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Effect of the Virtual Reality Cognitive Rehabilitation Program on Cognition Ability and Activities of Daily Living in Patients with Mild Cognitive Impairment

가상현실 인지재활 프로그램이 경도인지장애 환자의 인지능력과 일상생활동작에 미치는 영향

  • 강혁준 (호남대학교 물리치료학과) ;
  • 김상률 (호남대학교 물리치료학과) ;
  • 김정헌 (호남대학교 물리치료학과) ;
  • 송대헌 (호남대학교 물리치료학과) ;
  • 양지은 (호남대학교 물리치료학과) ;
  • 추미란 (호남대학교 물리치료학과) ;
  • 이현민 (호남대학교 물리치료학과)
  • Received : 2020.10.21
  • Accepted : 2020.11.10
  • Published : 2020.11.30

Abstract

PURPOSE: This study investigated the effect of a head-mounted display (HMD) based virtual reality (VR) cognitive rehabilitation program on the cognitive ability and activities of daily living in patients with mild cognitive impairment. METHODS: This study enrolled 5 mild cognitive impairment patients at the G welfare center in Gwangju metropolitan city. Patients were examined using the MMSEDS (Mini mental state examination-dementia screening). The VR cognitive rehabilitation program was applied twice a week for four weeks. The functional independence measure (FIM) and Loewenstein occupational therapy cognitive assessment-geriatric population (LOTCA-G) were compared before and after applying the VR cognitive rehabilitation program. RESULTS: Subsequent of application of the VR cognitive rehabilitation program, significant increase was observed in the LOTCA-G score. The FIM score was also perceived to increase, after the intervention, but was not statistically significant. CONCLUSION: Application of the VR cognitive rehabilitation program as a therapy is effective in improving the visual perception, and upper extremity executive ability, especially orientation, thinking organization, attention, and concentration.

Keywords

References

  1. Kim KW, Park JH, Kim MH, et al. A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea. Journal of Alzheimer's Disease. 2011;23(2):281-91. https://doi.org/10.3233/JAD-2010-101221
  2. Simon HA. Information processing models of cognition. Annual review of psychology. 1979;30(1):363-96. https://doi.org/10.1146/annurev.ps.30.020179.002051
  3. Kim J. Improving Cognitive Abilities for People with Alzheimer's Disease: Application and Effect of Reality Orientation Therapy (ROT). Phonetics and Speech Sciences. 2013;5(1):27-38. https://doi.org/10.13064/KSSS.2013.5.1.027
  4. Ben-Yishay Y, Diller L. Cognitive remediation in traumatic brain injury: update and issues. Archives of physical medicine and rehabilitation. 1993;74(2):204-13.
  5. Kong EH, Evans LK, Guevara JP. Nonpharmacological intervention for agitation in dementia: a systematic review and meta-analysis. Aging & mental health. 2009;13(4):512-20. https://doi.org/10.1080/13607860902774394
  6. Bang JH, Bang YS, Son BY. et al. The Effects of a Cognitive Stimulation Activity Program on the Mild Cognitive Impairment Elderlys Cognitive Function, Self-Efficacy, and Depression. Journal of the Korea Entertainment Industry Association. 2019;13(3):231-48. https://doi.org/10.21184/jkeia.2019.4.13.3.231
  7. Carroll D. Hand function in hemiplegia. Journal of Chronic Diseases. 1965;18(5):493-500. https://doi.org/10.1016/0021-9681(65)90031-7
  8. Scherder EJ, Van Paasschen J, Deijen J-B, et al. Physical activity and executive functions in the elderly with mild cognitive impairment. Aging & mental health. 2005;9(3):272-80. https://doi.org/10.1080/13607860500089930
  9. Kim C. Development and effect analysis of nature-friendly integrated program for the elderly with mild cognitive impairment. Unpublished Doctorial Dissertation, Sunmoon University. 2017.
  10. Cunningham D, Krishack M. Virtual reality promotes visual and cognitive function in rehabilitation. Cyber Psychology & Behavior. 1999;2(1):19-23. https://doi.org/10.1089/cpb.1999.2.19
  11. Rose D, Foreman N. Virtual reality. The psychologist. 1999.
  12. Scozzari S, Gamberini L. Virtual reality as a tool for cognitive behavioral therapy: a review. Advanced computational intelligence paradigms in healthcare 6. Virtual reality in psychotherapy, rehabilitation, and assessment. Springer. 2011. pp.63-108.
  13. Garcia-Betances RI, Arredondo Waldmeyer MT, Fico G, et al. A succinct overview of virtual reality technology use in Alzheimer's disease. Frontiers in aging neuroscience. 2015;7:80. https://doi.org/10.3389/fnagi.2015.00080
  14. Choi JH, Han EY, Kim BR, et al. Effectiveness of commercial gaming-based virtual reality movement therapy on functional recovery of upper extremity in subacute stroke patients. Annals of rehabilitation medicine. 2014;38(4):485. https://doi.org/10.5535/arm.2014.38.4.485
  15. Cho KH, Lee KJ, Song CH. Virtual-reality balance training with a video-game system improves dynamic balance in chronic stroke patients. The Tohoku journal of experimental medicine. 2012;228(1):69-74. https://doi.org/10.1620/tjem.228.69
  16. bin Song G, cho Park E. Effect of virtual reality games on stroke patients' balance, gait, depression, and interpersonal relationships. Journal of physical therapy science. 2015;27(7):2057-60. https://doi.org/10.1589/jpts.27.2057
  17. Schultz-Larsen K, Lomholt RK, Kreiner S. Mini-Mental Status Examination: a short form of MMSE was as accurate as the original MMSE in predicting dementia. Journal of Clinical Epidemiology. 2007;60(3):260-7. https://doi.org/10.1016/j.jclinepi.2006.06.008
  18. Katz N, Elazar B, Itzkovich M. Construct validity of a geriatric version of the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) battery. Physical & Occupational Therapy in Geriatrics. 1995;13(3):31-46. https://doi.org/10.1080/J148v13n03_03
  19. Wang S, Gong Z, Sen J, et al. The usefulness of the Loewenstein Occupational Therapy Cognition Assessment in evaluating cognitive function in patients with stroke. European review for medical and pharmacological sciences. 2014;18(23):3665-72.
  20. Asher IE. Occupational therapy assessment tools: An annotated index. Amer Occupational Therapy Assn. 1996.
  21. Rizzo AA, Buckwalter JG. Virtual reality and cognitive assessment. Virtual Reality in Neuro-Psycho-Physiology: Cognitive, Clinical and Methodological Issues in Assessment and Rehabilitation. 1997;44:123.
  22. Avila A, De‐Rosende‐Celeiro I, Torres G, et al. Promoting functional independence in people with Alzheimer's disease: Outcomes of a home‐based occupational therapy intervention in Spain. Health & Social Care in the Community. 2018;26(5):734-43. https://doi.org/10.1111/hsc.12594
  23. Cho D-R, Lee S-H. Effects of virtual reality immersive training with computerized cognitive training on cognitive function and activities of daily living performance in patients with acute stage stroke: A preliminary randomized controlled trial. Medicine. 2019;98(11).
  24. Adamovich SV, Fluet GG, Tunik E, et al. Sensorimotor training in virtual reality: a review. NeuroRehabilitation. 2009;25(1):29-44. https://doi.org/10.3233/nre-2009-0497
  25. Lee H. The Effects of individualized cognitive program on LOTCA-G and ADL in elderly with dementia and mild cognitive impairment. Journal of The Korean Society of Integrative Medicine. 2016;4(1):21-9. https://doi.org/10.15268/ksim.2016.4.1.021