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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Occupational Therapeutic Craft Activity on improvement cognitive function and hand function in acute patients with stroke

수공예 작업치료 프로그램 활동이 급성기 뇌졸중 환자의 손 기능에 미치는 효과

  • Jang, Tae-Yong (Dept. of Occupational Therapy, Graduate School of Inje University) ;
  • Park, Bo-Ra (Dept. of Occupational Therapy, Choonhae College of Health Sciences) ;
  • Yang, Yeong-Ae (Dept. of Occupational Therapy, College of Healthcare Medical Science and Engineering, Graduate School of Inje University/Elderly Life Free Design Research Institute, Inje University)
  • 장태용 (인제대학교 일반대학원 작업치료학과) ;
  • 박보라 (춘해보건대학교 작업치료과) ;
  • 양영애 (인제대학교 보건의료융복합대학 작업치료학과/인제대학교 고령자라이프리디자인연구소)
  • Received : 2017.04.03
  • Accepted : 2017.05.12
  • Published : 2017.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study investigatedwhether occupational therapeutic craft activity improves cognitive function and hand function in patients with acute stroke, with the hope of providing clinically useful results for further studies. From March 2016 to November 2016, thirty acute patients with stroke at A general hospital and B rehabilitation hospital in Seoul and Gyeonggi-do, Korea were enrolled and randomly divided into two groups. One group was treated with occupational therapeutic craft activity,and the other general exercise. The subjects performed each activity for 30 minutestwice weekly, for four weeks. To test the effect of intervention, hand function was tested with the Box & Block Test and the Jebsen-Taylor Hand Function Test.Cognitive function measures were the NCSE and Trail-Making Test. Over the four weeks of treatment activities, in the occupational therapeutic craft activity group, hand function measures(p<.05) increased significantly,as did cognitive function measures(p<.05). This study shows that occupational therapeutic craft activity improves hand function and cognitive function effectively in patients with acute stroke. Occupational therapeutic craft activity programscan be based on this study to prepare intervention programs for further studies with acute stroke patients.

본 연구의 목적은 급성기 뇌졸중 환자를 대상으로 수공예 작업치료 프로그램 활동을 시행하였을 때 인지기능과 손 기능에 미치는 효과를 알아보고, 추후 급성기 뇌졸중 환자의 중재방법에 대한 유용한 자료를 제공하는 것이다. 본 연구의 진행은 서울 경기도에 위치한 A종합병원, B재활병원에 입원 중인 뇌졸중 환자 30명을 대상으로 2016년 3월부터 2016년 11월까지 두 그룹을 무작위 할당한 후 실험군에는 수공예 프로그램 활동을 4주 동안 주 2회, 30분간 적용하고 그룹 간 비교를 실시하였다. 치료 전 후에 뇌졸중 환자의 인지기능과 손 기능을 평가하기 위해서 사용한 평가도구는 Box & Block Test, Jebsen-Taylor Hand Function Test, Neurobehavioral Cognitive Status Examination(NCSE), Trail-Making Test이다. 결론적으로 중재 전 후 비교에서 수공예 프로그램 활동군의 손 기능 평가가 유의하게 향상되었고(p<.05), 인지기능도 유의하게 향상되었다(p<.05). 본 연구의 결과를 통해서 수공예 프로그램 활동이 급성기 뇌졸중 환자의 인지기능과 손 기능 향상에 더 효과적임을 파악한 점에서 연구의 의의를 지니며, 향후 급성기 뇌졸중 환자의 작업치료 중재 프로그램의 개발 및 적용 시 기초자료로 의미있게 활용될 수 있을 것이다.

Keywords

References

  1. Y. Y. You, C. S. Ahn, "A study of the relationships between perceived rehabilitation - motivation and quality of life in patients after a cerebrovascular accident", Journal of Korean Society of Occupational Therapy, vol. 17, no. 2, pp. 1-16, 2009.
  2. P. W. Duncan, R. D. Horner, D. M. Reker, "Adherence to Postacute Rehabilitation Guidelines is Associated with Functional Recovery in Stroke", Stroke, vol. 33, no. 1, pp. 167-244, 2002. DOI: https://doi.org/10.1161/hs0102.101014
  3. S. G. Roh, J. H. Kim, "Acute Cerebrovascular Accident in Korea", Journal of the Korea Convergence Society, vol. 3, no. 4, pp. 23-28, 2012.
  4. P. Appelros, A. G. Andersson, "Changes in mini mental state examination score after stroke: Lacunar infarction predicts cognitive decline", European Journal of Neurology, vol. 13, pp. 491-495, 2006. DOI: https://doi.org/10.1111/j.1468-1331.2006.01299.x
  5. T. L. Han, J. H. Kim, D. H. Sung, M. H. Jun, "The Correlation of the Mini-Mental State Examination(MMSE) and Functional Outcome in the Stroke Patients", Annals of Rehabilitation Medicine, vol. 16, no. 2, pp. 118-122, 1992.
