Computer-Aided Cognitive Rehabilitation of Stroke Patients in Cognitive Function and Research on the Ability to Their Daily Living

  • Park, Seung-Kyu (Department of Physical Therapy, Sehan University) ;
  • Yang, Dae-Jung (Department of Physical Therapy, Sehan University) ;
  • Kang, Jeong-Il (Department of Physical Therapy, Sehan University) ;
  • Kim, Je-Ho (Department of Physical Therapy, Sehan University) ;
  • Jeong, Dong-jin (Department of Physical Therapy, Graduate School, Sehan University)
  • Received : 2015.10.15
  • Accepted : 2015.10.25
  • Published : 2015.10.25

Abstract

Purpose: The purpose of this study was to evaluate the impact of differences in computer-aided cognitive rehabilitation aimed at stroke patients on cognitive function and daily life. Methods: The study subjects were Gwangju, Jeonnam including the attention group (group I), memory group (group II), and visual perception group (group III), who were randomly placed in each of a 10 by one problem solving group (group IV). The PSSCogRehab was applied to all subjects who underwent eight weeks once a week after 20 minutes in each group by strengthening mediation 10 minutes 30 minutes total, with a five minute break in the middle. Results: Cognitive function and activities of daily living is security and inter-group differences before intervention, and post-test results in the memory training group II, the intervention group I, III, IV and more on cognitive function and activities of daily living compared to it was effective. Conclusion: The results of computer-aided cognitive rehabilitation measuring cognitive function and ADL in patients with stroke in accordance with the group I, III, and IV group cognitive function and activities of daily living compared to IV showed that it was more effective.

Keywords

References

  1. Lee SR, Kwon HC. The Relationship Between Activities of Daily Living and Cognitive Score in Stroke Patients. J Kor Phys Ther. 2003;10(3):41-51.
  2. Desmond DW, Moroney JT, Paik MC et al. Frequency and clinical determinants of dementia after ischemic stroke. Neurology. 2000;54(5):1124-31. https://doi.org/10.1212/WNL.54.5.1124
  3. Zinn S, Bosworth HB, Hoenig HM et al. Executive function deficits in acute stroke. Arch Phys Med Rehabil. 2007;88(2):173-80. https://doi.org/10.1016/j.apmr.2006.11.015
  4. Loetscher T, Lincoln NB. Cognitive rehabilitation for attention deficits following stroke. Cochrane Database Syst Rev, 2000:4.
  5. Jo DY, Park JH, Yoo UY. Effects of computer-based cognitive training on the cognitive function and instrumental activities of daily living in those with schizophrenia. J Korean Soc Occupational Therapy. 2006;21(1):1-14.
  6. Madden S, Hopman WM, Bagg S et al. Functional status and health-related quality of life during inpatient stroke rehabilitation. Am J Phys Med Rehabil. 2006;85(10):831-8. https://doi.org/10.1097/01.phm.0000240666.24142.f7
  7. Chen X, Van Nguyen H, Shen Q et al. Characteristics associated with recurrent falls among the elderly within aged-care wards in a tertiary hospital: The effect of cognitive impairment. Archives of Gerontology and Geriatrics. 2011;53(2):183-6. https://doi.org/10.1016/j.archger.2010.10.004
  8. Bang YS. The effects of task-oriented activities on the cognitive function and performance of activities of daily living in stroke patients. J Korean Soc Occupational Therapy. 2007;15(3):49-61.
  9. Kim DH, JO YN, Kwon HC. The effect of rehacom on cognitive func-tion and activities of daily living for traumatic brain injury. Jounal of Special Education & Rehabilitation Science. 2013;52(1):197-216.
  10. Schuster B. Rehabilitation of TBI using RehaCom. European Journal of Physical and Rehabilitation Medicine. 2002;38(1):39.
  11. Flak MM, Hernes SS, Skranes J et al. The Memory Aid study: Protocol for a randomized controlled clinical trial evaluating the effect of com-puter-based working memory training in elderly patients with mild cog-nitive impairment (MCI). Trials. 2014;15(1):156. https://doi.org/10.1186/1745-6215-15-156
  12. Garrido G, Barrios M, Penadés R et al. Computer-assisted cognitive re-mediation therapy: Cognition, self-esteem and quality of life in schizo-phrenia. Schizophr Res. 2013;150(2-3):563-9. https://doi.org/10.1016/j.schres.2013.08.025
  13. Cipriani G, Bianchetti A, Trabucchi M. Outcomes of a computer-based cognitive rehabilitation program on Alzheimer’s disease patients com-pared with those on patients affected by mild cognitive impairment.Arch Gerontol Geriatr. 2006;43(3):327-35. https://doi.org/10.1016/j.archger.2005.12.003
  14. Cicerone KD, Dahlberg C, Malec J et al. Evidence-based cognitive reha-bilitation: Updated review of the literature from 1998 through 2002. Archives of Physical Medicine and Rehabilitation, 2005;86(8):1681-92. https://doi.org/10.1016/j.apmr.2005.03.024
  15. Bracy OL. PSSCogRehab [computer software].
  16. Granger CV, Hamilton BB, Linacre JM. Performance profiles of the functional independence measure. Am J Phys Med Rehabil. 1993;72(2):84-9. https://doi.org/10.1097/00002060-199304000-00005
  17. Katz N, Itzkovich M, Averbuch S et al. Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) battery for brain-injured patients: Reliability and validity. American Journal of Occupational Therapy. 1989;43(3):184-92. https://doi.org/10.5014/ajot.43.3.184
  18. Fahimi M, Arjmandnia AA, Fathabadi J. Investigating efficacy of "Working memory training software" on students working memory. Health. 2014;6:2236-44. https://doi.org/10.4236/health.2014.616259
  19. Hellgren L, Samuelsson K, Lundqvist A et al. Computerized training of working memory for patients with acquired brain Injury. Open Journal of Therapy and Rehabilitation. 2015;3(02):46. https://doi.org/10.4236/ojtr.2015.32007
  20. Kim HH. The effects of evidence-based cognitive training program on the attention and memory of patients with stroke. Inje University. Dissertation of Master's Degree. 2008.
  21. Maroti D, Westerberg AF, Saury JM et al. Computerized training improves verbal working memory in patients with myalgic encephalomyelitis/chronic fatigue syndrome: A pilot study. J Rehabil Med. 2015;47(7):665-8. https://doi.org/10.2340/16501977-1976