Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effectiveness of Cognitive Rehabilitation Program using Virtual reality content on Cognition, Activities of daily living, and Upper extremity functions in Cerebrovascular disease

가상현실 콘텐츠를 활용한 인지재활프로그램 훈련이 뇌혈관질환 환자의 인지, 일상생활활동, 상지기능에 미치는 영향

  • Cho, Young-Seok (Dept. of Occupational Therapy, Hyejeon University) ;
  • Kim, Keum Sook (Dept. of Occupational Therapy, Hyejeon University) ;
  • Kim, Young-June (Dept. of Occupational Therapy, Hyejeon University) ;
  • Park, Jin-Hong (Dept. of Electrical Engineering, Hyejeon University) ;
  • Lee, Geon-Ho (Dept. of Occupational Therapy, Daejeon Wellness Hospital) ;
  • Baek, So-Young (Dept. of Occupational Therapy, Daejeon Wellness Hospital) ;
  • Hwang, Do-Yeon (Dept. of Occupational Therapy, Cheonan Soonchunhyang University) ;
  • Kwon, Ki-Hyun (Dept. of Occupational Therapy, Cheonan Soonchunhyang University)
  • Received : 2020.07.27
  • Accepted : 2020.08.07
  • Published : 2020.08.31
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Abstract

This study was undertaken to investigate the effect of cognitive rehabilitation program (CRP) using virtual content, for recovering patients with cerebrovascular disease (CVD). A total of 34 patients with CVD were divided into a control group and an experimental group, and subsequently subjected to a virtual content based CRP, followed by cognition, ADLs, and upper limbs. The control group completed a universal rehabilitation program (URP), and the experimental group was provided a URP and a virtual content based cognitive rehabilitation program. For both groups, respective programs were conducted twice a day, 5 times a week for 4 weeks. Both groups showed significant improvement in ADLs (p<0.05); but the amount of change in the experimental group 5 point improved significantly (p<0.05). Cognition was significantly different for both groups (p<0.05). However, the experimental group showed a greater change (2 point) than the control group when considering the amount of change (p<0.05). Comparing the amount of change in the upper extremity, the experimental group showed a significant change (0.7 point) than the control group (p<0.05). This study confirms that compared to URP, CRP using virtual content significantly improves ADLs and cognition.

본 연구는 회복기 단계에 있는 뇌혈관 질환자를 대상으로 가상현실 콘텐츠를 활용한 인지재활프로그램의 임상적 적용 효과를 알아보았다. 연구방법은 회복기 단계의 뇌혈관 질환자 34명을 대상으로 대조군(16명)과 실험군(18명)으로 나눈 후에 가상현실 콘텐츠 기반의 인지재활프로그램을 적용한 후, 인지기능과 일상생활활동 능력, 상지기능에서의 효과를 비교하고자 하였다. 대조군에는 보편적인 재활치료 프로그램을 실시하고, 실험군에서는 보편적인 재활치료 프로그램과 가상현실 콘텐츠 기반의 인지재활프로그램을 제공하였다. 두 집단 모두 하루 2회(1회 30분씩)씩, 주 5회, 4주간(총 20회기) 실시하였다. 중재 결과, 두 집단 모두 일상생활활동 능력이 모두 유의미하게 향상되었지만(p<.05), 실험군에서의 변화량이 대조군보다 5점정도 더 향상되었다(p<.05). 인지기능에서도 실험군과 대조군이 유의미한 차이를 보였고(p<.05), 변화량에서 실험군이 대조군보다 2점정도의 변화 수치를 보였다(p<.05). 상지기능에서는 대조군과 실험군 간의 유의마한 차이는 없었고(p>.05), 전후 변화량을 비교한 결과 실험군이 대조군보다 0.7점정도 유의미한 변화폭을 보였다(p<.05). 가상현실 콘텐츠를 활용한 인지재활프로그램이 일반적인 재활치료 프로그램에 비해서 일상생활활동 능력과 인지기능에서의 유의미한 향상 폭의 차이가 있다는 것을 확인하는 연구였다.

