DOI QR코드

DOI QR Code

Survey for Needs of Bio-Signal Devices for the Diagnosis, Assessment, or Analysis of Neurocognitive Disorder in Korean Society of Oriental Neuropsychiatry

인지 장애 진단·평가·분석을 위한 생체신호 장비 개발에 대한 수요조사: 한방신경정신과학회 회원들을 대상으로

  • Choi, Yujin (Clinical Medicine Division, Korea Institute of Oriental Medicine) ;
  • Kim, Ji Hye (Clinical Medicine Division, Korea Institute of Oriental Medicine) ;
  • Kim, Kahye (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Kim, Jaeuk (Future Medicine Division, Korea Institute of Oriental Medicine)
  • 최유진 (한국한의학연구원 임상의학부) ;
  • 김지혜 (한국한의학연구원 임상의학부) ;
  • 김가혜 (한국한의학연구원 미래의학부) ;
  • 김재욱 (한국한의학연구원 미래의학부)
  • Received : 2020.03.20
  • Accepted : 2020.06.01
  • Published : 2020.06.30

Abstract

Objectives: The purpose of this study was to identify the needs of bio-signal devices for the diagnosis, assessment, and analysis of neurocognitive disorder in Korean medicine (KM) hospitals and clinics. Methods: A questionnaire was developed to survey the current status of medical device use, and diagnosis and interventions for patients with cognitive disorders in KM hospitals and clinics. November 11~December 2, 2019, 114 responses (71.9% completed) were collected by internet-based questionnaires from the members of the Korean society of Oriental Neuropsychiatry. Results: The clinical requests were in the descending order of hematology analyzer, ultrasound imaging system, and electroencephalography among the 15 most commonly used devices of which research would support for their clinical usability. The biosignal-based devices showed the highest research demands for patients with mild cognitive impairment rather than more severe stages of cognitive impairment. Prevention rather than diagnosis, or several treatment regimens was the strongest clinical area of the KM for patients with neurodegenerative cognitive impairment. Many responded that five to 10 minutes of test duration and 20,000 won to 30,000 won of cost would be appropriated for a new device to be developed. Conclusions: There were strong demands for the development of bio-signal devices for neurocognitive disorders among the KM doctors. Specifically, it showed high needs for the technology that can be used in the prevention area of cognitive disorders. Additionally, new medical devices to assess cognitive functions and to obtain KM pattern-related information were the high needs.

