A home programme for patients with cognitive dysfunction

A pilot study

Sung Bom Pyun, Heeseung Yang, Sangil Lee, Jinsook Yook, Jaesung Kwon, Eun Mi Byun

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: To evaluate the effectiveness of a 12-week individualized home programme of rehabilitation for patients with cognitive impairment. Methods: Six patients with cognitive dysfunction, after haemorrhagic stroke, participated in this study. A programme was carried out in the home environment that consisted of four mixed training programmes: cognitive remediation therapy, story retelling, cognitive enhancing games and aerobic exercise. The patients performed the home programme for 2 hours a day, 7 days a week, for 12 weeks. The main outcomes were measured using the MMSE, Neurobehavioural Cognitive Status Examination (NCSE), domain-specific computerized neuropsychological test for attention, memory and executive function, the Lowenstein Occupational Therapist Cognitive Assessment (LOTCA), the Modified Barthel Index (MBI) and the Seoul-Instrumental Activity of Daily Living (S-IADL). Results: After completion of a 12-week home programme, the patients' S-IADL scores improved significantly (p ≥ 0.05). The patients' MMSE and NCSE scores improved marginally, with mean score changes of 4.2 (p = 0.058), 4.7 (p = 0.078) and 6.8 (p = 0.068) points, respectively. However, the patients' domain-specific cognitive test and LOTCA scores did not significantly change. Conclusion: The results of this study showed that an individualized home programme improved IADL performance in patients with cognitive dysfunction and may have a beneficial effect on cognition, as assessed by general cognitive measures.

Original languageEnglish
Pages (from-to)686-692
Number of pages7
JournalBrain Injury
Volume23
Issue number7-8
DOIs
Publication statusPublished - 2009 Jan 1

Fingerprint

Activities of Daily Living
Neuropsychological Tests
Executive Function
Cognitive Therapy
Cognitive Dysfunction
Cognition
Rehabilitation
Stroke
Exercise
Education
Seoul
Occupational Therapists
Cognitive Status
Cognitive Remediation
Completion
Therapy
Remediation
Cognitive Impairment
Retellings

Keywords

  • Activites of daily living
  • Cognition disorders
  • Cognitive therapy
  • Stroke

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Clinical Neurology

Cite this

A home programme for patients with cognitive dysfunction : A pilot study. / Pyun, Sung Bom; Yang, Heeseung; Lee, Sangil; Yook, Jinsook; Kwon, Jaesung; Byun, Eun Mi.

In: Brain Injury, Vol. 23, No. 7-8, 01.01.2009, p. 686-692.

Research output: Contribution to journalArticle

Pyun, SB, Yang, H, Lee, S, Yook, J, Kwon, J & Byun, EM 2009, 'A home programme for patients with cognitive dysfunction: A pilot study', Brain Injury, vol. 23, no. 7-8, pp. 686-692. https://doi.org/10.1080/02699050902997862
Pyun, Sung Bom ; Yang, Heeseung ; Lee, Sangil ; Yook, Jinsook ; Kwon, Jaesung ; Byun, Eun Mi. / A home programme for patients with cognitive dysfunction : A pilot study. In: Brain Injury. 2009 ; Vol. 23, No. 7-8. pp. 686-692.
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