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논문 기본 정보

자료유형
학술저널
저자정보
Toshiya Shimamoto (Department of Rehabilitation, Kumamoto Southern Regional Hospital, Kumamoto, Japan) Katsuhisa Uchino (Department of Neurology, Kumamoto Southern Regional Hospital, Kumamoto, Japan) Akira Mori (Department of Neurology, Kumamoto Southern Regional Hospital, Kumamoto, Japan) Kengo Nojima (Department of Rehabilitation, Kumamoto Southern Regional Hospital, Kumamoto, Japan) Junichi Iiyama (Department of Rehabilitation, Kumamoto Health Science University, Kumamoto, Japan) Yohei Misumi (Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan) Mitsuharu Ueda (Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan) Makoto Uchino (Department of Neurology, Kumamoto Southern Regional Hospital, Kumamoto, Japan)
저널정보
대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제46권 제5호
발행연도
2022.10
수록면
263 - 273 (11page)

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Objective To clarify the profile of cognitive dysfunction and the effects of intensive exercise in spinocerebellar degeneration (SCD). Methods We enrolled 60 healthy controls and 16 patients with purely cerebellar type SCD without gait disturbance or organic changes other than cerebellar changes. To assess cognitive function, we evaluated the participants using the Mini-Mental State Examination (MMSE), Frontal Assessment Battery (FAB), and Montreal Cognitive Assessment-Japanese (MoCA-J) at admission and after intensive exercise. Results Compared to the controls, SCD patients showed significant cognitive decline. As a result of intensive exercise, significant improvements in motor and cognitive functions were observed: the MMSE score improved from 27.7±1.9 to 29.0±1.3 points (p<0.001); the FAB score improved from 14.8±2.2 to 15.8±2.0 points (p=0.002); and the MoCA-J score improved from 24.6±2.2 to 26.7±1.9 points (p<0.001). For sub-scores, significant improvements were noted in serial 7, lexical fluency, motor series, and delayed recall. Conclusion Our study indicates that intensive exercise can be effective not only for motor dysfunction but also for cognitive dysfunction (Clinical Trial Registration No. UMIN-CTR: UMIN000040079).

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