• Title/Summary/Keyword: 일상생활기능장애

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Changes in cognitive function and functional disability in older adults - Comparison of groups converted and not converted to dementia among cognitively normal older adults - (노년기 인지기능과 일상생활기능장애 변화에 대한 연구 - 치매발생집단과 정상유지집단 간 차이 -)

  • Lee, Hyun Joo
    • Korean Journal of Social Welfare Studies
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    • v.44 no.2
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    • pp.327-358
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    • 2013
  • This study aimed to analyze the trajectories of cognitive function and functional disability, and to identify the impacts of socio-demographic factors on the two variables. Based on the assumption that there are differences according to the progress of cognitive impairment, it focused on examining the differences in trajectories of cognitive function and functional disability between two groups: dementia conversion group and dementia non-conversion group among cognitively normal older adults. This study was conducted based on the data from a 3-wave panel study of a sample of 966 Yeoncheon elderly cohort aged 65 and over between 1997 and 2003. Latent growth curve model and multi-group structural equation modeling were used to examine the hypothesis. Results revealed that dementia conversion group exhibited faster rate of cognitive decline as well as lower initial cognitive level. Difference between two groups was not significant in the initial level of functional disability, yet dementia conversion group showed greater degree of deterioration in the functional disability over time than dementia non-conversion group did. In terms of the influence of socio-demographic factors on cognitive function and functional disability, the cognitive decline was more drastic in the female group, whereas functional decline was more apparent for the male group. The level of education in early life had a strong impact on the cognitive function in later life. Based on these findings, practical implication for high risk groups in cognitive function and functional disability were discussed.

A Comparative Study of Changes in Cognitive Function, Depression and Activities of Daily Living in Patients with Dementia, Mild Cognitive Impairment and Ischemic Stroke (치매, 경도인지장애, 허혈성 뇌졸중 환자에서 인지기능, 우울 및 일상생활수행능력의 변화 비교)

  • Jung, Mi-Sook;Oh, Eun-Young;Cha, Kyeong-In
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.517-527
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    • 2022
  • This study aimed to compare changes in cognitive function, depression and ability to perform activity of daily living (ADL) in patients with dementia, mild cognitive impairment (MCI), and ischemic stroke (IS) and to identify factors associated with changes in instrumental ADL. A total of 86 patients (dementia=30, MCI=32, and IS=24) were included to analyse cognitive function, depression, and basic and instrumental ADL obtained at the time of diagnosis and 1 year after baseline. Repeated measures analysis of variance and multiple linear regression were used. A significant group by time interaction was found in executive function (p=.037) and instrumental ADL (p=.023) across groups. The MCI group has little change in executive function and instrumental ADL from the baseline to 1 year after diagnosis while other two groups showed changes with the dementia group showing declines and the group of IS having improvement in these factors over time. Changes in executive function(p=.030) and basic ADL (p<.001) explained 26.9% in the variance of changes in instrumental ADL. These findings showed a different changing pattern in executive function during the first year after diagnosis of dementia, MCI, and IS which have cognitive changes as their main symptoms, probably leading to a different changing pattern in instrumental ADL. Healthcare professionals should routinely assess for executive function and instrumental ADL problems and intervene to maintain and improve these functional outcomes immediately after disease.

Changes in Activities of Daily Living of Children with Spastic Cerebral Palsy According to Gross Motor Function Classification System After One Year of Physical and Occupational Therapy (물리 및 작업치료 1년 후 대동작 기능분류체계에 따른 경직성 뇌성마비 아동의 일상생활동작 변화)

  • Lee, Kwon-Woo;Kim, Won-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.431-440
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    • 2019
  • This study was conducted to investigate changes in activities of daily living (ADLs) according to the Gross Motor Function Classification System (GMFCS) after one year of physical and occupational therapy and to compare the responsiveness of ADL tools. A total of 48 children with spastic cerebral palsy participated in the study. The GMFCS, Functional Independence Measure for Children (WeeFIM), and Pediatric Evaluation of Disability Inventory (PEDI) were measured. The results showed that the GMFCS was significantly correlated with the PEDI (p<0.05), while there was a significant difference in the change of ADLs measured by the PEDI, but not the WeeFIM. There was a significant difference in the changes in ADLs according to the GMFCS, and the change in ADLs in the high functional level group was significantly higher than in the low functional level group (p<0.05). After physical and occupational therapy, the degree of improvement of ADLs varied according to the GMFCS, but seemed to be improved in a clinically meaningfully way. The PEDI is sensitive to changes in ADLs, so it may be used widely in clinical practice.

The Effect of Computer-Based Cognitive Rehabilitation Program on Visual Perception and ADL in Children with Intellectual Disaility (전산화 인지프로그램(코트라스)이 지적장애 아동의 시지각과 일상생활에 미치는 효과)

  • Kim, S.Y.;Rhee, K.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.105-113
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    • 2015
  • The purpose of the study was to verify the clinical effect of Computer-based cognitive rehabilitation program for Children for recovering the visual perception and ADL ability in intellectual disability. For this purpose, 3 intellectual disabilities with visual perception and ADL disorders participated in a clinical experiment to verify the effect of Computer-based cognitive rehabilitation program. They all have 5 common conditions in intellectual disability for objective experimental result. All participant were evaluated with Korean-Development Test of Visual Perception-2(K-DTVP-2), Wee Functional Independence Measure(Wee-FIM) before and after the planned intervention sessions. All intervensions were intensively carried out for 20weeks, 1 time a week. The result were as follows. K-DTVP and Wee-FIM scores were improved significantly compared to pre-intervention. Further studies are needed to verify the effect on various group and lots of participants.

