• Title/Summary/Keyword: 인지재활

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Vocational Rehabilitation for Improvement of Life Care in Patients with Schizophrenia : A Systematic Review (조현병 환자의 라이프케어 증진을 위한 직업재활 : 체계적 고찰)

  • Kim, Ok-Gyeong;Paek, Hyun-Hee
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.5
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    • pp.229-243
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    • 2020
  • This study selected a total of 19 studies using databases of PubMed, SAGE Journal, and Wiley Online Library from 2000 to 2019 to find out about vocational rehabilitation of patients with schizophrenia in the area of overseas occupational therapy. First, the quality level of the study was all Level I. Second, the diagnosis for participants of the studies other than schizophrenia had the most schizoaffective disorder. Third, by types of interventions, 11 papers, the largest, were about social skills and cognitive rehabilitation training plus supported employment, followed by 4 about supported employment and 3 about social skills and cognitive rehabilitation training, 1 about other vocational approaches. Regarding studies showing effects in the employment rate by interventions type following three types of employment, as the most effective of studies, they were social skills and cognitive rehabilitation training plus support employment in competitive employment, social skills and cognitive rehabilitation training in non-competitive employment, and support employment in paid employment. Fifth, looking at the studies trend in the last 5 years, the most studies were social skills and cognitive rehabilitation training plus supported employment. Since this study classified the types and effects of vocational rehabilitation for patients with schizophrenia based on previous overseas studies, it is hoped that this study will be provided as basic data for understanding vocational rehabilitation of schizophrenic patients and applying them in domestic clinical settings.

Occupational Therapy in Hypoxic-Ischemic Brain Injury Patient by Suicidal Attempt: Case Report (자살시도로 인한 저산소성 허혈성 뇌손상 환자의 재활치료 - 인지 재활과 연하 재활을 중심으로: 사례연구)

  • Lee, Eui-Yun;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.11-26
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    • 2018
  • Objective : This case study was to verify effects of cognitive rehabilitation and swallowing rehabilitation on Hypoxic-Ischemic Brain Injury patient by Suicidal Attempt. Methods : The subject was a 32-year old Hypoxic-ischemic brain injury patient by suicidal attempt. He received treatment once a day five times a week, for a half an hour for each session from September 8th to December 16th, 2016. Treatment were cognitive and swallowing rehabilitation. He was assessed based on Mini-Mental State Examination-Korean (MMSE-K), Korean-Modified Barthel Index (K-MBI), Computerized Neurocognitive Function Test (CNT), Videofluoroscopic Dysphagia Scale (VDS), American Speech-Language-Hearing Association National Outcomes Measurements System (ASHA-NOMS). Results : The patient's total MMSE-K score increased from 25 to 27. His K-MBI score increased from 74 to 88. His memory, attention span, and executive function (DST, VST, SWCT, WCST) by CNT scores were improved. VDS score has no changes to 34, 44.5 and 34. ASHA-NOMS score also has no change to 6, 2 and 6. Conclusion : The study showed that the application of the treatment of cognitive and swallowing in hypoxic-ischemic brain injury patient by suicidal attempt results has positive effects on cognitive functions, and swallowing function.

Effects of cognitive rehabilitation program for the elderly with mild dementia (경증치매 노인을 위한 인지재활 프로그램의 효과)

  • Lee, Jaehong;Lee, Kwansub;Lee, Jinhwan
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.4
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    • pp.95-100
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    • 2018
  • The purpose of this study was to investigate the effects of cognitive programs on cognitive function improvement in patients with mild dementia. The subjects were 30 patients with mild dementia. The subjects were applied the cognitive rehabilitation program three times a week for 6 weeks and analyzed the pre-experiment and post-experiment values through the Korean simplified mental state examination (MMSE-K). The results were as follows: The mean of test was increased and statistically significant. Thus, cognitive rehabilitation programs for patients with mild dementia are effective interventions to improve cognitive function in patients with dementia.

