• The Journal of Korean society of community based occupational therapy
• /
• v.2 no.1
• /
• pp.75-84
• /
• 2012

Objective : This study aims to identify the effect of an occupational therapeutic intervention program including horticultural therapy on cognition and daily living performance of the elderly with dementia. Methods : For the purpose, the study measured the changes before and after the therapy, targeting sixteen women with dementia who were living in nursery facilities. We used MMSE-K to analyse the cognition, and evaluated daily living performance using K-MBI(p<.05). Results : The results of the study were presented as follows: 1. To identify changes of MMSE-K before and after the therapy between the control and test groups. As a result, it was discovered that MMSE-K of the control group was $16.25{\pm}1.38$ before the therapy and $16.00{\pm}.92$ after the therapy, which indicated no significant differences, but MMSE-K of the test group was $16.00{\pm}1.51$ before the therapy and $17.87{\pm}1.35$ after the therapy, which was statistically significant (p<.05). 2. To identify changes in daily living performance(K-MBI) between the two groups before and after the therapy, and it was discovered that scores of the control group were $74.00{\pm}1.30$ before the therapy and $74.25{\pm}1.16$ after the therapy, which showed no significant difference, but those of the test group were $73.75{\pm}1.28$ before the therapy and $76.37{\pm}1.30$ after the therapy, which was statistically significant(p<.05). Conclusion : Based on the results above, it was demonstrated that the an occupational therapeutic intervention program including horticultural therapy had a positive effect on cognition and daily living performance of elderly women with dementia and it is suggested that the results can be used as basic data for clinical intervention of the elderly with dementia.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.1 no.1
• /
• pp.77-88
• /
• 1990

Management of the child with Attention-Deficit Hyperativity Disorder(ADHD) reguires a comprehensive approach of cognitive-behavioral, educational, and pharmacological interventions. Establishing the valid diagnosis is the first step of management. After the diagnosis is made, the clinician must then interpret the diagnosis and its impliations to the child, parents, and teachers. The pharmacotherapy is most effeceive, and the CNS stimulants (methylphenidate) is drug of choice. Although generally not as effective as stimulants, triacyclic antidepressants, clonidine, antipsychotics offer the alternatives to stimulants therapy. Additional treatments, including psychotherapy, cogntive-behavioral approach, educational infervention, parental counseling are also essential in managing the child with ADHD. Finally, controversial approaches-diet therapy, mineral therapy, hypoglycemia, megavitamin therapy, refined sugars, neurophysiological retraining approaches are reviewed.

• Journal of the Korea Convergence Society
• /
• v.13 no.4
• /
• pp.71-78
• /
• 2022

Parkinson's disease (PD) is clinically characterized by a variety of motor and non-motor symptoms, including cognitive and neuropsychiatric symptoms. Integrating a large variety of symptoms into a small number of clinical subtypes could be valuable for appropriate and early therapeutic intervention. As a first step toward this aim, this study attempted to identify correlation patterns among motor, cognitive and neuropsychiatric symptoms in PD without dementia. One hundred four non-demented patients with PD underwent a comprehensive motor, neuropsychological, and neuropsychiatric assessments. Factor analysis was performed to identify correlation patterns among demographic, motor, cognitive and neuropsychiatric variables. The eight factors were extracted: 1 motor-related, 3 cognitive-related and 4 neuropsychiatric factors. We indentified that characteristics of correlation can have associated symptom pattern in the disease process of Parkinson's disease. The current results suggest that a broad range of motor and non-motor symptoms in PD may be reducible to a small number of clinical parameters, which may be useful for identifying clinical subtypes of PD for individual patients.

• Journal of Industrial Convergence
• /
• v.20 no.10
• /
• pp.39-49
• /
• 2022

The purpose of this study was to systematic review about randomized controlled trials the characteristics and effect of non-pharmacological intervention on depressive symptom in elderly with mild cognitive impairment. We searched studies published from January 2011 to July 2021 in 3 databases. A total 1,455 studies were found and included 11 studies in final analysis. Methodological quality was assessment with the Cochrane's RoB(risk of bias) tool. Geriatric Depression Scale(GDS) was the most used as the assessment tool for identifying the depressive symptom. Intervention were yoga, psychosocial intervention, cognitive training, health education, multi-component intervention, game training, aerobic/pulmonary physiotherapy, art therapy, music reminiscence activity, memory specificity training, cognitive stimulation therapy and SWTW(sleep well, think well) program. Among the intervention programs, yoga, multi-component intervention and game training were effective in improving depressive symptom. This study provided a clinical evidence for planning and implementing intervention on depressive symptom in elderly with mild cognitive impairment.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.1
• /
• pp.245-255
• /
• 2017

This study was conducted to investigate the effects of neurofeedback (NFB) on attention in college students with ADHD. Participants were 27 university students, 10 in an NFB training group (experiment group), eight in a CBT group (comparison group) and nine in a no-treatment group. The score of CAARS-K decreased significantly in both the NFB group and the CBT group relative to the no-treatment group. Additionally, the score of the digit span test increased significantly in the NFB group, CBT, and no-treatment group, and the scores of these three groups differed significantly. Moreover, significant changes in EEG were found in the NFB Group, while the CBT group showed no significant changes in EEG. The significant change in EEG implies that NFB training improved the stability of brain function on the cerebral neurological level. The effects of improved attention remained after 5 weeks in both the NFB and CBT group. Finally, implications, limitations, and suggestions for future studies were discussed.

