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KMID : 1151720210100010023
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Journal of Korean Society of Cognitive Rehabilitation
2021 Volume.10 No. 1 p.23 ~ p.46
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Effects of Functional Cognitive-Based Interventions on Occupational Performance in Acute Stroke Clients: Case-Report
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Jeong Ju-Hee
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Abstract
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Objective: The purpose of this case report was to investigate the effect of functional cognition based intervention on occupational performance and cognitive function in acute stroke patients.
Methods: Records of one 49-year-old stroke female client were collected through a retrospective chart review of electronic medical records who received occupational therapy at a general hospital for 2 months in 2018. She participated in a functional cognition-based intervention session for 30 minutes once a day for a total of 2 months in a hospital environment designed to simulate a home environment. Before and after the intervention, cognitive linguistic function was assessed through Korean version of Mini Mental State Examination (MMSE-K), Lexical Fluency Test (LFT), and Computerized Neurocognitive Function Test (CNT), and functional cognition was assessed through performance-based test (PBT) such as Assessment of Motor and Process Skills (AMPS), Evaluation of Social Interaction Skills (ESI), and Allen Cognitive Level Screen (ACLS). And the targeted priority occupational performance was assessed through Canadian Occupational Performance Measure (COPM).
Result: After the functional cognition-based intervention, cognitive linguistic function (MMSE-K, LFT, CNT) improved, and the PBT result of quality of occupational performance and social interaction skills(AMPS and ESI), occupational performance (COPM)and problem solving and learning level (ACLS) all showed improvement.
Conclusion: This case report suggests that the functional cognition-based interventions to safely and efficiently utilize cognitive skills in meaningful daily life contexts to stroke clients with cognitive and linguistic problems from acute care can improve cognitive linguistic function as well as daily living ability.
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KEYWORD
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Stroke, Functional Cognition, Occupation, Performance-Based Test
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