A Pilot Investigation of Computerized Cognitive Rehabilitation for Post-Stroke Patients: Cognitive Function and Satisfaction
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The aim of this pilot study was to investigate the effects of computerized cognitive rehabilitation on patients after they had each experienced an acute stroke and evaluate the association between rehabilitation satisfaction and age. Eighteen patients who had each experienced an acute stroke participated in the study. They were assigned to two groups: the experimental group (n = 12) and control group (n = 6). Interventions were performed with each group for 30 minutes per day, five times per week, for four weeks. The experimental group engaged in computerized cognitive rehabilitation, and the control group participated in traditional cognitive rehabilitation. In addition, both groups engaged in traditional cognitive rehabilitation for four weeks according to an established schedule. The Lowenstein Occupational Therapy Cognitive Assessment test (LOTCA) was performed to measure cognitive function. The Visual Analog Satisfaction Scale (VASS) was used to measure satisfaction with cognitive rehabilitation—specifically, overall satisfaction, therapeutic effects, interest, and intention to reuse. After the interventions, total cognitive function scores for both groups were significantly improved compared to scores before the interventions. However, the experimental group showed significant improvement in more sub-items of cognitive function compared to the control group. There was no significant difference in satisfaction between the two groups after the interventions. In the experimental group, overall satisfaction and interest in computerized cognitive rehabilitation were significantly lower among elderly participants when compared to middle-aged participants. Computerized cognitive rehabilitation may have a positive effect on cognitive function improvement. However, computerized cognitive rehabilitation programs must be developed to meet the specific characteristics and needs of elderly stroke patients.
Abstract
The aim of this pilot study was to investigate the effects of computerized cognitive rehabilitation on patients after they had each experienced an acute stroke and evaluate the association between rehabilitation satisfaction and age. Eighteen patients who had each experienced an acute stroke participated in the study. They were assigned to two groups: the experimental group (n = 12) and control group (n = 6). Interventions were performed with each group for 30 minutes per day, five times per week, for four weeks. The experimental group engaged in computerized cognitive rehabilitation, and the control group participated in traditional cognitive rehabilitation. In addition, both groups engaged in traditional cognitive rehabilitation for four weeks according to an established schedule. The Lowenstein Occupational Therapy Cognitive Assessment test (LOTCA) was performed to measure cognitive function. The Visual Analog Satisfaction Scale (VASS) was used to measure satisfaction with cognitive rehabilitation—specifically, overall satisfaction, therapeutic effects, interest, and intention to reuse. After the interventions, total cognitive function scores for both groups were significantly improved compared to scores before the interventions. However, the experimental group showed significant improvement in more sub-items of cognitive function compared to the control group. There was no significant difference in satisfaction between the two groups after the interventions. In the experimental group, overall satisfaction and interest in computerized cognitive rehabilitation were significantly lower among elderly participants when compared to middle-aged participants. Computerized cognitive rehabilitation may have a positive effect on cognitive function improvement. However, computerized cognitive rehabilitation programs must be developed to meet the specific characteristics and needs of elderly stroke patients.
