Effect of Computer-Assisted Cognitive Rehabilitation Program for Attention Training in Brain Injury.

, Kim, Yun Hee; , Ko, Myoung Hwan; , Seo, Jeong Hwan; , Park, Sung Hee; , Kim, Kwang Sok; , Jang, Eun Hye; , Park, See Woon; , Park, Joo Hyun; , Cho, Young Jin

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2003;27(6):830-839.

Kim, Yun Hee , Ko, Myoung Hwan , Seo, Jeong Hwan , Park, Sung Hee , Kim, Kwang Sok , Jang, Eun Hye , Park, See Woon , Park, Joo Hyun , Cho, Young Jin

¹Department of Physical Medicine & Rehabilitation, College of Medicine, Sungkyunkwan University, Samsung Medical Center, Korea. yunkim@smc.samsung.co.kr
²Center for Clinical Research of Samsung Biomedical Research Institite, Korea.
³Department of Rehabilitation Medicine, Chonbuk National University College of Medicine, Korea.
⁴Research Institute of Clinical Medicine, Chonbuk National University College of Medicine, Korea.
⁵Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea.
⁶Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea.
⁷Samyook Rehabilitation Center, Korea.

주의력 향상에 중점을 둔 한국형 컴퓨터 인지재활 프로그램의 효과

김연희, 고명환¹, 서정환¹, 박성희¹, 김광석¹, 장은혜, 박시운², 박주현³, 조영진⁴

성균관대학교 의과대학 삼성서울병원 재활의학교실 및 임상의학연구센터, ¹전북대학교

Abstract

Objective
To evaluate the effect of Korean Computer- Assisted Cognitive Rehabilitation Program (CogRehabK^Ⱂ) on cognitive function of the patients with brain injury.

Method
Fifty subjects with brain injury were enrolled and classified into two groups, experimental (n=25) and control group (n=25). Control group received conventional reha bilitation therapy including physical and occupational therapy. Experimental group received additional computer- assisted cognitive training using CogRehabK^Ⱂsoftware consisted of 10 level-completing programs, 3 times per week, 30 minutes per session, for 4 to 6 weeks. All patients were assessed their cognitive functions using Seoul Computerized Neuropsychological Test (SCNT^Ⱂ, Maxmedica, 2001), minimental status examination (MMSE), digit span, and Wechsler memory scale before and after treatment. Functional independence measure and geriatric depression scale were also applied for evaluation of functional and mood status.

Results
Before the treatment, two groups showed no difference in their cognitive functions. After 4 to 6 weeks of treatment, the experimental group showed significantly higher performance in forward digit span, forward visual span, auditory continuous performance test, and visual continuous performance test in CNT and MMSE than control group (p＜0.05).

Conclusion: We conclude that the CogRehabK^Ⱂ may be useful as an additional tool for the cognitive rehabilitation in patients with brain injury. (J Korean Acad Rehab Med 2003; 27: 830-839)

Key Words: Brain injury, Cognitive training, Korean computer-assisted cognitive