Keywords

References

  1. J. Steuer. "Defining Virtual Reality: Dimensions Determining Telepresence", Journal of Communication, Vol.42, No.4, pp.73-93, 1992. DOI: https://doi.org/10.1111/j.1460-2466.1992.tb00812.x
  2. D. Jack, R. Boian, A. S. Merians, M. Tremaine, G. C. Burdea, S. V. Adamovich, and H. Poizner, "Virtual Reality in Stroke Rehabilitation: A Systematic Review of its Effectiveness for Upper Limb Motor Recovery", Topics in Stroke Rehabilitation Vol.14, No.1, pp. 52-61, 2007. DOI: https://doi.org/10.1310/tsr1402-52
  3. M. C. Howard, "A Meta-Analysis and Systematic Literature Review of Virtual Reality Rehabilitation Programs", Computers in Human Behavior , Vol.70, No.1,pp.317-327, 2017. DOI: https://doi.org/10.1016/j.chb.2017.01.013
  4. Y. G. Kim, "The Effect of The Virtual Reality Rehabilitation System on Activities of daily living, cognitive function, self-esteem in Stroke", Korea Academy Industrial Cooperation Society, Vol.16, No.8, pp. 5476-5484, 2015. DOI: https://doi.org/10.5762/kais.2015.16.8.5476
  5. N. Y. Yang, H. S. Park, T. H. Yoon, J. H. Moon, "Effectiveness of Motion-Based Virtual Reality Training(Joystim) on Cognitive Function and Activities of Daily Living in Patients with Stroke", Rehabilitation Engineering And Assistive Technology Society of Korea, Vol.12, No.1, pp. 10-19, 2018. DOI: https://doi.org/10.21288/resko.2018.12.1.10
  6. Trombly. C. A, Radomski. M. V. Occupational Therapy for Physical Dysfunction 5th ed. pp.1022-1035. Baltimore: Lippincott Williams & Wilkins, 2002. DOI: https://doi.org/10.1111/j.1440-1630.2004.00470.x
  7. Summers JJ, Kagerer FA, Garry MI, Hiraga CY, Loftus A, Cauraugh J. H. "Bilateral and unilateral movement training on upper limb function in chronic stroke patients A TMS study", Journal of the Neurological Sciences, Vol.252, No.1, pp.76-82, 2007. DOI: https://doi.org/10.1016/j.jns.2006.10.011
  8. Fredericks CM, Saladin LK. Pahophysology of the Motor Systems. pp.486-512, F.A.Davis Company, 1996.
  9. Y. J. Kang, H. K. Park, H. J. Kim, T. Lim, J. Ku, S. Cho, S. I. Kim, E. S. Park, "Upper extremity rehabilitation of stroke facilitation of corticospinal excitability using virtual mirror paradigm", Journal of NeuroEngineering and Rehabilitation. Vol. 9, No 1, pp.71-78, 2012. DOI: https://doi.org/10.1186/1743-0003-9-71
  10. E. K. Kim, J. H. Kang, H. M. Lee, "Effects of Virtual Reality Based Game on Balance and Upper Extremity Function in Chronic Stroke Patients", Journal of Special Education & Rehabilitation Science, Vol. 49, No. 3, pp.131-149, 2010.
  11. A. L. Faria, A. Andrade, L. Soares and S. B. iBadia, "Benefits of Virtual Reality Based Cognitive Rehabilitation through Simulated Activities of Daily Living: a Randomized Controlled Trial with Stroke Patients", Journal of Neuroengineering and Rehabilitation, Vol. 13, No. 1, pp. 96-103, 2016. DOI: https://doi.org/10.1186/s12984-016-0204-z
  12. K. Laver, S. George, S. Thomas, J. E. Deutsch, and M. Crotty, "Cochrane Review: Virtual Reality for Stroke Rehabilitation", European Journal of Physical and Rehabilitation Medicine, Vol. 48, No. 3, pp.523-530, 2012. DOI: https://doi.org/10.1002/14651858.cd008349.pub3
  13. S. A. Park, H. Y. Kim, "Effects of Virtual Reality Program on Recovery of Functional in individuals Stroke: A Systematic Review and Meta Analysis" Journal of Digital Convergence, Vol. 17, No. 5, pp.235-247, 2019. DOI: https://doi.org/10.14400/JDC.2019.17.5.235
  14. Y. C. Kwon, J. H. Park, "Korean Version of Mini-Mental State Examination(MMSE-K) : Part I: Development of the Test for the Elderly", Journal of Korean Neuropsychiatry Association, Vol. 28, No. 1, pp.101-135, 2003.
  15. M. A. Oh, Y. O. Sin, T. Y. Lee, J. S. Kim, "A Study on the Cognitive Function by MMSE in the Urban Elderly", Chungnam Medical Journal, Vol. 30, No. 2, pp.101-113, 2003.
  16. C. V. Granger, G. L. Albrecht and B.B. Hamilton, "Outcome of Comprehensive Medical Rehabilitation: Measurement by PULSES Profile and The Barthel Index", Archives of Physical Medicine and Rehabilitation, Vol. 60, No. 4, pp.145-154, 1979.
  17. Moriyama, S. Occupational Therapy in stroke rehabilitation with referense to early stage program. In proceedings of the Joint Japanse-China Stroke Conference, Reimelkyo Rehabilitation Hospital, Aomori. pp.114-124, 1987.