Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Feasibility of Using the Nintendo Wii Game for a Dimentia

닌텐도 위 게임의 치매 재활 사용 가능성 연구

  • Lee, Jin-Ho (Department of Physical Therapy, In-Kwang Hospital) ;
  • Kang, Jong-Ho (Department of Physical Therapy, Nambu University) ;
  • Lee, Hyun-Min (Department of Physical Therapy, Honam University)
  • 이진호 (광주시립인광병원 물리치료실) ;
  • 강종호 (남부대학교 물리치료과) ;
  • 이현민 (호남대학교 물리치료과)
  • Received : 2011.03.13
  • Accepted : 2011.05.14
  • Published : 2011.05.31
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Abstract

Purpose: This study evaluated the feasibility of using Nintendo Wii games for improving cognition, balance, function in patients with dementia. Methods: A total 30 dementia patients were randomly assigned into the experimental group(n=15) and control group(n=15). All subjects performed a general therapeutic exercise, and 30-minute sessions of the table tennis and fencing game of Nintendo Wii were conducted with experimental group 3 times a week for 8 weeks. The intervention effects were measured by using MMSE-K, BBS, and FIM. The results were analyzed by using repeated measure ANOVA. Results: The MMSE-K and BBS scores showed significant differences. A significant interaction was observed between the experimental group and the control group in MMSE-K. The final MMSE-K and BBS scores for the experimental group were significantly higher than those for the control group. However, there was no difference in the FIM scores. Conclusion: We suggest that Nintendo Wii games are effective in cognㅇition and balance improvement in dementia patients. Future research on a variety of programs in needed.