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The Effectiveness of a Behavior-Emotion Centered Sympathy Skills Parenting Training for Autism Spectrum Disorder to Improve Social Skills and Daily living functions (행동-감정 반영 중심의 공감 기술 증진 부모훈련이 자폐스펙트럼 장애 아동의 사회기술과 일상생활기능에 미치는 효과)

  • Chung, hee-seung
    • Proceedings of the Korea Contents Association Conference
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    • 2015.05a
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    • pp.397-398
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    • 2015
  • 본 연구의 목적은 행동-감정 반영 중심의 공감기술 증진 부모훈련이 자폐스펙트럼 장애 아동의 사회기술과 일상생활 기능에 미치는 효과를 알아보고자 하는 것이다. 연구대상자는 만 3세-7세의 남녀 35명이 참여하였고, 부모훈련은 주 2회씩 총 10회기를 실시하였다. 부모훈련의 내용구성은 사전검사와 전문가를 통한 내용타당도 검증을 실시한 후에 적용하였고, 자료처리는 SPSS 18.0을 이용하였다. 부모교육 프로그램의 전과 후의 효과를 검증하기 위해서 통제집단 사전사후검사설계를 하였다. 효과검정은 ANCOVA를 하였다. 연구결과 부모훈련실시 후, 자페스펙트럼장애아동의 사회기술과 일상생활기능을 증진시키는데 효과가 있었다. 결론적으로 행동-반영중심의 공감기술증진 부모훈련은 자폐스펙트럼장애 아동의 사회기술과 일상생활 기능 증진에 효과가 있었다.

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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;Park, Si-Young;Jung, Jea-Hun
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.75-85
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    • 2018
  • 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.

Effect of Computerized Cognitive Therapy for the Elderly with Mild Cognitive Impairment in the Community on Cognitive Function and Instrumental Activities of Daily Living for Wellness (지역사회 경도인지장애 노인을 대상으로 한 전산화 인지 치료가 인지기능 및 수단적 일상생활활동에 미치는 영향)

  • Kim, Sun-Ho;Kwak, Ho-Soung
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.7
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    • pp.215-223
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    • 2021
  • The purpose of this study is to investigate the effect of computerized cognitive therapy on cognitive function and Instrumental Activities of Daily Living for elderly people with mild cognitive impairment living in the community. 22 MCI elderly people were randomly assigned to 11 experimental group and 11 control group. For a total of 10 weeks, 3 times a week, 30 minutes per session, the experimental group received CoTras and the control group received traditional cognitive rehabilitation. Neurobehavioral Cognitive Status Examination(NCSE) and Korean Instrumental Activities of Daily Living(K-IADL) were used to investigate the changes in cognitive function and performance of instrumental activities of daily living before and after the intervention. As a result of the study, the experimental group showed improvement in overall cognitive function, including attention and memory, and performance in IADL. The use of CoTras may be considered to improve cognitive function and performance of instrumental activities of daily living for the elderly with mild cognitive impairment in the community.

통합감각을 이용한 조기 재활 훈련 시스템 개발

  • 권대규;이석준;양길태;정성환;정우석;홍철운;김남균
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.05a
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    • pp.293-293
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    • 2004
  • 최근 교통사고의 증가와 평균수명의 연장으로 인한 노인 인구의 급증으로 중추신경계의 기능에 손상을 초래하는 각종 질환들 즉 뇌졸중, 외상성 뇌손상, 뇌성마비 및 퇴행성 뇌질환 등이 더욱 많아지고 있다. 이러한 질환들은 뇌기능 장애로 인한 운동, 감각 및 인지능력 저하를 일으켜 보행과 일상생활 동작수행에 큰 장해를 초래하게 된다. 특히 보행능력의 장해는 일상생활 및 사회생활에 필요한 기동력을 제한하므로 결국 타인에 의존적이 되고 사회로부터 고립되는 심각한 기능장애를 일으키게 된다.(중략)

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The Effects of the Daily Life Management Program of the Elderly with Mild Cognitive Impairment on Cognition Function, Depression and Health Promoting Lifestyle (경도인지장애 노인의 일상생활 관리프로그램이 인지기능, 우울 및 건강증진생활양식에 미치는 영향)

  • Yang, Jong-Eun;Choi, Jong-Bae
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.295-303
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    • 2020
  • The purpose of this study was to find out whether the cognitive function, depression, and health promotion lifestyle changes are maintained or improved through the dementia prevention program when applying the dementia prevention program along with the daily life management program to the elderly with mild cognitive impairment. The study was conducted from April 1 to August 9, 2019, and 30 elderly people with mild cognitive impairment who participated in the dementia prevention program at the Dementia Safty Center in Seoul were studied. The study found that cognitive function (MMSE-DS) and health promotion lifestyle (HPLP-II) were maintained and improved compared to control groups in the experimental group that voluntarily implemented daily life management programs along with dementia prevention programs, and that depression (SF-GDS) decreased. Therefore, based on the results of this study, in future studies, we hope to develop a variety of voluntary daily life management programs to maintain and improve the effectiveness of the dementia prevention program for a long period of time. I hope that the prospective study will be done.