• 제목/요약/키워드: Cognitive Rehabilitation

검색결과 461건 처리시간 0.022초

Dual task interference while walking in chronic stroke survivors

  • Shin, Joon-Ho;Choi, Hyun;Lee, Jung Ah;Eun, Seon-deok;Koo, Dohoon;Kim, JaeHo;Lee, Sol;Cho, KiHun
    • Physical Therapy Rehabilitation Science
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    • 제6권3호
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    • pp.134-139
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    • 2017
  • Objective: Dual-task interference is defined as decrements in performance observed when people attempt to perform two tasks concurrently, such as a verbal task and walking. The purpose of this study was to investigate the changes of gait ability according to the dual task interference in chronic stroke survivors. Design: Cross-sectional study. Methods: Ten chronic stroke survivors (9 male, 1 female; mean age, 55.30 years; mini mental state examination, 19.60; onset duration, 56.90 months) recruited from the local community participated in this study. Gait ability (velocity, paretic side step, and stride time and length) under the single- and dual-task conditions at a self-selected comfortable walking speed was measured using the motion analysis system. In the dual task conditions, subjects performed three types of cognitive tasks (controlled oral word association test, auditory clock test, and counting backwards) while walking on the track. Results: For velocity, step and stride length, there was a significant decrease in the dual-task walking condition compared to the single walking condition (p<0.05). In particular, higher reduction of walking ability was observed when applying the counting backward task. Conclusions: Our results revealed that the addition of cognitive tasks while walking may lead to decrements of gait ability in stroke survivors. In particular, the difficulty level was the highest for the calculating task. We believe that these results provide basic information for improvements in gait ability and may be useful in gait training to prevent falls after a stroke incident.

중소도시 지역사회 거주 노인의 치매예방을 위한 Information & Communication Technology 프로그램 기반 인지향상 프로토콜 적용: 파일럿(Pilot) 연구 (Application of Cognitive Enhancement Protocol Based on Information & Communication Technology Program to Improve Cognitive Level of Older Adults Residents in Small-Sized City Community: A Pilot Study )

  • 윤소현;이하민;김미경;박혜연
    • 재활치료과학
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    • 제12권2호
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    • pp.69-83
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    • 2023
  • 목적 : 본 연구는 예비연구로 65세 이상 노인을 대상으로 Information & Communication Technology(ICT) 홈 기반 프로그램을 적용하여 인지향상 프로그램의 효과를 확인하고, 원격재활 전달모델로서 가능성을 찾고자 한다. 연구방법 : 2022년 8월부터 10월까지 대상자 3인을 선정하여 약 2개월에 걸쳐 ICT 홈 기반 인지향상 프로그램 중재를 실시하였다. 본 중재는 프로그램 전·후 인지향상을 평가하기 위해 한국판 간이 정신상태 검사, 한국판 몬트리올 인지평가, 노인용 전산화 인지평가도구, Two shorter form of the Center for Epidemiologic Studies Depression scale을 사용하여 진행하였다. 치료사는 원격으로 대상자의 수준에 맞는 인지훈련의 난이도 조절을 매주 피드백을 통해 설정하고 프로그램 진행 시에는 매일 정해진 시간에 치료사의 도움 없이 진행하였다. 인지향상 프로그램에 대한 추가 의견을 위해 인터뷰를 진행하였다. 결과 : 중재 후, 사전 사후에 진행한 한국판 몬트리올 인지평가 대부분의 항목에서 모든 대상자가 향상된 점수를 보였다. 또한 Cotras-pro의 항목 중 상위인지, 언어능력, 주의집중, 시지각, 기억력이 향상되었다. 결론 : ICT 홈 기반 프로그램을 사용한 인지재활훈련은 치매를 예방할 뿐 아니라 원격재활에 대한 내적동기 또한 가질 수 있었다. 본 연구를 통해 노인을 대상으로 한 원격재활이 가능할 수 있음을 확인할 수 있었다.

