DOI QR코드

DOI QR Code

Effects of virtual reality cognitive rehabilitation program on cognitive function, physical function and depression in the elders with dementia

  • Received : 2014.05.27
  • Accepted : 2014.09.09
  • Published : 2014.10.31

Abstract

The aim of this study is to examine the effects of virtual reality cognitive rehabilitation program on cognitive function, physical function and depression of long-term care insurance nongrading elderly dementia using Daytime protection service. For achieve this purpose, 30 dementia elderly were randomly assigned in to the experimental group(n=15)and control group(n=15). All subjects performed a general therapeutic exercise and 20- 30minutes takes virtual reality cognitive rehabilitation program were conducted with experimental group 2 times a week for 8 weeks. The intervention effects were measured by using cognitive function is mini-mental states examination-Korean version(MMSE-K), visual perception is MVPT(Motor-Free Visual Perception Test), Berg's balance scales(BBS), depression test GDS-K and lower limb strength. The results of study represented that the training group showed significant improvement in MMSEK( p<.05), visual perception(p<.05), balance(p<.05), lower limb strength(p<.05) and depression (p<.05). In conclusion, the virtual reality cognitive rehabilitation training using improves visual perception included cognitive function, physical function included balance, and lower limb strength and depression. These results suggest that virtual reality training using virtual reality cognitive rehabilitation program is feasible and suitable for mild dementia.

