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http://dx.doi.org/10.15268/ksim.2021.9.3.09

Comparison Before and After the Application of the Computerized Cognitive Rehabilitation Program(CoTras-C) for Children with Cerebral Palsy  

Park, So-Won (Dept. of Occupational Therapy, Gumi University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.9, no.3, 2021 , pp. 9-18 More about this Journal
Abstract
Purpose : In this study, we applied a computerized cognitive rehabilitation program (CoTras-C) for children with cerebral palsy. Research was conducted to investigate the impact of upper limb function, sensory function, and activities of daily living. Methods : The study period lasted 10 weeks from October 2019 to December 2019. The study subjects were 12 subjects according to the selection criteria, and a computerized cognitive rehabilitation program (CoTras-C) was conducted twice a week for 30 minutes before and after the application of basic occupational therapy. Results : As a result of the computerized cognitive rehabilitation program, scores of upper limb function (QUEST), sensory function (SSP-2), and daily life activity (WeeFIM) were significantly improved (p>.05). From the result of examining the motor area, improvement in fine-motor function and protective extension through touch pad or controller operation was found. It also showed improvement in activities of daily living including motor and activities of daily living including social cognition. In the sensory function evaluation, it was not significant in movement sensitivity. Significant differences were shown in the items excluding olfactory/taste sensitivity. Conclusion : The application of the computerized cognitive rehabilitation program (CoTras-C) showed significant results in upper limb function, sensory function, and daily life activities of children with brain lesions. Based on these results, future studies need to generalize the study by expanding the age or population of children with brain lesions, or by expanding the diversity of diseases and environments.
Keywords
activities of daily living; cerebral palsy; computerized cognitive rehabilitation program (CoTras-C); sensory function; upper limb function;
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1 Activities of daily living-Living textbook compilation committee(2017). Activities of daily living-Living : environment and leisure activities, 3nd ed, Seoul, Hyeonmunsa. pp.24-25.
2 An TG, Kim GU(2017). The effect of computerized cognitive rehabilitation program on depression and cognitive function in stroke patient. J Korea Acad-Industr Coop Soc, 18(5), 211-218. https://doi.org/10.5762/KAIS.2017.18.5.211.   DOI
3 Bak AR, Kim H, Yoo DH, et al(2017). Study to reliability and validity of Short Sensory Profile 2. J Korean Soc Occup Ther, 25(2), 131-139.
4 Bang HS(2020). The effects of a sensory integration exercise program on motor function and functional independence of spastic cerebral palsy children. J Korean Health & Fundamental Med Sci, 13(2), 112-117. https://doi.org/10.37152/kmhs.2020.13.2.112.   DOI
5 Byeon HW(2019). The effect computer based cognitive rehabilitation program on the improvement of generative naming in the elderly with mild dementia: preliminary study. J Korea Converg Soc, 10(9), 167-172. https://doi.org/10.15207/JKCS.2019.10.9.167.   DOI
6 Cho SH, Yang YA(2017). The effect of occupational therapy based multimodal cognitive rehabilitation therapy on cognitive function in elderly people with mild dementia: a randomized controlled trial. Korean J Occup Ther, 25(30), 71-86. https://doi.org/10.14519/jksot.2017.25.3.06.   DOI
7 Dunn W(2014). Sensory Profile 2: user's manual-strength based approach to assessment and planning. Psych Corporation.
8 Han SH, Jo EJ, Noh DH, et al(2015). Effect of Korean computer-based cognitive rehabilitation program (CoTras) on frontal-executive functions in patients with traumatic brain injury. J Korea Acad-Industr Coop Soc, 16(5), 3344-3352. https://doi.org/10.5762/KAIS.2015.16.5.3344.   DOI
9 Hong EK, Hong SY(2016). The relationship between sensory processing and emotional regulation : a literature review. J Korea Acad Sensory Integr, 14(1), 50-59. https://doi.org/10.18064.JKASI.2016.14.1.050.
10 Glisky EL, Schacter DL, Tulving E(1986). Computer learning by memory-impaired patients: Acquisition and retention of complex knowledge. Neuropsychologia, 24(3), 313-328. https://doi.org/10.1016/0028-3932(86)90017-5.   DOI
11 Hong EK(2013). Systematic review on occupational therapy for children with cerebral palsy. J Korea Contents Assoc, 13(6), 318-330. https://doi.org/10.5392/JKCA.2013.13.06.318.   DOI
12 Shin JW, Han HG, Shin SH, et al(2019). Effect of a group computerization cognitive rehabilitation program on cognitive function in patients with cognitive impairment. PNF and Movement, 17(1), 69-79. https://doi.org/10.21598/JKPNFA.2019.17.1.69.   DOI
13 Ju SH, Kim H(2018). The effect of the computerized cognitive rehabilitation program (CoTras) on the visual perception of the cerebellar stroke patients. J Spe Edu & Rehabil Sci, 57(3), 457-472.
14 Choi NR, Kim JH, Kim JW, et al(2017). Effects of Korean computer-based cognitive rehabilitation program (CoTras) on cognition, basic instrumental activities of daily living with community stroke patients. J Korean Soc Cognitive Rehabil, 6(2), 65-82.