기억학교 경증치매노인의 인지재활사업에 관한 연구 (A Study on the Cognitive Rehabilitation Project of the Elderly with Moderate Memory Dementia)

  • 서경도;최인규
    • 디지털융복합연구
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    • 제15권5호
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    • pp.517-522
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    • 2017
  • 본 연구는 대구시 소재 기억의 주간보호시설을 활용하여 경증치매 노인대상의 인지활동을 중심으로 한 인지재활 프로그램을 개발하여, 지역사회 경증 치매노인에게 유용한 복지서비스를 제공함을 연구목적이다. 현재 우리나라에서는 아직 현 실정에 맞는 치매 환자에 대한 지역사회기반의 통합적 중재 프로그램에 대한 개발이 많이 이루어지지 않아 이에 대한 프로그램 개발이 절실히 필요하다. 본 연구의 경증치매노인 인지재활사업은 주로 지역사회 기반의 보호시설 등의 집단시설에서 적용하기에 적합한 경증치매환자 관리에 근간이 될 수 있다고 본다. 하지만 경증치매환자는 개인적 차로 인해 환자 모두가 동일하지 않고 인지재활방법과 그 효과는 분명히 차이가 있다. 결과적으로 개별적으로 적합한 전략에 의해 그 효과를 높일 수 있을 것으로 기대되며 이전 보다 특성이 있고 개별화된 노인요양 케어 프로그램의 개발도 연계될 것으로 사료된다.

어린이 재활병원 공간구조의 시지각적 특성 연구 - 소아재활 외래진료부 및 재활치료부 영역을 중심으로 - (A Study on the Visual Cognitive Characteristics of the Spatial Configuration in Children's Rehabilitation Hospitals - Focused on the Pediatric Rehabilitation Outpatient and Therapy Areas -)

  • 조민정
    • 대한건축학회논문집:계획계
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    • 제34권10호
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    • pp.83-94
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    • 2018
  • In many theoretical and empirical studies on the design issues of therapeutic healthcare facilities, spatial configuration that promotes users' wayfinding behavior, has been emphasized as a significant factor to mitigate stressful experiences and to enhance restorative quality in the healthcare environment. This is also applicable to the healthcare setting for children. However, not much evidence has been reported with regard to the relationship between spatial configuration and wayfinding behaviors in this specific setting. Moreover, healthcare facilities for children with physical disabilities need more attention to provide easy wayfinding due to various physical restrictions. The aim of this study is therefore, to unfold the relationship between spatial configuration and visual cognitive qualities of outpatient spaces in the selected children's rehabilitation hospitals in Seoul, by examining visual cognitive attributes such as visibility, accessibility, and intelligibility. In the first phase, the spatial layout of the hospitals was analyzed, with an emphasis on the major outpatient areas such as the entrance lobby, doctors' examination, and physical therapy zones. In the second phase, a space syntax tool was implemented to examine visual cognitive characteristics of the spatial configuration. The spatial configuration parameters measured were integration, integration core, visual isovist field continuity, correlation between integration and step depth, and the correlation between integration n and integration 3. As a result, the integration was higher in the hall type configuration. Circulation intersections acted mostly as integration cores for better visibility. Some areas showed the lack of continuity in the visual isovist fields overlap and irregular correlation between integration and step depth. The intelligibility was higher in the circulation area and social interaction spaces such as a cafe, reception waiting, and therapy waiting areas. Based on the analysis, design implication and possible future improvement were discussed to enhance wayfinding experiences in the hospitals for children with physical disabilities.

