Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

The effect of computer based cognitive rehabilitation program on the improvement of generative naming in the elderly with mild dementia: preliminary study

한국형 전산화 인지재활프로그램이 초기 치매노인의 생성 이름대기 수행에 미치는 효과에 관한 예비연구

  • Byeon, Haewon (Department of Speech Language Pathology, Honam University)
  • 변해원 (호남대학교 보건과학대학 언어치료학과)
  • Received : 2019.07.01
  • Accepted : 2019.09.20
  • Published : 2019.09.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the effect of computer based cognitive rehabilitation program on the generative naming. Twenty - one patients were assigned to the CoTras program and eight were treated with traditional face - to - face language rehabilitation such as paper and table activities. The experimental group and the control group performed sequential language recall memory training, association memory recall training, language categorization memory training, and language integrated memory training for 12 weeks. The Welch's robust ANCOVA showed significant differences in mean fluency and MMSE-K changes (p<0.05). On the other hand, phonemic fluency increased significantly after 12 weeks of treatment compared to baseline in both experimental and control groups, but there was no statistically significant difference between treatment groups. The results of this study suggest that the computer based cognitive rehabilitation program may be more effective in improving the semantic fluency than the conventional cognitive-linguistic rehabilitation.

본 연구는 초기 치매환자를 대상으로 전산화 인지재활프로그램이 전두엽 집행기능 중 생성 이름대기에 미치는 효과를 파악하고, 치매 환자의 조기 언어중재에 관한 기초자료를 제공하였다. 분석 대상은 경증치매환자 29명으로서 전산화 인지재활프로그램(CoTras)을 중재하는 실험군 21명과 지필과 테이블활동 등 전통적인 면대면 언어재활을 중재하는 대조군 8명으로 분류되었다. 실험집단과 대조집단은 모두 12주 동안 순차적 언어 회상 기억훈련, 연합회상 기억훈련, 언어 범주화 기억훈련, 언어통합 기억훈련을 진행하였다. 의미유창성과 음소유창성의 사전검사점수를 공변량으로 통제한 Welch's robust ANCOVA분석 결과, 실험집단과 대조집단은 의미유창성과 MMSE-K의 변화에서 유의미한 차이가 있었다(p<0.05). 반면에, 음소유창성은 실험군과 대조군 모두 기초선단계에 비해서 12주간의 치료 후 유의미하게 증가하였지만 통계적으로 치료방법에 따른 유의미한 차이는 없었다. 본 연구의 결과는 전산화 인지재활프로그램이 전통적인 인지재활에 비해서 의미유창성의 향상에 효과적일 가능성을 시사한다.

