Effect of 'RAPAEL Smart Glove's on Cognitive Function and Activities of Daily Living in Mild Cognitive Impairment

라파엘 스마트 글러브 적용이 경도인지장애 환자의 인지기능 및 일상생활 수행능력에 미치는 효과

  • Kim, Yo-Han (Dept. of Occupational Therapy, kyungwoon University Graduate School of Industry Information) ;
  • Park, Si-Young (Dept. of Occupational Therapy, kyungwoon University Graduate School of Industry Information) ;
  • Jung, Jea-Hun (Dept. of Occupational Therapy, kyungwoon University)
  • 김요한 (경운대학교 산업정보대학원 작업치료학과) ;
  • 박시영 (경운대학교 산업정보대학원 작업치료학과) ;
  • 정재훈 (경운대학교 작업치료학과)
  • Received : 2018.09.30
  • Accepted : 2018.12.21
  • Published : 2018.12.30

Abstract

Objective : The purpose of this study aimed to find out about the impact of RAPAEL Smart Glove on cognitive function and Daily living. Method : While 15 experimental group was given 'RAPAEL Smart Glove', 15 control group was given traditional cognitive rehabilitation. LOTCA, NCSE and MBI were taken to assess cognitive function and activities of daily living of two group before and after each intervention. Result : Cognitive function and Activities of Daily Living of both experimental group and control group presented statistically significant difference before and after each intervention(p<.05). But Statistically, the experiment group presented a significant improvement. Conclusion : The result of this study indicates that the existing rehabilitation treatment and 'RAPAEL Smart Glove' together can produce good effect on cognitive function and activities of Daily Living of mild cognitive impairment patient.

목적 본 연구는 라파엘 스마트 글러브가 경도인지장애 환자의 인지기능 및 일상생활 수행능력에 미치는 영향에 대해 알아보고자 하였다. 연구방법 라파엘 스마트글러브를 적용한 실험군 15명과 전통적인 인지재활을 적용한 대조군 15명으로 진행하였다. 두 집단의 중재 전 후 인지기능 및 일상생활 수행능력을 비교하기 위해 LOTCA, NCSE, MBI를 시행하였다. 연구결과 라파엘 스마트 글러브를 적용한 실험군과 대조군의 각 집단 내에서 중재 전 후 인지기능과 일상생활수행은 모두 통계학적으로 유의하게 향상되었으나(p>.05), 통계학적으로 실험군에서 유의하게 향상되었다. 결론 본 연구의 결과를 통하여 기존 재활치료와 같이 라파엘 스마트 글러브를 적용할 경우 경도인지장애 환자의 인지기능과 일상생활 수행능력 향상에 도움이 될 것으로 보인다.

