Objectives: This study was conducted to evaluate the validity of the Korean Computerized Neuro-psychological Test in measurement of cognitive functioning in patients with brain damage. Methods: Eight tests of Korean Computerized Neuro-psychological Test, (1) Simple Reaction time, (2) Choice Reaction time, (3) Color Word Vigilance, (4) Digit Classification, (5) Digit Addition, (6) Symbol Digit Substitution, (7) Digit Span, (8)Finger Tapping Speed, were administered to the 30 patients who had impairments in cognitive function. Mini Mental State Examination-K (MMSE-K), and Purdue Pegboard Test were also administered compare with the computerized tests. Results: It was found that Choice Reaction time, Color Word Vigilance, Digit Classification, Digit Addition, Symbol digit Substitution, and Digit Span of computerized tests were acceptable in the patients who had MMSE-K score of 20 and more than 20. And Simple Reaction Time was found to be a useful test in the patients with MMSE-K score of less than 20. MMSE-K scores were highly correlated with Choice Reaction time, Color Word Vigilance, Digit Classification, Digit Span of computerized test. The scores of Purdue Pegboard were also highly correlated with the scores of Finger Tapping Speed, In computerized tests, Choice Reaction time, Color Word Vigilance, Digit Classification, and Digit Span were correlated with each other. Conclusions: The results suggested that Korean Computerized Neuro-psychological Test was found to be a useful test in measurement and rehabilitation of patients with cognitive impairments.

This study was conducted to find sensitive indicator of food intake and specific food group related to cognitive function and to analyze the pathway among factors affecting food intake and cognitive function of the aged. 179 people over 50 years old were investigated and all the data were analyzed by SPSS 10.0 package. Food frequency was more sensitive indicator to show the relationship between food intake and cognitive function of the aged than the numbers of standard amount of food eaten. Consumption of grains and starch, meat, fish, eggs and beans were strongly related to cognitive function of the aged and intake of vegetables and fruits also have relationship with it. Moreover, the more frequent eating the carbohydrate and the protein, the higher the cognitive level of the aged. Age, education period, income, blood pressure, duration after retirement, frequency of physical activity and BMI were correlated with food intake and cognitive function of the aged. Among them, age and frequency of physical activity were most strongly correlated with food intake, and education period with cognitive function of them. This investigation shows that more stable intake of carbohydrate and protein containing foods need to be supplied to low income aged and the importance of physical activity of the aged must be emphasized with food intake for better life of the aged.

The purpose of this study was to investigate the cognitive differences among the aged who have different living conditions. 91 free-meal receivers and 86 people with stable lives were asked about their living conditions and cognitive function by using K-MMSE. All data were analyzed by SPSS 10.0 package. Free meal receivers had poorer socioeconomic status than the subjects who had stable lives. Cognitive function of free meal receivers was lower than the people with stable lives in the most cognitive factors. Especially age of 50 to 64, pre-aged group, who had been receiving free meals, showed lowest cognitive level than the other age groups. Among 7 cognitive factors, there was the greatest difference in attention and calculation between 2 groups. Percentage of 'conclusive dementia' among the free meal receivers was statistically higher than the people with stable lives and that of 'conclusively normal' was statistically lower in free meal receivers comparing with the people with stable lives. Moreover, socioeconomic factors like income, former job, marital status, housing and education, blood pressure and physical activity were significantly related to the subject's cognitive function.

Objective: The purpose of this study was to investigate the effects of cognitive function and Activities of Daily Living (ADL) improvement with Traumatic Brain Injury(TBI) and Stroke patient through Computer Assisted Cognitive Rehabilitation (CACR) program within specific approach and hierarchial approach training program. For this investigation CACR training was administered to 14 patients diagnosed of TBI and Stroke. Method: The CACR was given to the subject patient for 1months, 5times a week and each stimulation lasted 30 minutes. Cognitive function and activities of daily living were compared pre-CACR program with post-CACR program by MMSE and FIM . Results: Summarizing the results of this investigation; 1. Statistically significant improvement in 8 items of MMSE and 11 items of FIM was found after the application of CACR program training. 2. Cognitive function showed the spastically significant improvement after CACR program within specific approach and hierarchial approach training program 3. Activities of daily living showed the statistically significant improvement after CACR program within specific approach and hierarchial approach especially hierarchial approach more statistically significant increased than specific approach.