Effects of Virtual Reality-Based Activities of Daily Living Training on Activities of Daily Living and Rehabilitative Motivation in Patients With Traumatic Brain Injury: A Pilot Study (가상현실 기반의 일상생활활동 훈련이 외상성 뇌손상 환자의 일상생활활동 및 재활동기에 미치는 효과 : 예비연구)

  • Moon, Jong-Hoon;Jeon, Min-Jae
    • Therapeutic Science for Rehabilitation
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    • v.8 no.4
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    • pp.41-51
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    • 2019
  • Objective : The purpose of this study was to investigate the effects of virtual reality-based activities of daily living (ADL) training on ADL and rehabilitative motivation in patients with traumatic brain injury. Methods : This study was performed using a pre-post design with seven traumatically brain injured patients. Subjects were subjected to virtual reality-based ADL training for 30 minutes a day, 2 to 3 times a week for 4 weeks. Evaluation was conducted before and after the intervention using the Korean Modified Barthel Index (K-MBI), Cognitive Functional Independence Measure (C-FIM), and Volitional Questionnaire (VQ). Changes before and after intervention were analyzed by Wilcoxon signed-rank test, and correlations were analyzed using Spearman's coefficient. Results : After intervention, patients with traumatic brain injury showed significant improvements in K-MBI (p<.05). There was no significant change in total C-FIM score and VQ score (p>.05). Total C-FIM score correlated significantly with VQ score (p<.05, r=.755). The social cognition domain of C-FIM had a significant correlation with VQ score (p<.05, r=826). Conclusions : Virtual reality-based ADL training can improve ADL performance, but further research is needed to determine whether improvements in social cognition and rehabilitative motivation are possible.

특집 : IT 융복합의료기기 기술 - 고령화 노인의 인지능력 향상을 위한 체감형 3D 인지 시스템과 컨텐츠 개발

  • Jeong, Gyeong-Yeol;Im, Byeong-Ju;Park, Chang-Dae;Park, Seong-Won;Gang, Gi-Su
    • 기계와재료
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    • v.23 no.1
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    • pp.44-51
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    • 2011
  • 사람은 노화가 진행됨에 따라 기억력, 지능, 언어, 운동 기능 등의 인지능력이 저하되므로 대상 노인에 특성에 맞는 적절한 재활치료 방법을 적용해야 한다. 체감형 3D 인지시스템은 가상현실을 기반으로 하고 인지능력 향상을 위한 컨텐츠를 적용하여 환자의 특성에 맞는 의료 활동을 수행할 수 있다. 특히 원예 컨텐츠는 노인들의 참여도를 높일 수 있고 인지능력 향상과 우울증 감소에 도움이 된다. 이러한 가상현실 시스템은 위치인식, 동작인식, 디스플레이 등의 하드웨어 장치들을 이용하여 구현 가능하다. 본 논문에서는 노화에 따른 인지기능 저하와 종류와 특징을 분석하고 관련 재활치료 방법을 조사하였다. 또한 체감형 3D 인지시스템을 구성하는 모듈과 재활치료에 적합한 가상현실 컨텐츠를 제안하였다.

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Prevent dementia and cognitive rehabilitation using Smartphone Application Design (스마트폰을 이용한 치매예방 및 인지재활 어플리케이션의 설계)

  • Kim, Ki-Tae;Park, Choong-Shik;Oh, Mi-Hee;Kim, Cha-Sik
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2010.10a
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    • pp.621-624
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    • 2010
  • 본 논문에서는 시니어(senior)들을 위한 치매예방 및 인지재활을 위한 프로그램으로 시니어들의 정확한 인지운동 반응의 수준을 평가하고, 치매 예방 효과를 검정하기 위한 과학적이고 객관화된 검사 도구를 개발하는 방법을 제시한다. 또한 시니어들에게 스마트폰(smart phone)을 활용한 개별화 훈련을 실시하여 인지운동 발달을 촉진시키고, 스마트폰에 대한 접근기회를 제공하기 위한 인지재활 공학 도구로서의 스마트폰 어플리케이션(application)을 설계를 제안하고자 한다.

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The Effect of Computer-Based Cognitive Rehabilitation Program on Visual Perception and ADL in Children with Intellectual Disaility (전산화 인지프로그램(코트라스)이 지적장애 아동의 시지각과 일상생활에 미치는 효과)

  • Kim, S.Y.;Rhee, K.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.105-113
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    • 2015
  • The purpose of the study was to verify the clinical effect of Computer-based cognitive rehabilitation program for Children for recovering the visual perception and ADL ability in intellectual disability. For this purpose, 3 intellectual disabilities with visual perception and ADL disorders participated in a clinical experiment to verify the effect of Computer-based cognitive rehabilitation program. They all have 5 common conditions in intellectual disability for objective experimental result. All participant were evaluated with Korean-Development Test of Visual Perception-2(K-DTVP-2), Wee Functional Independence Measure(Wee-FIM) before and after the planned intervention sessions. All intervensions were intensively carried out for 20weeks, 1 time a week. The result were as follows. K-DTVP and Wee-FIM scores were improved significantly compared to pre-intervention. Further studies are needed to verify the effect on various group and lots of participants.

