• Journal of the Korean Society of Physical Medicine
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• v.15 no.4
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• pp.155-161
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• 2020

PURPOSE: This study investigated the effect of a head-mounted display (HMD) based virtual reality (VR) cognitive rehabilitation program on the cognitive ability and activities of daily living in patients with mild cognitive impairment. METHODS: This study enrolled 5 mild cognitive impairment patients at the G welfare center in Gwangju metropolitan city. Patients were examined using the MMSEDS (Mini mental state examination-dementia screening). The VR cognitive rehabilitation program was applied twice a week for four weeks. The functional independence measure (FIM) and Loewenstein occupational therapy cognitive assessment-geriatric population (LOTCA-G) were compared before and after applying the VR cognitive rehabilitation program. RESULTS: Subsequent of application of the VR cognitive rehabilitation program, significant increase was observed in the LOTCA-G score. The FIM score was also perceived to increase, after the intervention, but was not statistically significant. CONCLUSION: Application of the VR cognitive rehabilitation program as a therapy is effective in improving the visual perception, and upper extremity executive ability, especially orientation, thinking organization, attention, and concentration.

• Journal of Korea Entertainment Industry Association
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• v.14 no.6
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• pp.209-219
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• 2020

This study was conducted to find out the differences in cognitive function, self-esteem, and life satisfaction of the elderly with mild dementia according to the cognitive intervention program. From July to October 2018, 30 minutes of computerization, cognitive integration program, computer recognition program, and cognitive integration program were applied to 30 patients in a nursing hospital located in G city for a total of 12 weeks, and 15 minutes of computerization recognition program and cognitive integration program were applied at the same time, 15 minutes of computerization recognition program and 15 minutes of cognitive integration program were applied. Pre- and post-evaluation tests were conducted for cognitive function, self-esteem, and life satisfaction of living. After examining the three groups' cognitive functions, self-esteem, and life satisfaction by applying the cognitive intervention program, it was improved to a significant level in all categories. As a result of examining the differences in cognitive function, self-esteem, and life satisfaction of the elderly with mild dementia according to the cognitive intervention program, the group applied both computerized and cognitive integration programs in all categories showed high effects. Therefore, if various cognitive intervention programs are applied according to the characteristics of the subjects to improve the cognitive function, self-esteem, and life satisfaction of the elderly, it will be an effective intervention in occupational therapy.

• Journal of the Korean Society of Physical Medicine
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• v.17 no.4
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• pp.123-132
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• 2022

PURPOSE: The purpose of this study was to investigate the effects of cognitive orientation to daily occupational performance (CO-OP) interventions on the upper extremity function and occupational performance in subacute stroke patients. METHODS: A total of 30 eligible stroke patients were randomly distributed into the CO-OP experimental group (n = 15) and the traditional occupational therapy (OT) control group (n = 15). The CO-OP approach was applied for twelve 60-minute sessions. The Jebson Taylor Hand Function Test (JTHFT), the Korean version of the Modified Barthel Index (K-MBI), and the Performance Quality Rating Scale (PQRS) were used for outcome evaluations. RESULTS: There was a statistically significant difference in the paralytic upper extremity function before and after treatment (p < .01) between the group treated with the CO-OP approach and the group treated with traditional OT. The occupational performance of the CO-OP approach group showed a significant improvement (p < .01), and this group also showed a statistically significant improvement in quality of performance compared to the traditional OT group (p < .01). CONCLUSION: The CO-OP approach may be useful in clinical practice as a therapeutic intervention for improving the functional recovery and performance of subacute stroke patients. Future research should be carried out to investigate the persistence of this effect involving more participants and follow-up studies should also be undertaken.

• The Journal of Korean society of community based occupational therapy
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• v.6 no.1
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• pp.33-39
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• 2016

Objective : The cognitive rehabilitation were necessary for the elderly has generally decreased memory in order to recovery and maintain. This study showed that effect of memorial strategy program on memory in the elderly. Methods : 20 elderly who has used seniors welfare center in Busan was divided into an experimental group and control group. The control group used program of seniors welfare center, the experimental group participated memorial strategy program twice a week, total of 8 times. We used contextural memory test(CMT) to compared before and after. Results : Immediate recall and delayed recall were no statistically significant difference(p>.05) in both experimental group and control group when compared before and after. But there was statistically significant difference(p<.05) in a experimental group after memorial strategy program. Conclusion : This study shown that memorial strategy program help memory improve in the elderly. Many programs for memory improve in the elderly expect that prevent dementia or mild cognitive impairment.

• Journal of agricultural medicine and community health
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• v.45 no.3
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• pp.121-129
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• 2020

Purpose: As dementia progresses, cognitive function decreasing leads to memory loss, speech degradation, time and space degradation and judgment degradation, which causes difficulties in carrying out tasks related to daily life. It was said that community-based non-drug intervention therapy for early dementia patients was important to participate in entertainment treatment, including activities such as awareness and exercise therapy, exercise rehabilitation, aerobic exercise, and art. Methods: This study conducted 15 experimental and 15 control groups(experimental group : Fumanet exercise, control group : general occupational therapy) for eight weeks at the Daycare Center in Gyeonggi-do to find out the impact of the Fumanet exercise program on cognitive and depression functions of the elderly. The pre-post evaluation used KGDS, MMSE. Results: There were significant differences between the two groups in the function of menopause, memory recall, attention concentration and calculation, and depression, and no significant results were obtatined in memory registration, language function, understanding and fracture. The Fumanet movement was judged to be effective in improving cognitive function and reducing depression for the elderly with dementia. Conclisions: The Fumanet movement was judged to be effective in improving cognitive function and reducing depression for the elderly with dementia.