Keywords

References

  1. Bak YH, Huang DS, Kwon JW, Shin HK. Study of medical devices in traditional Korean medical clinics. The Journal of Korean Medicine 2011;32(2):79-91.
  2. The Society of Korean Medicine Diagnostics. Practice in Diagnostics of Korean Medicine. Seoul: Koonja; 2012. p.178-205.
  3. Seo YK, You DK, Kim H, Kim S, Kim SH, Kang HW, et al. A Survey of the Recognition on the Practice Pattern, Diagnosis, and Treatment of Korean Medicine of Dementia and Mild Cognitive Impairment-Focusing on the Differences between Neuropsychiatrists of Korean Medicine and General Physicians. Journal of Oriental Neuropsychiatry 2017;28(3):263-74. https://doi.org/10.7231/jon.2017.28.3.263
  4. Kim JH, Kim KH, Kim JU, Kim JH, Kim KH, Kim JU. Survey of Demand for Medical Devices in Korean Medicine. Journal of Korean Medicine 2014;35(3):103-15. https://doi.org/10.13048/jkm.14034
  5. Kim JH, Kim JU, Kim KH. Survey of Traditional Korean Medical Device: Number of devices, Problems, Solution plan. Journal of Physiology & Pathology in Korean Medicine 2014;28(4):430-9.
  6. Lee JB, Kang HW, Kim JU, Kim GH, Kim NK. A Study on Medical Expenses of Modern and Korean Medicine for Dementia Patients Under National Health Care. Journal of Oriental Neuropsychiatry 2019;30(1):31-8. https://doi.org/10.7231/JON.2019.30.1.031
  7. Nam DH. A survey of utilizing status and demand for medical devices in traditional Korean medicine. The Journal of Korean Medicine 2013;34(1):69-79. https://doi.org/10.13048/jkm.13013
  8. Borich GD. A needs assessment model for conducting follow-up studies. Journal of teacher education 1980;31(3):39-42. https://doi.org/10.1177/002248718003100310
  9. Oh S, Jun J, Park Y. Complementing a typical educational needs analysis using a survey in setting the priority of the needs. The Journal of Research in Education 2014;27(4):77-98.
  10. Lee JY, Kim H, Seo YK, Kang HW, Kang WC, Jung IC. A Research to Evaluate the Reliability and Validity of Pattern Identifications Tool for Cognitive Disorder: A Clinical Study Protocol. Journal of Oriental Neuropsychiatry 2018;29(4):255-66. https://doi.org/10.7231/JON.2018.29.4.255
  11. Ryu CH, Jung IC, Cho SH, Hwang WW, Kang WC, Lee SR. Preliminary study to develop the instrument of oriental medical evaluation for dementia. Journal of oriental neuropsychiatry 2010;21(4):123-35.
  12. Heo EJ, Kang HW, Jeon WK. Preliminary research for development of instrument for Cold-Heat & Deficiency-Excess pattern identification of dementia. Journal of Physiology & Pathology in Korean Medicine 2013;27(5):553-62.
  13. Lee GE, Moon KS, Kim NK, Jung IC, Kang HW, Moon KS, et al. Preliminary study to develop the Korean medical pathologic aging scale and Korean medical pattern identification for dementia. Journal of Korean Medicine 2017;38(3):111-23. https://doi.org/10.13048/jkm.17030
  14. Korean Medical Standard Terminology. 2015. Available from: https://cis.kiom.re.kr/terminology/. Accessed 2020.03.04.
  15. Choi SH. Korean Medicine. Busan: BigBook; 2016.
  16. Li XT, Zhao J. An approach to the nature of Qi in TCM-Qi and bioenergy. Recent Advances in Theories and Practice of Chinese Medicine 2012:79-108.
  17. Na SK, Yoon HR, Hwang RH, Kim JT, Nam SG. Science & engineering in medicine. Seoul: SangHakDang; 2009.
  18. Choi HS, Nam BH. Study on the Electric Potentials at Biophysical Meridian System. Korean Journal of Acupuncture 2002;19(2):1-12.
  19. Kim SB, Min CK, Lee NR, Lee SW, Shim TK, Yim YK, et al. A Distribution Chart Analysis of Electric Energy on Specific Acupoints in the Identical Meridian Pathway. Korean Journal of Acupuncture 2009;26(4):1-11.
  20. Lee CW, Song MH, Yang SJ, Kwon JN. Review study on ryodoraku diagnosis study methods. The Journal of Korean Medicine 2014;35(3):1-14.
  21. Bae JH, Ku BC, Bae SE, Kim JU. Circadian variations in electric current responses at ryodoraku points across the waking stage: A prospective observational study. Medicine 2019;98(9).
  22. Kim HH, Kim JY, Park YJ, Park YB. Development of pulse diagnostic devices in Korea. Integrative medicine research 2013;2(1):7-17. https://doi.org/10.1016/j.imr.2013.01.003
  23. Kim SY, Yoon SH, Kim YB, Jung SK. Study of Ryodoraku Parameters for Diagnosing Gastric Dysmotility in Functional Dyspepsia. The Journal of Internal Korean Medicine 2008;29(2):401-12.
  24. Yeo MK, Lee YS. Analysis of Clinical Research Trends on Cold-Heat Pattern Identification in Korea-Focused on Quantitative Indicators for General People. Journal of Physiology & Pathology in Korean Medicine 2017;31(2):145-52. https://doi.org/10.15188/kjopp.2017.04.31.2.145
  25. Lee SG. Present Application Status of Diagnostic Equipment in Clinical Studies in the Journal of Oriental Neuropsychiatry. Journal of Oriental Neuropsychiatry 2012;23(4):1-10. https://doi.org/10.7231/jon.2012.23.4.001
  26. Sachs-Ericsson N, Blazer DG. The new DSM-5 diagnosis of mild neurocognitive disorder and its relation to research in mild cognitive impairment. Aging & mental health 2015;19(1):2-12. https://doi.org/10.1080/13607863.2014.920303
  27. Choi JM, Ku BC, You YG, Jo MO, Kwon MJ, Choi YY, et al. Resting-state prefrontal EEG biomarkers in correlation with MMSE scores in elderly individuals. Scientific reports 2019;9(1):1-15.
  28. Crutcher MD, Calhoun-Haney R, Manzanares CM, Lah JJ, Levey AI, Zola SM. Eye tracking during a visual paired comparison task as a predictor of early dementia. American Journal of Alzheimer's Disease & Other $Dementias^{(R)}$ 2009;24(3):258-66. https://doi.org/10.1177/1533317509332093
  29. Scuteri A, Wang H. Pulse wave velocity as a marker of cognitive impairment in the elderly. Journal of Alzheimer's Disease 2014;42(s4):S401-S10. https://doi.org/10.3233/JAD-141416
  30. Cova I, Pomati S, Maggiore L, Forcella M, Cucumo V, Ghiretti R, et al. Nutritional status and body composition by bioelectrical impedance vector analysis: A cross sectional study in mild cognitive impairment and Alzheimer's disease. PloS one 2017;12(2).
  31. Tschanz J, Welsh-Bohmer K, Lyketsos CG, Corcoran C, Green RC, Hayden K, et al. Conversion to dementia from mild cognitive disorder: the Cache County Study. Neurology 2006;67(2):229-34. https://doi.org/10.1212/01.wnl.0000224748.48011.84
  32. Masoodi N. Cholinesterase inhibitors do not reduce progression to dementia from mild cognitive impairment. Annals of internal medicine 2013;158(4):JC2-3. https://doi.org/10.7326/0003-4819-158-4-201302190-02003
  33. Russ TC, Morling JR. Cholinesterase inhibitors for mild cognitive impairment. Cochrane Database of Systematic Reviews 2012(9).
  34. Kim H, Kim HK, Kim SY, Kim YI, Yoo HR, Jung IC. Cognitive improvement effects of electro-acupuncture for the treatment of MCI compared with Western medications: a systematic review and Meta-analysis. BMC complementary and alternative medicine 2019;19(1):13. https://doi.org/10.1186/s12906-018-2407-2
  35. Dong L, Hyde AJ, Zhang AL, Xue CC, May BH. Chinese Herbal Medicine for Mild Cognitive Impairment Using Montreal Cognitive Assessment: A Systematic Review. The Journal of Alternative and Complementary Medicine 2019;25(6):578-92. https://doi.org/10.1089/acm.2018.0346