보건의료산업학회지 (The Korean Journal of Health Service Management)

  • 제10권3호
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  • Pages.75-84
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  • 2016
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  • 2093-5986(pISSN)
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  • 2288-0666(eISSN)
보건의료산업학회 (Korea Society of Health Service Management)
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뇌졸중 환자의 인지적 전략개발 중심 중재가 수행기술에 미치는 효과 비교 : 무작위 비교연구

Cognitive Strategy Intervention Affects Performance Skills of Daily Living in Individuals with Stroke: A Randomized Controlled Trial

  • 안시내 (혜전대학교 작업치료과)
  • Ahn, Si-Nae (Department of Occupational Therapy, Hyejeon College)
  • 투고 : 2016.07.14
  • 심사 : 2016.09.06
  • 발행 : 2016.09.30
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초록

Objectives : The aim of this study was to compare a treatment focusing on the physical function to an intervention focusing on a cognitive strategy in stroke patients which improves their performance skills of daily activities. Methods : This study design was a randomized control trial selecting 43 people with stroke patients. This study consisted of a control group, which received conventional occupational therapy focusing on physical function, and an experimental group which was trained to develop a cognitive strategy by themselves. Both groups each received 10 sessions of the treatment. This study compared the skills for performing daily activities before and after the intervention and analyzed the data with SPSS Ver. 18.0. Results : This study showed a significant improvement in all performance skills in the experimental group (p<.05). There was no statistically significant difference in the performance skills before and after the intervention in the control group (p>.05). Conclusions : It was verified that stroke patients to develop a cognitive strategy by themselves is more effective than to improve the physical function in performance skills for daily activities.

