• Title/Summary/Keyword: Cognitive rehabilitation program

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Improving Cognitive Abilities for People with Alzheimer's Disease: Application and Effect of Reality Orientation Therapy (ROT) (알츠하이머병 치매 환자의 인지재활: 현실감각훈련(ROT)의 적용과 효과)

  • Kim, JungWan
    • Phonetics and Speech Sciences
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    • v.5 no.1
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    • pp.27-38
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    • 2013
  • Healthcare providers in Korea are using conservative pharmacological treatment for Alzheimer's disease (AD) to delay the progress of the disease or to mitigate its behavioral and neurological symptoms. However, there is a growing need for interventions using practical non-pharmacologic treatment, as the effects of pharmacological treatments has faced limitations. This research provided a cognitive rehabilitation program to 3 AD patients and used a multiple baseline design across subjects to examine the effects. Performing reality orientation therapy (ROT) for 1 cycle (4 weeks) resulted in a slight increase in accuracy and responsiveness on an orientation task, mainly with patients with mild cases of AD. Also, in the sub-domain of the Korean-Mini Mental Status Examination performed to examine changes in cognitive ability, there were minimal changes in place orientation. In functional communication, however, there were no significant differences before and after the intervention. In conclusion, we found that ROT was an effective intervention for improving accuracy and responsiveness in the orientation of patients with mild cases of AD. In future studies, the effect of non-pharmacological interventions can be evaluated more reliably by examining the interaction effects of sample size, length of the intervention, outcome measurements, and pharmacological intervention.

The Analysis of Risk Factor Management Programs for Patients with Coronary Artery Disease (관상동맥질환자를 위한 위험요인관리 프로그램 분석)

  • Bang, So-Youn;Park, Mi-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.16 no.1
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    • pp.27-36
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    • 2013
  • Purpose: This study was performed to analyse the trends of risk factor management programs for patients with coronary artery disease. Methods: Using PubMed, 35 intervention studies related to risk factor management programs among randomized controlled trials searched with the key words of coronary artery disease and coronary heart disease. Collected studies were analysed according to the characteristics of studies and participants, method and content of intervention, and outcome indicator and its effects. Results: The mean period of intervention was $28.7{\pm}26.8$ weeks, the mean frequency was $3.0{\pm}2.0$ times per week, and the duration of one session was below 60 minuets in 65.8% of the reviewed studies. The interventions were counselling, exercise, education, and cognitive behavior therapy. Counselling was applied most frequently in previous studies. The outcomes of intervention had been measured with anthropometric, physical, physiological, psychological, behavioral, and cognitive aspects, but the effect of the intervention was inconsistent among the studies. Conclusion: Based on the results of this study, systematic and comprehensive cardiac rehabilitation program consisted of counselling, exercise, and education should be developed and performed for health management and relapse prevention of patients with coronary artery disease.

A Study of Research on Related Driving Rehabilitation (운전재활과 관련된 연구에 관한 고찰)

  • Kim, Bora;Lee, Hyunjin
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.3
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    • pp.23-30
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    • 2014
  • Purpose : The purpose of this study was to grasp the general status and trend of the driving rehabilitation research focusing on interested topics, study subjects, therapeutic approaches, study designs, etc. Methods : It targeted 18 papers published in the RISS (Research Information Service System) from 2000 to 2014, and performed a descriptive statistical analysis by classifying these papers to topics, study subjects, study forms, study designs, study fields, and researchers. Results : As a result of the analysis, for the study form in the driving rehabilitation field, the rate of experimental papers was 61.1%, the highest. Major study subjects turned out to be occupational therapists, the disabled, and the aged, in order. For the study quality and design, the rate of survey and non randomized-single experimental study, which correspond to stage IV, was the highest, and the general study quality was found to be low. For the study field, the rates of the roles and recognition of occupational therapists, evaluation on driving ability of the disabled, and institutional improvement and future measures were the highest, each of which being 16.7%. Conclusion : Through this study, major study subjects and study quality in the driving rehabilitation field could be grasped, and it could be found that for development of the driving rehabilitation field, higher quality researches on more various study subjects would be needed in the future.