  6. Pendleton HM, Schultz-krohn W. Pedretti's Occupational Therapy: Practice Skills for Physical Dysfunction sixth edition. Mosby Publishers, 2006.
  7. H. M. Feys, W. J. De Weerdt, B. E. Selz, G. A. Cox Steck, R. Spichiger, L. E. Vereeck, K. D. Putman, G. A. Van Hoydonck, "Effect of a therapeutic intervention for the hemiplegaic upper limb in the acute phase after stroke: A single-blind, randomized, controlled multicenter trial", Stroke, vol. 29, no. 4, pp. 785-792, 1998. DOI: https://doi.org/10.1161/01.STR.29.4.785
  8. G. Kwakkel, B. Kollen, J. Twisk, "Impact of time on improvement of outcome after stroke", Stroke, vol. 37, no. 9, pp. 2348-2353, 2006. DOI: https://doi.org/10.1161/01.STR.0000238594.91938.1e
  9. B. H. Dobkin, "Clinical practice Rehabilitation after stroke", The New England Journal of medicine, vol. 352, no. 16, pp. 1677-1684, 2005. DOI: https://doi.org/10.1056/NEJMcp043511
  10. D. H. Bang, T. W. Knag, D. W. Oh, "Comparison of the effect of Action Observational training and Task-oriented training on Upper Limb Function and activities of daily living in People with Chronic stroke", Journal of Digital Convergence, vol. 10, no. 9, pp. 409-416, 2012. https://doi.org/10.14400/JDPM.2012.10.9.409
  11. K. U. Kim, T. S. Kim, H. W. Oh, "The effect of convergency : Using Digital Contents Action Observation Educations and Task-oriented Occupational Therapy on Activity of Daily Living and Upper Extremity Function in Patients With Stroke", Journal of Digital Convergence, vol. 13, no. 7, pp. 445-452, 2015. DOI: https://doi.org/10.14400/JDC.2015.13.7.445
  12. K. H. Lee, K. C. Hwang, "Virtual Reality-based Training Program Using Computer-human Interface for Recovery of Upper Extremity Use in Stroke Patients", Journal of Digital Convergence, vol. 14, no. 2, pp. 285-290, 2016. DOI: https://doi.org/10.14400/JDC.2016.14.1.285
  13. Y. H. Uhm, "The Feedback Mirror Therapy in Stroke Patients Effect of Muscle Activity and Function of the Upper Extremity", Journal of Digital Convergence, vol. 13, no. 6, pp. 205-212, 2015. DOI: https://doi.org/10.14400/JDC.2015.13.6.205
  14. I. J. Yoon, J. I. Jung, D. R Kim, M. J. Park, "The Effects of Mirror Therapy on the Upper Extremity Function in Acute Stroke Patients", Journal of Korea Society of Cognitive Rehabilitation, vol. 3, no. 1, pp. 5-23, 2014.
  15. M. S. Kim, "Effect of Robot Assisted Rehabilitation Based on Visual Feedback in Post Stroke Pusher Syndrome", Journal of Korea Academia-Industrial Cooperation Society, vol. 17, no. 10, pp. 562-568, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.10.562
  16. Y. M. Jin, "The Effects of Upper Extremities Exercises Using Moving Surface in Sitting on the Function of Upper Extremities for the Patients with Stroke", Journal of Korea Academia-Industrial Cooperation Society, vol. 16, no. 8, pp. 5132-5412, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.8.5132
  17. J. H. Kim, "Effects of Robot assisted Therapy on Lower Limb in Patients with Subacute Stroke", Journal of Korea Academia-Industrial Cooperation Society, vol. 17, no. 7, pp. 459-466, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.7.459
  18. J. H. Kim, "Effects of Robot assisted Therapy on Lower Limb in Patients with Subacute Stroke", Journal of Korea Academia-Industrial Cooperation Society, vol. 17, no. 7, pp. 459-466, 2016. https://doi.org/10.5762/KAIS.2016.17.7.459
  19. Y. J. Park, T. Yoon, M. S. Kim, "The effect of computerized attention rehabilitation training on the improvement of cognitive functions in schizophrenic patients", Korean Journal of Clinical Psychology, vol. 24 no. 4, pp. 721-737, 2005.
  20. S. H. Shin, M. H. Ko, Y. H. Kim, "Effect of Computer-Assisted Cognitive Rehabilitation Program for Patients with Brain Injury", Annals of Rehabilitation Medicine, vol. 26, no. 1, pp. 1-8, 2002.
