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The Effect of Virtual Reality Program Combining Transcranial Direct Current Stimulation on Depression, Hand Function, Cognition, and Daily Life Activities of Patients with Mild Cognitive Disorders (경두개직류전류자극을 결합한 가상현실프로그램이 경도인지장애환자의 우울, 손기능, 인지와 일상생활활동에 미치는 영향)

  • Ko-Un Kim;Bo-Ra Kim;Tae-Gyu An
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.53-62
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    • 2023
  • Purpose : This study evaluated the effects of transcranial direct current stimulation and a virtual reality program on the depression, hand functions, cognitive function, and activities of daily living of patients with mild cognitive impairment by dividing 20 patients with mild cognitive impairment and depression. The 20 patients were divided into a treatment group (transcranial direct current stimulation + a virtual reality program) and a control group (placebo transcranial direct current stimulation + a placebo virtual reality program). Methods : This study allocated ten subjects to the treatment group and ten subjects to the control group. The treatment was given five times per week for six weeks (30 sessions), and each session was 30 minutes. This study screened depression by using SGDS-K, a short geriatric depression scale, to examine depression before and after treatment intervention. This study also used the box and block test, NCSE, and FIM to evaluate hand functions, cognitive function, and activities of daily living, respectively. Results : The results showed that depression significantly decreased, hand functions significantly increased, cognitive function significantly improved, and activities of daily living significantly increased after intervention in the treatment and control groups. The magnitude of changes in depression, hand functions, cognitive function, and activities of daily living was significantly different between the two groups after intervention (p>.05). Conclusion : The results showed that the application of transcranial direct current stimulation and a virtual reality program could improve cognitive function, hand functions, and activities of daily living by decreasing depression. Therefore, it can be concluded that the simultaneous application of transcranial direct current stimulation and a virtual reality program is an intervention method, which can be applied for decreasing depression, enhancing hand functions, improving cognitive function, and increasing activities of daily living in patients with mild cognitive impairment.

Relation between Leisure Sports' Activities among Older Adults on Activities of Daily Living and Successful Aging (노인의 여가스포츠 활동참가와 일상생활수행능력 및 성공적 노화의 관계)

  • Kim, Kyong-Sik;Lee, Eun-Joo
    • The Journal of the Korea Contents Association
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    • v.10 no.4
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    • pp.424-432
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    • 2010
  • The purpose of this study was to analyse relationship between leisure sports' activities among older adults on activities of daily living and successful aging. For accomplish this purpose of study, the survey questionnaires were used to collect data. This study firstly set up the population as the Korean elderly who were aged over 65 and living at Seoul as of 2009, 300 persons were chosen by sampling. The numbers, used in actual analysis is leisure sports' activities participant 162, non participant 128. total 300. The statistics method utilized in this study for analyzing the collected data were ANCOVA analysis, multiple regression analysis, path analysis. Activities of daily living reliability is $\alpha$=.876 above and successful aging reliability is $\alpha$=.807 above. The conclusions of this study were as being follows. First, according to the experience of in leisure sports' activities of older adults, it was not difference between the activities of daily living. Secondly, the experience of in leisure sports' activities of older adults had positive effect on successful aging. Thirdly, more intensity of in leisure sports' activities of older adults, had positive effect on instrumental activities of daily living. Fourth, more frequency and intensity of in leisure sports' activities of older adults, had positive effect on social successful aging, more frequency and period(time) of participated in leisure sports' activities of older adults, had positive effect on psychological social successful aging. Finally, the degree of in leisure sports' activities of older adults, had direct or indirect positive effect on activities of daily living and successful aging.

The Spatio-Temporal Characteristics of Primary School Children's Daily Life Activities (초등학생 일상생활활동의 시.공간적 특성)

  • Park, Soon-Ho
    • Journal of the Korean association of regional geographers
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    • v.8 no.4
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    • pp.492-512
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    • 2002
  • The daily life activities of primary school children have been increasingly diversified. This research examined the spatio-temporal characteristics of primary school children's daily life activities. The time allocation of primary school children's daily activities was monotonous. They tended to spend most of their time in school activities, private lessons after school, and studying at home. The daily trip to school has been diversified as the result the of increase in the number of double-income families, car owners, facilities for pastime, and educational facilities for private lessons after school. The selection of educational facilities for private lessons was strongly influenced by accessibility to the residence because of the limited time budget of primary school children and the controlled trip behavior by parents. The leisure activities were considered as a minor function and took place in the interval of performances of study-related activities. The high proportion of leisure activities was found in the indoor play. The amount of the time for leisure activity was very insufficient. The spatial range and time budget were strongly influenced by the institutional conditions of parents.