Keywords

References

  1. Anderson, N. D., Murphy, K. J., & Troyer, A. K. (2012). Living with mild cognitive impairment: a guide to maximizing brain health and reducing risk of dementia. New York, NY: Oxford University Press.
  2. Bang, Y. S. (2007). The Effects of Task-Oriented Activities on the Cognitive Function and Performance of Activities of Daily Living in Stroke Patients. Journal of the Korean Society of Occupational Therapy, 15(3), 49-61.
  3. Baram, Y., Aharon-Peretz, J., & Lenger, R. (2010). Virtual reality feedback for gait improvement in patients with idiopathic senile gait disorders and patientswith history of stroke. Journal of the american Geriatrics Society, 58(1), 191-192. doi:10.1111/j 1532- 5415.2009.02654.x
  4. Burdea, G. C. (2003). Virtual rehabilitation benefits and challenges. Methods of Information in Medicine, 42(5), 519-523. https://doi.org/10.1055/s-0038-1634378
  5. Celinder, D., & Peoples, H. (2012). Stroke patients' experience with Wii Sports during inpatent rehabilitation. Scandinavian Journal of Occupational Therapy, 19, 457-463. https://doi.org/10.3109/11038128.2012.655307
  6. Cho, S. H., & Yang, Y. A. (2017). Effect of Cognitive Stimulation on Cognitive Function in Mild Cognitive Impaired Patients. Socity of Occupational Therapy for the Aged and Dementia, 11(2), 11-18.
  7. Diamond, P. T., Felsenthal, G., Macciocchi, S. N., Butler, D. H., & Lally-Cassady, D. (1996). Effect of Cognitive Impairment on Rehabilitation Outcome1. American journal of physical medicine & rehabilitation, 75(1), 40-43. https://doi.org/10.1097/00002060-199601000-00011
  8. Oh, E, S., & Lee, A, Y. (2016). Mild Cognitive Impairment. Journal of Korean Neurological Assocciation, 34(3), 167-175. https://doi.org/10.17340/jkna.2016.3.1
  9. Eshkoor, S. A., Hamid, T. A., Mun, C. Y., & Ng, C. K. (2015). Mild cognitive impairment and its management in older people. Clinical Interventions in Aging, 10(10), 687-693.
  10. Flynn, S., Palma, P., & Bender, A. (2007). Feasibility using the Sony PlayStation 2 gaming platform for an individual poststrok: A case report. Journal of Neurologic Physical Therapy, 31(4), 180-189. https://doi.org/10.1097/NPT.0b013e31815d00d5
  11. Granger, C. V., Albrecht, G. L., & Hamilton, B. B. (1979). Outcome of comprehensive medical rehabilitation: measurement by PULSES profile and the Barthel Index. Archives of physical medicine and rehabilitation, 60(4), 145-154.
  12. Henderson, A., Korner-Bitensky, N. M., & Levin, M. (2007). Virtual reality in stroke rehabilitation: A systematic review of its effectiveness for upper limb motor recovery. Topics in Stroke Rehabilitation, 14(2), 52-61. https://doi.org/10.1310/tsr1402-52
  13. Herz, N. B., Mehta, S. H., Sethi, K. D., Jackson, P., Hall, P., & Morgan J. C. (2013). Nintendo Wii rehabilitation ("Wii-hab") provides benefits in Parkinson's disease. Parkinsonism & related dissorders, 19(11), 1039-1042. https://doi.org/10.1016/j.parkreldis.2013.07.014
  14. Jung, W. M., Choi, H. S., & Park, G. J. (1999). Neurobehavioral Cognitive Status Examination(NCSE) in Brain-Injured Patients. Journal of Korean Society of Occupational Therapy, 7(1), 1-16.
  15. Katz, N., Itxkovich, M., Averbuch, S., & Elazar, B. (1989). Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) battery brain-injured patient: reliability and validity. American Journal of Occupational Therapy, 43(3), 184-192. https://doi.org/10.5014/ajot.43.3.184
  16. Katz, N., Elazar, B., & Itzkovich, M. (1995). Constructvalidity of ageriatricversion of the Lowenstein Occupational Therapy in Geriatric. Phys Occup Ther Geriatr, 13, 31-46. https://doi.org/10.1080/J148v13n03_03
  17. Kiernan, R. J., Mueller, J., Langston, J. W., & Van Dyke, C. (1987). The neurobehavioral Cognitive Status Examination: a brief but quantitative approach to cognitive assessment. Annals of Internal Medicine, 107(4), 481-485. https://doi.org/10.7326/0003-4819-107-4-481
  18. Kim, C. Y., Lee, K. W., & Park, I. H. (1994). (A) Study for Clinical Application of Neurobehavioral Cognitive Status Examination(NCSE): for the Subjects under age of 60. Korean Neuropsychiatric Association, 33(6), 1329-41.
  19. Kim, H, G., Lee, M, Y., & Yang, Y, A. (2018). Luterature Research on the Clinical Effect of the Virtual Realitybased Rehabilitation Program. Socity of Occupational Therapy for the Aged and Dementia, 12(1), 1-11.
  20. Kim, J. H., Oh, M. H., Lee, J. S., & An, H. S. (2011). The effects of training using virtual reality games on stroke patients' functional recovery. Journal of the Korean Society of Occupational Therapy, 19(3), 101-114.