Keywords

References

  1. M. J. Cho. (2009). The Prevalence and risk factors of dementia in the Korean elderly. Health and Welfare Forum. 156(0), 43-48.
  2. Clinical Research Center for Dementia of South Korea. (2011). Clinical practice guideline for dementia, Part I: diagnosis & evaluation. Seoul: Clinical Research Center for Dementia of South Korea.
  3. R. J. American Psychiatric Association (2007). Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association Press.
  4. H. Li, J. Li, N. Li, B. Li, P. Wang & T. Zhou. (2011). Cognitive intervention for persons with mild cognitive impairment: a meta-analysis. Ageing Research Reviews. 10(2), 285-296. DOI.org/10.1016/j.arr.2010.11.003.
  5. H. Byeon et al. (2015). Association of alcohol drinking with verbal and visuospatial memory impairment in older adults: Clinical Research Center for Dementia of South Korea (CREDOS) study. International Psychogeriatric Association. 27(3), 455-461. DOI : org/10.1017/S104161021400146X.
  6. H. Byeon. (2014). Could naming test really differentiate among mild cognitive impairment, mild dementia and normal elderly?. Information Tokyo. 17(12), 6267-6272.
  7. R. Elliott. (2003). Executive functions and their disorders: Imaging in clinical neuroscience. British medical bulletin. 65(1), 49-59. DOI : org/10.1093/bmb/65.1.49.
  8. J. A. Alvarez & E. Emory. (2006). Executive function and the frontal lobes: a meta-analytic review. Neuropsychology review. 16(1), 7-42.
  9. A. Raglio et al. (2012). Music, music therapy and dementia: a review of literature and the recommendations of the Italian Psychogeriatric Association. Maturitas. 72(4), 30510. DOI : org/10.1016/j.maturitas.2012.05.016.
  10. B. Chancellor, A. Duncan & A. Chatterjee. (2014). Art therapy for Alzheimer's disease and other dementias. Journal of Alzheimer's Disease. 39(1), 1-11. DOI:10.3233/JAD-131295.
  11. J. H. Hwang & S. J. Kim. (2011). The effect of computer-assisted cognitive rehabilitation program on memory in the dementia: Case report. Journal of the Korean Society of Assistive Technology. 3(1), 53-63.
  12. S. H. Shin, J. S. Kim, & Y. K. Kim. (2008). The effects of a computer-assisted cognition training program ($RehaCom^{(R)}$) in stroke patients. Brain & Neurorehabilitation. 1(2), 181-189. DOI : org/10.12786/bn.2008.1.2.181.
  13. K. D. Cicerone et al. (2011). Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Archives of Physical Medicine and Rehabilitation. 92(4), 519-530. 10.1016/j.apmr.2010.11.015.
  14. Y. G. Kim. (2011). The effects of Korean computer-based cognitive rehabilitation program (CoTras) for the cognition and ADL in stroke. The Journal of Korean Society of Occupational Therapy. 19(3), 75-88.
  15. S. .H Choi et al. (2001). Estimating the validity of the Korean version of expanded clinical dementia rating (CDR) scale. Journal of the Korean Neurological Association. 19(6), 585-591.
  16. K. Wild, D. Howieson, F. Webbe, A. Seelye & J. Kaye. (2008). Status of computerized cognitive testing in aging: a systematic review. Alzheimers & Dementia. 4(6), 428-437. DOI : 10.1016/j.jalz.2008.07.003.
  17. B. H. Oh, Y. K. Kim, J. H. Kim & Y. S. Shin. (2003). The effects of cognitive rehabilitation training on cognitive function of elderly dementia patients. Journal of Korean Neuropsychiatric Association. 42(4), 514-519.
  18. W. M. Jeong, Y, J. Hwang & J. C. Youn. (2010). Effects of a computer-based cognitive rehabilitation therapy on mild dementia patients in a community. Journal of the Korea Gerontological Society. 30(1), 127-140.
  19. E. E. Galante, G. Venturini & C. Fiaccadori. (2007). Computer-based cognitive intervention for dementia: preliminary results of a randomized clinical trial. Giornale Italiano di Medicina del Lavoro ed Ergonomia. 29(3 Suppl B), B26-32.
  20. H. J. Lee, K. D. Kim & B. R. Kim. (2017). The Systematic Discussion of a Study on the Application of Computerized Cognitive Rehabilitation on Patient with Dementia in Korea. Journal of The Korean Society of Integrative Medicine. 5(4), 83-89. DOI:10.15268/ksim.2017.5.4.083.
  21. G. Cipriani, A. Bianchetti & M. Trabucchi. (2006). Outcomes of a computer-based cognitive rehabilitation program on Alzheimer's disease patients compared with those on patients affected by mild cognitive impairment. Archives of Gerontology and Geriatrics. 43(3), 327-335. DOI : org/10.1016/j.archger.2005.12.003.
  22. A. K. Troyer, M. Moscovitch & G. Winocur. (1997). Clustering and switching as two components of verbal fluency: evidence from younger and older healthy adults. Neuropsychology. 11(1), 138-146. https://doi.org/10.1037/0894-4105.11.1.138