Keywords

References

  1. Ryu, HJ. The Comparison on SNSB Performanc among Normal Age Person, Mild Cognitive Impairment and Early Dementia. Graduate School of Rehabilitation Science Daegu University 2011.
  2. Eschrich S, Munte T. F. & Altenmuller E. O. Unforgettable film music. The role of emotion in episodic long-term memory for music. BMC Neuroscience 2008; 9(1): 48. https://doi.org/10.1186/1471-2202-9-48
  3. Weiss P. L, Rand D, Katz N & Kizony R. Video capture virtual reality as a flexible and effective rehabilitation tool. J Kor neuroengineering and rehabilitation 2004; 1(1): 12. https://doi.org/10.1186/1743-0003-1-12
  4. Lott A, Bisson E, Lajoie Y, Mc Comas J & Sveistrup H. The effect of two types of virtualreality on voluntary center of pressure displacement. Cyber psychol Behav 2003; 6: 477-485. https://doi.org/10.1089/109493103769710505
  5. Kim JH, Kim CS. Effects of virtual reality program on standing balance in chronic stroke patients. J Kor Society of Physical Therapy 2005; 17(3): 351-367.
  6. Jang JY, Yoon YS. A Study on Serious Game Design for Rehabilitation Training of Sroke Patients. The Korean Society for Computer Game 2008; 15: 151-159.
  7. Kim JH, Oh MH, Lee JS, Ahn HS. The Effects of Training Using Virtual Reality Games on Stroke Patients' Functional Recovery. The Journal of Korean Society of Occupational Therapy 2011; 19(3): 101-114.
  8. Gwon, YC, Park, JH. Elderly Korean version of Mini-Mental State Examination Standardization study(MMSE-K)-Part 2: division and iagnostic validity NeuroPsychiatry. 1989; 28(3): 125-135.
  9. Han TR, Kim JH. Rehabilitation medicine. Koonja 2002.
  10. Korean Association for Geriatric Psychiatry, Korean dementia assessment tests. hakjisa 2003.
  11. Mercier L, Hebert R, Colarusso R, Hammill D. Motor-Free Visual Perception Test-vertical Manual. Califonia: Academic Therapy Publications 1997.
  12. Berg K, Wood-Dauphinee S, Williams JI, Maki B. Measuring balance in the elderly: preliminary development of an instrument. Physiotherapy Canada 1989; 41: 304-311. https://doi.org/10.3138/ptc.41.6.304
  13. Yesavage JA, Brink TL, Rose TL, Lum O, Virginia H, Adey M, Leirer VO. Development and Validation of a Geriatric Depression. Screening Scale: A Preliminary Report. J. Psychiat. Res 1983; 17(1): 37-49.
  14. Jeong IG, Gwak DI, Sin DG, Lee MS, Lee HS, Kim JY. Reliability of the Geriatric Depression Scale, Validity. Neuropsychiatric Medicine. 1997; 36(1): 103-111.
  15. Ryu KH, Oh KJ. Neuropsychological Differentiation Between Mild Alzheimer's Disease and Subcortical Vascular Dementia. Korean Psychological Association. 2006; 25(4): 987-1010.
  16. Im JH. A Review of literature on effects of regular exercise on physical and cognitive functions among demented elders. Sung Shin Woman's university 2007.
  17. Hyen P, Abreu BC, Ottenbacher KJ. The effect of exercise training on elderly persons with cognitive impairment and dementia Arch Phys Med Rehabil 2004; 85(10): 1694-704. https://doi.org/10.1016/j.apmr.2004.03.019
  18. Kim MY, Lee KS, Choi JS, Kim HB, Park CI. Effectiveness of Cognitive Training based on Virtual Reality for the Elderly. J Korean Acad Rehabil Med. 2005; 29(4): 424-433.
  19. Choi MH, Kim HJ, An OH. A Literature Study on the Elderly's Visual- Perception : Focusing on the Domestic Research. Journal of Korean Institute of Illuminating and Electrical Installation Engineers 2009; 23(1): 1-8.
  20. Lee HS. Evaluation of the Visual Perception Ability and it's factors on MVPT-3 test in the Elderly Population. Graduate School Chonnam National University 2010.
  21. Colarusso RP, Hammill DD. Motor-Free Visual Perception Test-3 Manual. California Academic therapy publications 2003.
  22. Shin JW. Effects of Virtual Reality Training Program on Eye-Hand Coordination in Children with Cerebral Palsy. Graduate School of Rehabilitation Science Daegu University 2012.
  23. Lee Jh. Influence of virtual reality games on cognition, balance and function in dementia patients. Graduate School of Public Health Nambu University 2010.
  24. Shin WS, Lee SM. Effects of Rehabilitation Exercise Using Virtual Reality on Functional Recovery in the Persons with Stroke. Journal of Special Education & Rehabilitation Science 2005; 48(3): 49-64.
  25. Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retiraining balance following acute stroke. Physical therapy 2000; 80(9): 886-895.
  26. Thomas VS, Hageman PA. A preliminary study on there liability of physical performance measures in older day-care center clients with dementia. Int Psychogeriatr 2002; 14(1): 17-23. https://doi.org/10.1017/S1041610202008244
  27. Song CH, Shin WS, Lee, KJ, Lee SW. The effect of a virtual reality-based exercise program using a video game on the muscle strength, balance and gait abilities in the elderly. Journal of the Korean Gerontological Society 2009; (4): 1261-1275.
  28. Lee SY, Lee SK, Kim YH, Chae JB. The Effects of 4 Weeks Training using Virtual Reality Game on Balance and Gait Ability, Depression of Elderly People. J Korea Proprioceptive Neuromuscular Facilitation Assocition. 2012; 10(2): 41-46.
  29. Shin KE. Effect of Virtual Reality Game on Old Patient's Depression, Relationship and Life Satisfaction. Graduate School of Dong Shin University 2014.
  30. Holden MK, Dyar T. Virtual environment training: A new tool for neurorehabilitation. Neurology Report 2002; 26: 62-74. https://doi.org/10.1097/01253086-200226020-00003
  31. Kwon JS, Yang NY. Feasibility of Virtual Reality for Enhancement of Upper Extremity Function Post Stroke. Therapeutic Science for Neuro rehabilitation 2012; 1(2): 35-40.
  32. Brach. Physical activity and functional status incommunity-dwelling older women: A 14-year peospective study. Archives of internal Medicine 2003; 163(21): 2565-2571. https://doi.org/10.1001/archinte.163.21.2565