참고문헌 (27)
- Al Snih, S., "Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period", Aging Clinical and Experimental Research, 16(6), pp.481~486 (2004)
- Allen, C. K., "Occupational therapy for psychiatric diseases : Measurement and management of cognitive disabilities" (1985), Little Brown & Company
- Cha, Y. J., "Effect of computer-based cognitive rehabilitation(CBCR)for people with stroke : a systematic review and meta-analysis", NeuroRehabilitation, 32(2), pp.359~368 (2013)
- Chen, S. H. A., "The effectiveness of computer-assisted cognitive rehabilitation for persons with traumatic brain injury", Brain Injury, 11(3), pp.197~210 (1997)
- Faul, F., "Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009)
- 함민주, "워크북 프로그램이뇌졸중 환자의 인지기능에 미치는 영향", 인지발달중재학회지, 7(2), pp.91~103 (2016), 인지발달중재학회
- Katz, D. I., "nitive rehabilitation: the evidence, funding and case for advocacy in brain injury" (2006), Brain Injury Association of America
- Katz, N., "Loewenstein Occupational Therapy Cognitive Assessment(LOTCA)battery for brain-injured patients : reliability and validity", The American Journal of Occupational Therapy, 43(3), pp.184~192 (1989)
- 김정석, "중고령 장애인의 우울 영향요인 연구 : 중년기와 고령기의 비교를 중심으로", 인문사회과학연구, (54), pp.77~96 (2017), 인문사회과학연구소[DOI]
- 김정미, "한국형 컴퓨터 인지프로그램 CoTras가 뇌졸중 환자의 기억력과 뇌파에 미치는 효과: 단일대상연구", 대한작업치료학회지, 22(4), pp.61~76 (2014), 대한작업치료학회[DOI]
- 김재섭, "재활요양병원의 재활군 환자의 만족도 요인에 관한 연구", 보건의료산업학회지, 10(4), pp.61~73 (2016), 보건의료산업학회
- Jee Hyoung Kim, "How to Do Random Allocation (Randomization)", Clinics in Orthopedic Surgery, 6(1), pp.103~109 (2014), 대한정형외과학회
- 김신균, "전산화인지치료와 고유수용성 감각운동이 뇌졸중 환자의 뇌파변화에 미치는 영향", 대한물리의학회지, 8(4), pp.505~512 (2013), 대한물리의학회
- 김수현, "노화에 대한 기대수준이 노인의 건강증진행위에 미치는 영향", Journal of Korean Academy of Nursing, 37(6), pp.932~940 (2007), 한국간호과학회
- "Statistical Annual Report" (2019)[URL]
- Laver, K., "Is the Nintendo Wii Fit really acceptable to older people? : a discrete choice experiment", BMC Geriatrics, 11(1), pp.64~ (2011)
- 이 형, "맞춤전정재활운동의 효과, 순응도와 만족도: 단일 병원 경험", Research in Vestibular Science, 18(1), pp.14~18 (2019), 대한평형의학회[DOI]
- Lopez-Espuela, F., "Determinants of quality of life in stroke survivors after 6 months, from a comprehensive stroke unit : a longitudinal study", Biological Research for Nursing, 17(5), pp.461~468 (2015)
- Mok, V. C. T., "Cognitive impairment and functional outcome after stroke associated with small vessel disease", Journal of Neurology, Neurosurgery & Psychiatry, 75(4), pp.560~566 (2004)
- Madureira, S., "Dementia and cognitive impairment three months after stroke", European Journal of Neurology, 8(6), pp.621~627 (2001)
- 문종훈, "스마트 기기 애플리케이션을 사용한 인지치료 프로그램이 인지장애가 있는 뇌졸중 환자의 집중력, 작업기억 및 치료 선호도에 미치는 효과", 인지발달중재학회지, 7(3), pp.1~16 (2016), 인지발달중재학회
- 문종훈, "테블릿 pc 어플리케이션을 사용한 인지훈련이 아급성 뇌졸중 환자의 인지기능, 일상생활 및 만족감에 미치는 영향", 한국전자통신학회 논문지, 12(1), pp.219~228 (2017), 한국전자통신학회[DOI]
- Radomski, J. P., "Neural network-based recognition of oligosaccharide 1H-NMR spectra", Nature Structural & Molecular Biology, 1(4), pp.217~218 (1994)
- Rajan, K. B., "Association of cognitive functioning, incident stroke, and mortality in older adults", Stroke, 45(9), pp.2563~2567 (2014)
- Shin, S. H., "The effects of a computer-assisted cognition training program(RehaCom®)in stroke patients", Brain & Neurorehabilitation, 1(2), pp.181~189 (2008)
- Singer, J., "Determination of the minimal clinically significant difference on a patient visual analog satisfaction scale", Academic Emergency Medicine, 5(10), pp.1007~1011 (1998)
- Thrift, A. G., "Is stroke incidence in low-to middle-income countries driven by economics?", International Journal of Stroke, 7(4), pp.307~308 (2012)