간행물

대한작업치료학회지 KCI 등재 Korean Journal of Occupational Therapy 大韓作業治療學會誌

권호리스트/논문검색
이 간행물 논문 검색

권호

제6권 제1호 (1998년 10월) 9

1.
1998.10 구독 인증기관 무료, 개인회원 유료
The purpose of this study is to evaluate the cognitive perceptual performance skills in relation to activities of daily living(ADL) by using Lowenstein Occupational Therapy Cognitive Assessment(L0TCA) to measure the cognitive perceptual performance and FIM to measure the ADL. The subjects in this study were 24 stroke patients who were admitted for intensive treatment at Department of Rehabilitation in Samsung Medical Center from December. 1997 to June. 1998. SAS was used to analyze data. Using simple regression analysis was used to measure influence of LOTCA on FIM at discharge and to measure influence of patient's concentration on both FIM and LOTCA. Stepwise multiple regression analysis was used to confirm the relationship of FIM to each subtest of LOTCA. The results of this study are as follow : 1. Statistically. LOTCA score at admission showed correlationship with FIM score at discharge. (R2 = 0.50. p<0.0001) 2. Visuomotor organization showed the most significant correlation between LOTCA on FIM at discharge. Motor FIM with perception and visuomotor organization, and cognitive FIM with perception showed significance. 3. The relationship between each subtest of FIM and each subtest of LOTCA. self-care was significantly correlated with visuomotor organization and perception. sphincter control was significantly correlated with orientation and perception, mobility and locomotion was significantly correlated with orientation and visuomotor organization, communication was significantly correlated with perception, social cognition was significantly correlated with perception and thinking operation. LOTCA is significantly correlated to FIM at discharge. Therefore, LOTCA can predict the ADL performance skills. Also, orientation and perception are the most predictable area of LOTCA throughout the entire subtests.
4,500원
2.
1998.10 구독 인증기관 무료, 개인회원 유료
The purpose of this study was to examine the importance of social role performance in the life satisfaction among spinal cord injuried persons. The study consisted of 81 participants. discharged from the hospital and resided at a private residence, who responded to a mailed questionnaire. The questionnaire contained questions on demographic characteristics: gender. age. marital status, level of education. religious affiliation, empolyment. income, severity of injury, age at onset of injury, time since injury, and duration of hospitalization, life satisfaction index-Z(LSI-Z) and a state of six social roles: working conditions, family relationships, friends relationships, social activities. leisure activities, and religious paticipation. The question on each social role was rated on five-point Likert scale ranging from 1 "very poor" to 5 "very good". The subjects were divided into 1-3/4-5(poor/good performance group) and the subjects who had not performed the social role were classified as poor performance group. The study found over seventy-five percent of participants belonged to the group with poor performance in all six roles. Also, only social activities of social roles was restricted by a severe disability but it was not restricted the others. Income was found to be associated with three social roles: friends relationships, social activities, and leisure activities. In addition, empolyment, income, and duration of hospitaization were found to be associated with life satifaction, however, the severity of injury was not. Subjects in the group with good performance in four social roles: working condition, family relationships. friends relationships, and social activities had significantly higher life satisfaction. Result from a multiple regression analysis indicated that income. role in working condition and family relationships were the significant predictors of life satisfaction. The finding was that the life satisfaction of persons with spinal cord injury appeared to be influenced by income and some aspects of social role performance but not by their disability. The results suggest that we need to encourage to provide financially independent environment and to perform social role designed to yield improvements in life satisfaction for persons with spinal cord injury.
5,800원
3.
1998.10 구독 인증기관 무료, 개인회원 유료
Recently the researches to enhance the hand function of brain injured clients are increased. One of those aspects is related to in-hand manipluation. In-hand manipulation is divided to four types: that is finger-to-palm translation. palm-to-finger translation, shift, and rotation. The purpose of this study was to find type of in-hand manipulation in normal adults in six activities and to differentiate the pattern of in-hand manipulation between normal adults and children with cerebral palsy. The participants were consist of twenty normal adults and twenty cerebral palsy. children. As a results, cerebral palsy children significantly used at lower frequence than normal adults in 3 activities. Also, in the other items, there are some pattern to differenciate between normal adults and cerebral palsy children but that was not significant statistically. The development of in-hand manipulation skills involves improvement in the dimension of activities of daily living skills training and more detailed evaluation method will be needed.
4,000원
4.
1998.10 구독 인증기관 무료, 개인회원 유료
The purpose of this study is defined increased active motion utilizing tenodesis splint and vibratory stimulation during functional activities. We selected three left cerebral vascular accident right hand dominance with right hemiplegic patients. who has been actively participating in occupational therapy. Patients participated twice per week from June 1st 1997 until August 30th 1997. According to our study, improvement has been noted in active extension with vibratory stimulation only. No signifinicant improvement was noted with tenodesis splint. Further study is necessary to generalization of stimulation for therapeutic use.
