• 한국노년학
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• v.30 no.1
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• pp.127-140
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• 2010

This study aims to understand the effects of a Computer - based Cognitive Rehabilitation Therapy(CBCRT) evidence based on mild dementia patients' ability to activities daily living(ADL), cognitive function and measure of occupational performance and to suggest basic data for a cognitive rehabilitation therapy for dementia patients. Method : A CBCRT was applied two times a week for 5 weeks to 14 mild dementia patients who visited Yongin Center for Managing Dementia in Gyeongi-do between February and August 2009. Based on frame of reference for Visual-Perception a CBCRT was applied at home. Moreover, a one group pretest-post test design was, which is a quasi-experiment and research, also applied in order to verify the effects of the rehabilitation therapy on the subjects' ability to ADL, cognitive function and occupational performance skills. Results: A significant effect was confirmed (p<.05) from the CBCRT which Assessment of Motor and Process Skills(AMPS) processing skills and cognitive function and occupational performance skills. Neither was found any significant effect in improving motor skills from AMPS. Conclusion: It seems that a CBCRT based on evidence and has an effect on the improvement of the ability to ADL and cognitive function of mild dementia patients living in a community. The present author hopes that, in the future, more cognitive rehabilitation programs will be developed to improve the functions of mild dementia patients living in a community.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.5
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• pp.355-365
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• 2017

This study investigatedwhether occupational therapeutic craft activity improves cognitive function and hand function in patients with acute stroke, with the hope of providing clinically useful results for further studies. From March 2016 to November 2016, thirty acute patients with stroke at A general hospital and B rehabilitation hospital in Seoul and Gyeonggi-do, Korea were enrolled and randomly divided into two groups. One group was treated with occupational therapeutic craft activity,and the other general exercise. The subjects performed each activity for 30 minutestwice weekly, for four weeks. To test the effect of intervention, hand function was tested with the Box & Block Test and the Jebsen-Taylor Hand Function Test.Cognitive function measures were the NCSE and Trail-Making Test. Over the four weeks of treatment activities, in the occupational therapeutic craft activity group, hand function measures(p<.05) increased significantly,as did cognitive function measures(p<.05). This study shows that occupational therapeutic craft activity improves hand function and cognitive function effectively in patients with acute stroke. Occupational therapeutic craft activity programscan be based on this study to prepare intervention programs for further studies with acute stroke patients.

• Journal of The Korean Society of Integrative Medicine
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• v.8 no.4
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• pp.143-154
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• 2020

Purpose : This study aims to investigate the effect of instrument-activities daily living training through client-centered home visitation on the cognitive functions, occupational performance, and instrument-activities daily living of elderly at the cognitive support grade(Grade6). Methods : The subject of this study was a 66-year-old woman living in G Metropolitan City, who has been diagnosed with Alzheimer's and mild dementia. The study period was from March 17, 2020 through June 12, 2020, and the A-B-A' design, among the individual case experiments, was adopted as the study design. For the data analysis, descriptive statistic and visual analysis using graph were used for the change of cognitive functions, occupational performance, and instrument-activities daily living. Results : The instrument-activities daily living provided through client-centered home visitation improved the subject's cognitive functions, occupational performance(performance, satisfaction) and instrument-activities daily living. Conclusion : This study showed that daily life training through client-centered home visitation can help elderly people at the cognitive support grade select for themselves the problems of daily life caused by cognitive decline and practice specific action plans, thereby enabling them to maintain and improve the cognitive functions necessary for the performance of activities, such as comprehension, memory, and thinking skills. In addition, it is thought that the activities based on the subject's preferences, performance, and sense of importance assured the subject of feelings of motivation and the possibility of participation, and had a positive effect on the subject's performance speed and rate. With the above in mind, Instrument-activities daily living client-centered home visitation is proposed as a potential practical intervention program for individuals. It can help elderly people at cognitive support grade to maintain and improve their functions, thereby delaying the progress of their condition to severe dementia.

• The Journal of Korean Academy of Sensory Integration
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• v.21 no.2
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• pp.1-11
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• 2023

Objective : The purpose of this study was to investigate the effects of computerized cognitive rehabilitation on the attention of children with autism spectrum disorder (ASD). Methods : A multiple-baseline design was used in combination with a single-subject experimental research design. A total of 15 sessions were conducted three times a week, each lasting for 30 minutes. The maintenance and selective attention tests in the attention area of the computerized cognitive rehabilitation program were evaluated in random order after each session was completed. To evaluate the participants' selective attention, star cancellation tests was performed as pre- and post-tests. Results : After the computerized cognitive rehabilitation intervention, the accuracy of the participants' attention improved in terms of the maintenance and selective attention tests. In the analysis involving the two standard deviation bands, participants 1 and 2 showed a significant improvement, whereas participant 3 did not show a significant improvement, although the average value improved. Conclusion : The results of this study confirmed that cognitive rehabilitation involving a computerized cognitive rehabilitation program had a positive effect on the attention of three children with ASD.

• Journal of Korean Academy of Medicine & Therapy Science
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• v.10 no.2
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• pp.13-20
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• 2018

Objective: To investigate the effects of a brain fitness exercise on the cognitive function of patients with dementia. Method: Forty-six elderly adults diagnosed with dementia were randomly allocated to the study or control group (n=23 per group). The study and control groups performed a brain fitness and regular exercise, respectively, for 40 minutes a day, three times a week for four weeks. We examined cognitive capacity using MMSE-K, cognitive strength, judgment time, and mental workload scores before and after intervention. Results: The study group showed significant improvements in all variables. In addition, the control group showed a significant improvement in brain stress. We found that there was a significant improvement in the study group when compared with the control group in all variables. Conclusion: Based on these results, we suggest that brain fitness exercise would be effective in improving cognitive functions of dementia patients.

