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경도인지장애와 치매 노인을 대상으로 한 이중과제 훈련의 인지기능 효과: 체계적 고찰

Dual-Tasking Training Effects on Cognitive Function for Dementia and Mild Cognitive Impairment: A Systematic Review

배수영|남상훈|주유미|홍익표|진연주
한국노인작업치료학회 (Korean Society for Geriatric Occupational Therapy)|2021.12|한국노인작업치료학회지 (Korea Journal of Geriatric Occupational Therapy)|제3권 제2호|pp. 19-33|DOI 10.23189/yksgot.2021.3.2.002

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키워드

치매Dementia경도인지장애이중과제Dual-task인지운동결합훈련Combined cognitive and physical trainingMild cognitive impairmen

초록

목적 : 본 연구는 경도인지장애와 치매 노인을 대상으로 한 이중과제 훈련의 인지기능 효과에 대해 알아보고자하였다. 연구방법 : 문헌 검색으로 PubMed, Embase 데이터베이스를 사용하여 2011년 1월부터 2021년 9월까지 출판된 논문을 검색하였다. 검색어로는 “Dementia” OR “mild cognitive impairment” AND “dual-task” OR “combined cognitive and physical training”을 사용하였다. 문헌 선정의 절차를 통해 3,060개의 임상 실험연구 중에서 5개의 연구가 선택되었다. 선정된 연구들은 대상 연구의 방법론적 질 평가, 비뚤림 위험 평가, 이중과제 유형 및 중재 효과를 통해 분석하였다. 결과 : 총 5개의 연구를 분석한 결과, 방법론적 질 평가의 총점 평균은 6.2점으로 ‘양호’로 나타났다. 비뚤림위험 평가 결과 선정된 연구 중 3편에서 배정순서 은폐, 참여자 및 연구자의 눈가림, 불완전한 결과처리 영역에서 위험도 높음으로 평가되었다. 이중과제 훈련 유형으로는 모두 동시적 이중과제 훈련 프로그램을 적용하였고, 경도인지장애 및 치매 노인을 대상으로 주의 집중력, 실행기능의 인지기능과 인지 선별 검사에서유의한 효과가 나타났다. 결론 : 본 연구에서 이중과제 훈련은 치매와 경도인지장애 노인의 인지기능에 효과적인 것으로 나타났다. 임상환경에서 경도인지장애 및 치매 노인을 대상으로 효과적인 이중과제 훈련의 기초자료로 사용되길 기대한다

Abstract

Objective : The study aims to review the dual-task training effect on cognitive function of older adults with dementia and mild cognitive impairment. Methods : From January 2011 to September 2021, we searched the peer-reviewed manuscript related to dual-task training for dementia and mild cognitive impairment using the PubMed, Embase databases. The five studies were selected from the 3,060 clinical trial studies related to dual-task training. Selective studies were analyzed for the Physiotherapy Evidence Database (PEDro) scale, risk of bias, dual-task training type, intervention effect. Results : The selected five studies was average total score of the PEDro scale was 6.2, ‘good’. Three studies showed a high risk of bias. The dual task training significant effects were found in cognitive function of attention, executive function, and cognitive screening evaluation. Conclusion : It is expected that the results of this study will be used as reference for applying the dual task training to the older adults with mild cognitive impairment and dementia in clinical practice.

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