• Title/Summary/Keyword: Cognitive Stimulation

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A Systematic Review of the Application Nonpharmacological Cognitive Interventions in Patients With Dementia (치매 환자에게 적용된 비약물적 인지중재방법에 대한 체계적 고찰)

  • Kwak, Ho-Soung;Park, Ji-Hyuk
    • Korean Journal of Occupational Therapy
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    • v.26 no.4
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    • pp.13-26
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    • 2018
  • Objective : The aim of the study was to investigate the application of nonpharmacological cognitive interventions in patients with dementia. Methods : We searched published studies in KISS, PubMed, and Sciencedirect databases from January 2013 to December 2017. The main keywords used were "Dementia" AND "Cognitive stimulation OR Cognitive rehabilitation OR Cognitive training" and a total of ten studies were selected for analysis from 753 searched articles. Results : Seven of the ten selected studies showed significant improvements in cognitive function after intervention, whereas three studies showed no improvement in cognitive function; however, activation of brain waves, improvement in the relationship between care givers and patients, improvement in the quality of life of care givers, and improvements in visual motor skills were shown. Mini-Mental State Examination(MMSE) was used as the assessment tool for identifying the effects of the cognitive function improvement, and in four studies the quality of life of dementia patients was measured as an intervention effect. The main subject of the cognitive intervention is patients with mild to moderate dementia. Conclusion : The results of this study can be used as a basis for the selection of intervention methods, as well as their duration and assessment, according to the characteristics of dementia patients.

Effects of Repetitive Transcranial Magnetic Stimulation on Enhancement of Cognitive Function in Focal Ischemic Stroke Rat Model (국소 허혈성 뇌졸중 모델 흰쥐의 인지기능에 반복경두개자기자극이 미치는 효과)

  • Lee, Jung-In;Kim, Gye-Yeop;Nam, Ki-Won;Lee, Dong-Woo;Kim, Ki-Do;Kim, Kyung-Yoon
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.11-20
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    • 2012
  • Purpose : This study is intended to examine the repetitive transcranial magnetic stimulation on cognitive function in the focal ischemic stroke rat model. Methods : This study selected 30 Sprague-Dawley rats of 8 weeks. The groups were divided into two groups and assigned 15 rats to each group. Control group: Non-treatment after injured by focal ischemic stroke; Experimental group: application of repetitive transcranial magnetic stimulation(0.1 Tesla, 25 Hz, 20 min/time, 2 times/day, 5 days/2 week) after injured by focal ischemic stroke. To assess the effect of rTMS, the passive avoidance test, spatial learning and memory ability test were analyzed at the pre, 1 day, $7^{th}$ day, $14^{th}$ day and immunohistochemistric response of BDNF were analyzed in the hippocampal dentate gyrus at $7^{th}$ day, $14^{th}$ day. Results : In passive avoidance test, the outcome of experimental group was different significantly than the control group at the $7^{th}$ day, $14^{th}$ day. In spatial learning and memory ability test, the outcome of experimental group was different significantly than the control group at the $7^{th}$ day, $14^{th}$ day. In immunohistochemistric response of BDNF in the hippocampal dentate gyrus, experimental groups was more increased than control group. Conclusion : These result suggest that improved cognitive function by repetitive transcranial magnetic stimulation after focal ischemic stroke is associated with dynamically altered expression of BDNF in hippocampal dentate gyrus and that is related with synaptic plasticity.

The impact of functional brain change by transcranial direct current stimulation effects concerning circadian rhythm and chronotype (일주기 리듬과 일주기 유형이 경두개 직류전기자극에 의한 뇌기능 변화에 미치는 영향 탐색)

  • Jung, Dawoon;Yoo, Soomin;Lee, Hyunsoo;Han, Sanghoon
    • Korean Journal of Cognitive Science
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    • v.33 no.1
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    • pp.51-75
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    • 2022
  • Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation that is able to alter neuronal activity in particular brain regions. Many studies have researched how tDCS modulates neuronal activity and reorganizes neural networks. However it is difficult to conclude the effect of brain stimulation because the studies are heterogeneous with respect to the stimulation parameter as well as individual difference. It is not fully in agreement with the effects of brain stimulation. In particular few studies have researched the reason of variability of brain stimulation in response to time so far. The study investigated individual variability of brain stimulation based on circadian rhythm and chronotype. Participants were divided into two groups which are morning type and evening type. The experiment was conducted by Zoom meeting which is video meeting programs. Participants were sent experiment tool which are Muse(EEG device), tdcs device, cell phone and cell phone holder after manuals for experimental equipment were explained. Participants were required to make a phone in frount of a camera so that experimenter can monitor online EEG data. Two participants who was difficult to use experimental devices experimented in a laboratory setting where experimenter set up devices. For all participants the accuracy of 98% was achieved by SVM using leave one out cross validation in classification in the the effects of morning stimulation and the evening stimulation. For morning type, the accuracy of 92% and 96% was achieved in classification in the morning stimulation and the evening stimulation. For evening type, it was 94% accuracy in classification for the effect of brain stimulation in the morning and the evening. Feature importance was different both in classification in the morning stimulation and the evening stimulation for morning type and evening type. Results indicated that the effect of brain stimulation can be explained with brain state and trait. Our study results noted that the tDCS protocol for target state is manipulated by individual differences as well as target state.