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The Impact of Neurocognitive Rehabilitation Therapy on Upper Limb Functions and Activity of Daily Living of Patients with Stroke (신경인지재활치료가 뇌졸중 환자의 상지기능과 일상생활동작에 미치는 영향)

  • Kim, Sun Hee;Kim, Kwang kee;Jeong, Won Mee;Lee, Jeong Weon
    • 재활복지
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    • v.17 no.4
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    • pp.401-420
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    • 2013
  • This study was performed to investigate the impact of the Neurocognitive Rehabilitation Therapy on the upper limb function recovery of patients with stroke and their abilities to perform daily activities and to provide basic data for a long-term treatment. A total of 30 patients with hemiplegia that occurred due to stroke were recruited as subjects of the present study, and 15 patients were randomly assigned to a Neurocognitive Rehabilitation Therapy group and a conventional treatment group, respectively. And, tests were performed over four weeks, five times a week, and 30 minutes a session. Manual Function Test(MFT), Fugl-Meyer Assessment Scale(FMA), and Korean-Modified Bathel Index(K-MBI) were used to measure the degree of the functional recovery before and after the experiment. According to the data of this study, in the upper limb function test, the Neurocognitive Rehabilitation Therapy group showed significant increase of the measurement values of MFT and FMA(p <.05), and when the difference between the two groups were compared, the upper limb function showed a statistically significant difference. In the daily activity performance test, only the Neurocognitive Rehabilitation Therapy group showed a significant improvement of K-MBI value(p <.05). Based on the results of the present study, it was demonstrated that the Neurocognitive Rehabilitation Therapy was effective in enhancing the upper limb functions and daily activity performance of patients with stroke.

The Effectiveness of Cognitive Rehabilitation Program using Virtual reality content on Cognition, Activities of daily living, and Upper extremity functions in Cerebrovascular disease (가상현실 콘텐츠를 활용한 인지재활프로그램 훈련이 뇌혈관질환 환자의 인지, 일상생활활동, 상지기능에 미치는 영향)

  • Cho, Young-Seok;Kim, Keum Sook;Kim, Young-June;Park, Jin-Hong;Lee, Geon-Ho;Baek, So-Young;Hwang, Do-Yeon;Kwon, Ki-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.537-545
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    • 2020
  • This study was undertaken to investigate the effect of cognitive rehabilitation program (CRP) using virtual content, for recovering patients with cerebrovascular disease (CVD). A total of 34 patients with CVD were divided into a control group and an experimental group, and subsequently subjected to a virtual content based CRP, followed by cognition, ADLs, and upper limbs. The control group completed a universal rehabilitation program (URP), and the experimental group was provided a URP and a virtual content based cognitive rehabilitation program. For both groups, respective programs were conducted twice a day, 5 times a week for 4 weeks. Both groups showed significant improvement in ADLs (p<0.05); but the amount of change in the experimental group 5 point improved significantly (p<0.05). Cognition was significantly different for both groups (p<0.05). However, the experimental group showed a greater change (2 point) than the control group when considering the amount of change (p<0.05). Comparing the amount of change in the upper extremity, the experimental group showed a significant change (0.7 point) than the control group (p<0.05). This study confirms that compared to URP, CRP using virtual content significantly improves ADLs and cognition.

Cognitive and Conduct Disorder Rehabilitation Systems using CAMSHIFT Algorithm (CAMSHIFT를 활용한 실시간 인지 및 행동 장애 재활 시스템)

  • Chun, Sung-Min;Whoang, In-Teck;Kim, Don-Kyu;Choi, Kwang-Nam
    • 한국HCI학회:학술대회논문집
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    • 2006.02a
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    • pp.103-109
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    • 2006
  • 본 논문은 인지 및 행동 장애 재활 시스템을 구현하기 위하여 동영상인식 기반의CAMSHIFT 알고리즘을 적용시켰다. 주의력과 반응 시간을 측정하는 인지 장애 재활 시스템이 개발되었고 환자의 주의 집중력과 손 움직임의 조절력을 측정하고 시 지각 운동 능력을 측정하는 행동 장애 재활 시스템이 개발되었다. 실험은 중앙대학교 의료원 재활 의학과에서 실시하여 측정되었다. 본 논문에서 개발한 시스템은 훈련 과정을 객관적인 측정량과 오랫동안 연습할 수 있는 동기를 제공해 줌으로써 전통적인 치료법에 비해 흥미롭고 유용한 도구가 될 수 있음을 환자를 치료하는 치료사를 대상으로 PSS CogRehab 시스템과 비교하는 설문 조사를 통하여 증명한다.

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