Unilateral neglect has been the most considerable problem that affects the functional prognosis of CVA patients. The approaches to this symptom are both remedial and compensatory approach. Remedial approach is more valuable method than compensatory approach in terms of reducing the unilateral neglect originally. One of the method of remedial approach is controlled sensory stimulation. The purpose of this study was to investigate the effects of left visual stimuli for reducing the severity of unilateral neglect. The subject was a 40-year-old male patient who had left unilateral neglect. We have put blinking light in the left space of the patient while he performed the line bisection test before and after the stimulation. As a result, the stimulation was not
distinctively effective to release the neglect. For further study. it is considered that the environment when stimulating, the strength and duration of stimulation must be controlled.
The purpose of this study was to evaluate the cognitive perceptual performance in relation to activities of daily living in stroke patients who were treated at department of rehabilitation medicine of the Samsung Medical Center from December 5. 1996 to April 10, 1997. The cognitive perceptual performance was measured by the Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) and by the Modified Barthel Index (MBI) to evaluate activities of daily living(ADL).
Sixty-seven stroke patients were the subjects in this study. Collected data analysis were completed by using t-test. ANOVA, correlation analysis, and multiple regression analysis. The following were as follow:
1. Among the subtest of the LOTCA, orientation to time, plain block design, reproduction of puzzle showed significant difference depending on patient's affected side. Orientation to time score was higher with left hemiplegic patients. Plain block design and reproduction puzzle score were higher with right hemiplegic patients.
2. Among the subtests of the MBI, dressing, ambulation, and self-care were significantly correlated with the subtests of the LOTCA in order of thinking operation, visuomotor organization, perception and orientation.
3. The result of the cognitive perceptual function affecting the MBI performance using multiple regression analysis, thinking operation was the most influential factor.
The cognitive perceptual perfomance have significant correlation with activities of daily living skills. Also, it is an important factor to functional recovery after stroke.
Therefore, accurate evaluation of cognitive perceptual performance after stroke with treatment of each patient's appropriate level should be done simultaneously with rehabilitation treatment to improve patient's activities of daily living skills.
Twenty normal female subjects participated in a study designed to motion on the time required to complete manual tasks from the Jebsen Hand Function Test. The Jebsen Hand Function Test consists of seven subtests: writing; turning cards; picking up small objects; simulating feeding; stacking checkers; picking up large and light objects; picking up large and heavy objects. At this study, writing was excluded. Activities were performed with the wrist free and with the wrist immobilized by the volar splints that were flexed 40" and 80" . Data were analyzed using the MANOVA(Mu1tiple analysis of variance) and the Wilcoxon signed ranks test. The results showed that the time for performing the subtasks(turning cards, picking up small objects, stacking checkers) statistically significantly decreased during a wrist 40" flexion rather than a wrist free.
Especially when a wrist was flexed 80" , the performing time of all subtasks statistically significantly decreased rather than a wrist free. Only one subtask(simu1ating feeding), 20-29 years old female statistically significantly decreased in performing time rather than 30-39 years old female with a wrist free. This study presents that a hand function is affected by a variable wrist position.
The purpose of this paper is to evaluate the fact that rehabilitation therapy helps stroke patients in the area of activities of daily living(ADL).
The ADL evaluation tool used in this study is the modified Barthel Index. The subjects were 71 stroke patients who admitted rehabilitation department of Samsung Medical Center from January to September 1997. All subjects received rehabilitation therapy. The sbuject's ADL were evaluated on admission and again at the time of discharge.
The results follows :
1. Using the modified Barthel Index, revealed on admission 38.26 points at discharge 68.73 points.
2. Severe disability(Barthe1 score 60 or less) were reduced from 84.5% on admission to 29.6% at discharge. Very severe disability(Barthe1 score 40 or less) were also reduced from 66.2% on admission to 12.7% at discharge.
3. The degree of change in each area of the modified Barthel Index were measured.
There was an overall positive change during the admission period. The greatest change occurred in the category of dressing and transferring. The least change in donning & doffing a brace and wheelchair mobility.
The modified Barthel Index used to assess the change in ADL function of stroke patients woulds seem to be very useful method. And there should be a focus on the recovery of ADL function in stroke patients receiving rehabilitation therapy.
Hand skills are important to interaction with environment. Hands are the tools most often used to accomplish work, to play, to express and communicate. This study observed the grasp patterns of spastic cerebral palsied(39) and athetoid cerebral palsied children(l3). They were asked by occupational therapist that wrote their name with pencil and colored a circle with crayon. Their grasp patterns were recorded on the basis of which fingers were used to grasp the object, the surface areas of the fingers in contact with the object, and the position of the joints of the fingers. This paper will present the skill acquisition and the activities of daily living for the fine motor skill and self care to the child who has a disability affecting hand skills.
This study attempts to analyze the factor affecting the intention of turnover among hospital medical technicians. Data was collected from 125 employees in a seven hospital and one clinic located in Kyung-gi Do, Korea, using a self-administered questionnaire.
Self-administered questionnaire were given to study the hospital and socioeconomic characteristics, working conditions, job satisfaction level, and the reasons for turnover among the hospital medical technicians. The major finding were as follows;
1. Job position had a statistically significant relationship with intention of turnover to another hospital. According to age, marital status, educational level, the intention of turnover was statistically significant relationships.
2. Hospital characteristics had not a statistically significant relationship with intention of turnover to another hospital. That is, the intention of turnover was generally higher county region and small-sized hospital workers than urban region and large-sized hospital workers.
3. Generally, those who were not satisfied with the opportunity for developing the personal ability and promotional opportunity showed a higher tendency towards to turnover.
Also, those who did not sustain good relationship with their superiors and co-workers showed a higher tendency towards to turnover.
4. Those who were had negative attitude on their job showed a higher tendency for turnover.
5. In the result of multiple regression, job position, job satisfaction were significantly related to intention of turnover.
The above indicate that job satisfaction and organizational culture to promote their ability and form a good relationship with organization members were very important to decrease the intention of turnover.
Since these results represent seven hospitals and one clinics from a limited area, more hospital nationwide, especially small-sized institutions where there is a high turnover rate of employees, need to be examined in order to investigate the various factors that affect the intention of turnover.
Due to lack of avaliable research material, the doctors and the nurses group of the hospital haven't been reported in this study. However, this empirical survey of the hospital medical technicians has significant merit.
This study was designed to get normative data of normal subjects by MFT(Manua1 Func-tion Test). The subjects were 95 normal adults.
The results are as follows:
1. Mean scores of left and right MFS(Manua1 Function Score) were respectively 97.43 and 98.13.
2. MFS was higher on right upper extremity function than on left upper extremity function.
3. MFS was not significantly different between male and female.
4. Both left and right MFS (Manual Function Score) was significantly negative correlation with age.
Feeding is the most basic activity of daily living(ADL) necessary for survival from birth and throughout the life span. Handicapped children who have feeding problem may have abnormal feeding behavior like tongue thrust, swallowing difficulty, lack of jaw stability, lack of chewing, and drooling etc. The occupational therapist designing oral motor treatment must have both complete understanding and experience of oral motor problem which handicapped children may have had .and treatment technique. Thus, this paper has the purpose to pro-vide an overview of evaluation and treatment of oral motor function.