The Efficiency of Intelligence Quotient Test at Prevention of Mental Retardation and Dementia (신경퇴화 및 지적장애 예방에 관한 고지능검사도구 이용의 실효성 연구)

  • Yeom, Seung-Min;Jeon, Sang-Hoon;Yi, Min-Kee;Kim, Da-Eun;Yang, Dae-Wook
    • The Korean Journal of Health Service Management
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    • v.7 no.2
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    • pp.101-111
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    • 2013
  • To develop the Korean-Version-Improvement program for ordinary people, we investigate how Korean-High-Intelligent people use their cognitive function, intellectual capacity and Intelligent Quotient test. Using Mensa iq test, we classify intelligent examination tool into various components; visual, geometrical component and cognitive interpretation component. Also we organized each component, got database of intelligent subjects sample, classified itemized availability. Based on these things, we prove efficiency of intelligent examination tool. We found out that high intelligent people showed high Intelligent Index using visual cognitive stimulation with cognitive function when subjects were exposed to certain situation; solving the problem. This intelligent examination tool is low price and safe and easily carrying out with personal computer. If we develop intelligence quotient examination customized with mental retardation populations, a variety of subjects will improve their cognition with efficiency and inexpensively.

The Effect of the Selective Cognitive Program Training on the Cognition, Activity Daily Living and Depression of the Elderly with Dementia (선택형 인지자극프로그램 훈련이 경도 치매노인의 인지, 일상생활활동 및 우울에 미치는 효과)

  • Hwang, Min-Ji;Bang, Yo-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.7
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    • pp.521-529
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    • 2019
  • The purpose of this study was to examine the effects of customized cognitive stimulation therapy on cognition, depression, and activities of daily living in elderly with dementia in the community. The program consisted of 7 sessions, 50 minutes once a week, from March 4 to April 26, 2019. As a result, customized cognitive stimulation therapy improved the overall cognitive function, and it also increased the level of independence in the daily living and reduced the depression of the experimental group. It also showed significant differences in cognitive function when compared with control group. Therefore, the customized cognitive stimulation therapy of this study was to grasp the cognitive function of the elderly with dementia and present the cognitive tasks to the subjects for selection that induced interest and proved to be effective. Afterward, the activities were organized by difficulty according to the level of cognitive function for each session, leading to the improvement of cognitive function. Additionally, the subjects were experienced success by participating actively and continually in the activities selected with interest. Through this, it was thought to have a positive effect on the spontaneity of activities of daily living and decrease depression.

Heart Rate Variability of Patients with Major Depressive Disorder under Cognitive and Emotional Stimulus (인지 과제 및 긍정적 정서 유발에 대한 주요 우울장애 환자의 심장 박동 변이(Heart Rate Variability, 이하 HRV) 양상)

  • Lee, Chang-Soo;Kim, De-Sok;Jeong, Myeong-Gi;Kim, Won;Woo, Jong-Min
    • Anxiety and mood
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    • v.3 no.1
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    • pp.26-31
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    • 2007
  • Object : This study was designed to assess the change of heart rate variability (HRV) during stimulation test among the patients with major depressive disorder. Methods : 15 patients with major depressive disorder (MDD) and 15 normal controls were enrolled in this study. We sequentially measured HRV at baseline, during cognitive stimuli and emotional stimuli. Results : There are significant differences between the two groups in HRV index, TINN on baseline state and under cognitive stimulus. Conclusion : Stimulation protocol using HRV can be useful in estimating autonomic nervous function.

