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
제10권 제2호 (2002년 10월) 19건
1.
2002.10
구독 인증기관 무료, 개인회원 유료
Objective: This study was conducted to develop Korean version of Modified Mini-Mental Status (3MS) Examination and to examine it’s validity and reliability in patients with brain injuries.
Method: The 3MS was administered to 24 patients with brain injuries from Jan. 1 to Apr. 30 in 2001 at two university hospitals in Korea. The instruments used for evaluating validity and reliability of 3MS were Mini-Mental Status Examination (MMSE), Neurobehavioral Cognitive Status Examination (NCSE), and Modified Barthel Index (MBI).
Results: Test-retest reliability of 3MS was excellent (r=0.97), and Interitem correlation coefficients ranged from 0.49 to 1.00. The score changes between the two tests were not related with the gender, level of education, and the duration after the brain injury. When items of 3MS were compared with the items of NCSE to evaluate the construct validity, correlation coefficients ranged from 0.43 to 0.73. When the NCSE was used as a gold standard to evaluate cognitive dysfunction, optimal cutoff scores analyzed by the Receiver Operating Characteristic curves for 3MS and MMSE were 68 and 22, respectively.
The sensitivity and specificity of both 3MS and MMSE were the same at 80% and 89.5%, respectively.
Conclusion: This study showed that the 3MS was a valid and reliable instrument to screen
cognitive dysfunction in patients with brain injuries.
4,500원
2.
2002.10
구독 인증기관 무료, 개인회원 유료
Objectives: This study was conducted to evaluate the validity of the Korean Computerized Neuro-psychological Test in measurement of cognitive functioning in patients with brain damage.
Methods: Eight tests of Korean Computerized Neuro-psychological Test, (1) Simple Reaction time, (2) Choice Reaction time, (3) Color Word Vigilance, (4) Digit Classification, (5) Digit Addition, (6) Symbol Digit Substitution, (7) Digit Span, (8)Finger Tapping Speed, were administered to the 30 patients who had impairments in cognitive function. Mini Mental State Examination-K (MMSE-K), and Purdue Pegboard Test were also administered compare with the computerized tests.
Results: It was found that Choice Reaction time, Color Word Vigilance, Digit Classification, Digit Addition, Symbol digit Substitution, and Digit Span of computerized tests were acceptable in the patients who had MMSE-K score of 20 and more than 20. And Simple Reaction Time was found to be a useful test in the patients with MMSE-K score of less than 20. MMSE-K scores were highly correlated with Choice Reaction time, Color Word Vigilance, Digit
Classification, Digit Span of computerized test. The scores of Purdue Pegboard were also highly correlated with the scores of Finger Tapping Speed, In computerized tests, Choice Reaction time, Color Word Vigilance, Digit Classification, and Digit Span were correlated with each other.
Conclusions: The results suggested that Korean Computerized Neuro-psychological Test was found to be a useful test in measurement and rehabilitation of patients with cognitive impairments.
4,200원
3.
2002.10
구독 인증기관 무료, 개인회원 유료
Objectives: To quantify the range of motion of upper limb while eating with and without a universal cuff (UC).
Method: The feeding cycle was divided into pre-feeding and feeding phases. The pre-feeding phase was operationally defined as scooping water with a spoon. The feeding phase was operationally defined as bringing the spoon to the mouth. A three-dimensional CMS70P analysis
system was used to record upper limb motion during eating activities. Ten male and eight female healthy volunteers participated in this study.
Results: (1) in pre-feeding phase: when a spoon without a UC was used, wrist was flexed and shoulder was adducted. However, when a UC with a spoon, the wrist was extended and shoulder was abducted. Also, the range of motions (ROMs) of shoulder flexion and internal rotation were significantly increased (p<0.05). (2) In feeding phase: when a spoon without a UC
was used, wrist was flexed and radially deviated. However, when a spoon was used in a UC with a spoon, wrist was extended and ulnarly deviated. The ROMs of forearm supination, shoulder abduction, and external rotation were significantly increased(p<0.05).
Conclusion: The ROMs of upper extremities with UC were significantly different from without UC. Therefore, when applying a universal cuff on patients, appropriate ROMs for a universal cuff should be considered prior to OT treatment.
4,000원
4.
2002.10
구독 인증기관 무료, 개인회원 유료
Objective: This study was performed to measure the level of stress of cerebral palsy workers, and to investigate the relationship between the stress dimensions and stress inducing factors of cerebral palsy workers in Korean manufacturing industry.
Method: The sample used in this study consists of 66 employees with cerebral palsy wokers. They are employees of the protective employment companies located in Seoul, Inchon, and Gyung-gi province.
