기관회원 [로그인]
소속기관에서 받은 아이디, 비밀번호를 입력해 주세요.
개인회원 [로그인]

비회원 구매시 입력하신 핸드폰번호를 입력해 주세요.
본인 인증 후 구매내역을 확인하실 수 있습니다.

회원가입
서지반출
뇌졸중 환자 집행 기능 향상을 위한 중재에 대한 체계적 고찰
[STEP1]서지반출 형식 선택
파일형식
@
서지도구
SNS
기타
[STEP2]서지반출 정보 선택
  • 제목
  • URL
돌아가기
확인
취소
  • 뇌졸중 환자 집행 기능 향상을 위한 중재에 대한 체계적 고찰
  • A Systematic Review on Intervention to Improve Executive Function in Stroke Patients
저자명
고석범,김문영,오윤택
간행물명
재활치료과학KCI
권/호정보
2015년|4권 2호(통권8호)|pp.33-50 (18 pages)
발행정보
대한신경계작업치료학회|한국
파일정보
정기간행물|KOR|
PDF텍스트(0.45MB)
주제분야
보건학
원문 미리보기는 1페이지만 제공 됩니다. 전체 페이지 보기를 원하실 경우 다운로드열람하기를 이용해 주세요.
서지반출

국문초록

목적: 본 연구의 목적은 뇌졸중 환자의 집행 기능 향상을 위해 회복기 및 인지 과정에 따른 중재법을 알아보고, 이를 집행기능 장애의 사례별 특성에 따라 정리하여 임상현장의 작업치료사에게 시행방법과 근거를 제시하고자 하는 것이다. 연구방법: 주요검색 용어‘Stroke’, ‘Executive function’, ‘Executive function deficit’, ‘Occupational therapy’, ‘Rehabilitation’, ‘Remedial’, ‘Compensatory’ and ‘Education’를 사용하여 1996년부터 2015년 4월까지 20년 간의 문헌을 검색하였다. 전자 테이터 베이스인 MEDLINE, SCOPUS, RISS을 사용하였으며 최종적으로 13개의 논문이 본 연구의 분석 대상으로 사용되었다. 결과: 선정된 13편의 연구는 질적 수준(level of evidence)에 따라 전체 연구 중 수준 에 포함하는 무작위 할당 실험 설계는 6개(46.2%)이었고, 수준 가 1개(7.7%), 수준 이 2개(15.4%), 수준 가 4개(30.8%)이었다. 각 중재 방법 에 따른 결과로 실행 기능의 향상을 보이나 일상생활의 일반화는 각 실험에 따라 차이가 있었다. 결론: 뇌졸중 환자의 집행 기능 향상을 위해 다양한 중재 방법이 적용되고 있으며, 중재 방법에 따라 효과의 차이가 나타났다. 본 연구는 뇌졸중 환자의 집행 기능 향상을 위한 중재 방법의 임상적 적용에 대한 근거를 제시하였다. 향후 연구에서는 다양한 중재 방법의 적용과 급성기 뇌졸중 환자에 대한 적용이 필요하다.

영문초록

Objective : This study was conducted to determine various interventions in accordance with the recovery and cognitive processes in order to improve executive function in stroke patients through a systematic review. Methods : The literature search focused on Level - studies published between January 1996 and April 2015 for 20 years in electronic databases(e.g. MEDLINE, SCOPUS, RISS). The keyword search terms were ‘Stroke’, ‘Executive function’, ‘Executive function deficit’, ‘Occupational therapy’, ‘Rehabilitation’, ‘Remedial’, ‘Compensatory’ and ‘Education’. Result : A total of 13 articles were appraised using the hierarchy of levels of evidence-based practice and 6 Level evidence articles, 1 Level articles, 2 Level articles and 4 Level articles. Each intervention improved executive function but was different in degree of generalization. Conclusion : Through this systematic review, we found that there are a variety of applied interventions improving executive function in stroke patients and are different in effect depending on methods of interventions. This study provided evidences to occupational therapists for the clinical practice of interventions to improve executive function in stroke patients.