  21. Kim, M. Y. (2002). (The) effect cognitive training based on virtual reality(VR) program for the elderly (Unpublished master's thesis). seoul: Yonsei University.
  22. Kim, S. J., & Park, Y. H. (1997). Comparison of senitivity of Neurobehavioral Cognitive Status Examination and Mini-mental State Examination. Journal of the Korean academy of rehabilitation medicine, 21(6), 1105-1109.
  23. Kim, T. Y., Han, S. I., Kim, S. Y., Han, I. W., Kim, H. G., Lee, U. A., & Na, H. L. (2010). Neuroscience Therapy. Gyeonggi: SeoHyunSa.
  24. Kwon, Y. C., & Park, J. H. (1989). Korean Version of Mini-Mental State Examination (MMSE-K) Part : Developement of the Test for the Elderly. The Korean Neuropsychiatric Association, 28(1), 125-132.
  25. Kuttuva, M., Boian, R., Merians, A., Burdea G., Bouzit, M., Lewis, J., & Fensterheim, D. (2006). The rutgers arm, a rehabilitation system in virtual reality: A pilot study. Cyberpsychology & Behavior, 9(2), 148-151. https://doi.org/10.1089/cpb.2006.9.148
  26. Lee, J. H. (2016). Perception of Occupational Therapists on Occupational Therapy using a Virtual Reality Program. Socity of Occupational Therapy for the Aged and Dementia, 10(2), 41-46
  27. Lee, S. R. (2003). (A) study on relationship between activities of daily living and cognitive score in stroke patients (Master's thesis). Granduate School of Rehabilitation Science, Daegu University.
  28. Lucca, L. F. (2009). Virtual reality and motor rehabilitation of the upper limb after stroke: a generation of progress. J Rehabil Med, 41(12), 1003-1006. https://doi.org/10.2340/16501977-0405
  29. Mahoney, F. I., & Barthel, D. W. (1965). Functional Evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61-65.
  30. Merians, A. S., Jack, D., Boian, R., Tremaine, M., Burdea, G. C., Adamovich, S. V., ... Poizner H. (2002). Virtual reality-augmented rehabilitation for patients following stroke. Phys Ther, 82(9), 898-915.
  31. Neaofect. (2016). RAPAEL Smart solution manual. Korean: Neaofect.
  32. Petersen, R. C., Smith, G. E., Waring, S., Ivnik, R. J., Tangalos, E. G., & Kokmen, E. (1999). Mild cognitive impairment: clinical characterization and outcome. Archives of Neurology, 56(3), 303-308. https://doi.org/10.1001/archneur.56.3.303
  33. Rand, D., Kizony, R., & Weiss, P. (2004). Virtual reality rehabilitation for all: Vivid GX versus Sony Playstation 2 Eyetoy. Paper presented at the Proc. 5th Intl Conf. on Disability, Virtual Reality and Associated Technologies, Oxford, U.K.
  34. Saposnik, G., Bayley, M., Cheung, D., Willems J., Mamdani M., Cohen L., Teasell, R., Hall, J., ... Thorpe, K. E. (2009). Virtual reality techmology in stroke rehabilitation: A pilot randomized trail using wii gaming system, 19th World congress of Neurology, Free Paper Abstracts. Journal of the Neurological Sciences, 285(1), S76.
  35. Saposnik, G., & Levin, M. (2011). Virtual reality in stroke rehabilitation: A meta-analysis and implications for clinicians. Stroke, 42, 1-7. https://doi.org/10.1161/STROKEAHA.110.609222
  36. Shah, S., Vanclay, F., & Cooper, B. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epiemiology, 42(8), 703-709. https://doi.org/10.1016/0895-4356(89)90065-6
  37. Sin, J B., Jo, K. J., & Sin, J. S. (1987). The ALD Evaluation of the Disabled. Annals of Rehabilitation Medicine, 11(1), 10-21.
  38. Shin, J. H., Kim, M. Y., Lee, J. Y., Jeon, Y. J., Kim, S., Lee, S., & Choi, Y. (2016). Effects of virtual reality-based rehabilitation on distal upper extremity function and health-related quality of life: a single-blinded, randomized controlled trial. Journal of neuroengineering and rehabilitation, 13(1), 1. https://doi.org/10.1186/s12984-015-0109-2
  39. Sin, K. U. (2014). Effect of Virtual Reality Game on Old Patient's Depression, Relationship and Life Satisfaction (Master's thesis). Granduate School of Rehabilitation Science, Dongsin University.
  40. Sin, S. J. (2016). The Effect of Apraxia on Activity of Daily Living in Stroke Patients. Journal of Digital Convergence, 14(6), 527-533 https://doi.org/10.14400/JDC.2016.14.6.527
  41. Weiss, P. L., Rand, D., Katz, N., & Kizony, R. (2004). Video capture virtual reality as a flexible and effective rehabilitation tool. Journal of Neuroengineering and Rehabilitation, 1(1), 12. https://doi.org/10.1186/1743-0003-1-12
  42. Yudofsky, S. C., & Hales, R. E. (1992). Textbook of Neuropsychiatry. 2nd. ed. Washington, DC: American Psychiatric Press Inc.