• The Journal of Korean society of community based occupational therapy
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• v.6 no.2
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• pp.1-10
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• 2016

Objective : The purpose of this study was to examine the effect of multi-sensory stimulation training on cognitive function and balance skill of the community resident elderly. Methods : 10 participants who is over aged 65 years carry out multisensory stimulation training program for 12weeks, once a week for 60minutes. The multisensory stimulation training program is consisted of total 12 topic based on body schema, gross muscle and tactile stimulation. The result was measured using Mini-Mental State Examination-Korean and Berg Balance Scale to evaluate before and after of cognitive function and balance skill. And after intervention, the satisfaction of the program was investigated. Wilcoxon matched-pair signed rank test was used to compare pre- post difference of cognitive function and balance skill. Results : There was significant difference in cognitive function and balance skill(p<.05) and the satisfaction is positive at the end of the program. Conclusion : The multisensory stimulation training program has positive effects on cognitive function and balance skill for elderly. And the satisfaction is positive at the end of the program. The multisensory stimulation training program can enhance the satisfaction to elderly in the aging society. So, additional studies is needed for efficient use.

• Therapeutic Science for Rehabilitation
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• v.11 no.1
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• pp.87-99
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• 2022

Objective : Through the application of the Anderson model, this study provides an empirical analysis of the decision-making factors for participation in cognitive improvement programs for the elderly living in the community. Methods : This study was conducted through an online survey. The participants were elderly people aged 65 years or older living in the community. The survey had 154 participants and was conducted over a two-month period from August to September 2020. Results : The main results of this study were as follow: first, there was no correlation between the predisposing factors and cognitive improvement program; second, among the enabling factors, diversity, interest, and effectiveness of the program were correlated with the cognitive improvement program; and third, there was no correlation between participation in the cognitive improvement program and need factors. Conclusion : This study shows that the results of basic information and evidence will be identified through analysis of the results of the study and that the implications for the development of cognitive improvement programs will be obtained in the future.

• PNF and Movement
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• v.15 no.2
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• pp.209-216
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• 2017

Purpose: The purpose of this study was to compare the status of the dementia prevention programs, dementia support centers, and elderly welfare centers in major metropolitan cities to acquire data for future program development and dissemination and the specialization of dementia prevention personnel. Methods: Data were gathered through internet surveys and telephone questionnaires from 15 special demented elderly care centers and elderly welfare centers registered in five metropolitan cities from June 27 to Oct 25, 2016. Results: Dementia care programs were available at 15 centers. Seoul City was running the most diverse dementia programs, and all five cities were spending a significant amount of time on the cognitive therapy program within several dementia programs. In addition, many social workers hosted the program and the frequency of social welfare work was three times a week. Conclusion: To increase the dementia prevention policies' efficiency, an understanding of dementia has already been established. Experts who can provide client-centered, problem-solving programs will play the role of physical therapists and occupational therapists. However, more research is needed.

• The Korean Journal of Health Service Management
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• v.8 no.1
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• pp.65-73
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• 2014

The purpose of this study is to analyze the correlation between cognition, depression and leisure activity in elderly people above 65 years of age, and to improve their health and quality of life by providing baseline data for occupational therapy intervention. This investigation was performed on 118 elderly people above 65 years of age who lived in local community and two senior welfare centers. In order to collect the data, we used MMSE-K, KDS, Questionnaire for leisure activity. The depression of elderly people was negatively correlated with their cognition(p<.01) and leisure activity(p<.001), whereas cognition was positively correlated with their leisure activity(p<.01). In conclusion, the correlation between cognition, depression and leisure activity of elderly people appeared statistically significant. Therefore, leisure activity program should be designed through additional research and effectively provided in nursing home and community senior welfare center to prevent depression increase and cognitive decline.

• Journal of Korean Physical Therapy Science
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• v.16 no.1
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• pp.21-29
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• 2009

Background: The purpose of this study was to find out the effects of the hand movement exercise program on the cognitive function of the older with dementia. Methods: A total of twenty-four subjects were divided into two research groups and one control group, respectively. Each exercise was conducted in twelve weeks: three times a week, twice a day for fifteen minutes. Enhancement of cognitive function in each exercise program was evaluated four times using MMSE-KC, the Korean version of the Mini-Mental State. Results: As for enhancement of cognitive function, the hand movement exercise program represented an increase of $1.63{\pm}.92$ over those before study, showing significant differences (p<.05); the large muscle exercise program, $.75{\pm}.89$; and the activities of daily living program, $.00{\pm}2.14$, showing no significant differences. Conclusion: Hand Movement Exercise Program can be inferred from the results that consistent exercise program is more effective than any other ways for enhancement of cognitive function of the older with dementia.