Keywords

References

  1. 권용철, 박종한. 노인용 한국판 Mini-Mental State Examination(MMSE-K)의 표준화 연구 제 2편; 구분점 및 진단적 타당도. 대한신경정신의학회지. 1989;28(3):508-13.
  2. 김민영. 노인의 인지기능 훈련을 위한 가상현실 프로그램의 효과. 연세대학교. 박사학위논문. 2002.
  3. 김은경, 강종호, 이현민. 가상현실 기반 게임이 만성기 뇌졸중 환자의 균형과 상지기능에 미치는 효과. 특수교육재활과학연구. 2010;49(3):131-49.
  4. 김철용, 조성현. 12주간의 복합운동프로그램이 혈관성 치매노인의 인지기능과 보행능력에 미치는영향. 한국운동재활학회지. 2010;6(4):147-58.
  5. 노효련, 배성수. 치매환자의 다각적 접근과 치료. 대한물리치료학회지. 2003;15(4):1055-62.
  6. 박명자. 세라밴드 운동과 인지훈련이 치매노인의 일상생활 동작 및 인지기능에 미치는 효과. 전북대학교. 석사학위논문. 2009.
  7. 보건복지부. 2008년 치매 유병률 조사. 2008.
  8. 손호희. 치매노인을 위한 운동프로그램이 일상생활 동작과 균형능력에 미치는 영향. 대구대학교 재활과학대학원. 석사학위 논문. 2007.
  9. 엄상용. 규칙적인 운동이 노인성 치매환자의 인지기능, 일상생활 및 운동능력에 미치는 영향. 고려대학교. 박사학위논문. 2004.
  10. 왕중산, 김지성, 김수한. 손동작 운동프로그램이 치매 노인의 인지기능 향상에 미치는 효과. 대한물리치료과학회지. 2009;16(1):21-9
  11. 윤숙영, 김홍열. 원예치료가 치매노인의 일상생활 수행능력과 인지기능에 미치는 영향. 농업생명과학연구. 2009;43(5):27-32.
  12. 정혜임. 규칙적인 운동이 치매노인의 신체적 기능 및 인지기능에 미치는 영향에 관한 문헌적 고찰. 성신여자대학교. 석사학위논문. 2008.
  13. Barnes DE, Yaffe K, Belfor N et al. Computerbased cognitive therapy for mild cognitive impairment: results of a pilot randomized, controlled trial. Alzheimer's and Dementia. 2006;2(3):503-9.
  14. Berg KO, Wood DSL, Williams JI. The balance scale: Reliability assessment with elderly residents and patients with an acute stroke. J Rehabil Med. 1995;27(1):27-36.
  15. Binder EF. Implementing a structured exercise program for frail nursing home residents with dementia: Issues and challenges. J Aging Phys Act, 1995:3;383-95.
  16. Bricken W. Virtual reality learning environment: potentials and challenges. Computer Graphics, 1991;25(3):178-84. https://doi.org/10.1145/126640.126657
  17. Christafoletti G, Oliani MM, Gobbi S et al. A controlled clinical trial on the effects of motor intervention on balance and cognition in institutionalized elderly patients with dementia. Clin Rehabil. 2008;22:618-26. https://doi.org/10.1177/0269215507086239
  18. Clare L, Linden DE, Woods RT et al. Goal-oriented cognitive rehabilitation for people with early-stage Alzheimer disease: a single-blind randomized controlled trial of clinical efficacy. Am J Geriatr Psychiatry. 2010;18(10):928-39. https://doi.org/10.1097/JGP.0b013e3181d5792a
  19. Dianne G. Music listening for maintaining attention of older adults with cognitive impairments. J Music Ther. 2002;39(4): 244-64.
  20. Flynn D, Van Schaik P, Blackman T, Femcott C. et al. Developing a virtual reality-based methodology for people with dementia: a feasibility study. Cyberpsychol Behav. 2003;6(6):591-611. https://doi.org/10.1089/109493103322725379
  21. Flynn S, Palma P, Bender A. Feasibility of using the Sony PlayStation 2 gaming platform for an individual poststroke: a case report. J Neurol Phys Ther. 2007;32 (4):180-9.
  22. French B, Thomas LH, Leathley MJ et al. Repetitive task training for improving functional ability after stroke. Cochrane Database Syst Rev. 2007;17(4):98-9.
  23. Fung J, Richards CL, Malouin F et al. A treadmill and motion coupled virtual reality system for gait training post -stroke. Cyberpsychol Behav. 2006;9(2): 157-62. https://doi.org/10.1089/cpb.2006.9.157
  24. Jack D, Boian R, Merians AS et al. Virtual realityenhanced stroke rehabilitation. IEEE Trans Neural Syst Rehabil Eng. 2001;9(3):308-18. https://doi.org/10.1109/7333.948460
  25. Keith RA, Granger CV, Hamilton BB et al. The functional independence measure: A new tool for rehabilitation. Adv Clin Rehabil. 1987;1:6-18.
  26. Kwak YS, UM SY, Son TG et al. Effect of regular exercise on senile dementia patients. Int J Sports Med. 2008;29(6):471-4. https://doi.org/10.1055/s-2007-964853
  27. Michaelsen SM, Dannenbaum R, Levin MF. Taskspecific training with trunk restraint on arm recovery in stroke. Randomized control trial. Stroke. 2006;37:186-92.
  28. Murray LL, Dickerson S, Lichtenberger B et al. Effects of toy stimulation on the cognitive, communicative and emotional functioning of adults in the middle stages of Alzheimer's disease. J Commun Disord. 2003;36(2):101-27. https://doi.org/10.1016/S0021-9924(03)00002-9
  29. Palleschi L, Ventta F, De Gennaro E et al. Effect of aerobic training on the cognitive performance of elderly patients with senile dementia of Alzheimer type. Arch Gerontol Geriatr. 1996;22(1):47-50.
  30. Rolland Y, Pillard F, Klapouszczak A et al. Exercise program for nursing home residents with Alzheimer's disease: a 1-year randomized, controlled trial. J Am Geriatr Soc. 2007;55(2):158-65. https://doi.org/10.1111/j.1532-5415.2007.01035.x
  31. Rose FD, Brook BM, Attree EA et al. A preliminary investigation into the use of virtual environments in memory retraining after vascular brain injury : indication for future strategy? Disabil Rehabil. 1999;21:543-54.
  32. Santana-Sosa A, Barriopedro MI, Lopez -Mojares LM et al. Exercise training is beneficial for Alzheimer's patients. Int J Sports Med. 20 08;29(10):845-50. https://doi.org/10.1055/s-2008-1038432
  33. Stelmach GE, Phillips J, Di Fabio RP. Age, functional postural reflexes, and voluntary sway. J Gerontol. 1989;44(4):100-6.
  34. Talassi E, Guerreschi M, Feriani M et al. Effectiveness of a cognitive rehabilitation program in mild dementia(MD) and mild cognitive impairment(MCI): A case control study. Arch Gerontol Geriatr, 2007;44(1): 391-9.
  35. Van Veen HAHC, Distler HK, Braun SJ et al. Navigating through a virtual city: Using virtual reality technology to study human action and perception. Journal of future generation computer systems. 1998;14(3-4):231-42. https://doi.org/10.1016/S0167-739X(98)00027-2
  36. Warburton DER, Bredin SSD, Horita LTL. The health benefits of interactive video game exercise. Appl Physiol Nutr Metab. 2007;32(4):655-64. https://doi.org/10.1139/H07-038