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

  • 김소영;이근민
    • 재활복지공학회논문지
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    • 제9권2호
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    • pp.105-113
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    • 2015
  • 본 연구는 시지각 장애와 일상생활 기능에 어려움이 있는 지적장애아동을 대상으로 아동용 전산화 인지재활 프로그램이 시지각과 일상생활 기능에 임상적인 효과가 있는지 알아보기 위함이다. 이를 증명하기 위해 공통된 특성이 있는 지적장애 아동 3명에게 아동용 전산화 인지재활 프로그램을 총 20회 실시하였다. 시지각 기능의 중재 전과 후를 비교하기 위해 K-DTVP-2를 사용하였고, 일상생활 기능의 중재 전과 후를 비교하기 위해 WeeFIM검사를 실시하였다. 그 결과 지적장애 아동에게 아동용 전산화 인지재활 프로그램을 적용하는 것이 아동의 시지각 기능 특히 비운동성 시지각 기능 향상에 긍정적인 결과를 나타내었으며, 또한 일상생활 활동이 향상되었다. 이 연구로부터 얻은 결과들은 지적장애가 있는 아동 중 특히 시지각 기능에 결여를 보이는 아동에게 아동용 전산화 인지 프로그램을 적용하면 인지능력의 하위부분인 시지각 기능에 긍정적인 효과가 있음을 기대할 수 있고, 그로 인해 일상생활 활동에 향상을 보임을 기대할 수 있다.

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경도인지장애가 있는 노인의 지역사회기반 재활의 효과: 체계적 고찰 및 메타분석 (The Effects of Community-Based Rehabilitation(CBR) on the Elderly with Mild Cognitive Impairment(MCI): A Systematic Review and Meta Analysis)

  • 김은주;박영주
    • 한국콘텐츠학회논문지
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    • 제19권7호
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    • pp.628-637
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    • 2019
  • 본 연구는 경도인지장애가 있는 노인을 대상으로 ICF 영역으로 분류하여 지역사회기반 중재의 효과에 대해 체계적 고찰 및 메타분석을 하고자 하였다. 2009년 1월부터 2019년 1월까지 국내 외에 게재된 연구로 PubMed MEDLINE, Cochrane CENTRAL, Google Scholar, 한국학술지인용색인, RISS, 국회도서관 데이터베이스에서 검색하였다. 선정논문의 실험군, 대조군의 대상자 수, 평균, 표준 편차를 사용하여 통계적 이질성, 효과 크기, 출판 편의를 산출하였다. 그 결과 총 5편 연구가 선정되었고, 대상자는 실험군 144명, 대조군 152명 총 296명이었다. 지역 사회 재활 프로그램의 전체 효과 크기는 8.83이였고, ICF 영역별 효과 크기는 신체기능 및 구조에서는 4.77, 활동과 참여에서는 6.17로 큰 효과 크기를 보였다. 본 연구의 결과를 통해 경도 인지장애가 있는 노인의 지역사회기반 재활의 신체기능 및 구조, 활동과 참여에 효과적임을 알 수 있었다.

인슐린 비의존성 당뇨병 환자의 인지기능 (Cognitive Function in Non-Insulin Dependent Diabetic Patients)

  • 정미하;소희영
    • 재활간호학회지
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    • 제8권1호
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    • pp.38-49
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    • 2005
  • Purpose: The purpose of this study was to examine the cognitive function in NIDDM patients. Method: The data were collected at MI OPD in C University hospital. with Digit Span Forward & Backward, Trail Making Test-A, Trail Making Test-B, and MMSE. Result: There were significant differences in DF, DB, TMT-A, and TMT-B according to gender, and in TMT-A according to living with spouse and comorbidity. There were significant differences in DF, DB, TMT-A, TMT-B, and MMSE according to monthly income, and in DF, TMT-A, and TMT-B according to hypertensive state. But, there was no difference in cognitive function score according to diabetes-related complication and diabetes treatment modality. There was a significant positive correlation between duration of NIDDM and TMT-A(r=.215, p=.025). The global cognition score was explained 42.1% of varient by age, duration of education, monthly income, and hypertensive state. Conclusion: As above results showed, among age, duration of education, monthly income, and hypertensive state, prevented and managed hypertensive state which is modifiable factor may reduce or delay cognitive function impairment in NIDDM patients. And DF & DB, TMT-A & B could be more utilized as useful cognitive function measurements because those tests reflected cognitive function in NIDDM patients better than MMSE.