The purpose of this study is to provide developmental data of the performance of children between the age of 6 to 12 to verify the hierarchical order of acquiring the cognitive competencies and to identify whether differences in the performance between male and female tested in revised Loewenstein Occupational Therapy Cognitive Assessment (LOTCA). The test consists of six subtests designed to be representative of various cognitive abilities. The subjects were 60 normal children from age 6 to 12 were assigned to a group 1 from 6.0∼7.11, a group 2 from 8.0∼9.11 and a group 3 age 10.0∼12.0. We measured their cognitive-perceptual ability with LOTCA. The results were a progress with from 6 to 12 years in both and speed of performance. Male group showed better score than females in Shape Identification of Visual Perception, Logic Question of Thinking Operation, Attention And Concentration. The Females are better than males in Motor Imitation of Motor Praxis, Pegboard Construction and the performance duration, Colored Block-Design and the performance duration, Plain Block-Design and the performance duration, and The length of time taken. Several subtests except Visual Perception, Direction on Cs’ Body, Spatial Relation of Spatial perception, Motor Praxis, Two-Dimensional Model of Visuomotor Organization, ROC Unstructured, ROC Structured, Pictorial Sequence A, and Pictorial Sequence B of Thinking Operation, which are showed significant differences between age groups. With the above results, we conclude that LOTCA is an appropriate tool for occupational therapists to use in assessing cognitive-perceptual abilities.

The purpose of this study is to examine the effect of transfer of training approach on cognitive function and functional recovery and the difference in the stroke patterns of adult stroke patients with affected cognitive function. Twenty stroke patients were participated ; 8 males and 12 females, the age ranged from 34 to 73. By the classification of diagnosis, 10 subjects were cerebral infarction and 10 subjects were cerebral hemorrhage, by the classification of affected side, 11 Rt hemiplegic patients, 9 Lt hemiplegic patients who were above at least post onset 2 month to a year. It was evaluated and analyzed pre and post treatment with MMSE and FIM, and the method of transfer of training approach was practiced every 30 min a day for a month. The data were analyzed by t-test and one way ANOVA. The results of this study were as follows: 1. There was significant in the effect of transfer of training approach on cognitive function of stroke patinets. 2. There was significant in the effect of transfer of training approach on functional recovery of stroke patients. 3. There was a significant difference in the effect of treatment in the group of cerebral infarction.

The purpose of this study was to obtain normative data and comparing cognitive abilities of patients with stroke and normal population by administering Lowenstein Occupational Therapy Cognitive Assessment (LOTCA). The subjects were 31 patients with stroke and 19 adults in a good health. The results were as follows: 1.　The experimental group received statistically lower scores than the control group in all items except for object identification, shape identification and copying geometric forms. 2.　There was no significant difference in analysis of items based on affected side. 3.　There was a significant difference in the relationship between educational background and visuomotor organization and thinking operation. 4.　There was a significant difference in the relationship between treatment period and visuomotor organization. 5.　There was no significant difference in the relationship between LOTCA scores and age and onset of the disease. The result shows that there was a significant difference in LOTCA scores between the experimental group and control group. These data are expected to be used as a baseline.

The purpose of this study was to evaluate the cognitive perceptual performance in relation to activities of daily living in stroke patients who were treated at department of rehabilitation medicine of the Samsung Medical Center from December 5. 1996 to April 10, 1997. The cognitive perceptual performance was measured by the Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) and by the Modified Barthel Index (MBI) to evaluate activities of daily living(ADL). Sixty-seven stroke patients were the subjects in this study. Collected data analysis were completed by using t-test. ANOVA, correlation analysis, and multiple regression analysis. The following were as follow: 1. Among the subtest of the LOTCA, orientation to time, plain block design, reproduction of puzzle showed significant difference depending on patient's affected side. Orientation to time score was higher with left hemiplegic patients. Plain block design and reproduction puzzle score were higher with right hemiplegic patients. 2. Among the subtests of the MBI, dressing, ambulation, and self-care were significantly correlated with the subtests of the LOTCA in order of thinking operation, visuomotor organization, perception and orientation. 3. The result of the cognitive perceptual function affecting the MBI performance using multiple regression analysis, thinking operation was the most influential factor. The cognitive perceptual perfomance have significant correlation with activities of daily living skills. Also, it is an important factor to functional recovery after stroke. Therefore, accurate evaluation of cognitive perceptual performance after stroke with treatment of each patient's appropriate level should be done simultaneously with rehabilitation treatment to improve patient's activities of daily living skills.

