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http://dx.doi.org/10.21598/JKPNFA.2019.17.1.69

Effects of a Group Computerization Cognitive Rehabilitation Program on Cognitive Function in Patients with Cognitive Impairment  

Shin, Jae-Wook (Busan Research Institute of Public Health and Service)
Han, Hye-Kyung (Busan Research Institute of Public Health and Service)
Shin, Sang-Hwa (Busan Research Institute of Public Health and Service)
Park, Jae-Sung (Busan Research Institute of Public Health and Service)
Park, Chan-Hyo (Busan Research Institute of Public Health and Service)
Kim, Hye-Jin (Busan Research Institute of Public Health and Service)
Kim, Dong-In (Busan Research Institute of Public Health and Service)
Publication Information
PNF and Movement / v.17, no.1, 2019 , pp. 69-79 More about this Journal
Abstract
Purpose: This study aims to investigate the effects of a group computerization cognitive rehabilitation program on cognitive function in patients with cognitive impairment. Methods: The subjects of this study comprised 34 patients with cognitive impairment (15 males and 19 females) who were randomized into two groups. The experimental group (n = 17) were trained with the group computerization cognitive rehabilitation program, while the control group (n=17) received traditional cognitive therapy. The interventions for both groups were performed for 1 hour per day, once a week for 12 weeks. The cognitive functions of the subjects before and after the experiment were measured using the Korean mini-mental state examination (K-MMSE), global deterioration scale (GDS), clinical dementia rating (CDR), and Lowenstein occupational therapy cognitive assessment (LOTCA). A paired t-test was conducted to examine the intragroup differences before and after the experiment, and ANCOVA was performed to check intergroup differences. Results: The intragroup comparison results showed that the cognitive function of the group that were trained with the group computerization cognitive rehabilitation program improved after the experiment more than for the group that received traditional cognitive therapy. The intergroup comparison results showed significant differences in orientation, visual perception, and visuomotor organization between the two groups. Conclusion: The results of this study confirmed that the group computerization cognitive rehabilitation program was more effective in improving cognitive function than the traditional cognitive therapy in patients with cognitive impairment. Based on the results of this study, the group computerization cognitive rehabilitation program can be used as an effective intervention method for patients with cognitive impairment.
Keywords
Group cognitive rehabilitation program; Cognitive impairment; Cognitive function;
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1 Blundon G, Smits E. Cognitive rehabilitation: a pilot survey of therapeutic modalities used by canadian occupational therapists with survivors of traumatic brain injury. Canadian Journal of Occupational Therapy. 2000;67(3):184-196.
2 Bottcher SA. Cognitive retraining: a nursing approach of the brain injured. The nursing Clinics of North America. 1989;24(1):193-208.
3 Brayne C. The mini-mental state examination, will we be using it in 2001? International Journal of Geriatric Psychiatry. 1998;13(5):285-290.   DOI
4 Burke WJ, Miller JP, Rubin EH, et al. Reliability of the washington university clinical dementia rating. Archives of Neurology. 1988;45(1):31-32.   DOI
5 Carney N, Chesnut RM, Maynard H, et al. Effect of cognitive rehailitation on outcomes for persons with traumatic brain injury: a systematic review. Journal of Head Trauma Rehabilitation. 1999;14(3):277-307.   DOI
6 Chae GS. The effects of a computer-based cognitive rehabilitation program (CoTras) on the attention and memory of patients with stroke. Inje University. Dissertation of Master's Degree. 2015.
7 Choi SH, Na DL, Lee BH, et al. Estimating the validity of the korean version of expanded clinical dementia rating (CDR) scale. Korean Neurological Association. 2001;19(6):585-591.
8 Chu SK, Yoo JH, Lee CY. The effects of a cognitive behavior program on cognition, depression, and activities of daily living in elderly with cognitive impairment. Journal of Korean Academy of Nursing. 2007;37(7):1049-1060.   DOI
9 Folstein MF, Folstein SE, McHugh PR. "Mini-mental state": a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 1975;12(3):189-198.   DOI
10 Gontkovsky ST, McDonal NB, Clark PG, et al. Current directions in computer assisted cognitive rehabilitation. Neurorehabilitation. 2002;17(3):195-199.   DOI
11 Hyun DS. The effects on cognitive function and depression in the computerized cognitive rehabilitation of stroke patients. Gachon University. Dissertation of Master's Degree. 2016.
12 Kang YW, Na DL, Han SH. A validity study on the Korean mini-mental state examination (K-MMSE) in dementia patients. Journal of the Korean neurological association. 1997;15(2):300-308.
13 Ji HR, Choi SH, Cho MS. The effects of a dementia nursing intervention program on cognitive function, depression, and social behavior in elderly people with mild dementia. Journal of Korean Gerontological Nursing. 2003;5(2):205-217.