The Psycho-Social Well-being Index (PWI), which was designed through modification of Goldberg’s 60-items of General Health Questionnaire (GHQ), was used to measure the stress level. The following variables, independent and moderate variables, are designed for the same
purpose. The independent variables are general and disability characteristics, workplace-related
characteristics of the respondents. The moderate variables include social support, type A behavior pattern, self-esteem and coping strategy.
The collected data were analyzed using SAS version 6.12 program.
Results: The results of this study were summarized as follows;
1. For the moderate variables, the low self esteem, and A type behavior were more significant
to measure the stress level.
2. The multiple regression analysis showed that the significant variables on the level of stress
of cerebral palsy workers were low self-esteem and A type behavior pattern.
Conclusion: The results of this study suggest that appropriate health promotion programs, should be established and provided for reducing the stress of cerebral palsy workers in manufacturing industry.
4,000원
5.
2002.10
구독 인증기관 무료, 개인회원 유료
Objectives: The objectives of this study were to demonstrate daily occupations and their self-perceived quality in persons with disability.
Methods: Twenty five participants responded to a questionnaire, The Occupation Schedule (modified from an Activity Configuration Log). The subjects were asked to categorize their daily
activities such as sleep, self-maintenance, work, rest, leisure and to rate their self-perceived
quality.
Results: The subjects had a high rate of unemployment (64%) and 12 subjects did not classify any occupation as work. The same occupation was classified into several different categories. The quality of occupation was rated at the satisfaction, importance, stress, and time adequacy.
Conclusions: The results suggest that the subjects’ classification of occupations and their meanings are important sources of information for the science of occupation and the occupational
therapy practice. Occupational therapists need to explore the alternative satisfying occupations to
replace the category of work.
4,000원
6.
2002.10
구독 인증기관 무료, 개인회원 유료
Objective: The purposes of this study were to understand behavior problems of preschoolers and to investigate the relationship between behavior problems and the sensory processing skills.
Participants: Parents of preschoolers between ages of 4 and 6 who attended D kindergarten or S nursery school in the national capital region.
Method: Parents filled out the questionnaire at home from 12th to 14th of August in 2002.
We used SSP (short sensory profile) which was used by Kim, Mi-Sun in 2001 to understand the sensory processing skills. We also used CBCL (child behavior checklist) which was reconstructed by Jung, Yeon-Woo in 2001 to understand behavior problems. The results were analyzed with SAS 6.12.
Results: 1. The total incidents in behavior problems were 87 out of 200. And the total incidents in sensory processing were 164 out of 190. Among low-ranking patterns, the mark of overactivity was highest with 21.56 point and the mark of flinching activity was lowest with 13.97 point.
2. There was no significant difference in the gender comparison of sensory processing, but there were significant differences in gender comparison of aggressive behavior and flinching behavior in behavior problems.
3. There was no significant finding in age difference.
4. In correlation between behavior problems and sensory processing skills, as the incidents of
hyperactivity rose the incidents of underresponsive/seeks sensation and auditory filtering decreased significantly. In relations, as the incidents of anxiety behavior rose the incidents of
underresponsive/seeks sensation and auditory filtering decreased significantly. In relations, as the incidents of flinching behavior rose, incidents of movement sensitiveness, low energy and
weakness decreased. In relations, as the children acted aggressively the incidents of sensitiveness, low energy, weakness and auditory filtering decreased. In relations, as children
acted immaturely the incidents of sensitiveness, underresponsive/seeks sensation, auditory
filtering, low energy and weakness decreased significantly.
Conclusions: We hope that the children who have behavior problems with difficulties in sensory processing skills can be distinguished on the basis of this study. And we also hope the development of a study which can present the effectiveness of sensory integrative treatment for
the children with behavior problems.
4,200원
7.
2002.10
구독 인증기관 무료, 개인회원 유료
Objectives: The purpose of this study was to investigate the effects of wheelchair propulsion speed changes on the shoulder impingement syndrome.
Method: EMG activity of 5 muscles (biceps brachii, pectoralis major, deltoid anterior, triceps brachii, and trapezius) were recorded with surface electrodes in 24 males during propulsion of
three different speed levels on a motor-driven wheelchair treadmill. EMG signal was analysed
using root mean square (RMS) values. In order to assure the statistical significance of the results, the one-way ANOVA and a Post Hoc Multiple Comparison were applied at the 0.05 level of significance.
Results: The results of this study were as follows: Biceps brachii, and pectoralis RMS value variations of wheelchair propulsion speed between 45m/min and 60m/min, and between 60m/min
and 75m/min were not statistically different (p>0.05). Triceps brachii, deltoid anterior and trapezius RMS value variations of wheelchair propulsion speed between 45m/min and 75m/min were statistically different (p<0.05).
Conclusions: The risk of impingement syndrome has increased from deltoid muscle contraction growth and trapezoid, triceps brachial muscle endurance decrease when wheelchair propulsion speed rises. To prevent from impingement syndrome wheelchair users should strengthen and endure shoulder muscles. Besides we need education on propulsion posture and suitable position for wheelchair users.
