간행물
대한작업치료학회지 KCI 등재 Korean Journal of Occupational Therapy 大韓作業治療學會誌
- 발행기관 대한작업치료학회
- 자료유형 학술지
- 간기 계간
- ISSN 1226-0134 (Print)2671-4450 (Online)
- 수록기간 1993 ~ 2024
- 주제분류 의약학 > 작업치료학 의약학 분류의 다른 간행물
- 십진분류KDC 514DDC 617
권호리스트/논문검색
제7권 제1호 (1999년 10월) 8건
1.
1999.10
구독 인증기관 무료, 개인회원 유료
The purpose of this study was to determine the validity and the of the Neurobehavioral Cognitive Status Examination(NCSE) to ascertain its value in the cognitive functional evaluation of brain-injured patients. The NCSE, uses as an independent test to evaluate cognitive function within five major areas: language, construction, memory, calculation, and reasoning. And the examination separately assesses levels of consciousness, orientation, and attention. The instrument quickly identifies intact areas of functioning, yet provides more detailed assessment in areas of dysfunction. The level of cognitive is classified as unimpaired and mild, moderate, severe impaired. Standardization data are provided for 42 braininjured patients, age ranged from 24 to 76 years. In the validity study, the NCSE subtest was significantly correlated with associated Mini Mental State Examination-Korean version(MMSE-K) test, except for attention, naming, construction. The specificity score of the traumatic brain-injured patients were higher than those of the stroke patient group in attention, construction, calculation. The mean score of stroke patients were significantly higher than those of the traumatic brain-injured group in orientation.
In the inter-rater and test-retest reliability, the screen Kendall's τb and Metry pearson's correlation statistics were indicating a good internal consistency. The NCSE demonstrated
an acceptable validity and reliability for the evaluation of cognitive functional capacity of brain-injured patients in clinical practice.
4,900원
2.
1999.10
구독 인증기관 무료, 개인회원 유료
The purposes of this study are to evaluate the development of disabled children us- ing LAP(Learning Accomplishment Profile) and to investigate the correlation between subtest scores of LAP. The development scores were obtained using 244 items in 5 su-btests (gross motor, fine motor, cognitive, language/cognitive, and self help) of LAP in 34 children with delayed development from February, 1998 to March, 1999. The birth history and risk factors for developmental disablilty such as prematurity, hyperbilirubi-nemia, low birth weight, and seizure were evaluated. Collected data were analized by Pearson's correla tion coefficient and Mann-Whitney U test.
The results were as follow :
1) Among the subtests of LAP scores, fine motor, language/cognitive, and self-help were signi
ficantly correlated with the cognitive subtests scores (p > 0.001)
2) On the other hand, gross motor subtest scores were independent to cognitive sub-test scores.
3) The children who had history of seizure during neonatal period showed significantly low scores in language-naming, fine motor-writing, and self help-eating.
The LAP is considered as a useful tool to evaluate the cognitive development disab- led children. Cognitive function significantly influence on other developmental areas es-pecially on fine motor
development.
4,000원
3.
1999.10
구독 인증기관 무료, 개인회원 유료
Many children with physical disability have feeding difficulties. In cases of children with cerebral palsy, feeding difficulties can be seen in abnormal oral motor activity and defective swallowing coo rdination. These problems originate from neurological lesions. The purpose of this study was to i nvestigate the effect of trunk and neck position on the following aspects of swallowing: stages of oral preparation, pharyngeal swallowing reflex, pharyngeal clearing and aspiration. Sixteen subjects with quadriplegic cerebral palsy were examined to assess their swal-lowing abil ity using videofluoroscopy(VFS). Subjects were evaluated in four different positions 1) trunk erect with the neck flexed 30°2) trunk reclined 30°posteriorly with the eck positioned neutrally 3) trunk re clined 30°posteriorly with the neck flexed 30° 4) trunk in supine with the neck flexed 30°. Friedman's test was used to analyze the effect of posi tion of the neck and trunk on swallowing. The results were as follows: 1. Ability of oral preparation was significantly better with the subject's trunk recli-ned 30°poste riorly and the neck flexed 30°than with the trunk erect and the neck flexed 30°(p < 0.05). 2. Ability of pharyngeal clearing was significantly better with the subject's trunk er-ect and the neck flexed 30° than in supine with the neck flexed 30°(p < 0.05). 3. Incidence of swallowing reflex was not significantly different among the four posi- tions (p > 0.05). 4. Prevention of aspiration was significantly better with the subject's trunk reclined 30°posteriorl y and the neck flexed 30° than with the trunk reclined 30°posteriorly and the neck neutrally positi oned or in supine with the neck flexed 30°(p < 0.05). These results suggest that positions of both the neck and the trunk have an effect on swallowi ng in children with cerebral palsy. The position with the trunk reclined 30°posteriorly and the n eck flexed 30°was found to be optimal for oral preparation and prevention of aspiration. Further r esearch to study swallowing ability in conjunc- tion with respiratory function is indicated.
4,500원
4.