키워드

참고문헌

  1. Statistics Korea(2014), Cause of death Statistics in 2013, Statistics Korea.
  2. H.A. Wang, S.Y. Lee(2014), The relationship between botth upper extremity function and activities of daily living in stroke patients, The Korean Journal of Health Service Management, Vol.8(1);113-123. https://doi.org/10.12811/kshsm.2014.8.1.113
  3. D. Sansonetti, T. Hoffmann(2013), Cognitive Assessment Across the Continuum of Care: The Importance of Occupational Performance-based Assessment for Individuals Post-stroke and Traumatic Brain Injury, Australian Occupational Therapy Journal, Vol.60(5);334-342. https://doi.org/10.1111/1440-1630.12069
  4. B.W. Doucet, A. Woodson, M. Watford(2014), Centennial Vision-moving toward 2017: Progress in Rrehabilitation Intervention Effectiveness Research. American Journal of Occupational Therapy, Vol.68(1);e124-e148. https://doi.org/10.5014/ajot.2014.011874
  5. T.Y. Han, J.H. Kim, D.H. Seng, M.H. Jeon(1992), The correlation of the Mini-Mental State Examination(MMSE) and functional outcome in the stroke patients. Journal of Korean Academy of Rehabilitation Medicine, Vol.16(2);118-122.
  6. Y.T. Kim, S.Y. Kang, S.J. Choi(1997), The relationship between Loewenstein occupational therapy cognitive assessment and functional assessments in brain-Injured patients. Journal of Korean Academy of Rehabilitation Medicine, Vol.21(4);669-678.
  7. C. Mercier, A. Aballea, C.D. Vargas, J. Paillard, A. Sirigu(2008), Vision without proprioception modulates cortico-spinal excitability during hand motor imagery, Cerebral Cortex, Vol.18(2);272-277. https://doi.org/10.1093/cercor/bhm052
  8. I.S. Park, D.Y. Kim, C.Y. Kang(2011), The relationship of dysfunctions degree, daily living activity, depressiveness and quality of life among the elderly suffering from stroke, The Korean Journal of Health Service Management, Vol.5(2);173-186. https://doi.org/10.12811/kshsm.2011.5.2.173
  9. T.J. Wolf, A. Chuh, T. Floyd, K. McInnis, E. Williams(2015), Effectiveness of occupation-based interventions to improve areas of occupation and social participation after stroke: An evidence-based review, American Journal of Occupational Therapy, Vol.69(1);1-11.
  10. S.E. McEwen, H.J. Polatajko, J.A. Davis, M. Huijbregts, J.D. Ryan(2010), 'There's a Real Plan Hhere, and I Am Responsible for That Plan': Participant Experiences with a Novel Cognitive-based Treatment Approach for Adults Living with Chronic Stroke, Disability and rehabilitation, Vol.32(7);541-550. https://doi.org/10.3109/09638280903180189
  11. A.D. Mandich, H.J. Polatajko, J.J. Macnab, L.T. Miller(2001), Treatment of Children with Developmental Coordination Disorder: What is the Evidence? Physical & Occupational Therapy in Pediatrics, Vol.20(2-3);51-68. https://doi.org/10.1080/J006v20n02_04
  12. E.R. Skidmore, E.M. Whyte, M.A. Butters, L. Terhorst, C.F. Reynolds(2015), Strategy Training During Inpatient Rehabilitation May Prevent Apathy Symptoms After Acute Stroke, Physical Medicine and Rehabilitation, Vol.7;562-570.
  13. T.J. Wolf, H. Polatajko, C. Baum, J. Rios, D. Cirone, M. Doherty, S. McEwen(2016), Combined Cognitive-strategy and Task-specific Training Effects Cognition and Upper-extremity Function in Subacute Stroke: An Exploratory Rrandomized Controlled Trial. American Journal of Occupational Therapy, Vol,70;1-10.
  14. S.E. McEwen, H.J. Polatajko, M.P.J. Huijbregts, J.D. Ryan(2009), Exploring a Cognitive-based Treatment Approach to Improve Motor Skill Performance in Chronic Stroke: Results of Three Single Case Experiments, Brain Injury, Vol.23(13-14);1041-1053. https://doi.org/10.3109/02699050903421107
  15. J. Toglia, Y. Goverover, M.V. Johnston, B. Dain(2011), Application of the Multicontextual Approach in Promoting Learning and Transfer of Strategy Use in an Individual with TBI and Executive Dysfunction, OTJR: Occupation, Participation and Health, Vol.31;S53-S60. https://doi.org/10.3928/15394492-20101108-09
  16. J.P. Toglia, S.A. Rodger, H.J. Polatajko(2012), Anatomy of Cognitive Strategies: A Therapist's Primer for Enabling Occupational Performance. Canadian Journal of Occupational Therapy, Vol.79(4);225-236. https://doi.org/10.2182/cjot.2012.79.4.4
  17. H.J. Polatajko, S.E. McEwen, J.D. Ryan, C.M. Baum(2012), Pilot Randomized Controlled Trial Investigating Cognitive Strategy Use to Improve Goal Performance After Stroke, American Journal of Occupational Therapy, Vol.66(1);104-109. https://doi.org/10.5014/ajot.2012.001784
  18. H.J. Polatajko, A.D. Mandich, L.T. Miler, J.J. Macnab(2001), CO-OP: Part II-The Evidence, Physical & Occupational Therapy in Pediatrics, Vol.20(2-3);83-106. https://doi.org/10.1080/J006v20n02_06
  19. Y.C. Kwon, J.H. Park(1989), Korean Version of Mini-Mental State Examination (MMSE-K) Part I: Development of the Test for the Elderly, Korean Neuropsychiatric Association, Vol.28(1);125-135.
  20. L. Carpenter, G.A. Baker, B. Tyldesley(2001), The Use of the Canadian Occupational Performance Measure as an Outcome of a Pain Management Pprogram, Canadian Journal of Occupational Therapy, Vol.68(1);16-22. https://doi.org/10.1177/000841740106800102
  21. E.H.C. Cup, W.S. op Reimer, M.C.E. Thijssen, M.A.H. van Kuyk-Minis(2003), Reliability and Validity of the Canadian Occupational Perfor mance Measure in stroke patients, Clinical rehabilitation, Vol.17;402-409. https://doi.org/10.1191/0269215503cr635oa
  22. A.G. Fisher, K.B. Jones(2010), Assessment of Motor and Process Skills, Vol.1: Development, standardization, and administration manual(7th ed.), Fort Collins: Three Star Press, pp.15-11-15-82.
  23. A.G. Fisher(2010), Assessment of Motor and Process Skills, Vol.2: User Manual(7th ed.), Fort Collins: Three Star Press, pp.8-15-8-49.

피인용 문헌

  1. Effects of Cognitive Rehabilitation Therapy for Occupation Performance Among Korean Literature: A Meta-analysis vol.27, pp.3, 2016, https://doi.org/10.14519/kjot.2019.27.3.07