• PNF and Movement
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• v.21 no.2
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• pp.193-202
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• 2023

Purpose: We investigated the effects of transcranial stimulation and task-oriented training on upper extremity and cognitive function in chronic stroke patients. Methods: A total of 30 patients were randomly divided into transcranial stimulation and task-oriented training groups (TT) and task-oriented training groups (TO). The TT group performed 30 min 5 times a week for 4 weeks in task-oriented training combined with transcranial direct current stimulation. The TO group performed 30 min 5 times a week for 4 weeks in task-oriented training. To measure upper extremity function, the Jebsen-Taylor Hand Function Test, Manual Function Test, and Cognitive Function Test were performed using the Stroop Test and the Trail Making Test. Results: There was a significant difference (P < 0.05) before and after training in both groups, and the TT group showed significant improvement in both groups. Conclusion: In this study, we confirmed transcranial stimulation and task-oriented training in upper extremity function and cognitive function in patients with chronic strokes.

• International Journal of Advanced Culture Technology
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• v.7 no.1
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• pp.150-154
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• 2019

The purpose of this research is to identify major factors that influence the cognition the elderly in community. There was a significant correlation between the cognitive and visual perceptual skills of the elderly. The subject's cognitive skill was statistically higher for males by gender, for lower age group, and for higher level of education.

• Therapeutic Science for Rehabilitation
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• v.7 no.2
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• pp.41-50
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• 2018

Objective: This study was conducted to investigate the correlation of cognitive function and fall-risk behavioral factors. Methods: The elderly over than 65 year-old with and without cognitive impairment were recruited in four different regional areas. Total 43 data of K-MoCA and FaB were collected. Pearson correlation of total scores of K-MoCA and FaB was analyzed using SPSS 22. Correlation between total score of K-MoCA and each item of FaB which describes the fall-risk behaviors was analyzed as well. Results: The cognitive function was statistically positive correlated with the fall-related behaviors in pearson correlation analysis (p<.01). Nine items of total 30 items of FaB was significantly correlated with total score of K-MoCA. Conclusion: Fall-risk behaviors were decreased as the cognitive level was improved. If the cognitive function was vulnerable, the insight to fall-risk behaviors deficits and various fall-related behavioral factors exits. The high fall-risk behaviors were correlated with cognitive function, so that the cognitive level should be considered in fall prevention intervention in Occupational Therapy.

• The Journal of Korean society of community based occupational therapy
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• v.9 no.1
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• pp.25-34
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• 2019

Objective : The purpose of this study was to investigate the effect of cognitive level of mild cognitive impaired elderly living in the community on participation in activities and social networks as well as leisure and daily life activities. Methods : The elderly people aged 65 years or older living in the community were selected for the mild cognitive impairment with a score of MMSE-K of 15 or more and 23 or less. MoCA-K was applied in order to examine the cognitive abilities of the subjects and K-ACS and LSNS-18 were applied to confirm the activity participation level and social network index. Results : As a result of examining the relationship between cognition and activity participation, various sub-abilities(spatio-temporal abilities, vocabulary abilities, attention, abstract thinking) of cognition had a significant influence on instrumental activities of daily living, leisure activities and social activities. In addition, all of the sub - abilities of cognition showed a significant correlation with sub-elements of social network. Conclusion : Through this study, it was found that the general elements of cognition influenced activity participation and social network of various areas of mild cognitive impaired elderly people. We suggest that measures for enhancing participation and social participation of the elderly with mild cognitive impairment are provided through follow up studies.

• Journal of The Korean Society of Integrative Medicine
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• v.10 no.1
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• pp.27-38
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• 2022

Purpose : This study is aimed to develop and validate the clinical practice education program and clinical competence scale of occupational therapy student. Methods : The development of the clinical practice education program used the delphi technique method, which had a total of five steps. Based on the occupational therapist's job analysis, the first stage assessed the importance of 21 experts, and the second stage examined the importance of 19 new specialists to derive constitutive factors. In the third stage, in-depth interviews were conducted with three experts based on the derived factors, and in the fourth stage, the final clinical practice education program was derived. In the final stage, the details of the clinical training program were drawn up based on the themes and were reviewed by two experts. Structured and unstructured interviews were conducted with 43 job experts. Results : The expert survey through the delphi technique was conducted three times, and content analysis and descriptive statistics were conducted to examine the distribution of responses. The final 11 educational program topics and contents were derived. Topics are confirmation of client information, evaluation and intervention, cognitive therapy, spinal cord injury, brain injury, musculoskeletal disorders, pediatric occupational therapy, interventions in activities of daily living, driving rehabilitation, vocational rehabilitation, occupational therapy assessment tool, safety training and management. Conclusion : The clinical practice education program reduce the difference between school education and clinical education of occupational therapy student. Occupational therapy helps college student understand occupational therapy practices and improve the quality of clinical education. Through more research and supplementation of clinical practice education programs in the future, it is suggested that clinical practice education be successfully operated in various practice institutions and used as basic data for designing and evaluating useful educational models.