노인의 인지기능과 실행과제의 상관관계 연구
Correlation Analysis between Cognitive function and Praxis tasks in the Elderly
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The purpose of this study was to identify differences in cognitive function according to the presence or absence of apraxia and the tasks most relevant to the cognitive function among the various types of tasks in the apraxia test. The subjects were 42 community residents who participated in a cognitive rehabilitation program related to dementia in a Chungbuk area. MMSE-K and BCoS(Birmingham Cognitive Screen) apraxia test were administered to all subjects. The apraxia test includes three types of tasks, gesture production tasks that make meaningful movements according to verbal instructions, gesture recognition tasks that display behavior after make sense of meanings, and meaningless imitation task. Apraxia group(n=30, MMSE-K mean score: 25) showed lower cognitive function than group without apraxia(n=12, MMSE-K mean score: 28). All tasks in the apraxia test showed a significant correlation with cognitive function, but the meaningless imitation task had a negligible correlation. The apraxia test is a good way to assess cognitive function, and it may be more effective to use meaningful behavior to replace cognitive testing.
Abstract
The purpose of this study was to identify differences in cognitive function according to the presence or absence of apraxia and the tasks most relevant to the cognitive function among the various types of tasks in the apraxia test. The subjects were 42 community residents who participated in a cognitive rehabilitation program related to dementia in a Chungbuk area. MMSE-K and BCoS(Birmingham Cognitive Screen) apraxia test were administered to all subjects. The apraxia test includes three types of tasks, gesture production tasks that make meaningful movements according to verbal instructions, gesture recognition tasks that display behavior after make sense of meanings, and meaningless imitation task. Apraxia group(n=30, MMSE-K mean score: 25) showed lower cognitive function than group without apraxia(n=12, MMSE-K mean score: 28). All tasks in the apraxia test showed a significant correlation with cognitive function, but the meaningless imitation task had a negligible correlation. The apraxia test is a good way to assess cognitive function, and it may be more effective to use meaningful behavior to replace cognitive testing.
참고문헌 (36)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders", pp.143~146 (1994), American Psychiatric Association
- Cho, W. H, "A study on the activation of senior welfare facilities", Journal of the Korea Society of Computer and Information, 21(12), pp.231~237
- Kim, S. H, "Prevalence of dementia among the South Korean Population", The Journal of Korean Diabetes, 13(3), pp.124~128 (2012)
- E. L. Koedam, "Early-versus late-onset Alzheimer’s disease: more than age alone", Journal of Alzheimer’s Disease, 19(4), pp.1401~1408 (2010)
- L. J. Buxbaum, "Treatment of limb apraxia: moving forward to improved action", American Journal Physical Medicine and Rehabilitation, 87(2), pp.149~161 (2008)
- S. Della Sala, "Ideomotor apraxia in patients with dementia of Alzheimer type", Journal of Neurology, 234(2), pp.91~93 (1987)
- D. Edwards, "A quantitative analysis of apraxia in senile dementia of the Alzheimer type: stage-related differences in prevalence and type", Dementia and Geriatric Cognitive Disorders, 29(2), pp.142~149 (1991)
- A. Johnen, "Araxia profile differentiates behavioural variant frontotemporal from Alzheimer’s dementia in mild disease stages", Journal of Neurology, Neurosurgery and Psychiatry, 86(7), pp.809~815 (2015)
- Y. Nagahama, "Impaired imitation of gesture in mild dementia: Comparison of dementia with Lewy bodies, Alzheimer’s disease and vascular dementia", Journal of Neurology, Neurosurgery and Psychiatry, 86(11), pp.1248~1252 (2015)
