original paper before applying findings in practice. Nothing on this site is medical advice.