• 한국엔터테인먼트산업학회논문지
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• 제15권1호
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• pp.229-236
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• 2021

본 연구의 목적은 작업기반 중재와 전산화인지치료의 결합 중재를 통해 뇌졸중 환자의 심리사회적 기능과 인지 기능 및 우울감에 어떠한 영향을 미치는지 알아보고자 하는 것이다. 뇌졸중 환자 23명을 실험집단 11명, 대조집단 12명으로 나누어 진행하였으며, 실험집단과 대조집단은 4주간, 30분씩의 CoTras를 받았으며, 실험집단의 추가적으로 CoTras 시작 이전에 30분간 작업기반 중재를 받았다. 총 4주간, 20회 진행되었다. 평가는 자기 효능감 척도, 스트레스 척도, 우울척도, 신경행동학적 인지 상태 검사를 사용하였다. 연구 결과, 실험집단은 자기 효능감과 스트레스, 우울의 개선에 대조집단보다 더 유의미한 개선을 나타냈으며, 인지 기능에서 실험집단은 대조집단과 작은 효과의 크기차이를 보였다. 본 연구를 근거로 뇌졸중 환자의 심리사회적 요인과 우울증, 인지 기능의 개선을 위해 CoTras와 함께 작업기반 중재가 동시에 수행되는 것을 활용할 수 있을 것이다.

• 대한치매학회지
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• 제22권4호
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• pp.130-138
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• 2023

Background and Purpose: Growing evidence has shown that cognitive interventions can mitigate cognitive decline in patients with mild cognitive impairment (MCI). However, most previous cognitive interventions have been group-based programs. Due to their intrinsic limitations, group-based programs are not widely used in clinical practice. Therefore, we have developed a tablet-based cognitive intervention program. This preliminary study investigated the feasibility and effects of a 12-week structured tablet-based program on cognitive function in patients with MCI. Methods: We performed a single-arm study on 24 patients with MCI. The participants underwent a tablet-based cognitive intervention program 5 times a week over a 12-week period. The primary outcome was changes in cognitive function, measured using the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K). Outcomes were evaluated at baseline, within two weeks of the last program (post-intervention), and at the six-month follow-up session. Results: The completion rate of the tablet-based program was 83.3% in patients with MCI. The program improved cognitive function based on the CERAD-K total score (p=0.026), which was maintained for at least three months (p=0.004). There was also an improvement in the depression scale score (p=0.002), which persisted for three months (p=0.027). Conclusions: Our 12-week structured tablet-based program is feasible for patients with MCI. Furthermore, although further studies with a double-arm design are required, the program appears to be an effective strategy to prevent cognitive decline in patients with MCI.

• Journal of Animal Science and Technology
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• 제61권6호
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• pp.379-387
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• 2019

The purpose of this study is to identify the effects of a group integrated intervention program that simultaneously conducts cognitive activities, physical activities, emotional activities and social interactions by integrating animal-assisted therapy (AAT) and integrated elderly play therapy based on the cognitive functions and depression of the elderly who live alone. This study follows a pre-test post-test design with a nonequivalent control group, to verify the effectiveness of a group integrated intervention. It applies a group integrated intervention program to 20 elderly people who live alone, aged 65 and above (10 in the experimental group, 10 in the control group), once a week for 90 minutes across eight weeks. The study went through MMSE-K, TMT-A and GDSSF-A to assess cognitive functions and the level of depression. The group integrated intervention increased the cognitive functions of the experimental group and decreased levels of depression. Therefore, this study verified that a group integrated intervention program of AAT and integrated play therapy of the elderly, is an effective for increasing cognitive functions and decreasing depression levels of the elderly who live alone. Based on these findings, the study suggests that there is a need to continuously expand group integrated intervention programs and provide relevant political support.