- S. Ozkan, "Apraxia for differentiating Alzheimer’s disease from subcortical vascular dementia and mild cognitive impairment", Neuropsychiatric Disease and Treatment, 9, pp.947~951 (2013)
- L. L. Smits, "Apraxia in mild cognitive impairment and Alzheimer's disease: validity and reliability of the Van Heugten test for apraxia", Dementia and Geriatric Cognitive Disorders, 38(1-2), pp.55~64 (2014)
- 한지원, "치매 선별용 간이정신상태검사(Mini-Mental State Examination for Dementia Screening；MMSE-DS)와 단축형 MMSE-DS(SMMSE-DS)의 한국 노인 정상규준 연구", 노인정신의학, 14(1), pp.27~37 (2010), 대한노인정신의학회
- T. N. Tombaugh, "The Mini-Mental State Examination: a comprehensive review", Journal of the American Geriatrics Society, 40(9), pp.922~935 (1992)
- A. L. Foundas, "Gesture laterality in aphasic and apraxic stroke patients", Brain and Cognition, 29(2), pp.204~213 (1995)
- M. Donkervoort, "Prevalence of apraxia among patients with a first left hemisphere stroke in rehabilitation centres and nursing homes", Clinical rehabilitation, 14(2), pp.130~138 (2000)
- R. Cubelli, "Cognition in action: testing a model of limb apraxia", Brain and Cognition, 44(2), pp.144~165 (2000)
- Park, J. H, "Assessment and treatment of apraxia", Brain & NeuroRehabilitatio, 2(1), pp.64~70 (2009)
- W. L. Bickerton, "Systematic assessment of apraxia and functional predictions from the Birmingham Cognitive Screen", Journal of Neurology, Neurosurgery, and Psychiatry, 83(5), pp.513~521 (2012)
- L. J. G. Rothi, "Limb praxis assessment", pp.61~73 (1997), Psychology Press Publishers
- L. L. Smits, "Apraxia in mild cognitive impairment and Alzheimer’s disease: Validity and reliability of the Van Heugten test for apraxia", Dementia and Geriatric Cognitive Disorders, 38(1), pp.55~64 (2014)
- M. Mozaz, "Posture recognition in Alzheimer’s disease", Brain and Cognition, 62(3), pp.241~245 (2006)
- H. Yamaguchi, "Yamaguchi fox-pigeon imitation test (YFPIT) for dementia in clinical practice", Psychogeriatrics, 11(4), pp.221~226 (2011)
- H. Yamaguchi, "Yamaguchi fox-pigeon imitation test: a rapid test for dementia", Dementia and Geriatric Cognitive Disorders, 29(3), pp.254~258 (2010)
- T. Banke, "Two forms of apraxia in Alzheimer’s disease", Cortex, 29(4), pp.715~725 (1993)
- A. Johnen, "Shared neural correlates of limb apraxia in early stages of Alzheimer’s dementia and behavioural variant frontotemporal dementia", Cortex, 84, pp.1~14 (2016)
- L. Willis, "Ideomotor apraxia in early Alzheimer's disease: time and accuracy measures", Brain and Cognition, 38(2), pp.220~233 (1998)
- Shin, S. J, "Reliability and validity of the Korean Birmingham cognitive screen apraxia test", pp.2015
- M. F. Folstein, "Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatric Research, 12(3), pp.189~198 (1975)
- Kwon, Y. C, "Korean version of Mini-Mental State Examination (MMSE-K): Part Ⅰ. Development of the test for the elderly", Journal of Korean Neuropsychiatric Association, 28(1), pp.125~135 (1989)
- Kim, S. H, "Prevalence of dementia among the South Korean Population", The Journal of Korean Diabetes, 13(3), pp.124~128 (2012)
- F. Sa, "Differences between early and late-onset Alzheimer’s disease in Neuropsychological tests", Frontiers in Neurology, 14(3), pp.81~ (2012)
- L. Wang, "Pantomime, praxis, and aphasia", Brain and Language, 42(4), pp.402~418 (1992)
- G. Binetti, "Semantic memory in Alzheimer's disease: an analysis of category fluency", Journal of Clinical and Experimental Neuropsychology, 17(1), pp.82~89 (1995)
- R. Parakh, "Pantomime and imitation of limb gestures in relation to the severity of Alzheimer’s disease", Brain and Congnition, 55(2), pp.272~274 (2004)
- C. Derouesné, "Apraxic disturbances in patients with mild to moderate Alzheimer’s disease", Neuropsychologia, 38(13), pp.1760~1769 (2000)
- L. J. Buxbaum, "Critical brain regions for tool-related and imitative actions: A componential analysis", Brain, 137(Pt7), pp.1971~1985 (2014)