• Proceedings of the KSAR Conference
• /
• 2004.06a
• /
• pp.269-269
• /
• 2004

배아줄기 세포는 신경퇴행성 질환의 치료 수단으로 많은 가능성을 가지고 있는 것으로 알려져 있다. 본 연구에서는 중풍 동물모델에서 수중미로 학습을 이용하여 중풍 치료제로서 인간배아줄기 세포의 인지 및 기억력 장애에 대한 기능 회복의 효능을 검토하였고, 인간배아줄기 세포의 신경세포 보호효과를 규명하기 위하여 면역조직화학 염색법을 이용하여 해마내의 세포사멸을 측정하였으며, 인지 및 기억증진의 작용을 규명하기 위하여 아세틸콜린성 신경세포의 활성도를 측정하였다. (중략)

• Korean Journal of Psychosomatic Medicine
• /
• v.4 no.1
• /
• pp.85-90
• /
• 1996

Cognitive-behavioral approach to two cases with chronic headache was presented. Cognitive-behavioral interventions focus on indirectly altering symptom-related physiological activity by changing the way patients cope with headache-eliciting stressors. This treatment focuses directly on the patients' cognitive and behavioral changes. Cognitive-behavioral treatment can be divided into three phases Education, self-monitoring, and problem-solving or coping-skills training. Literature reviews on the follow-up evaluation of therapeutic effectiveness revealed that cognitive-behavioral treatment is effective in the management of chronic headache.

• Physical Therapy Korea
• /
• v.10 no.4
• /
• pp.61-68
• /
• 2003

본 연구의 목적은 운동강도(최대근수축의 10, 30, 50, 70%)에 따라 유발되는 국소적인 근피로가 슬관절의 위치감각 인지에 미치는 영향을 연구함으로써 근력강화의 운동치료적 효과와 운동학습과 관련된 효과를 동시에 만족시키는 최적의 운동강도를 제시하는 것이었다. 대상자는 건강한 성인여자 40명이었다. 청각을 통한 위치감각 정보를 제공하는 장치와 원판 각도계가 부착된 등속성 Cybex를 사용하였다. 근피로의 상태를 확인하기 위해서 근전도를 이용하여 주파수 스펙트럼 분석을 실시하였다. 청각되먹임이 주어진 각도와 대상자에 의해 재생되어진 각도의 오차값들과 근피로의 변화를 비교하기 위해 일요인 분산분석을 이용하였다. 오차값들의 평균은 50%의 군에서 가장 작았으며 근피로 또한 70%의 군에서만 크게 생성되었다. 따라서 최대 근 수축력의 50%가 운동치료 시 가장 효과적인 운동강도임을 알 수 있었다.

• Proceedings of the Korean Society of Computer Information Conference
• /
• 2019.01a
• /
• pp.79-82
• /
• 2019

본 논문은 VR을 기반으로 하여 별도의 장갑이나 핸드헬드 디바이스 없이 치매 예방과 재활치료를 위한 VR을 이용함으로써 사용자의 두뇌 사용능력과 신체 활동성을 증가시켜 치매예방과 재활치료 효과를 향상시킬 수 있도록 하였다. 치매 예방 콘텐츠로는 치매의 대표적인 원인인 뇌세포의 퇴화에 초점을 맞춰 기억력, 논리력, 산술능력, 공간인지능력 등을 훈련할 수 있도록 구성하고, 노인을 위한 재활치료 콘텐츠로는 상지훈련, 하지훈련, 정신훈련, 밸런스훈련 등에 효과적이도록 구성하였다. 1:N 방식의 그룹훈련으로 고도화하여 다수의 사용자 또는 그룹이 작업치료사 한 명의 통제를 받아 치매예방 및 인지훈련이 가능한 시스템 개발하고 공공보건의료시설, 요양원, 재활의학과 보유병원 등에서 이용할 수 있다.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2013.05a
• /
• pp.229-231
• /
• 2013

본 논문은 신경망 알고리즘을 사용하여 사람의 필기체 문자를 인식하였고, 이를 바탕으로 뇌졸중 환자의 재활치료를 돕는 시스템을 구현하였다. 뇌졸중 환자의 재활치료에서는 단기간에 환자에게 반복적인 행동 및 학습하는 것이 효율적이라고 알려져 있다. 본 연구에서는 뇌졸중 환자에게 문자 템플릿을 보여주었고, 환자는 문자 템플릿을 인지하고 문자 템플릿과 같은 형태의 문자를 쓰게 하는 방식을 사용하였다. 뇌졸중 환자가 쓴 필기체 문자를 신경망 알고리즘을 사용하여 인식하고, 자주 틀리는 문자에 대해 추천시스템 방식을 사용하여 틀린 문자와 모양이 비슷하거나 같은 문자를 추천해줌으로써 문자 쓰기학습의 반복을 유도하였다. 실험을 통해 제안한 시스템은 뇌졸중 환자의 인지장애와 손 기능장애에 대한 재활치료의 효과를 상승시켰다.