• 한국융합학회논문지
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• 제12권2호
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• pp.327-336
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• 2021

국내 경도인지장애 노인의 약 10%는 매년 알츠하이머병이나 다른 치매로 이환된다. 이를 예방하기 위한 중재는 다양하게 수행되었으나, 이에 대한 근거의 통합은 시도되지 않았다. 이에 본 연구는 체계적인 문헌 고찰을 통해 경도인지장애 환자를 위한 인지 기반 중재와 그 효과를 알아보고자 수행되었다. 문헌의 검색은 2010년부터 2020년 9월까지 학술연구정보서비스(Riss)와 KoreaMed를 활용하였다. 문헌의 선택 및 배제 과정을 거쳐 최종 12편이 선정되었으며, 비동등성 대조군 전후 유사 실험연구가 7편으로 가장 많았다. 본 연구의 분석 결과, 경도인지장애 노인을 위한 인지기반 중재는 인지기능과 우울, 신체 건강 상태, 자아존중감, 운동 시·지각 검사, 생활 만족도, 자기효능감, 뇌파, 삶의 질, 의사소통과 상호작용기술평가 등에 긍정적인 영향을 주는 것으로 나타났다. 본 연구 결과를 토대로 경도인지장애 노인을 위한 중재 프로그램의 효과를 검증하기 위한 반복 연구를 제언한다.

• 대한통합의학회지
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• 제8권4호
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• pp.49-58
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• 2020

Purpose : This study examined the effect of a home visit cognitive training program that uses a tablet-based digital recognition rehabilitation application, Brain Doctor, on local elderly people's cognitive function and depression. Methods : This study featured 20 elderly people living in Busan Metropolitan City, South Korea, who received a voucher for a home visit service to prevent dementia. The subjects were evenly divided into an intervention group provided with Brain Doctor and a control group provided with a conventional cognitive training program. Korean version of Mini Mental State Examination (MMSE-K) and Korean version of Montreal Cognitive Assessment (K-MoCA) were used to assess cognitive function in each group. Patient Health Questionnaire-9 (PHQ-9) was used to evaluate the depression levels. Results : The intervention group showed a significant change in cognitive function and depression after the intervention (p<.05). There was a statistically significant change in cognitive function and depression between the intervention and control groups (p<.05). Conclusion : This study confirmed that Brain Doctor had a positive effect on the cognitive function and depression of elderly people in the local community. It is expected to become a useful home visit program for dementia prevention in the future.

• 대한통합의학회지
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• 제8권2호
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• pp.121-130
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• 2020

Purpose : The objective of the current study was to evaluate the impact of the Computer-Based Cognitive Rehabilitation Program (CoTras) on the cognitive function and daily living activities of elderly and adult stroke patients. Methods : Twenty stroke patients were divided into two groups comprising 10 elderly stroke patients and 10 adult stroke patients. The CoTras was applied as the intervention for 30 minutes at a time, three times a week, for nine weeks (i.e., a total of 27 times), to both groups. The Neurobehavioral Cognitive Status Examination was used to assess cognitive function, and the Functional Independence Measure was utilized to evaluate daily living activities, prior to, during, and after the intervention. Results : The CoTras was demonstrated to have a statistically significant and positive effect on the cognitive function and daily living activities of stroke patients. However, the effect of the program on the restoration of weight-shifting capacity, as a component of the daily living activities of stroke patients, was without statistical significance. The program had a greater influence on improving the cognitive function and daily living activities of elderly stroke patients than adult stroke patients. Conclusion : This study makes a meaningful contribution to the literature on the topic as the intervention was demonstrated to lead to a more significant recovery of cognitive function and daily living activities in elderly stroke patients, compared to adult patients. Therefore, it is proposed that the CoTras should be used as a clinical intervention for elderly stroke patients. Future studies that evaluate the application of the CoTras, along with other occupation-based intervention programs, are warranted.

• 대한물리의학회지
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• 제18권1호
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• pp.87-97
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• 2023

PURPOSE: The purpose of this study was to investigate the effect of multimodal intervention through VR (virtual reality)-based immersion program on the cognitive function and brain activity of patients with mild cognitive impairment. METHODS: The subjects of the study were 10 people in the experimental group who applied a complex intervention that performed cognitive tasks using the movement of the upper extremities through the VR program, and 10 people in the control group who received traditional occupational therapy. After the study intervention was applied 5 times a week, 30 minutes a day for a total of 8 weeks, LOTCA-G(Lowenstein Occupational Therapy Cognitive Assessment for Geriatric Population) and NIRSIT LITE were used to compare. RESULTS: Significant differences in cognitive function and brain activity were noted between the pre- test and post-test in the experimental group. Brain activity showed statistically significant differences in four channels of the working memory domain and one channel of the metacognitive domain (p < . 05). Comparative analysis of the difference between the two groups revealed statistically significant differences in cognitive function and brain activity. The brain activity showed statistically significant differences in three channels of the working memory domain and one channel of the metacognitive domain (p < .05). CONCLUSION: Through the results of this study, it was found that the complex intervention of performing cognitive tasks using upper extremity movements through the VR program had a positive effect on the cognitive function of patients with mild cognitive.

