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Jung, Jin-Hwa
- Effects of Balance Training Using a Wii Fit Balance Board on Balance, Gait and Activities of Daily Living in Patients with Parkinson Disease: A Pilot, Randomized Controlled Trial
Authors
1 Department of Occupational Therapy, Kyungdong University, KP
2 Department of Occupational Therapy,Gachon University, KP
3 Department of Physical Therapy, Gachon University, KP
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1799-1803Abstract
Background/Objectives: This study examined the effects of balance training using a Wii Fit balance board on the balance, gait, and activities of daily living in patients with Parkinson disease.
Method/Statistical Analysis:Our study included 15 patients with Parkinson disease who scored 2–3 on the Hoehn and Yahr scale and underwent occupational therapy. Participants were randomly assigned to two groups: the experimental group with 8 patients or the control group with 7 patients. All subjects in two groups received traditional occupational therapy (TOT) for 30 min/day, 3 times a week, for 8 weeks, and the participants in the experimental group additionally received a balance training using a Wii Fit (BTWF) for 30 min per session. All patients in both groups were evaluated using the Berg balance scale (BBS), the time up & go test, and the modified Barthel index.
Findings: The experimental and control groups showed significant improvements in all outcome measures after intervention. In particular, the experimental group showed a more significant improvement in the BBS score than the control group.
Improvements/Applications: BTWF could be effectively used to improve the balance of Parkinson’s disease patients in the clinic.
Keywords
Activities Of Daily Living, Balance, Gait, Parkinson Disease, Wii Fit.- Effectiveness of Virtual Reality Based Cognitive Rehabilitation on Cognitive Function, Motivation and Depression in Stroke Patients
Authors
1 Department of Rehabilitation Medicine, Pusan National University, KP
2 Department of Healthcare and Public Health Research, National Rehabilitation Research Institute, National Rehabilitation Center, KP
3 Department of Occupational Therapy, Semyung University, KP
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1880-1886Abstract
Background/Objectives: The aim of this study was to investigate the effects of virtual reality cognitive training on cognitive function, rehabilitation motivation, and depression in patients with sub-acute stroke.
Method/Statistical Analysis:Total 22 patients with sub-acute stroke were included in our study. All stroke patients were classified either into experimental group (n = 11) or control group (n = 11). The experimental group performed virtual reality cognitive training on each session during 30 min/day, and control group conducted conventional cognitive therapy on each session during 30 min/day. The outcome measures were the LOTCA (Lowenstein Occupational Therapy Cognitive Assessment), VQ (Volitional questionnaire), BDI (Beck Depression Inventory) before and after intervention.
Findings: The both groups showed significant improvements in cognitive function before and after intervention (p<.05). The experimental group showed significant reduction in depression before and after the intervention (p<.05), but there was no significant change in the control group (p>.05). In comparisons for change score between the two groups, the experimental group showed a significant greater improvements in cognitive function and rehabilitation motivation than control group (p<.05).
Improvements/Applications: These findings suggest that virtual reality cognitive training may have a effects of the improvements of cognitive function and rehabilitation motivation than conventional cognitive therapy in sub-acute stroke.
Keywords
Virtual Reality, Stroke, Cognitive Function, Rehabilitation Motivation, Depression.- Effects of Cognitive Exercise Therapy on Tactile Sensations of the Hands and Activities of Daily Living in Stroke Patients
Authors
1 Department of Occupational Therapy, Kyungdong University, KP
2 Department of Occupational Therapy, Semyung University, KP
3 Department of Physical Therapy, Gachon University, KP
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1976-1980Abstract
Background/Objectives: The aim of present study was to evaluate the effects of cognitive exercise therapy (CET) on tactile sensations of the hands and activities of daily living in stroke patients.
Method/Statistical Analysis: A total of 14 stroke patients with impaired hand sensations were participated and were randomly assigned to the CET group or the traditional occupational therapy (TOT) group. Patients in the CET group performed cognitive tasks using their spatial and tactile senses, whereas those in the TOT group received traditional occupational therapy. The intervention periods of the two groups were 30 min per day, five-times per week for four weeks. All participations were assessed before and after intervention with light touch sensation using the Mono-Filament, two-point discrimination sensation using the Disk-Criminator (static and dynamic tactile sensations), and the modified Barthel index (MBI) for activities of daily living ability.
Findings: The CET group appeared significant improvements in static and dynamic two-point discrimination, and the MBI before and after the intervention. Also, the TOT group showed a significant improvement in MBI after intervention. At post-test, the CET group showed significant improvements in two-point discrimination and light touch compared to the TOT group.
Improvements/Applications: These findings suggest that CET can induce improvement of the tactile sensations of the hands in stroke patients. Thus, we suggest that CET can be used for tactile-sensory rehabilitation of patients with stroke in clinic.