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Analysis on Daily Routine Types Based on Daily Care Plans of Child Care Centers and the Characteristics of Child Care Programs According to Daily Routine Types (일일보육계획안에 따른 일과유형 분류 및 일과유형별 보육프로그램의 특성)

  • Park, Chan Hwa;Rha, Jong Hay;Kwon, Yeonhee;Choi, Mock Wha
    • Journal of the Korean Home Economics Association
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    • v.51 no.1
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    • pp.45-57
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    • 2013
  • This study explores the types of daily routines in child care centers based on the time planned for indoor free choice activities, outdoor activities, group activities and nap/rest. The daily routine plans of 63 classes of 0 to 2-year-olds and 51 classes of 3 to 5-year-olds were cluster analyzed. Also, openness and closeness of child care programs as well as the most participated indoor/outdoor activities were examined using questionnaires developed for teachers. The results were as follows: First, teachers planned the most time for free play choice activity and comparatively less time for outdoor play during the day. Time for rest and naps were planned more for 0-2 year-olds whereas group activities were planned more for the 3-5 year-olds. Second, 3 daily routine types were found in the daily plans of child care centers, such as "Low-Activity Oriented," "Free Choice Activity Oriented" and "Group Activity Oriented" in 0 to 2-year-old classes and 3 to 5-year-old classes. Also, "Group Activity Oriented" type in 0 to 2-year-old classes showed more "closed" child care programs than the "Free Choice Activity Oriented" type. However, no difference was shown among the 3 types of daily routines in the openness and closeness of 3 to 5-year-old child care programs. Finally, all children, regardless of the types of daily routine, participated most in block activity and role play indoors and fixed-play equipment, sand play and free play outdoors.

A Comparative Study of ADL Performance of Cognitive Function in Elderly (노인의 인지기능에 따른 일상생활동작 수행능력 비교 연구)

  • Lee, Kwang-Jae;Kim, Soon-Ja
    • Journal of Korean Physical Therapy Science
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    • v.19 no.2
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    • pp.55-61
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    • 2012
  • Background : The purpose of this study is to provide the basic data according to cognitive function, that will help activities of daily living of the elderly through the comparative study of activities daily living and functional training. Methods : The subjects of this study 122 patients 65 years old or more ADL and cognitive function assessment was evaluated. They were registered in the Elderly in nursing homes and welfare centers, located in Gyeonggi. All study participants had a sufficient explanation for the purposes of research and evaluation methods and procedures for the elderly. The survey period 17 October to 11 November 2011 was conducted through face-to-face survey was conducted. Results : Cognitive function according to the K-MMSE score of 24 points or more, 23 to 18 points, 17 points or less were classified. Ability to perform activities of daily living (personal hygiene, bathing, toilet use, stair climbing, dressing, stool control, urinary control, gait, chair/bed, etc.) according to the degree of cognitive function by evaluating the ability to perform daily living compared results in all variables were statistically significant (p<.5). Conclusion : As a result, the higher cognitive functions can be seen that the higher the ability to perform activities of daily living.

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Study of Difference on Activities of Daily Living and Quality of Life of Dementia Patients Reported by Dementia Patients and Caregivers (일상생활활동과 삶의 질에 대한 치매노인과 요양보호사의 지각 차이에 대한 연구)

  • Song, Min-Sun;Choi, Chan-Hun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.3
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    • pp.386-391
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    • 2012
  • The purposes of this study were to investigate the difference on activities of daily living(ADL), instrumental activities daily of living(IADL) and quality of life of aged woman with dementia reported by aged woman with dementia and caregivers. From December 2009 to February 2010, 64 subjects in the institutionalized aged woman with dementia, 22 caregivers were surveyed through structured questionnaires. There was no difference ADL and quality of life of aged woman with dementia reported by aged woman with dementia and caregivers. But, there was significant differences in IADL. Also, ADL was positively related to IADL in aged woman with dementia and caregivers. ADL and IADL were negatively related to quality of life in aged woman with dementia and caregivers. In daily activity and life quality, there is no difference recognized by aged woman with dementia and caregivers. So it's not matter for the nursery to recognize the demand of the aged woman with dementia and to care them. It is necessary to study the elderly with dementia at home, and to compare the patients in accordance with severity.

A Comparative Study between Rheumatoid Arthritis Patients and Healthy Persons on Activities of Daily Living, Fatigue and Depression (류마티스 관절염환자와 일반인의 일상활동, 피로 및 우울에 관한 비교연구)

