KMID : 1151720190080020043
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Journal of Korean Society of Cognitive Rehabilitation 2019 Volume.8 No. 2 p.43 ~ p.58
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cts of Cognitive Rehabilitation Training Using Tablet PC Applications on the Cognitive Function, Depression, and Anxiety in Stroke Patients
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Lim Lee-Won
Kim Yoon-Seong Kim Ye-Ji Yun Hye-Young Chu Sun-Kyoung Choi Hye-Rim
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Abstract
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This study aimed to investigate the effects of cognitive training using a tablet PC application on cognition, depression and anxiety in patients with stroke. In this study, five patients with stroke undergoing rehabilitation received cognitive training using a tablet PC application for 30 minutes per session, three times per week during 6 weeks. An initial evaluation was conducted by one researcher, and then a reevaluation was made six weeks later. All evaluations in this study were conducted by one single researcher to ensure consistency in the evaluation. The results of comparing the MMSE-K scores before and after the cognitive training using a tablet PC application showed that there was a statistically significant increase in the MMSE-K score from 22.40 ¡¾ 0.55 points before the intervention to 24.40 ¡¾ 0.55 points after the intervention (p=0.04, p <.05). The results of comparing the scores of the Korean version of the Trail Marking Test-A for elderly persons before and after the intervention showed that there was a statistically significant decrease in from 64.63¡¾11.62 seconds before the intervention to 52.80¡¾11.91 seconds after the intervention (p=0.04, p<.05). The results of comparing the scores of the Korean version of the Trail Marking Test-B for elderly persons before and after the intervention showed that there was a statistically significant decrease in from 136.06¡¾17.65 seconds before the intervention to 120.65¡¾17.13 seconds after the intervention (p=0.04, p< .05). The results of comparing the Digit Span (DS) scores before and after the intervention showed that there was a change in score from 3.40 ¡¾ 0.55 point before the intervention to 3.80 ¡¾ 0.45 point after the intervention, but it was not statistically significant (p=0.16, p >.05). The results of comparing the Beck Depression Inventory (BDI) scores before and after the intervention showed that there was a statistically significant decrease in BDI score from 21.80 ¡¾ 12.19 points before the intervention to 20.00 ¡¾ 11.33 points after the intervention (p= 0.04, p<.05). The results of comparing of comparing Beck Anxiety Inventory (BAI) before and after the intervention showed that there was a statistically significant decrease in BAI score from 34.40¡¾13.96 to 29.20¡¾12.97 (p= 0.04, p<.05).
Therefore, the results of this study provided additional evidence to previous studies revealing that smart device application-based cognitive training improved cognitive function. Furthermore, it is thought that tablet PCs can be effectively used for emotional problems such as depression and anxiety in stroke patients.
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KEYWORD
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Tablet PC Applications, Cognitive Rehabilitation Training, Depression , Anxiety
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