1999.10
구독 인증기관 무료, 개인회원 유료
The purpose of this study was to compare and evaluate various hand functions in three hip flexion postures(70°, 90°, 110°)in persons with spastic diplegic cerebral palsy using by Jebsen Hand Function Test. 14 children with mild or moderate spastic diplegia were chosen in the Rehabilitation Hospital, Yonsei University Medical Center. Both hands were tested 3 times by ten intervals in three hip flexion postures (70°, 90°, 110°). Data Collected were analysed using nonparame-tric test, Friedman's Test.
Results were as follows:
1. The right hand mean score of Jensen Hand Function Test showed no significant difference
in any of the three hip flexion postures.
2. The left hand mean score of Jensen Hand Function Test showed no significant di- fference in
any of the three hip flexion postures.
The results showed that the hand function of children with spastic diplegia was not affected in three hip flexion postures, but it is necessary to maintain well supported pelvic posture for good
hand function.
4,000원
5.
1999.10
구독 인증기관 무료, 개인회원 유료
The purpose of this study was to know whether the performance of activities of daily living(ADL) affect the depression level of disable people or not. In this study, the ADL item was divided into two category as basic ADL and instrumental ADL. The particip- ants were 67 persons with cerebral palsy(aged 16 to 49). Over 80% of the subjects had independent ability to perform the basic ADL, but, in instrumental ADL items, 50% of them needed assistance. Each of basic and instrument ADL item were signific- antly correlated to the depression level(p<0.01). The Spearman correlation coefficients of basic and instrumental ADL item were 0.336 and 0.416 respectively. As before, ins-trumental ADL item score was more correlated to depression level than basic ADL item score.
4,000원
6.
1999.10
구독 인증기관 무료, 개인회원 유료
The purpose of this study is to first to evaluate the function of the involved upper extremity of adult hemiplegia in relation to the hand dexterity with the uninvolved hand by using Manual Function Test(MFT) to measure the function of the involved upper extremity and Grooved Peg Board Test to assessment the hand dexterity with the uninvolved hand. Second to evaluate the hand dexterity with the uninvolved hand of adult hemiplegia in relation to activities of daily living(ADL) by using Functional Independence Measure(FIM) to measure the ADL. The subjects in this study were 21 stroke patients who were admitted for intensive treatment at Department of Rehabilitation in Asan Medical Center from September to November, 1998. Data were analyze for wilcoxon signed ranks test and Spearman correlation coefficients using SPSS/PC+ program.
The results of this study are :
1) Statistically MFT score at admission showed significant correlation with MFT score at discharge
(p < 0.01).
2) Statistically the hand dexterity with the uninvolved hand at admission showed si-gnificant correlation with the hand dexterity with the uninvolved hand at discharge(p< 0.01).
3) The function of the involved upper extremity and the hand dexterity with the un-involved hand are poorly related variables in stroke patients(p < 0.01).
4) The function of the involved upper extremity and independence in ADL are poorly related variables in stroke patients(p < 0.01).
5) The hand dexterity with the uninvolved hand and independence in ADL are poorly related variables in stroke patients(p < 0.01).
6) In the relationships between FIM score at admission and FIM score at discharge; there were no significant differences(p < 0.01).
It was difficult to compare the measured hand dexterity with the uninvolved hand in stroke patients as well as to assess the hand dexterity with the same side hand in normal, for it is in the variation between the current data used for this study and the standard data obtained from Lafayatte Instrument Company. The activities of daily liv-ing of the hemiplegic patient are largely dependent on their uninvolved hand which is thought to be vital for the rehabilitation of the hemiplegic patients. Therefore, occupa- tional therapy program in stroke patients should include improving skills of uninvolved hand.
4,300원
7.
1999.10
구독 인증기관 무료, 개인회원 유료
The purpose of this study were to determine the relationship between balance ability and visual perception ability in health elderly. Twenty healthy elderly who live in Wonju City participated in three tests (Berg Balance Test, One-Legged Stance Test, Motor-free Visual Perception Test). Collected data were analyzed by the independent t-test and Pearson test. The study results showed a significant relationship between dynamic balance ability and visual perception ability (p < 0.01). Dynamic balance ability and visual perc-eption ability were significantly better in men than in women (p < 0.05, p< 0.01).
4,000원
8.
1999.10
구독 인증기관 무료, 개인회원 유료
The purpose of this case study is to describe the experience of two children who have sensory
defensiveness and to guide further study of sensory defensiveness treatment. The subjects were two children with sensory defensiveness and aged 8 and 3. It was used Sensorimotor History Interview for the evaluation of sensory defensiveness and interviewed with parents. The Wilbarger protocol in this case study was included jump-ing and crushing on the bed as routine activity in every morning and bedtime, a Wilb-arger brush with very firm pressure and joint compression per 2 hours when subjects had waked up and occupational therapy 1 to 3 times per week.
According to this case study, the subjects had decreased defensive behaviors for sen- sation of touch, vision, sound and taste, and social emotional problems. During the treatment, the sleep cycle was changed and more stabled to sleep. And the optimal arousal level was more maintained for wake up period.
4,600원
