Table 3 Comparison of our proposed system with existing VR-Based cognitive therapy solutions.

From: A smart secure virtual reality immersive application for alzheimer’s and dementia patients

Feature

Our proposed system

Appel et al.10 – VR for Dementia

Yali et al.12 – VR Exercise Therapy

Tan et al.19 – CAVIRE VR Cognitive Assessment

Flynn et al.20 – VR-Based Dementia Engagement

AI-powered companion

Yes, interactive AI-driven support

× No AI interaction

× No AI companion, focused on physical exercise

× No AI interaction, only assessment

× No AI, passive engagement

Personalized cognitive therapy

Adaptive tasks based on user progress

× Fixed therapeutic activities

× Fixed exercise routines

× Assessment only, no therapy

× No cognitive exercises, only VR exploration

Speech & voice recognition

Bilingual (English & Arabic)

× No voice features

× No voice recognition

Some voice-based interaction for cognitive testing

× No speech interaction

Security & privacy measures

AES encryption, HIPAA/GDPR compliance, RBAC

× Limited privacy discussion

× No discussion on security

Moderate security for medical data

× No security measures mentioned

Virtual tourism feature

Includes 360° virtual environments & meditation

× No tourism, only dementia care activities

× No virtual tourism

× No tourism, only cognitive testing

Limited VR exploration (park setting)

Engagement & interaction

30% higher engagement than traditional cognitive exercises

Limited interactivity, passive VR

Physical engagement only

Assessment only, not designed for therapy

Limited interactivity, passive VR