• 한국융합학회논문지
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• 제13권1호
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• pp.1-12
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• 2022

본 연구에서는 웹기반 인지재구조화 교육과 결합된 VR 노출 프로그램이 사회 불안 감소에 미치는 영향을 확인하였다. 실험 집단(n=12)은 웹기반 인지 재구조화 교육과 가상현실노출 프로그램(VRET)에 4회기 참석하였고, 비교집단(n=15)은 동일한 가상현실노출 프로그램(VRET) 이외에 연설기법에 대한 교육을 받았다. 두 집단 모두 프로그램 참여 전,후에 자기보고식 증상심각도 척도와 암묵적 해석 편향을 측정하였으며, 4주 후에 추후평가를 실시하였다. 프로그램 직후 실험집단과 비교집단 모두 사회적 불안 수준이 감소하였으나, 4주가 지난 후 실험집단에서만 긍정적인 해석 편향이 증가하였고, 부정적인 해석 편향이 감소하였으며, 감소된 사회불안 수준이 유지되었다. 이러한 결과는 VRET 치료효과를 증진시키기 위해서 자신의 생각에 대한 객관적 점검을 시도해 볼 수 있는 인지적 개입이 결합될 필요가 있음을 시사한다.

• 식품보건융합연구
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• 제10권5호
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• pp.1-13
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• 2024

This study evaluated the effectiveness of cognitive-based interventions for elderly individuals with Mild Cognitive Impairment (MCI) and early dementia over the past decade. A systematic review of 27 randomized controlled trials published from 2013 to 2023 focused on cognitive function, daily living activities, and quality of life improvements. The results showed that cognitive training and stimulation programs led to significant gains in memory, attention, and problem-solving skills. Additionally, improvements in daily functioning and overall quality of life were observed. Customized programs tailored to individual needs were found to be particularly effective, emphasizing the importance of personalized approaches. These findings suggest that cognitive interventions can help delay cognitive decline and maintain independence in older adults with MCI or early dementia. The review highlights the potential of such interventions in promoting healthy aging and improving the overall well-being of elderly individuals. Furthermore, these interventions can help older adults maintain meaningful social connections and enhance their emotional well-being in significant ways. Future research should aim to optimize and expand these programs for better outcomes and greater accessibility across various communities. This comprehensive review provides valuable insights for healthcare professionals and caregivers, demonstrating that cognitive-based interventions are a promising and effective approach for managing cognitive decline in older adults.

• 대한물리의학회지
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• 제13권4호
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• pp.59-65
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• 2018

PURPOSE: The purpose of the present study is to investigate the changes in the cognitive function of elderly dementia patients residing in a residential care facility, following six weeks of brain-computer interface (BCI)-based cognitive training and to determine whether BCI-based cognitive training effectively improves their cognitive functions. METHODS: Thirty subjects diagnosed with dementia were randomly assigned to either the experimental or control group. Pre- and post-test cognitive function assessments were conducted using the mini mental state examination-Korean (MMSE-K) and Korean-dementia rating scale (K-DRS). The experimental group received BCI-based cognitive training, which consisted of games such as flying a ball and exploding a bomb, while the control group participated in music listening activities and National Health Gymnastics. Both groups engaged in a total of 18 sessions (3 times per week for 6 weeks, for 40 minutes per session). RESULTS: After 6 weeks of intervention, the experimental group had significantly increased MMSE-K scores ($19.53{\pm}1.30$ to $22.20{\pm}1.15$; p<.0011) and total K-DRS scores ($87.20{\pm}4.16$ to $99.33{\pm}1.15$; p<.0011). In addition, the experimental group showed greater cognitive improvements than the control group. CONCLUSION: The results of this study suggest that BCI-based cognitive training is a positive intervention tool for improving the cognitive function of dementia patients.