TY - JOUR
T1 - A home programme for patients with cognitive dysfunction
T2 - A pilot study
AU - Pyun, Sung Bom
AU - Yang, Heeseung
AU - Lee, Sangil
AU - Yook, Jinsook
AU - Kwon, Jaesung
AU - Byun, Eun Mi
N1 - Funding Information:
This work was supported by the Korea Science and Engineering Foundation (KOSEF) grant funded by the Korea government (MOST) (R01-2006-000-10733-0). This study was presented at the 10 November 2006 AAPM&R Annual Assembly in Hawaii.
PY - 2009
Y1 - 2009
N2 - Objective: To evaluate the effectiveness of a 12-week individualized home programme of rehabilitation for patients with cognitive impairment. Methods: Six patients with cognitive dysfunction, after haemorrhagic stroke, participated in this study. A programme was carried out in the home environment that consisted of four mixed training programmes: cognitive remediation therapy, story retelling, cognitive enhancing games and aerobic exercise. The patients performed the home programme for 2 hours a day, 7 days a week, for 12 weeks. The main outcomes were measured using the MMSE, Neurobehavioural Cognitive Status Examination (NCSE), domain-specific computerized neuropsychological test for attention, memory and executive function, the Lowenstein Occupational Therapist Cognitive Assessment (LOTCA), the Modified Barthel Index (MBI) and the Seoul-Instrumental Activity of Daily Living (S-IADL). Results: After completion of a 12-week home programme, the patients' S-IADL scores improved significantly (p ≥ 0.05). The patients' MMSE and NCSE scores improved marginally, with mean score changes of 4.2 (p = 0.058), 4.7 (p = 0.078) and 6.8 (p = 0.068) points, respectively. However, the patients' domain-specific cognitive test and LOTCA scores did not significantly change. Conclusion: The results of this study showed that an individualized home programme improved IADL performance in patients with cognitive dysfunction and may have a beneficial effect on cognition, as assessed by general cognitive measures.
AB - Objective: To evaluate the effectiveness of a 12-week individualized home programme of rehabilitation for patients with cognitive impairment. Methods: Six patients with cognitive dysfunction, after haemorrhagic stroke, participated in this study. A programme was carried out in the home environment that consisted of four mixed training programmes: cognitive remediation therapy, story retelling, cognitive enhancing games and aerobic exercise. The patients performed the home programme for 2 hours a day, 7 days a week, for 12 weeks. The main outcomes were measured using the MMSE, Neurobehavioural Cognitive Status Examination (NCSE), domain-specific computerized neuropsychological test for attention, memory and executive function, the Lowenstein Occupational Therapist Cognitive Assessment (LOTCA), the Modified Barthel Index (MBI) and the Seoul-Instrumental Activity of Daily Living (S-IADL). Results: After completion of a 12-week home programme, the patients' S-IADL scores improved significantly (p ≥ 0.05). The patients' MMSE and NCSE scores improved marginally, with mean score changes of 4.2 (p = 0.058), 4.7 (p = 0.078) and 6.8 (p = 0.068) points, respectively. However, the patients' domain-specific cognitive test and LOTCA scores did not significantly change. Conclusion: The results of this study showed that an individualized home programme improved IADL performance in patients with cognitive dysfunction and may have a beneficial effect on cognition, as assessed by general cognitive measures.
KW - Activites of daily living
KW - Cognition disorders
KW - Cognitive therapy
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=68049100086&partnerID=8YFLogxK
U2 - 10.1080/02699050902997862
DO - 10.1080/02699050902997862
M3 - Article
C2 - 19557572
AN - SCOPUS:68049100086
SN - 0269-9052
VL - 23
SP - 686
EP - 692
JO - Brain Injury
JF - Brain Injury
IS - 7-8
ER -