목적: 본 연구는 작업기억에서의 인지적 능력에 따른 골프퍼팅의 정확성과 일관성 차이를 분석함으로써 인지적 수 행능력과 실제수행능력 사이의 기능적 관련성을 검토하는 것이다. 방법: 이전에 골프퍼팅 교육을 받은 경험이 없는 남자대학생 20명과 여자대학생 10명, 총 30명이 실험에 참여하였다. 연구의 목적에 맞게 구성된 프로그램(MCM; Movement Cognition Measurement)을 이용하여 참여자들의 골프퍼팅에 대한 작업기억에서의 인지적 수행능력을 먼 저 측정하였다. 측정된 결과를 기준으로 인지적 수행능력이 높은 상위 15명과 상대적으로 낮은 하위 15명으로 집단 을 분류하였다. 모든 참여자들은 1m, 2m 그리고 3m의 거리에서 각각 10회씩, 총 30회의 퍼팅을 수행하였다. 측정 된 데이터는 퍼팅수행의 정확성과 일관성을 분석하기위해 반경오차와 가변오차 값으로 변환되었다. 아울러, 인지적 수행의 정확성과 퍼팅수행사이의 상관관계를 분석하였다. 결과: 작업기억에서의 인지적 수행능력이 높은 집단이 낮 은 집단에 비해 실제 퍼팅수행의 정확성과 일관성이 통계적으로 유의하게 높은 것으로 나타났다. 또한, 작업기억에 서의 인지적 수행과 실제 퍼팅수행 간에는 유의한 정적 상관관계가 나타났다. 결론: 본 연구의 결과는 작업기억에 서의 인지적 수행능력이 실제 수행에 긍정적인 영향을 미칠 수 있으며 인지적 수행능력이 좋아질수록 실제수행능 력도 향상될 수 있다는 것을 시사한다. 종합해볼 때, 본 연구의 결과는 작업기억에서의 인지적 능력과 실제 수행 이 기능적으로 연결되어 있다는 것을 의미하며 이는 기능수행의 향상에 인지적 능력이 기여할 수 있음을 시사한다.

목적: 본 연구는 인지기능저하를 보이는 경도인지장애(MCI)노인과 경증 알츠하이머 노인(AD)의 신체적 어포던스 지각 특성을 알기 위하여 정상 노인과 비교 하였다. 방법: 정상 노인 10명, MCI 노인 10명, AD 노인 11명을 대 상으로, 판지로 만든 크기 3.2cm에서 18.2cm의 정육면체 상자(한 변의 길이가 1cm씩 증가) 총 16개의 상자를 한 손 또는 양손으로 잡아 5cm 높이의 장애물을 넘겨 30cm 떨어진 목표 지점으로 옮기는 과제를 수행하였다. 수집된 자료로 일원배치 분산분석을 실시한 결과는 다음과 같다. 결과: 첫째, 지각판단 오류는 정상-0%, MCI- 22.5%, AD- 37.5%으로 AD 노인이 가장 높았다. 둘째, MCI, AD 노인 중 지각판단오류를 나타낸 노인은 오류를 나타내지 않은 노인과 정상 노인과 통계적으로 유의한 차이가 나타났다. 셋째, MCI, AD 노인 중 지각판단 오류가 나타 나지 않은 노인은 정상 노인과 비교하여 인지척도 비율에서는 차이가 나타지 않았으나 신체척도 비율에서는 통계적으로 유의한 차이가 나타났다. 결론: MCI와 AD 노인들은 정상 노인과 비교해 인지기능 뿐 아니라 신체적 어포던스 지각의 차이가 있는 것으로 보여지며, 본 연구 결과를 통하여 MCI와 AD 노인들의 인지기능 향상 프로그램에 행동의 변화를 일으키는 신체적 어포던스 지각을 고려한 변인이 포함되어야함을 제시하고자 한다.