목차

I. 서 론
II. 연구 방법
III. 결 과
IV. 고 찰
V. 결 론
References

참고문헌 (39건)

  • 보건복지부. (2013). 2013 국민건강통계. http://www.mw. go.kr/
  • 강대혁, 김진경, & 이주언. (2007). 국내 작업치료사 들의 근거중심 작업치료에 대한 인식도 조사. 대 한작업치료학회지, 15(1), 13-23.
  • 정재훈, 이종민, 송승일(2014). 전산화 인지재활 프로 그램(Rehacom)이 뇌졸중 환자의 실행 기능에 미치 는 효과. 특수교육재활과학연구, 53(1), 357-371.
  • 신현희, & 김경미. (2015). 작업치료사의 근거중심 작 업치료 사용: 현상학적 연구. 대한작업치료학회 지, 23(1), 109-121.
  • Anderson, P. J. (2008). Towards a developmental model of executive function. In V. Anderson, R. Jacobs & P. Anderson (Eds.), Executive functions and the frontal lobes: A lifespan perspective (pp. 3-21). New York, NY: Taylor & Francis.
  • Anderson, S., Cavanagh, J., Collins, C., Pizzigati, S., & Lapham, M. (2008). Executive excess 2008: How average taxpayers subsidize runaway pay. United for a Fair Economy (White Paper). Retrieved April, 13, 2009.
  • Arbesman, M., Scheer, J., & Lieberman, D. (2008). Using AOTA’s Critically Appraised Topic (CAT) and Critically Appraised Paper (CAP) series to link evidence to practice. OT Practice, 13(5), 18-22.
  • Arbesman, M., Lieberman, D., & Berlanstein, D. R. (2014). Method for the systematic reviews on occupational therapy and driving and community mobility for older adults. American Journal of Occupational Therapy, 68(6), 657-661.
  • Baddeley, A. D. (2001). Is working memory still working?. American Psychologist, 56(11), 851.
  • Baum, C. M., Morrison, T., Hahn, M. & Edwards, D. F. (2003). Test Protocol Booklet: Executive Function Performance Test. St. Louis, MO: Washington University School of Medicine.
  • Barnes, A. & Thagard, P. (1996). Emotional decisions. In: G. W. Cottrell (Ed.), Proceedings of the Eighteenth Annual Conference of the Cognitive Science Society (pp. 426–429). Mahwah, NJ: Lawrence Erlbaum Associates.
  • Evans J. J., Emslie H., & Wilson B. A. (1998). External cueing systems in the rehabilitation of executive impairments of action. Journal of the International Neuropsychological Society, 4 (4), 399–408.
  • Fish, J., Manly, T., & Wilson, B. A. (2008). Long-term compensatory treatment of organizational deficits in a patient with bilateral frontal lobe damage. Journal of the International Neuropsychological Society, 14(1), 154–163.
  • Fish, J., Manly, T., Emslie, H., Evans, J. J., & Wilson B. A. (2008). Compensatory strategies for acquired disorders of memory and planning: differential effects of a paging system for patients with brain injury of traumatic versus cerebrovascular etiology. Journal of Neurology, Neurosurgery and Psychiatry, 79(8), 930–935
  • Godefroy, O., & Stuss, D. T. (2007). Dysexecutive syndromes. The behavioral and cognitive neurology of stroke, 379-406.
  • Grieve, J. L., & Gnanasekaran, L. (2008). Neuropsychology for occupational therapists: cognition in occupational performance, (3rd ed.). Oxford, UK: Blackwell Publishing.
  • Honda, T. (1999). Rehabilitation of executive function impairments after stroke. Topic in Stroke Rehabilitation, 6(1):15–22.
  • Alvarez, J. A., & Emory E. (2006). Executive function and the frontal lobes: A meta-analytic review. Neuropsychology review, 16(1), 17-42.
  • Leśniak, M., Bak, T., Czepiel, W., Seniów, J., & Członkowska, A. (2008). Frequency and prognostic value of cognitive disorders in stroke patients. Dementia and geriatric cognitive disorders, 26(4), 356-363.
  • Lezak, M. (1989). Assessment of Psychosocial Dysfunctions Resulting from Head Trauma. In: M. Lezak (Ed.), Assessment of the Behavioral Consequences of Head Trauma. New York: Alan Liss Inc.
  • Luria, A. R. (1966). Higher cortical functions in man. New York: Basic Books.
  • Man, D. W., Soong, W. Y., Tam, S. F., & Hui-Chan, C. W. (2006). A randomized clinical trial study on the effectiveness of a tele-analogy- based problem-solving programme for people with acquired brain injury (ABI). NeuroRehabilitation, 21(3), 205–217.
