Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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Effects of a Digital Pegboard Training Program With Visual and Auditory Feedback on Hand Function and Visual Perception in Patients With Stroke

시각, 청각 피드백을 이용한 디지털 페그보드 훈련 작업치료 프로그램이 뇌졸중 환자의 손 기능 및 시·지각에 미치는 영향

  • Hong, Jang-Woo (Daejeon Wellness Hospital) ;
  • Yoo, Chan-Uk (Dept. of Occupational Therapy, Kyungbok University) ;
  • Gang, Mi-Yeong (Dept. of Occupational Therapy, College of Health and Welfare, Woosong University) ;
  • Chang, Ki-Yeon (Dept. of Occupational Therapy, College of Health and Welfare, Woosong University)
  • 홍장우 (대전웰니스병원 작업치료실) ;
  • 유찬욱 (경복대학교 작업치료학과) ;
  • 강미영 (우송대학교 보건복지대학 작업치료학과) ;
  • 장기연 (우송대학교 보건복지대학 작업치료학과)
  • Received : 2022.05.14
  • Accepted : 2022.08.22
  • Published : 2022.11.30
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Abstract

Purpose : This study aimed to investigate the effects of a digital pegboard training program with visual and auditory feedback on hand function and visual perception in stroke patients. Methods : Twenty two participants were randomly assigned to an experimental or control group. The experimental group received training using a digital pegboard training program with visual and auditory feedback (n=11), while traditional occupational therapy was administered to the control group (n=11). Hand function was assessed before and after the intervention using the Nine-Hole Peg Test and manual function test (MFT), while visual perception was assessed using the Motor-Free Visual Perception Test-3rd edition (MVPT-3). Results : Following the intervention, both the experimental and control groups showed significant improvements in performance in the Nine-Hole Peg Test and MVPT-3 (p<.05). The improvement on both tests was significantly greater in the experimental group than in the control group (p<.05). Conclusion : The results suggest that digital pegboard training with visual and auditory feedback may improve hand function and visual perception in stroke patients. Therefore, this intervention can be effective in occupational therapy to aid the recovery of stroke patients.

목적 : 본 연구는 시각, 청각 피드백을 이용한 디지털 페그보드 훈련 프로그램이 뇌졸중 환자의 손 기능과 시·지각에 미치는 영향을 알아보고자 하였다. 연구방법 : 연구 대상자는 뇌졸중 환자 22명으로 실험군(시각, 청각 피드백을 이용한 디지털 페그보드 훈련 작업치료 프로그램 및 전통적인 작업치료) 11명과 대조군(전통적인 작업치료) 11명으로 무작위 할당되었다. 실험군은 1회당 30분씩 주 3회 6주간 총 18회의 시각, 청각 피드백을 이용한 디지털 페그보드 훈련 프로그램을 적용하여 치료를 시행하였으며, 1회당 30분씩 주 2회는 12회의 전통적인 작업치료를 받아 총 30회의 치료를 시행 하였다. 대조군은 1회당 30분씩 주 5회, 6주간 총 30회를 작업치료사를 통하여 전통적인 작업치료를 받도록 하였다. 평가는 중재 전, 후로 손 기능을 측정하기 위하여 Nine-hole pegboard test와 뇌졸중상지기능검사(MFT)를 시행하였다. 결과 : 실험군과 대조군 모두 중재 전과 후 Nine-hole pegboard test와 MVPT-3에서 유의한 상승을 보였다 (p<.05). 두 군 간의 비교에서는 실험군이 대조군보다 Nine-hole pegboard test와 MVPT-3결과 변화량 차이에 서 유의한 향상을 보였다(p<.05). 결론 : 본 연구의 결과를 통하여 시각 및 청각 피드백을 이용한 디지털 페그보드 훈련 프로그램이 뇌졸중 환자의 손 기능과 시·지각기능의 향상을 위한 재활 프로그램에 유용하게 활용될 수 있을 것으로 사료된다.

Keywords

Acknowledgement

이 연구는 2022년도 우송대학교 교내학술연구조성비 지원에 의해 이루어진 것임.

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