목적: 본 연구의 목적은 신규 은퇴자의 생활체육 참여여부, 참여빈도, 참여시간, 참여기간이 은퇴자의 심리적 적응, 구체적으로 은퇴 만족도, 삶 만족도, 인지기능, 우울에 유의한 영향을 미치는지 검증하는 것이다. 방법: 제 5차 한국고령화연구패널조사 자료 중 인구사회학적 변인, 은퇴 만족도, 삶 만족도, 인지기능, 우울을 측정하는 문항에 대한 응답 자료를 사용하였으며, 은퇴 후 2년이 경과되지 않은 신규 은퇴자 270명의 자료를 분석하였다. 인구사회학적 변인의 효과를 통제하고도 생활체육 참여여부에 따라서 은퇴 만족도, 삶 만족도, 인지기능, 우울이 유의한 차이를 갖는지 확인하기 위하여 일원 공분산분석을 수행하였다. 또한, 생활체육에 참여하는 은퇴자의 경우, 생활체육 참여빈도, 참여시간, 참여기간이 인구사회학적 변인의 효과를 통제하고도 은퇴 만족도, 삶 만족도, 인지기능, 우울에 유의한 영향을 끼치는지 확인하기 위하여 위계적 회귀분석을 수행하였다. 결과: 첫째, 은퇴 만족도의 경우, 규칙적 생활체육 참여인과 비참여인 간 유의한 차이는 없었다. 그러나 은퇴 전부터 생활체육에 참여했던 은퇴자는 은퇴 후에 생활체육에 참여하기 시작한 은퇴자보다 은퇴 만족도가 높았으며, 1회 참여시간이 길수록 은퇴 만족도가 높은 것으로 나타났다. 둘째, 삶 만족도의 경우, 규칙적 생활체육 참여인이 비참여인보다 유의하게 더 높았지만, 참여빈도, 참여시간, 참여기간이 삶 만족도에 유의한 영향은 끼치지 않는 것으로 나타났다. 셋째, 인지기능의 경우, 규칙적 생활체육 참여인이 비참여인보다 유의하게 더 좋았다. 또한 은퇴 전부터 생활체육에 참여한 은퇴자가 은퇴 후에 생활체육에 참여하기 시작한 은퇴자보다 인지기능이 더 좋았다. 넷째, 우울의 경우, 규칙적 생활체육 참여인과 비참여인 간에 유의한 차이는 없었다. 그러나 1회 생활체육 참여시간이 길수록 우울 수준이 낮은 것으로 나타났다. 결론: 은퇴자의 생활체육 참여 정도가 은퇴 만족도, 삶 만족도, 인지기능, 우울 수준에 영향을 미치는 중요한 요인임을 규명하였다.

본 연구팀은 2016년에 제 2형 당뇨환자 식이교육용 기능성 콘텐츠(롤리폴리 160)를 개발하였고, 이후 당뇨환자와 보건교육자의 요구를 반영하여 당뇨병 전반에 걸친 자가관리용 기능성 게임 콘텐츠로 수정･보완하였다. 이에 임상효과성을 실험하였다. 본 연구는 단일집단 전후비교 실험설계이며, G지역소재 C대학병원에 입원한 당뇨환자 49명을 대상으로 2017년 2월 27일부터 4월 21일까지 하루에 1회 이상, 총 5일 동안 ‘롤리폴리 160’을 통한 자가관리 교육을 실시하였다. 연구결과, 교육 후 대상자의 공복혈당과 식후 2시간 혈당 모두 통계적으로 유의하게 감소하였으며(p<.000), 자기효능감, 인지기능은 통계적으로 유의하게 상승하였다(p<.000).

최근 급변하는 우리 사회와 환경요소들로 인하여 보살핌을 필요로 하는 아동의 수가 증가 하 고 있다. 이 중 불우하고 빈곤한 가정에 속하는 아동들은 경계선 지능 아동으로 이어지는 경우가 대다수이며 이를 예방하기 위한 시급한 조치가 필요한 실정이다. 본 연구는 경계선 지능 아동이 발생하는 원인을 규명하여 이를 예방하고 치료할 수 있는 하나의 해결방안으로 기능성 게임을 구 현했다. 해당 게임은 경계선 지능 아동의 취약한 기억력, 집중력, 판단력 향상을 목표로 제작하였 으며 관련분야 전문가와 일반인 30명 대상으로 자문 및 실험하여 효과성이 있음을 확인하였다.