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KMID : 1003120190110020041
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Journal of Korean Society of Neurocognitive Rehabilitation
2019 Volume.11 No. 2 p.41 ~ p.48
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The Effectiveness of Oral Neurocognitive rehabilitation Therapy on a Brain Lesion Child Patient
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Woo Kyoung-Suk
Ahn Si-Nae
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Abstract
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The purpose of this research was to verify the neurocognitive rehabilitation treatment-based dysphagia treatment to the twelve-year-old female child who was diagnosed with moyamoya disease among brain lesions.
The patient received twenty neurocognitive rehabilitation treatment sessions, once a week, and the patient received 30 minutes of neurocognitive rehabilitation treatment every session. The patient received training reduces the displacement of the tongue by improving the cognition of the midline of the tongue. Additionally, the patient was asked to recognize the shape of an object within the oral cavity by having various objects to contact the surface of the tongue manually using the kinesthesis tactile/pressure sense among somesthesis. The pre/post-treatment reports were measured using the Mann Assessment of Swallowing Ability (MASA) and Schedule for Oral-Motor Assessment (SOMA).
After the application of the neurocognition rehabilitation treatment, the K-MASA score improved from 165 to 179, and the SOMA score improved from 37 to 49. In terms of the sub-categories, coordination, modulation, drooling, lip closing, tongue movement, tongue muscular strength, tongue coordination, and oral preparatory phase showed improvements; "solid" and "liquid bottle" categories improved from "abnormal" to "normal" classification with improvements in all sub-categories.
Neurocognition rehabilitation treatment brought performance improvement of lips and tongue of brain lesions child and improved the performance of both oral preparatory phase and oral phase, displaying the effectiveness on the treatment of dysphagia.
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KEYWORD
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Brain injury, Dysphagia, Neurocognitive rehabilitation
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