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Effects of a Community-Based Cognitive Rehabilitation Therapy Based on Occupational Therapy in Elderly People With Mild Cognitive Impairment and Dementia

  • Korean Journal of Occupational Therapy
  • Abbr : Korean J of Occup Ther
  • 2019, 27(4), pp.31-43
  • DOI : 10.14519/kjot.2019.27.4.03
  • Publisher : Korean Society Of Occupational Therapy
  • Research Area : Medicine and Pharmacy > Working Therapeutics
  • Received : July 30, 2019
  • Accepted : October 4, 2019
  • Published : December 30, 2019

HAMMINJOO ORD ID 1 Hong Deok Gi 2 Moon, Kyung-Up 3 Jeon, Byoung-Jin 4

1건양대학교 일반대학원 작업치료학과
2원광대학교 작업치료학과
3레하솔루션
4강원대학교 작업치료학과

Accredited

ABSTRACT

Objective: The purpose of this study was to investigate the effects of community-based cognitive rehabilitationtherapy based on occupational therapy applied to cognitive function, physical function, and occupationalperformance in elderly people with mild cognitive impairment and dementia. Methods: We conducted group cognitive rehabilitation therapy in 10 public health centers in Gangwon-do, over aperiod of approximately 9 months, from March 1 to November 31, 2016. The intervention was provided to 95subjects in total, one session per week, 120 min per session, for an average of 20.8 sessions. We compared thecognitive function, physical flexibility, balance ability, and occupational performance of the subjects. Results: In the testing of cognitive function, the MMSE-DS attention scores improved significantly. In terms ofphysical function, there was a significant shortening of the measured distance in the wall test, which measures theflexibility. In the balance testing, the measured time during a one-legged standing test improved significantly, andthe measured time during a 10-foot timed walk test was significantly shortened. In the occupational performancetesting, COPM occupational performance scores improved significantly. Conclusion: Occupational therapy-based group cognitive rehabilitation therapy was shown to be effective atmaintaining and improving the attention, physical flexibility, balance ability, and occupational performance inelderly people with mild cognitive impairment and dementia, suggesting that this treatment method can be utilizedas a community-based clinical model.

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