  • McDowd, J. M., Filion, D. L., Pohl, P. S., Richards, L. G., & Stiers, W. (2003). Attentional abilities and functional outcomes following stroke. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58(1), 45-53.
  • Medd, J., & Tate, R. L. (2000). Evaluation of an anger management therapy programme following acquired brain injury: A preliminary study. Neuropsychological Rehabilitation, 10(2), 185 –201.
  • Posner, M. I., & Petersen, S. E. (1990). The attention system of the human brain. Annual Review Neuroscience, 13, 25-42
  • Miyake, A., & Shah, P. (1999). Models of working memory: Mechanisms of active maintenance and executive control. Cambridge University Press.
  • Ponsford, J. (2008). Rehabilitation of attention following traumatic brain injury. In D. T. Stuss, G. Winocur, & I. H. Robertson (Eds.), Cognitive Neurorehabilitation: Evidence and Application (2nd ed., pp. 507-521). United Kingdom: Cambridge University Press.
  • Poulin, V., Korner-Bitensky, N., Dawson, D. R., & Bherer, L. (2012). Efficacy of executive function interventions after stroke: a systematic review. Topics in stroke rehabilitation, 19(2), 158-171.
  • Rand, D, Weiss, P. L., Katz, N. (2009). Training multitasking in a virtual supermarket: A novel intervention after stroke. American Journal of Occupational Therapy, 63, 535–542.
  • Rath, J. F., Langenbahn, D. M., Simon, D., Sherr, R. L., Fletcher, J. & Diller, L. (2004). The construct of problem solving in higher level neuropsychological assessment and rehabilitation. Archives of Clinical Neuropsychology, 19, 613-635.
  • Schweizer, T. A., Levine, B., Rewilak, D, O'Connor, C., Turner, G., Alexander, M. P., Cusimano, M ... & Stuss, D. T. (2008). Rehabilitation of executive functioning after focal damage to the cerebellum. Neurorehabilitation Neural Repair, 22(1), 72–77.
  • Skidmore, E. R., Whyte, E. M., Holm, M. B., Becker, J. T., Butters, M. A., Dew, M. A., ... & Lenze, E. J. (2010). Cognitive and affective predictors of rehabilitation participation after stroke. Archives of physical medicine and rehabilitation, 91(2), 203-207.
  • Stablum, F., Umilta, C., Mogentale, C., Carlan, M., & Guerrini C. (2000). Rehabilitation of executive deficits in closed head injury and anterior communicating artery aneurysm patients. Psychological Research. 63(3-4), 265–278.
  • Stuss, D. T. (2009). Rehabilitation of frontal lobe dysfunction: a working framework. In M. Oddy & A. Worthington (Eds.), The rehabilitation of executive disorders: a guide to theory and practice (pp. 3-17). New York: Oxford University Press.
  • Liu-Ambrose, T., & Eng, J. J. (2015). Exercise Training and Recreational Activities to Promote Executive Functions in Chronic Stroke: A Proof-of concept Study. Journal of Stroke and Cerebrovascular Disease, 24(1), 130-137
  • Poulin, V., Korner-Bitensky, N., Dawson, D. R., & Bherer, L. (2012). Efficacy of Executive Function Interventions After Stroke: A Systematic Review. Topics in Stroke Rehabilitation. 19(2), 158-171
  • Vallat, C., Azouvi, P., Hardisson, H., Meffert, R., Tessier, C., Pradat-Diehl, P. (2005). Rehabilitation of verbal working memory after left hemisphere stroke. Brain Injury, 19, 1157–1164.
  • Van der Linden, M., Poncelet, M. & Majerus, S. (2007). Working memory dysfunctions in stroke patients. In: O. Godefroy & J. Bogousslavsky (Eds.), The Behavioral and Cognitive Neurology of Stroke (pp. 431-443). Cambridge, UK: Cambridge University Press.
  • Westerberg, H., Jacobaeus, H., Hirvikoski, T, Clevberger, P., Ostensson, M. K., Bartfai, A., ... & Klingberg, T. (2007). Computerized working memory training after stroke—a pilot study. Brain Injury, 21(1), 21–29.
구매하기 (4,700)
추천 연관논문