대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제17권4호
  • /
  • Pages.75-83
  • /
  • 2022
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
DOI QR코드

DOI QR Code

신경인지재활치료가 뇌졸중 환자의 연하기능 및 삶의 질에 미치는 영향에 대한 무작위 임상연구

Effects of Neurocognitive Rehabilitation Treatment on the Swallowing Function and Quality of Life of Stroke Patients: A Randomized Controlled Trial

  • 김연화 (대구대학교 재활과학대학원 재활과학과) ;
  • 김환 (대구대학교 작업치료학과)
  • Yeon-Hwa, Kim (Department of Rehabilitation Science, Graduate School of Rehabilitation Science, Daegu University) ;
  • Hwan, Kim (Department of Occupational Therapy, Daegu University)
  • 투고 : 2022.10.14
  • 심사 : 2022.11.16
  • 발행 : 2022.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE: This study was conducted to find out the effects of neurocognitive rehabilitation therapy on the swallowing function and quality of life of stroke patients. METHODS: Thirty patients were selected and randomly allocated into an experimental and a control group. Patients in the experimental group received 15 minutes of neurocognitive rehabilitation treatment combined with 15 minutes of traditional treatment. For the control group, patients received 30 minutes of traditional dysphasia treatment. The experiments were conducted for 30 minutes a day, five times a week, for four weeks. New VFSS and SWAL-QOL were administrated to evaluate the outcomes. RESULTS: Swallowing functions were significantly improved in the experimental group and the control group (p < .05), but there was no statistically significant difference in pre- and post-interventional swallowing between the groups (p > .05). The quality of life was also significantly improved (p < .05) for both groups, but there was a statistically significant difference between the two groups (p > .05). Third, a correlational analysis between swallowing function and quality of life revealed a moderate correlation between New VFSS and SWAL-QOL (p < .05). CONCLUSION: The results of this study suggest that swallowing therapy through neurocognitive rehabilitation treatment program could be helpful for improving swallowing function and quality of life in stroke patients. Although there was no statistically significant changes from traditional rehabilitation therapy, training in recognizing the senses in the oral cavity and external environment through neurocognitive rehabilitation therapy can be applied as one of the treatment options.

키워드

참고문헌

  1. Lee KW, Ha MK, Ha KS, et al. The association of social support and quality of life of stroke patients in a city. J Agric Med Community Health. 2010;35(1):46-55. https://doi.org/10.5393/JAMCH.2010.35.1.046
  2. Park CI, Moon JH. Rehabilitation medicine. Seoul. HANMI Medical. 2012.
  3. Statistics Korea: Cause of death statistics in 2017, 2018. Accessed June 25, 2022.
  4. Kim DH. Dysphagia and its relation to lesion location and size after stroke. Master's Degree. Deagu. Kyungpook National University. 2009.
  5. Park YH, Kim HS. Clinical evaluation of the swallowing. JKDS. 2011;1(1):19-24.
  6. Song YJ, Lee HS, Jung WM, et al. Swallowing disorder. Seoul. GYECHUK MUNWHASA. 2007.
  7. Mann G, Hankey GJ, Cameron D. Swallowing disorders following acute stroke: Prevalence and diagnostic accuracy. Cerebrovasc Dis. 2000;10(5):380-6. https://doi.org/10.1159/000016094
  8. Yoon YS, Lim JT, Yun SB, et al. The Effect of functional electrical stimulation on swallowing function in stroke patients with dysphagia. Ann Rehabil Med. 2006;30(5):417-23.
  9. Team SMHD, Oh BM, Lee GJ. Rehabilitation of dysphagia. Seoul. PACIFIC BOOKS. 2007.
  10. Barczi SR, Sullivan PA, Robbins JA. How should dysphagia care of older adults differ? Establishing optimal practice patterns. Semin Speech Lang. 2000;21(4):347-61. https://doi.org/10.1055/s-2000-8387
  11. McHorney CA, Bricker DE, Kramer AE, et al. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia. 2000;15(3):115-21. https://doi.org/10.1007/s004550010012
  12. Perfetti C. The cognitive therapeutic exercise in hemiplegic rehabilitation: Rehabilitation as a learning process. Phys. Ther. 1997;26:50-4.
  13. Ahn SN. Effect of sensory information transfer training about perception of body in stroke patients. J Korean Soc Neuroco Rehab. 2014;6(1):47-53.
  14. Kim YS. The effectiveness of cognitive therapeutic exercise on upper extremity function and activities of daily living in stroke patients. J Korean Soc Neuroco Rehab. 2014;6(1):41-6. https://doi.org/10.21562/kjs.2014.06.48.3.41
  15. Park JH, Lee JW. Effect of cognitive therapeutic exercise on the upper extremity function of stroke patient: A systematic review of the literature. J Korean Soc Neuroco Rehab. 2013;5(0):1-8.
  16. Hwang JH, Lee YS, Kim MY. The effects of the oral neurocognitive rehabilitation therapy on wwallowing function. J Korean Soc Neuroco Rehab. 2015;7(1):31-9.
  17. Jeon EM, Cha IG. The Effect of Neurocognitive rehabilitation for swallowing improvement in patients with stroke. J Korean Soc Neuroco Rehab. 2014; 6(1):31-9.
  18. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state": A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98. https://doi.org/10.1016/0022-3956(75)90026-6
  19. Park JH, Kwon YC. Standardization of Korean version of the mini-mental state examination (MMSE-K) for use in the elderly. Part II. diagnostic validity. J Korean Neuropsychiatr Assoc. 1989;28(3):508-13.
  20. Jung SH, Lee KJ, Hong JB, et al. Validation of clinical dysphagia scale: Based on videofluoroscopic wwallowing study. Ann Rehabil Med. 2005;29(4):343-50.
  21. McHorney CA, Robbins J, Lomax K, et al. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia. 2002;17(2):97-114. https://doi.org/10.1007/s00455-001-0109-1
  22. Greenblatt DY, Sippel R, Leverson G, et al. Thyroid resection improves perception of swallowing function in patients with thyroid disease. World J Surg. 2009;33(2):255-60. https://doi.org/10.1007/s00268-008-9837-9
  23. Thomas L, Jones TM, Tandon S, et al. An evaluation of the university of washington quality of life swallowing domain following oropharyngeal cancer. Eur Arch Otorhinolaryngol. 2007;265(1):29-37. https://doi.org/10.1007/s00405-007-0470-2
  24. Hardy E, Robinson NM. Swallowing disorders treatment manual. Texas. ProEd. 2004.
  25. Pedretti LW, Early MB. Occupational therapy practice skills for physical dysfunction (6th ed). Missouri. Mosby. 2006.
  26. Trombly CA, Radomski MV. Occupational therapy for physical dysfunction (6th ed). Baltimore. Lippincott Williams & Wilkins. 2008.
  27. Cohen J. Statistical power analysis for the behavioral science (2nd ed). Hillsdale. NJ: Erlbaum. 1988.
  28. An HS, Jeong WM, Ahn SN. Effect of oral training for oral stage of dysphagia. J Korean Soc Neuroco Rehab. 2013;5(1):55-65.