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뇌손상 환자의 일상생활수행에 대한 인지기능, 통증 및 신체상의 영향 (The Influence of Cognitive Function, Pain, and Body Image on the Activities of Daily Living in Patients with Brain Injury)

  • 김미령;서연옥
    • 재활간호학회지
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    • 제20권1호
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    • pp.33-41
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    • 2017
  • Purpose: This study is a descriptive study to analyze the relationship between the cognitive function, body image and pain, and the influencing factors on the daily life performance of brain injured patients. Methods: The study subjects were 119 inpatients with brain injury who gave informed consent. The activities of daily living (ADLs), cognitive function, pain and body image were measured by Modified Barthel Index (K-MBI), K-MMSE (Mini-Mental State Examination), Visual Analog Scale (VAS), Semantic Differential Method (SDM), respectively. Results: ADLs was significantly associated with body image, cognitive function, and pain. Multiple regression analysis showed that paralysis, consciousness, cognitive function, and pain were significant factors influencing ADLs. Overall, approximately 48% of total variability in the ADLs could be explained by the 4 variables ($R^2=.477$, p<.001). Conclusion: To improve ADLs of brain injury patients, a deeper understanding of paralysis, consciousness, cognitive function, and pain of patients is required and active nursing invention should be conducted.

Effects of Korean Computer-Based Cognitive Rehabilitation Program on the Memory in Healthy Elderly

  • Lee, Jung Sook;Kim, Sung Won
    • 국제물리치료학회지
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    • 제9권4호
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    • pp.1591-1595
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    • 2018
  • The number of healthy older adults is rapidly increasing recently owing to the increase of the elderly population. Therefore, programs for improving the cognitive functions of these healthy seniors are actively being expanded. This study aimed to prevent the decline of cognitive function due to aging by applying a program enhancing cognitive functions to healthy older adults. The objective of this study was to evaluate the effects of Korean computer-based cognitive rehabilitation program (CoTras), which is commonly used in cognitive therapy for the aging, on the memory of the elderly. The subjects had scored at least 24 points in MMSE-K. CoTras was applied once a week (30 minutes) for one month. Electronic pegboard programs were used as an evaluation tool: order memory (difficulty=low) and location memory (difficulty=medium). The order and location memories were compared before and after the intervention. The Wilcoxon signed rank-sum test was used for the study at the significance level of ${\alpha}=.05$. The results showed that CoTras significantly improved order memory and location memory. Therefore, CoTras can be applied to the healthy elderly for improving that memory improvement training has a positive impact on healthy older adults result in the development of memory enhancement programs can be expanded in the future.

The Effects of Hippotherapy for Physical, Cognitive and Psychological Factors in Children with Intellectual Disabilities

  • Bae, Myung-Soo;Yun, Chang-Kyo;Han, Yong-Gu
    • 대한물리의학회지
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    • 제12권3호
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    • pp.119-130
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    • 2017
  • PURPOSE: The purpose of this study is to determine, by conducting a 10 week hippotherapy, the effects on the physical, cognitive and psychological factors of children with intellectual disabilities. METHODS: As an intervention method, intervention was based on a program from the American Hippotherapy Association and was modified and enhanced. 16 children with intellectual disabilities was conducted horse riding intervention program and Intervention was conducted once a week for a total of 10 weeks with each session lasting 30 minutes. A doctor of rehabilitation medical treatment of D rehabilitation center, physical therapist and occupational therapist evaluated the upper limbs test, balance, gait function, Korea-mini mental state examination (MMSE) before and after hippotherapy intervention. Self-esteem scale and aggression scale was evaluated by Psychology Counseling of C psychological clinic before and after hippotherapy intervention. RESULTS: The results of this study reveal that first, there was a positive effect. Second, statistically significant differences were found in BBS, TUG, K-MMSE, 10m walking test, 6 min walking test, self-esteem scale and aggression scale (p<.05). However no statistically significant differences were found in upper limbs function and good balance analysis before and after intervention. CONCLUSION: The hippotherapy is effective way to improve the physical, cognitive and psychological factors of children with intellectual disability.