  21. J. S. Kwon, "Effects of Computer Based Virtual Reality Program on Clinical Rehabilitation in Korea: A Meta-analysis", Journal of Digital Convergence, vol. 13, no. 7, pp. 293-304, 2015. DOI: https://doi.org/10.14400/JDC.2015.13.7.293
  22. H. J. Kim, J. I. Shin, K. Y. Kam. "The Effect of Constrain-Induced movement Therapy(CIMT) With Cognitive-Perceptual Training on Upper Extremity Function of Stroke Patients With Mild Cognitive Impairment", Journal of Korea Academia-Industrial Cooperation Society, vol. 12, no. 12, pp. 5684-5691, 2011. DOI: https://doi.org/10.5762/KAIS.2011.12.12.5684
  23. E. Y. Kang, B. H. Chong, "The effect of a Cognitive Occupational Therapy program on cognition and hand functions in patients with dementia living in a community", Journal of the Korea Academia-Industrial Cooperation Society, vol. 16, no. 7, pp. 4798-4804, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.7.4798
  24. Y. J. Cha, "A Study on Occupational Reminiscence Therapy(ORT) Program for the Elderly with Mild Cognitive Impairment(MCI) in Local Community", Journal of Korea Academia-Industrial Cooperation Society, vol. 17, no. 8, pp. 605-614, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.8.605
  25. Y. G. Kim, "The Effect of The Virtual Reality Rehabilitation System on Activites of daily living, cognitive function, self-esteem on Stroke", Journal of the Korea Academia-Industrial Cooperation Society, vol. 16, no. 8, pp. 5476-5484, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.8.5476
  26. G, S. Han, "Proposal for Craft Therapy Program -For children showing Lack adaptability to the school environment", Korean Society of Basic Design Art, vol. 8, no. 4, pp. 743-752, 2007.
  27. Y. K. An, C. I. Kim. Decorate and Making. Mijinsa, 1990.
  28. Hong JR, Kim HR, Yang YA, Yang KH, Chae SK, Choi HS. Crafts for occcupational therapy. Gyechuk Munwhasa Publishers, 2012.
  29. M. V. Randomski, "There is more to life than putting on your pants", The American Journal of Occupational Therapy, vol. 49, no. 6, pp. 487-490, 1995. DOI: https://doi.org/10.5014/ajot.49.6.487
  30. I. J. Kong. "The Effects of Art and Craft program on Cognitive function and Depression of Day-care Center Elderly person", Journal of Korean Association Occupational Therapy Policy for Aged Industry, vol. 6, no. 2, pp. 45-51, 2014.
  31. Y. S, Bang, Kim, H. Y, Y. S. Park, "The Changes of depression and cognition in elderly at institution according to craft activity program", The Society of Occupational Therapy for the Aged and Dementia, vol. 4, no. 2, pp. 1-9, 2010.
  32. B. H. Chong, J. J. Park, S. M. Chung, " Effect of Craft Program of Occupational Therapy on Cognitive Function, Depression, Activity of daily living and Hand function in patients with Dementia Living in a community", Journalof Neurotherapy. vol. 20, no. 2, pp. 47-52, 2016.
  33. D. H. Noh, S. H. Han, E. J. Jo, S. H. Ahn, K. Y. Kam, "Effect of task-orientated activities on hand functions in patients with hand injuries", Journal of the Korean Academia - Industrial cooperation Society, vol. 16, no. 2, pp. 1153-1163, 2015. DOI: http://doi.org/10.5762/KAIS.2015.16.2.1153
  34. D. J. Kim, S. M. Cha, Y. Y. Yang, "A Research on The Awareness of Department of Social Welfare Studies Students on The Craft Activities as a Dementia Preventive Program", Journal of the Society of Occupational Therapy for the Aged and Dementia, vol. 6, no. 1, pp. 19-26, 2012.
  35. I. J. Kong, "The Effects of Art and Craft program on Cognitive function and Depression of Day-care Center Elderly person", Journal of the Society of Occupational Therapy for the Aged and Dementia, vol. 6, no. 2, pp. 45-54, 2014.
  36. H. Y. Kim, "The Effects of Hand Function Program on hand Function and Instrumental Activities of Daily Living", Journal of the Society of Occupational Therapy for the Aged and Dementia, vol. 2, no. 2, pp. 1-12, 2008.
  37. V. Mathiowetz, G. Volland, N. Kashman, K. Weber. "Adults Norms for the Box and Block Test of manual dexterity", American Journal of Occupational Therapy, vol. 39 no. 2, pp. 389-391, 1985. DOI: https://doi.org/10.5014/ajot.39.6.386
  38. Trombly CA, Randomski MV. Occupational Therapy for Physical Dysfunction(5th ed.). Baltimor: Lippincott Williams Wilkins. 2001.
  39. Cromwell FS. Occupational Therapist's manual for basic skill assessment: Primary prevocational evaluation. Altadena, CA: Fair Oaks. 1976.
