가상현실 기반 프로그램 라파엘 스마트보드가 뇌졸중 환자의 시지각기능, 인지기능, 상지기능 및 일상생활 수행 능력에 미치는 영향
Effects of a Virtual Reality-BasedRehabilitation Program on Visual Perception,Cognitive Function, Upper Limb Function,and Ability to Perform Activities of Daily Living in Patients With Stroke
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목적 : 본 연구는 뇌졸중 환자를 대상으로 가상현실 기반 프로그램 라파엘 스마트보드를 적용하여 시지각기능, 인지기능, 상지기능 및 일상생활수행 능력에 미치는 영향을 확인하고자 하였다. 연구방법 : 울산광역시에 소재한 S병원에 입원한 환자 36명을 무작위 배정하여 가상현실 기반 프로그램의 효과를 확인하고자 하였다. 실험군은 라파엘 스마트보드를 적용한 그룹과 대조군으로 과제지향훈련을 하는 그룹으로 나누었다. 하루 40분, 주 3회 8주 간 중재를 시행하였으며, 중재 전과 후에 MVPT-3, MoCA-K, Fugl-meyer assessment, K-MBI를 사용하여 평가하였다. 자료의 분석은 SPSS 22.0을 사용하였으며 통계학적 유의수준은 0.05로 하였다. 결과 : 실험군과 대조군 모두 MVPT-3, MoCA-K, Fugl-meyer assessment, K-MBI 점수에서 유의한 결과를 나타내었다. 그룹 간 결과 비교에서는 실험군에서 MVPT-3, MoCA-K, Fugl-meyer assessment, K-MBI 점수가 유의하게 향상되었다. 결론 : 가상현실 기반 프로그램 라파엘 스마트보드를 사용한 중재가 뇌졸중 환자의 시지각기능, 인지기능, 상지기능 및 일상생활수행 능력 증진에 효과적이다.
Abstract
Objective : This study was conducted to find out the impact of the virtual reality based rehabilitation program using RAPAEL Smartboard on visual perception, cognitive function, upper limb fuction, and Activities of Daily Living ability of stroke patients. Methods : A total of 36 patients admitted to S Hospital in Ulsan Metropolitan City were randomly assigned to a virtual reality-based rehabilitation program or task-oriented training. The experimental group performed virtual reality rehabilitation program and the control group performed task oriented training. Intervention The intervention was conducted 8 times for 8 weeks, 40 minutes per day, 3 times a week. SPSS 22.0 was used for data analysis, and the statistical significance level was set at 0.05. Results : Both groups showed a significant improvement in their visual perception, cognitive function, upper limb fuction and Activities of Daily Living ability. After the intervention, significant differences in the score of MVPT-3, Fugl-meyer assessment, MoCA-K, K-MBI were observe. Conclusion : In conclusion, it is desirable to implement a virtual conduction virtual reality-based rehabilitation program as a rehabilitation program to improve visual perception, cognitive function, upper limb function, and daily living ability in stroke ADL patients.
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