Effects of Korean Computer-Based Cognitive Rehabilitation Program(CoTras) on Frontal-Executive Functions in Patients with Traumatic Brain Injury (한국형 전산화 인지재활프로그램(CoTras)이 외상성 뇌손상 환자의 전두엽-집행기능에 미치는 영향)

  • Han, Seung-Hyup;Jo, Eun-Ju;Noh, Dong-hee;Kam, Kyung-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3344-3352
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    • 2015
  • The purpose of this study is to investigate the effects of Korean computer-based cognitive rehabilitation program (CoTras) on frontal-executive functions in patients with traumatic brain injury (TBI). This study was performed at C hospital in Changwon, Gyeongsangnam-do, Korea from August 2013 to March 2014. Ten patients with TBI were randomly divided into two groups. The experimental group had been given CoTras once a day, five times a week for four weeks, whereas the control group had performed self-cognitive training under the same conditions. To verify the effect of intervention, the following executive function measures were used: Korean Montreal Cognitive Assessment (K-MoCA), Executive Clock Drawing Test (ECDT), Trail Making Test (TMT), Rey-Complex Figure Test (RCFT). Intervention group showed significant increase in K-MoCA, TMT, RCFT-delayed recall (p<.05). However, control group showed no significant change in any test. There was significant difference of changed scores (post test-pre test) between two groups in K-MoCA, TMT and RCFT-delayed recall (p<.05). This study showed that CoTras is effective to improve frontal-executive functions in patients with traumatic brain injury.

Relationships between Memory Belief, Depression and Cognitive Functioning for Stroke Patients (뇌졸중환자의 기억신념과 우울, 인지기능과의 관계)

  • Park, Gyeong A;Oh, Myung Hwa;Kim, Da Hye
    • 재활복지
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    • v.21 no.3
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    • pp.209-226
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    • 2017
  • The purpose of this study was to investigate the relationships between memory belief, depression and cognitive functioning for stroke patients. A total of 88 subjects were participated in this study and the questionnaire was composed with general characteristics and K-MoCA, Beck Depression Inventory(BDI), Memory Self Efficacy Qestionnaire(MSEQ), Memory Controllability Inventory(MCI). The results showed that, for the memory self efficacy by general characteristics, there were significant differences in terms of level of education, living and economic status, the number of onset of stroke (p<.05), the memory controllability showed significant differences in economic status (p<.05), and the depression showed significant differences in onset duration of stroke (p<.05), and the cognitive functioning showed significant differences in gender, age, education, living condition, and the number of onset of stroke (p<.05). In addition, there was a significant correlation between memory self efficacy and memory controllability, depression, and cognitive functioning (p<.05). Memory controllability was correlated with depression (p<.01), depression was correlated with cognitive functioning (p<.01). Memory self efficacy, memory controllability and depression were found to be factors, affecting the cognitive functioning (p<.05). Based on this results, it is recommended to develop a multifaceted rehabilitation program in order to induce the positive mood, to reduce the negative emotions such as depression and to promote the memory belief about recovery of cognitive functioning.

The Effect of Cognitive Movement Therapy on Emotional Rehabilitation for Children with Affective and Behavioral Disorder Using Emotional Expression and Facial Image Analysis (감정표현 표정의 영상분석에 의한 인지동작치료가 정서·행동장애아 감성재활에 미치는 영향)

  • Byun, In-Kyung;Lee, Jae-Ho
    • The Journal of the Korea Contents Association
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    • v.16 no.12
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    • pp.327-345
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    • 2016
  • The purpose of this study was to carry out cognitive movement therapy program for children with affective and behavioral disorder based on neuro science, psychology, motor learning, muscle physiology, biomechanics, human motion analysis, movement control and to quantify characteristic of expression and gestures according to change of facial expression by emotional change. We could observe problematic expression of children with affective disorder, and could estimate the efficiency of application of movement therapy program by the face expression change of children with affective disorder. And it could be expected to accumulate data for early detection and therapy process of development disorder applying converged measurement and analytic method for human development by quantification of emotion and behavior therapy analysis, kinematic analysis. Therefore, the result of this study could be extendedly applied to the disabled, the elderly and the sick as well as children.

A Study on the Factors for the Elderly Living in the Community to Determine Their Participation in the Cognitive Improvement Program: With the Application of Anderson Model (지역사회 거주 노인의 인지 향상 프로그램 참여 의사 결정 요인에 관한 연구: 앤더슨 행동 모형(Anderson model)의 적용)

  • Lee, Hey Sig;Park, Da Sol;Park, Hae Yean
    • 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.