  • Cho, Hyea-Myung;Park, Jeong-Sook;Park, Myung-Hwa
    • Korean Journal of Adult Nursing
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    • v.13 no.2
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    • pp.247-261
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    • 2001
  • This study was conducted to compare activities of daily living, fatigue and depression between rheumatoid arthritis patients and healthy persons. The subjects consisted of 53 rheumatoid arthritis patients and 53 healthy persons at a university hospital in Daegu City. Data were collected by means of structured interviews with questionnaires from July 20, 1999 to August 25, 1999. The instrument used in this study were the activities of daily living scale developed by Katz et al. (1970) and Barthel(1973), Multidimensional Assessment of Fatigue by Belza et al.(1995) and CES-D(Center for Epidemiologic Studies-Depression) scale. Analysis of data was done by use of descriptive statistics, Pearson Correlation, Chi-square test, t-test, ANOVA, MANCOVA and Duncan with the SPSS program. The major findings are summarized as follows : 1. The first hypothesis that the rheumatoid arthritis patients will have a lower degree of activities of daily living than the healthy persons was supported (F=4.584, p=.035). 2. The second hypothesis that the rheumatoid arthritis patient will have a higher degree of fatigue than the healthy persons was supported (F=7.799, p=.006). 3. The third hypothesis that the rheumatoid arthritis patients will have a higher degree of depression than the healthy persons was supported (F=4.768, p=.031). With the above results, it can be concluded that rheumatoid arthritis patients had a lower degree of activities of daily living and a higher degree of fatigue and depression than the healthy persons. Therefore, by providing appropriate nursing intervention, activities of daily living would be much better and fatigue and depression would be alleviated.

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The Effect of the Computer-Based Cognitive Rehabilitation Program (CoTras) on the Cognitive Function and Daily Living Activities of Elderly Stroke Patients (전산화 인지재활 프로그램 (CoTras) 훈련이 노인 뇌졸중 환자의 인지기능 및 일상생활활동에 미치는 영향)

  • Kim, Minho;Park, Jemin;Lee, Najung
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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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.

The Behavior of Space Occupancy as Demonstrated caused by Activities of Daily Living of Residents in Group Homes for Elderly People (고령자 그룹홈 거주자의 일상생활능력에 따른 공간이용행태)

  • Kim, Hyun-Jin;Lim, Hi-Kyung;An, Ok-Hee
    • Journal of the Korean Home Economics Association
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    • v.44 no.7 s.221
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    • pp.177-188
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    • 2006
  • This study evaluated 26 elderly residents living independently in 4 group homes for their abilities in daily living and analyzed their behaviors of space occupancy and activities of daily living. The aim of the study was to identify the relationships between the physical environments of the group homes and the daily activities of the residents. The results of this study are summarized as follows. 1) Most residents in the group home considered bathing and cooking to be the most difficult of their living activities. The residents were categorized into "Independent," "Semi-dependent" and "Dependent" groups, on the basis of their ADL and IADL scores, and individual groups were examined. On ADL scorelt was shown, then, that 65.4% of the residents were was independent in ADL, but there was no any significant difference in IADL between the independent, semi-dependent and dependent groups. In addition, there was a difference in ADL and IADL among the groups. The independent group's residents were shown to be independent in ADL and IADL, whereas the but those of the semi-dependent and dependent groups' residents were lower in IADL than in ADL. 2) When their behaviors of space occupancy were examined, it appeared that the independent group showed a different space sharing pattern among individual residents, with a wide range of behavior of space occupancy. Meanwhile, The semi-dependent group mostly shared a common space with simple activities of daily living while no any service low leisure program was provided. However, the dependent group mainly consisted of residents who had a low level of independence in ADL and IADL, so that their behaviors of space occupancy were entirely negative.

Does the Application Transcranial Direct Current Stimulation and Visual Perception Program Enhance the Visual Perception Function and ADL Performance of Dementia Patients (경두개 직류자극 및 인지훈련 프로그램 적용이 치매환자의 인지기능, 시지각 및 일상생활활동에 미치는 영향)

  • Kim, Ko-Un;Kim, Bo-Ra;An, Tae-Gyu
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.201-210
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    • 2021
  • Purpose : There is a lack of research on this field in the Republic of Korea, especially those that have seen the effect of interaction between transcranial direct current stimulation and computerized cognitive rehabilitation therapy. This study divided 30 dementia patients into a treatment group, which received transcranial direct current stimulation and computerized cognitive rehabilitation, and a control group, which received pseudo-transcranial direct current stimulation and pseudo-computerized cognitive rehabilitation. This study evaluated the effects of these treatments on the visual perception, cognition functions, and daily activities of dementia patients. Methods : Fifteen subjects were allocated to the treatment group and the other 15 subjects were allocated to the control group. Treatments were given at intervals of five sessions per week (30 minutes per session) for six weeks (30 times in total). This study used the Neurobehavioral Cognitive Status Examination (NCSE) to examine cognitive functions, MVPT to evaluate visual perception, and FIM to test daily living activities before and after applying the treatments. Results : The results of this study showed that cognitive functions, visual perception, and daily living activities significantly (p<.05) improved after the intervention in the treatment group and the control group. The changes in cognitive functions, visual perception, and daily living activities due to the treatments were significantly different between the groups (p<.05). Conclusion : The results indicated that transcranial direct current stimulation and computerized cognitive rehabilitation therapy improved visual perception and daily living activities by increasing cognitive functions. Consequently, it was found that the simultaneous application of transcranial direct current stimulation in conjunction with a computerized cognitive rehabilitation program was an intervention method that could positively affect the visual perception, cognitive function, and daily living activities of dementia patients. Based on the results of this study, the study of arbitration protocols for demential will have to be more active.