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J Phys Ther Sci. 2017 Aug;29(8):1357-1362. doi: 10.1589/jpts.29.1357. Epub 2017 Aug 10.

Effect of task-oriented activities on hand functions, cognitive functions and self-expression of elderly patients with dementia.

Journal of physical therapy science

Bo-Young Son, Yo-Soon Bang, Min-Ji Hwang, Eun-Ju Oh

Affiliations

  1. Chonnam National University Bitgoeul Hospital, Republic of Korea.
  2. Department of Occupational Therapy, Gwangju University, Republic of Korea.
  3. Department of Occupational Therapy, Donga College of Health, Republic of Korea.

PMID: 28878462 PMCID: PMC5574348 DOI: 10.1589/jpts.29.1357

Abstract

[Purpose] This study investigates the effects of task-oriented activities on hand function, cognitive function, and self-expression of the elderly with dementia, and then identify the influencing factors on self-expression in sub-factors of dependent variables. [Subjects and Methods] Forty elderly persons were divided into two groups: intervention group (n=20) and control group (n=20). The interventions were applied to the subjects 3 times a week, 50 minutes per each time, for a total of five weeks. We measured the jamar hand dynamometer test for grip strength, the jamar hydraulic pinch gauge test for prehension test, nine-hole pegboard test for coordination test, and Loewenstein Occupational Therapy Cognitive Assessment-Geriatric Population for cognitive function, and self-expression rating scale for self-expression test. [Results] The task-oriented activities promoted hand function, cognitive function (visual perception, spatial perception, visuomotor organization, attention & concentration) and self-expression of the elderly with early dementia, and the factors influencing the self-expression were cognitive function (visual perception) and hand function (coordination). The study showed that the task-oriented program enabled self-expression by improving hand function and cognitive function. [Conclusion] This study suggested that there should be provided the task-oriented program for prevention and treatment of the elderly with early dementia in the clinical settings and it was considered that results have a value as basic data that can be verified relationship of hand function, cognitive function, and self-expression.

Keywords: Dementia; Hand function; Task-oriented activities

References

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