The Effects of Multidimensional Program on Cognition, Physical Function and Depression for Institutionalized Elderly (다차원적 프로그램이 시설노인의 인지, 신체기능 및 우울에 미치는 영향)

  • So, Hee-Young;Whang, In-Ok
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.1
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    • pp.72-80
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    • 2006
  • Purpose: This study was conducted to examine the effect of multidimensional program on cognition, physical function and depression among institutionalized elderly and the relationship between study variables and resident's characteristics and health related variables. Method: This study involved a one group pre and post test, comparison of variables over a 12 month period. To investigate this research question, data of 114 residents of a nursing home were analyzed. Results: There was statistically significant difference in MMSE-K (t=-2.63, p=.010), ADL (t=-2.85, p=.005), and depression (t=4.66, p=.000) before and after program participation. Conclusion: These results indicate that, for a year their regular involvement in a broad spectrum of multidimensional program activities can improve in cognitive, physical and emotional perspectives, but the level of IADL decreased significantly (t=-6.72, p=.000). Further testing is required with the control group, to compare with community resident elders in order to explore the effects on social skill of elderly.

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The effect of Jeon-buk area daytime ward occupational therapy convergent activity on hand function, cognitive function and IADL in people with dementia (전북지역 낮 병동 작업치료 융복합활동프로그램이 치매환자의 손기능, 인지기능 및 수단적 일상생활활동에 미치는 영향)

  • Kim, Hyun-Gi;Lee, Min-Young;Kim, Ko-Un;Oh, Hye-Won
    • Journal of Digital Convergence
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    • v.15 no.4
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    • pp.511-519
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    • 2017
  • This study developed a occupational therapy convergent activity program to provide dementia patients admitted to the daytime ward, and investigated the program's effect on the hand and cognitive functions and instrumental activities of daily living. A total of 34 dementia patients were divided into two groups: a convergent occupational therapy program and medication were provided for 17 patients, and medication alone was provided for a control group of 17. The intervention was performed for 24 weeks, 8 times per week, 192 times in total. A handgrip strength test was performed to examine hand function before and after the intervention, and the MMSE-K and GDS were performed to evaluate cognitive function. In addition, the K-IADL was used to assess instrumental activities of daily living. With intervention, the experimental group showed significant improvements in hand and cognitive function and instrumental activities of daily living. In contrast, the control group did not show improvements in hand and cognitive function or instrumental activities of daily living. In conclusion, the study showed that a convergent/integrated activity program for occupational therapy has a positive effect on hand and cognitive function as well as instrumental activities of daily living.

The Effects of Cognitive Dual Task Training on Walking Ability in Treadmill Training with Chronic Stroke Patients (만성 뇌졸중 환자의 트레드밀 훈련에서 인지적 이중과제훈련이 보행 능력에 미치는 영향)

  • Bang, Dae-Hyouk;Lee, Young-Chan;Bong, Soon-Nyung
    • PNF and Movement
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    • v.10 no.1
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    • pp.25-33
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    • 2012
  • Purpose : The purpose of this study was to compare the effect of treadmill training and cognitive task with in the course of treadmill training at the same time with chronic stroke patients. Methods : Fourteen chronic stroke patients participated. Participants were randomly assigned to the control and experimental group(7 experimental, 7 control). All of participants were in-patients at local hospital and had been receiving a traditional rehabilitation program, five days a week. The both groups have undergone 4weeks. The experimental group trained in treadmill and cognitive task at the same time, but control group trained only treadmill. 10m walking test, Timed Up & Go (TUG) test and 6 Minutes walking(6M walking) test to measure the walking speed, dynamic balance and waling endurance ability were carried out before and after the training. Results : The result of the study were as follow:10m walking test were significantly increased both groups(p<.01), but not significant between groups(p>.05). TUG test were significantly increased both groups(p<.001) and between groups(p<.01). 6M walking test were significantly increased both groups(p<.001), but not significant between groups(p>.05). Conclusion : Ahead of return to the community to patients with stroke, cognitive task with in the course of treadmill training at the same time was effective in improving the dynamic balance ability.