유산소운동과 전산화 인지재활치료를 병행한 치료가 뇌졸중 환자의 인지기능과 일상생활동작 기능에 미치는 영향
Effects of Aerobic Exercise and Computerized Cognitive Rehabilitation Treatment on Cognitive Function and Activities of Daily Living Function in Stroke Patients
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목적 : 본 연구는 인지기능에 문제가 있는 뇌졸중 환자를 대상으로 유산소운동과 전산화 인지재활치료를 병행하였을 때 인지기능에 미치는 영향을 알아보고자 하였다. 연구방법 : 서울에 소재한 M 병원의 입원한 인지기능에 문제가 있는 뇌졸중 환자 20명을 대상으로 유산소 운동과 전산화 인지재활치료를 병행한 중재를 시행하였으며 실험군과 대조군에 모두 동일하게 전산화 인지재활치료를 1회 30분, 주 3회, 총 8주간 시행하였으며 실험군에는 유산소운동을 1회 40분, 주 3회, 총 8주간을 추가로 시행하였다. 인지기능 평가도구로는 한국형 간이정신상태검사(K-MMSE)와 서울신경심리검사-Ⅱ(SNSB-Ⅱ)의 집중력(Digit Span Test), 기억력(SVLT-E), 전두엽 집행기능(Contrasting program, Go-no-Go, Fist-Edge-Palm) 항목을 사용하였으며 인지기능과 일상생활 수행능력과 상관관계를 보기 위해 한국판 수정바델지수(K-MBI)를 사용하였다. 결과 : 유산소운동과 전산화 인지재활치료를 병행한 실험군에서 그렇지 않은 대조군에 비해 K-MMSE, K-MBI 점수가 유의미하게 향상 되었고 SNSB의 기억력, 집중력, 전두엽 기능을 평가한 항목에서 실험군이 대조군에 비해 유의미하게 향상되었다. 또한 실험군의 인지기능과 일상생활동작의 기능적인 회복에서도 유의미한 상관관계가 있는 것으로 나타났다. 결론 : 유산소운동과 전산화 인지재활치료를 병행한 중재 방법은 뇌졸중 환자의 인지기능 향상에 효과적이다.
Abstract
Objective : This study sought to determine the impact of aerobic exercise and computerized cognitive rehabilitation treatment on stroke patients with cognitive function problems. Methods : Twenty stroke patients with cognitive function problems at M Hospital in Seoul were treated with aerobic exercise and computerized cognitive rehabilitation treatment, Computerized cognitive rehabilitation treatment was conducted for 30 minutes, 3 times a week for 8 weeks. As a cognitive function evaluation tool, we used K-MMSE and SNSB-II's Digit Span Test, Memory(SVLT-E), Contrasting program, Go-no-Go, Fist-Edge-Palm, and K-MBI to correlate cognitive and daily life performance. Results : K-MMSE and K-MBI scores were significantly improved in the experimental group with aerobic exercise and computerized cognitive rehabilitation, and this group showed significantly improved memory, concentration, and frontal lobe function compared to the control group. There was also a significant correlation between cognitive function in the experimental group and functional recovery of daily life behavior. Conclusion : An intervention method that combines aerobic exercise and computerized cognitive rehabilitation is effective in improving cognitive function in patients with stroke.
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