14 Kang SY, Lee JM. Effects of a cognitive improvement program on cognition, Activities of Daily Living(ADL), depression, life satisfaction, and grasping power in small groups. Journal of Muscle and Joint Health. 2016;23(3):169-178.   DOI
15 Kang YW. A normative study of the Korean-mini mental state examination (K-MMSE) in the eldery. Korean Journal of Psychology. 2006;25(2):1-12.
16 Katz N, Itzkovich M, Averbuch S, et al. Loewenstein occupational therapy cognitive assessment (LOTCA) battery for brain-injured patients: reliability and validity. American Journal of Occupational Therapy. 1989;43(3):184-192.   DOI
17 Kim CS, The effect of proprioception exercise and computerized cognitive therapy in stroke for balance, cognition and EEG. Daegu University. Dissertation of Doctor's Degree. 2012.
18 Kim DH, Na DL, Yeon BG, et al. Prevalence of dementia in the elderly of an urban community in korea. Korean Journal of Preventive Medicine. 1999;32(3):306-316.
19 Kim HC. Assessment of clinical progression in Alzheimer's disease with special reference to global deterioration scale (GDS) and functional assessment staging (FAST). The Korean Society of Biological Therapies in Psychiatry. 2002;8(2):354-366.
20 Kim EJ, Hur JG, Ko JY, et al. The effect of progressive task-oriented group exercise remedy on the balance and gait of stroke patients. The Journal of Korean Academy of Medicine & Therapy Science. 2009;1(1):23-31.
21 Kim JM, Jo AY, Jang JY, et al. Effect of Korean computer-based cognitive rehabilitation program (CoTras) for the memory and EEG activity in stoke. The Journal of Korean Society of Occupational Therapy. 2014;22(4):61-75.   DOI
22 Kim YH, Kang YJ, Koo JH, et al. Dementia and cognitive rehabilitation. Paju. Koonja. 2017.
23 Kim YG. The effects of Korean computer-based cognitive rehabilitation program (CoTras) for the cognition and ADL in stroke. The Journal of Korean Society of Occupational Therapy. 2011;19(3):75-87.
24 Kim YG. The effect on computer-based cognitive rehabilitation program (CoTras) for the visual perception in brain injury. Journal of Rehabilitation Research. 2012;16(3):401-419.
25 Kwon JS, Kim YG, Kim JY, et al. Cognitive rehabilitation, 2nd ed. Seoul. Pacific Books. 2015.
26 Lee HK, Yoon SC, Kim MD, et al. Past, and here-and-now of group therapy in Korea. Journal of Korean Neuropsychiatric association. 2000;39(1):142-155.
27 Lee JS. The effects of cognitive rehabilitation on the activities of daily living and cognitive function with dementia in silver care centers. Korea University. Dissertation of Master's Degree. 2016.
28 Park JH. Kwon YC. Standardization of Korean version of the mini-mental state examination (MMSE-K) for use in the elderly. Part I. Development of the test for elderly. The Korean Neuropsychiatric Association, 1989;28(1):125-135.
29 Lee SR, Kwon HC. The relationship between activities of daily living and cognitive score in stroke patients. Journal of the Korean academy of university trained physical therapists. 2003;10(3):41-51.
30 Paik NJ, Kim MH, Nam KW, et al. The cognitive rehabilitation project at home, 2nd ed. Seoul. Koonja. 2013.
31 Park JS, Kang YW, Yu KH, et al. Interpretation of difference between the scores of the MMSE and HDS-R. Korean Journal of Clinical Psychology. 2010;29(1):285-299.   DOI
32 Park SW, Bak IH, You SJ. The effects of Korean computer-based cognitive rehabilitation program (CoTras) for the cognition and visual perception and ADL in brain injury. The Journal of Occupational Therapy for the Aged and Dementia. 2013;7(2):47-57.
33 Reisberg B, Ferris SH, de Leon MJ, et al. The global deterioration scale for assessment of primary degenerative dementia. American Journal of Psychiatry. 1982;139(9):1136-1139.   DOI
34 Shin MJ, Park JE, Kim DR, et al. The effect of computerized cognitive rehabilitation on cognitive function, aActivities of daily living and sSelf-efficacy in brain injury patients. The Journal of Korean Society of Cognitive Rehabilitation. 2015;4(1):5-23.
35 Shin YI, Lee HS, Jang YS. The effect of group exercise program on the activities of daily living and muscle strength in the spinal cord injury person. Journal of Rehabilitation Research. 2007;11(3):77-95.
36 Bang YS. The effects of task-oriented activities on the cognitive function and performance of activities of daily living in stroke patients. The Journal of Korean Society of Occupational Therapy. 2007;15(3):49-61.
37 Zoltan B. Vision, perception and cognition, 4th ed. New Jersey. Slack. 2007.
38 Morris JC. The clinical dementia rating (CDR): current version and scoring rules. Neurology. 1993;43(11):2412-2414.   DOI