4,000원
5.
1998.10 구독 인증기관 무료, 개인회원 유료
This Study was designed to provide the basic data of effective intervention for the promotion of coping and quality of life in family caregivers of stroke patients. The subjects of this study were a total of 113 caregivers of stroke patients under occupational therapy at university hospitals located in Seoul city and Kyeongki-do. Data were collected by means of a questionnaire during the period from March 4th to July 30th. 1997. The questionnaires consisted of questions regarding burden(21 item. 5 point scale). coping(29 item. 4 point scale) and quality of life(47 item. 5 point scale). Data were analyzed using SAS program for t-test. ANOVA. Scheffe test and Pearson correlation coefficients. The results were as follows: 1. In the relationships between burden and demographic characteristics of the family caregivers: there were no significant differences. 2. In the relationships between coping and demographic charactersistics of the family caregivers: monthly income and religious affilition had statistically significant differences. The level of coping was significantly higer in those who perceived their religion as helpful than in their counterparts. 3. In the relationships between quality of life and demographic characteristics of the family caregivers: supporters, education, occupation and monthly income had statistically significant differences. The level of the quality of life was significantly higher in those who received support for family chores than in those who didn't. 4. The relationship between burden and coping showed a significant negative correlation. The relationship between coping and quality of life, and current Barthel Index showed a significant positive correlation.
4,300원
6.
1998.10 구독 인증기관 무료, 개인회원 유료
For the purpose of disclosing causative factors of traumatic spinal cord injury. the medical record of 429 cases with spinal cord injury which admitted in 46 general hospital and National rehabilitation center located in Seoul, including Sam Yook rehabilitation center and Jung Ang hospital in Kyungi do and occurred in 1995 were analyzed. The results were as follows: 1. This incidence frequency was the highest in the 20th years(31.2%), followed by in the 30th years(23.596) and in the 40th years(l8.9%) in descending order. 2. The incidence ratio between male and female was 4: 1. 3. The leading cause of injury was the highest in traffic accidents(49.2%), followed by falls from elevation(25.2%) and falls on the same leve1(8.4%). 4. Traffic accident mainly occured from 20th years to 40th years and falls from elevation in 50th years. 5. The level of spinal cord injury was the highest in cervical cord(54.8%). followed by the thoracic cord(28.9%) and lumbosacral cord(16.3%). Traffic accidents mainly caused in cervical cord injury and thoracic cord injury whereas lumbosacral cord injury was caused from falls from elevation.
4,200원
7.
1998.10 구독 인증기관 무료, 개인회원 유료
The purpose of this study was to identify the relationship between motor and mental status and functional status, and to determine appropriate test times. Using the Modified Motor Assessment Scale(motor status) and the Modified Barthel Index(functiona1 status), the Glasgow Coma Scale(menta1 status), we tested 9 stroke patients. 1 week. 1 month after their stroke. Three measures are reliable and valid. We used the Sperman correlation coefficient(r) and Wilcoxon signed rank test to analyze the data. MMAS scores at 1 month correlated significantly with MBI scores at 1 month(r=0.89). But GCS scores at 1 month did not correlate significantly with MBI scores at 1 month. All data of MMAS at 1 month correlated significantly with MBI scores at 1 month. But only verbal response score among GCS scores at 1 month correlated significantly with MBI scores at 1 month(r=0.86). The difference of MMAS, GCS. MBI scores between 1 week and 1 month after stroke onset were statistically significant(p(0.05). This study suggested that the mental status had more impact on functional recovery than motor status at 1 week after their stroke. Also, the motor status had more impact on functional recovery than mental status at 1 month after their stroke. But the mental and motor status should be considered together in predicting the functional recovery status of stroke patients.
4,000원
8.
1998.10 구독 인증기관 무료, 개인회원 유료
Unilateral neglect is a common neurological syndrome resulting from right-hemisphere strokes and has important prognostic value for functional outcome. The purpose of this study is to investigate the effectiveness of conventional and neurologically based treatment. As a result, right-himispheric activation approaches may reduce neglect. and may be more beneficial than conventional approach. For more beneficial effects, conventional approach combined with right-hemispheric activation approaches and cognitive skills remediation program.
4,000원
9.
1998.10 구독 인증기관 무료, 개인회원 유료
Since occupational therapy was introduced into Korea, over fifty years have passed. But the Korean Occupational Therapy. is still below the level. Therefore I surveyed the present condition and problems of occupational therapy in Korea, and planned its alternatives. The conclusions are as follows: 1. The absolute number of occupational therapist is not enough. So, the department of Occupational Therapy should be urgently established in university or college. 2. The medical insurance premium of Occupational Therapy is very low. So, it should be highly raised, and the item of that should be made various and detailed. 3. People do not understand and concern about Occupational Therapy So. we should give wider publicity about Occupational Therapy to people. 4. Occupational Therapist should improve themselves for the higher quality of treatment.
4,500원