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Event-related potentials reveal neural signatures of cross-modal interaction between visual and tactile stimulation (유발전위신호(ERP)를 통한 시각과 촉각 통합작용의 신경생리적 특징 분석)

  • Ju, Yu-Mi;Lee, Kyoung-Min
    • Proceedings of the Korean Society for Cognitive Science Conference
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    • 2010.05a
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    • pp.48-54
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    • 2010
  • INTRODUCTION Interaction between temporal events at the millisecond level is important for visual and tactile interaction. OBJECT The aim of the present study is to identify any neural signature, as reflected in event-related potentials (ERP), for the integrative processes when the two sensory modalities are stimulated in synchrony as opposed to when they are stimulated separately. METHOD The basic strategy was to compare ERP signals obtained with simultaneous visual and tactile stimulation with a linear summation of ERP patterns obtained with each modality stimulated separately. Condition were presented, paired with various stimulus-onset-asynchronies (SOA) ranging from - 300 ms (tactile-first) to 300 ms (visual-first), and in trials where only one modality was stimulated alone. RESULT A positive deviation was located in observed ERP at C4 electrode (contralateral to the stimulated hand) at 200-400 ms, in comparison to the predicted ERP. The deviation was present at all SOAs other than -300ms (tactile-first) and 300 ms (visual-first). There was also a positive deviation at occipital leads at the 50-ms SOA (visual-first) trials. DISCUSSION It suggested that neural signatures of cross-modal integration occur within a limited time-window. The deviations were specifically localized at the contralateral somatosensory and visual cortices, indicating that the integration happens at or before the level of the primary cortices.

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The Effect of Transcranial Direct Current Stimulation on Cognitive Function and Biochemical Change of Rats with Alzheimer's Desease

  • Kim, Jin-Young;Park, Seong-Doo;Song, Hyun-Seung;Yang, Kyung-Hee;Yu, Seong-Hun
    • The Journal of Korean Physical Therapy
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    • v.26 no.6
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    • pp.436-441
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    • 2014
  • Purpose: The objective of this study was to offer clinical primary data that it's aims to examine effects of transcranial direct current stimulation (tDCS) on cognitive function and biochemical change of rat with alzheimer's disease(AD) induced by injecting scopolamine. Methods: Subjects were instructed cognitive dysfunction model, rat of Sprague-Dawley system was injected with scopolamine and each experimental group was classified into three; group I (n=16) is non-treatment groups; group II (n=16) is applied with the tacrine; group III (n=16) is applied with the tDCS. The ziggurat task test was conducted to observe behavioral changes and cognitive function ability and 7, 14, 21, 28 days after the model. Acetylcholine Esterase (Ach E) activity was examined for biochemical assessment of which the results are followed. Results: Participants showed as to behavioral change, tacrine application group was the most significantly responded, following tDCS application group. As to biochemical change, same as above, tacrine application group was the most significantly responded, following tDCS application group. Conclusion: From these results, confirm that tDCS application to rat with alzheimer's disease leads to positive effects on behavioral, cognitive function changes, and biochemical changes, lasting for certain period of time. This study, in particular, tDCS, which can change excitability of brain cells non-invasively, could provide basic data that is useful as a new treatment way for the patients with cognitive dysfunction.

Empirical Validation for Verbal- EBS Effect to Cognitive Stimulation (구두 형식의 전자적 브레인 스토밍이 인지적 자극에 미치는 영향에 대한 실증적 연구)

  • Kim, Jeong-Wook;Jeong, Jong-Ho
    • Journal of Korean Society for Quality Management
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    • v.36 no.2
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    • pp.67-84
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    • 2008
  • Given the industry's unprecedented attention and dedication of resources to voice recognition, this paper introduces and explores a novel idea generation technique whereby ideas are captured directly through verbalization rather than forcing group members to type ideas. A group simulator was used to measure the idea generation performance of individuals who input ideas verbally or via typing in the context of nominal and interacting groups. The results clearly indicate that verbal input represents a more desirable mechanism in a computer-mediated idea generation environment. Liberating group members from the keyboard produces remarkable performance gains. Verbalizing ideas helps individuals focus on analytical thinking and leverage group member ideas, ultimately facilitating the creation of ideas pools that are vastly superior in terms of quantity and quality. These effects were found across nominal and interacting groups. The implications of these results for future research and the design of technologies are discussed.

Maternal Support Networks, Perceptions of Parenting Difficulty, and Children's Development (어머니의 사회적 관계망, 자녀양육에 대한 난이도 지각과 아동의 발달)

  • 이은해
    • Journal of the Korean Home Economics Association
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    • v.35 no.3
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    • pp.31-45
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    • 1997
  • The main purpose of the study was to examine relationships of child development with maternal social networks and maternal perceptions of parenting difficulty. Subjects were 90 children, ages 4 and 5, with their mothers. Child development was measured by School Readiness Test, peer nomination, and social competency ratings by teachers. Mothers responded to a questionnaire regarding social networks and parenting difficulty. The major findings of the study include: 1) Employed mothers reported receiving less emotional support and listed more in-laws and work colleagues in their social network than unemloyed mothers. 2) Mothers who perceived receiving more emotional support from networks reported less difficulty in parenting, especially in providing cognitive stimulation and daily routine care to their children. 3) Children's age and maternal perceptions of easiness in providing cognitive stimulation were the most contributing factors for predicting children's learning readiness and social competency.

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