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NTIS 바로가기한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, v.16 no.5, 2015년, pp.3344 - 3352
한승협 (인제대학교 대학원 재활과학협동과정) , 조은주 (인제대학교 대학원 작업치료학과) , 노동희 (인제대학교 대학원 융합의과학협동과정) , 감경윤 (인제대학교 대학원 작업치료학과)
The purpose of this study is to investigate the effects of Korean computer-based cognitive rehabilitation program (CoTras) on frontal-executive functions in patients with traumatic brain injury (TBI). This study was performed at C hospital in Changwon, Gyeongsangnam-do, Korea from August 2013 to Mar...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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외상성 뇌손상은 무엇을 일으키는가? | 중등도 및 중증의 손상을 입은 경우 인지기능이 신체적 기능이나 심리사회적 기능에 비해 회복률이 현저히 떨어져 새로운 것을 학습하는 능력에 큰 문제가 나타난다[7]. 외상성 뇌손상은 다른 뇌손상과 달리 외부의 충격에 의해 발생하므로 물리적, 역학적 영향을 많이 받게 되는데, 특히, 사고 시 발생하는 전단력(shearing force)과 신장력(stretching force)은 외상성 축삭손상(traumatic axonal injury)을 일으켜 점상 출혈과 백색질 병변을 일으킨다[8]. | |
인지적 변화은 무슨 기준에 따라 어떻게 나눌 수 있는가? | 외상성 뇌손상으로 인한 장애의 회복은 복잡한 과정으로서 기능적, 인지적 변화에 많은 영향을 끼친다[4]. 그 중 인지적 변화는 Glasgow Coma Scale(GCS)의 기준에 따라 손상 수준을 경미, 중등도, 중증으로 나눌 수 있는데[5], 나이를 고려하지 않고 손상의 경중을 따지면, 외상성 뇌손상환자의 70~90%가 경미한 손상을, 5~20%가 중증도 및 중증의 손상을 입게 된다[6]. | |
외상 후 백색질의 손상되면 백색질의 병변은 전두엽에서 많이 발생하는데 이것은 무슨 문제를 초래하는가? | 외상 후 백색질의 손상 정도에 따라 예후가 결정되는데, 백색질의 병변이 작게 일어나 보존이 잘 되어 있을수록 예후가 좋은 반면 손상이 심각 할수록 집중력, 기억력, 집행기능에 저하가 나타나게 된다[8, 9]. 특히 백색질의 병변은 전두엽에서 많이 나타나는데[10], 전두엽은 언어, 운동기능 및 행동조절 뿐 아니라 인지처리의 여러 과정에 관여하는 부분으로서, 이러한 손상은 집행기능에 직접적인 영향을 준다[11]. |
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