  40. R. H. Jebsen, H. Taylor, R. B. Trieschmann, M. J. Trotter, L. A. Howard, "An objective and standardized Test of hand function", Archives of Physical Medicine and Rehabilitation, vol. 50, no. 3, pp. 311-319, 1969.
  41. S. G. Kim, J. G. Oh, E. J. Lee, "Study for Clinical Application of Neurobehavioral Cognitive Status Examination(NCSE) : for the Subjects upper age of 40 cognition patients", The korean Neuropsychiatric Association, vol. 20, pp. 150-159, 1997.
  42. I. J. Kong, H. Y. Hwang, S. Y. Slim, H. S. Jeon, H. J. Sim, D. H. Jung, H. H. Jin, G. O. Kim, H. J. Kim, "The Effects of Spaced Retrieval Training with Errorless Learning on Attention Span and Memory Function for Mild Dementia People", Journal of Korena Association Occupational Therapy Policy for Aged Industry, vol. 6, no. 2, pp. 25-34, 2014.
  43. K. D. Cierone, D. Dahlberg, K. Kalmar, D. M. Langenbahn, J. F. Malec, T. F. Bergquist, et al. "Evidence-based cognitive rehabilitation : Recommendations for clinical practice", Archives Physical Medicine and Rehabilitation, vol. 81, no. 1, pp. 1596-1615, 2000. DOI: https://doi.org/10.1053/apmr.2000.19240
  44. S. Y. Bae, G. U. Jeong, J. Y. Baek, "The Group occupational therapy for clonic stroke patients Impact on the Subjective Quality of Life", Journal of the Korea Entertainment Industry Association, vol. 5, pp. 153-159, 2015.
  45. J. H. Hwang, M. Y. Kim, S. S. Lee, E. M. Jeon, B. H. Chong. "Effect of Cognitive Therapeutic Exercise on Hand Muscular Strength in Stroke Patients", The Korean Society of Cognitive Therapeutic Excercise, vol. 3 no. 1, pp. 55-63, 2011.
  46. J. G. Broeks, G. J. Lankhorst, K. Rumping, A. J. Prevo, "The long-term outcome of arm function after stroke: Results of a follow-up study", Disability and Rehabilitation, vol. 21, no. 8, pp. 357-364, 1999. DOI: https://doi.org/10.1080/096382899297459
  47. H. Nakayama, H. S. Jorgensen, H. O. Raaschou, T. S. Olsen, "Recovery of upper extremity function in stroke patients: The Copenhagen Stroke Study", Archives of physical Medicine and Rehabilitation, vol. 75, no. 4, pp. 394-398, 1994. DOI: https://doi.org/10.1016/0003-9993(94)90161-9
  48. S. H. Park, S. J. Park, J. I. Shin, Y. A. Young, "The Effects of Craft Activities on Cognitive Function in Persons with Cerebrovascular Accident", The Society of Occupational Therapy for the Aged and Dementia, vol. 3, no. 1, pp. 55-61, 2009.
  49. K. S. Woo, S. N. Ahn, "The Effectiveness of Upper Extremity Functional Recovery on Neurocognitive Rehabilitation in Acute Stroke Patients", Journal of The Korean Society of Cognitive Therapeutic Excercise, vol. 8, no. 1, pp. 17-23, 2016.
  50. H. J. Lim, D. H. Lee, Y. Y. Yang, "Systematic review research that applies treatment of domestic crafts activities", Journal of the Society of Occupational Therapy for the Aged and Dementia, vol. 10, no. 1, pp. 1-6, 2016.
  51. J. K. Park, "Convergence factors among their physical state, function and activities influencing on the cognition of elderly residents in a community", Journal of the Korea Convergence Society, vol. 6, no. 6, pp. 153-162, 2015. DOI: https://doi.org/10.15207/JKCS.2015.6.6.153
  52. N. S. Kim, "Effect of recreational exercise on cognition, depression, dynamic balance and leg strength in elderly women", The Journal of the Korea Contents Association, vol. 10, no. 3, pp. 373-380, 2010. DOI: https://doi.org/10.5392/JKCA.2010.10.3.373
  53. Y. S. Yong, "The Effect of Combined Exercise on Body Composition, Functional Fitness and Muscle Protein Synthesis Related Hormone in Sarcopenic Obesity Elderly Women", Journal of the Korea Convergence Society, vol. 7, no. 3, pp. 185-193, 2016. DOI: https://doi.org/10.15207/JKCS.2016.7.3.185
  54. S. H. Jang, H. S. Bang, B. O. Jung, "The Effects of Home Based Exercise Program on Balance Recovery in a Post-Stroke Population", Journal of Digital Convergence, vol. 12, no. 7, pp. 297-304, 2014. DOI: https://doi.org/10.14400/JDC.2014.12.7.297