15 Lee YS, Seo DK, Kim KH, et al(2020). Effect of gait exercise program on the self-efficacy and parenting attitude of adolescent spastic cerebral palsy - case study. J Korean Soc Integr Med, 8(4), 183-190. https://doi.org/10.15268/ksim.2020.8.4.183.   DOI
16 Moon JH, Won YS(2016). Effects of cognitive treatment programs using smart device applications on attention, working memory, and treatment preference in patients with stroke. J Cog Enhan & Inter, 7(3), 1-16.
17 Park SW(2014). The effect of the computer-based cognitive rehabilitation program on visual perception, cognition, and activities of daily living for school-aged children with developmental disabilities. Graduate school of Daegu University, Republic of Korea, Doctoral dissertation.
18 Seo SM, Min KC(2019). Systematic review of method for application of oral sensorimotor intervention for feeding disorders in children with cerebral palsy. Ther Sci Rehabil, 8(3), 31-41. https://doi.org/10.22683/tsnr.2019.8.3.031.   DOI
19 Kim MS, Ha EH(2020). The effects of sensory processing on adaptive and maladaptive behaviors of preshoolers. J Converg Soc, 11(9), 181-191. https://doi.org/10.15207/JKCS.2020.11.9.181.   DOI
20 Kim YG, Lee MJ(2013). The effect on computer-based cognitive rehabilitation program for children (CoTras-C) for the cognitive ability and visual perception in developmental disability. J Rehabil Res, 17(3), 391-414.
21 Shin GS, Shin SH, Yang YA(2015). The effect of cognitive rehabilitation based occupational therapy for early dementia. The Journal of Occupational Therapy for the Aged and Dementia, 9(2), 13-16.
22 Song SI, Park SW(2020). Clinical benefit of computerized cognitive therapy in patients with brain disease : A systematic review and meta-analysis. J Korean Soc Integr Med, 8(4), 277-289. https://doi.org/10.15268/ksim.2020.8.4.277.   DOI
23 Suh YT, Han HC, Kim HM(2009), The effects of the Rehabilitation sports program on the body composition, GMFM and WeeFIM in the children with cerebral palsy. Journal of Adapted Physical Activity, 17(2), 99-119.
24 Yang YA, Ko YJ, Kim DJ, et al(2020). Occupational therapy evaluation. 1st ed, Seoul, Edufactory, pp.326-342.
25 Zoltan B(2007). Vision, perception and cognition: A manual for the evaluation and treatment of the adult with acquired brain injury. 4th ed, New Jersey, Slack Incorporated, pp.365-373.
26 Hong EK(2019). Occupational therapy for the improvement of activities of daily living in children and adolescents in Korea: systematic review. J Korean Acad Sensory Integr, 17(3), 46-60. https://doi.org/10.18064.JKASI.2019.19.3.046.   DOI
27 Lee KH, Hwang KC(2016). Virtual reality-based training program using computer-human interface for recovery of upper extremity use in stroke patients. J Dig Converg, 14(1), 285-290. https://doi.org/10.14400/JDC.2016.14.1.285.   DOI
28 Shin SH, Ko MH, Kim YH(2002). Effect of computer-assisted cognitive rehabilitation program for patients with brain injury. J Korean Acad Rehabil Med, 26(1), 1-8.
29 Lee CY, Kim EJ, Noh DH, et al(2013). A survey on the present situation and satisfaction in assistive technology of person with physical disabilities. J Korean Soc Community-Based Occup Ther, 3(1), 21-31.
30 DeMatteo C, Law M, Russell D, et al(1992). QUEST: Quality of Upper Extremity Skills Test. Hamilton, ON; McMaster University Neurodevelopmental Clinical Research Unit.
31 Kim SH, Shin HJ, Hahm SC, et al(2020). The effect of a program combining resistance exercise and group exercise on balance, grip strength, and quality of life of children with cerebral palsy. J Korean Soc Phys Med, 15(4), 75-85. https://doi.org/10.13066/kspm.2020.15.4.75.   DOI
32 Jung HS(2018). The effect of computerized cognitive rehabilitation therapy (COMCOG) on children with high functioning autism spectrum disorder. J Korean Soc Neurocog Rehabil, 10(1), 43-50, https://doi.org/10.29144/KSCTE.2018.10.1.43.   DOI
33 Kim GD, Heo M(2019). The effect of white noise on memory and attention of local community elderly during computer-based cognitive rehabilitation program. J Korea Enter Industr Assoc, 13(8), 627-633. https://doi.org/10.21184/jkeia.2019.12.13.8.627.   DOI
34 Kim JG(2018). Understanding children with disabilities, 1st ed, Seoul, Panmuneducation, pp.141-144.
35 Kim SY, Rhee KM(2015). The effect of computer-based cognitive rehabilitation program on visual perception and ADL in children with intellectual disability. J Rehabil Welfare Eng Ass Technol, 9(2), 105-113.
36 Kim SH(2021). The effect of combination intervention of occupation-based intervention and computerized cognitive rehabilitation on depression in stroke patients for wellness, J Korea Enter Industr Assoc, 15(1), 229-236. https://doi.org/10.21184/jkeia.2021.15.1.229.
37 Ko MS(2020). Effects of sensory integration program on sensory and motor functions of children with cerebral palsy. Korean Journal of Neuromuscular Rehabilitation, 10(2), 11-19. https://doi.org/10.37851/kjnr.2020.10.2.2.   DOI