​認識腦退化症

認知能力衰退是大部份長者均會面臨的問題,可是世上仍未有能根治癡呆症的藥物。

 

患者的記憶、理解、語言、學習、計算和判斷能力都會受影響,部分且會有情緒、行為及感覺等方面的變化。 除藥物治療外, 非藥物治療如訓練等亦有助延緩病情。

 

治療

  • 藥物

  • 非藥物治療, 例如認知訓練,懷舊療法,現實導向治療,多感官治療

Sources:

Alzheimer’s Disease International
Department of Health

腦退化症在香港的情況

腦退化症的症狀

執行功能

  • 難以處理熟悉的事情
  • 難以計畫,統籌,作出決定

語言

  • 容易記不起事情,尤其是人和物體的名稱
  • ​交談時難以延續話題

學習能力及記憶

  • 失去短期記憶

導向

  • 對時間和地點感到困惑

專注力

  • 日漸難以專注和注意力容易被分散

社會認知

  • 失去社交上的主動性

Calligraphy Therapy

Research has shown that calligraphy can​ significantly improve CMMSE global score and cognitive functions such as memory, attention, and orientation for older adults with mild cognitive impairment [1][2]. Other than a positive impact on cognitive health, calligraphy can also lead to an improvement in mental and physical health [3]. In particular, it can lead to a reduction in stress, decrease in blood pressure, and improve in mood [4].​ 

[1] Kwok, Timothy C Y et al. “Cognitive effects of calligraphy therapy for older people: a randomized controlled trial in Hong Kong.” Clinical interventions in aging vol. 6 (2011): 269-73. 

[2] Chan, Sam C C et al. “Chinese Calligraphy Writing for Augmenting Attentional Control and Working Memory of Older Adults at Risk of Mild Cognitive Impairment: A Randomized Controlled Trial.” Journal of Alzheimer's disease : JAD vol. 58,3 (2017): 735-746. 

[3] Kao, Henry Sr et al. “Calligraphy and meditation for stress reduction: an experimental comparison.” Psychology research and behavior management vol. 7 47-52. 

[4] Yang, Xue-Ling et al. “The effects of Chinese calligraphy handwriting and relaxation training in Chinese Nasopharyngeal Carcinoma patients: a randomized controlled trial.” International journal of nursing studies vol. 47,5 (2010): 550-9.

Mahjong Therapy

​Mahjong Therapy can delay cognitive decline and prevent dementia in older adults, even for those with significant cognitive impairment  [1][2]. In particular, it has been shown to significantly improve short term and verbal memory, MMSE scores, attention, and hand-eye coordination [3]. Also, studies have shown that playing mahjong lead to a drop in depression score and feelings of loneliness as well as an improvement in self confidence and moods [4][5]. Thus, mahjong therapy can have a significant positive effect on players' cognitive and mental health. ​

[1] Lee, Allen T C et al. “Association of Daily Intellectual Activities With Lower Risk of Incident Dementia Among Older Chinese Adults.” JAMA psychiatry vol. 75,7 (2018): 697-703.

[2] Cheng, Sheung-Tak et al. “Mental and physical activities delay cognitive decline in older persons with dementia.” The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry vol. 22,1 (2014): 63-74.

[3] Cheng, Sheung-Tak et al. “An exploratory study of the effect of mahjong on the cognitive functioning of persons with dementia.” International journal of geriatric psychiatry vol. 21,7 (2006): 611-7.

[4] Cheng, Sheung-Tak et al. “Leisure activities alleviate depressive symptoms in nursing home residents with very mild or mild dementia.” The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry vol. 20,10 (2012): 904-8.

[5] Teh, Jane Kimm Lii and Nai Peng Tey. “Effects of selected leisure activities on preventing loneliness among older Chinese.” SSM - Population Health 9 (2019): n. pag.

Game-based Intervention

Game-based intervention can have positive impact on players' cognitive, physical, and mental health. Research has shown that cognitive activities can improve executive functioning and delay memory decline, which is often a predictor for dementia [1].  Game-based intervention can also alleviate mood and improve balance and gait in older adults [2]. Furthermore, it can reduce behavioural symptoms for people with dementia and increase their interactions with family, caregivers and other patients [3]. ​

[1] Hall, C B et al. "Cognitive activities delay onset of memory decline in persons who develop dementia." Neurology vol. 73,5 (2009): 356-61

[2] Zheng, Jiaying et al. “Game-based interventions and their impact on dementia: a narrative review.” Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists vol. 25,6 (2017): 562-565.

[3] Narme, Pauline. “Benefits of game-based leisure activities in normal aging and dementia.” “Intérêts des activités ludiques dans le vieillissement normal et chez les patients présentant une pathologie neurodégénérative.” Geriatrie et psychologie neuropsychiatrie du vieillissement vol. 14,4 (2016): 420-428.

醫念科技是一間由香港科學園培育的醫療科技初創公司。我們研發了「腦有記」- 一個一站式互動認知訓練遊戲平台,以促進健康樂頤年。這是專門為了銀齡人士、認知障礙患者或其他精神疾病患者特別設計的平台 。

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©2020 by Medmind Technology Limited

醫念科技是一間由香港科學園培育的醫療科技初創公司。我們研發了「腦有記」- 一個一站式互動認知訓練遊戲平台,以促進健康樂頤年。這是專門為了銀齡人士、認知障礙患者或其他精神疾病患者特別設計的平台 。