4,800원
8.
2002.10
구독 인증기관 무료, 개인회원 유료
Objective: Play may be important determinants of children’s occupation. The purpose of this
research was to find play history of 5∼7 years old using Takata’s Play History.
Method: The number of subjects were 63 kindergarten children whose ages were 5∼7 yeras olds. Data were collected through survey questionnaires in from June 27 to July 3, 2002. The study using survey questionnaires was based on Takata’s Play History. The previous play was
analysed from the 4 different categories of play characteristics. The χꊔ test was performed to
analyze play of each age group.
Results: The playing characteristics (toy, playing form, playing time., etc) have been different according to their age groups. Overall, Different play trends have been found among different age group by applying Takata’s Play History.
Conclusion: The play trend of child can be forecasted by appling Takata’s Play History to the subjects. It is expected that development of screening play ability for normal child and abnormal child. Therefore Takata’s Play History will help occupational therapists to evaluate children’s play ability.
4,600원
9.
2002.10
구독 인증기관 무료, 개인회원 유료
Objective: The purpose of this study was to research the current state of occupational assessment tools and their use by Korean occupational therapist.
Method: Data was obtained from October 13, 2001 to December 30, 2001 by means of a survey questionnaire. The participants were 96 occupational therapists (general hospitals, university-related hospitals, rehabilitation center, etc.). Analysis of the data was done by using descriptive statistics.
Results: The length of time for initial evaluation was 42 minutes per one patient and reevaluation periods were every 3 months or as functional changes were detected. Among the assessment tools, the most frequently used tools w ere: Purdue Pegboard Test (47.9%) for assessing motor area, Motor-free Visual Perception Test (56.3%) and Mini-Mental Status Examination (54.2%) for cognitive perceptual assessments, Functional Independence Measure (56.3%) for daily activity assessment, Denver Developmental Screening Test (51%) for development assessment, Sensory Profile (14.6%) for sensory integration assessment, and Canadian Occupational Performance Measure (16.7%) for occupational performance assessment.
Conclusion: The results of this study supported that the choice of evaluation tools may be depended on the administration length of time and simple procedures. Based on the results, provisions of more extended educational opportunities would promote the use of a greater variety of standardized assessment tools by Korean occupational therapists.
4,000원
10.
2002.10
구독 인증기관 무료, 개인회원 유료
Objectives: The purpose of this survey research was to Investigate how well the national occupational therapy certification examination was reflecting the current occupational therapy practice.
Method: The researchers developed a survey with input from 159 occupational therapists out of 230. The content of the survey consisted of four areas which were demographic information, the relationship between the current national occupational therapy certification examination, the tasks that occupational therapists perform in the clinical settings, and the knowledge bases that occupational therapists need to know to perform the tasks.
Results: The findings can be summarized as follows; 1) All the current examination subjects except for ADLs (activities of daily living) had low relationship with clinical occupational therapy practice; 2) 84% of the respondents agreed on that the current examination needed to be revised based on the tasks that occupational therapists actually do in the clinical settings; 3) the new subjects proposed for the national occupational therapy certification examination showed high relationship with the clinical occupational therapy practice; 4) the new subjects were composed of occupational therapy evaluation, treatment plan, intervention, re-evaluation, management, and professionalism.
Conclusions: The findings are expected to be useful for revising the content of the current national occupational therapy certification examination and developing occupational therapy curriculum of the new educational programs.
4,000원
11.
2002.10
구독 인증기관 무료, 개인회원 유료
Objectives: To develop normative data for normal young adults, to interpret patients’ CMDT score objectively and select the employees who require manual dexterity.
Methods: Participants were sixty normal subjects (thirty males and thirty females) between ages of 19 and 26. Averaged performance duration of normal subjects on the CMDT was recorded and Pearson Correlation Coefficients between subtests of CMDT were analysed.
Results: Women’s performance duration was shorter than that of men’s, but the percentile scores were different according to the percentile. Pearson Correlation Coefficients were significantly different between the subtests, but not in the results of comparing ‘displacing’ and ‘one hand turning and placing’.
Conclusions: These data will assist occupational therapists and others to interpret patients’
CMDT scores objectively.
4,000원
12.
2002.10
구독 인증기관 무료, 개인회원 유료
Objective: To examine the effects of occupational therapy intervention on hand function after botulinum toxin injection in a patient with dystonia.
Method: The subject was a 41 year old female and the study was carried out from February 25th to May 24th in 2002. The Jebsen Hand Function Test and Nine Hole Peg Test were used for assessment, and also hand and finger powers were assessed by grip strength, lateral pinch strength and three jaw chuck pinch strength. The scores were obtained during occupational therapy sessions at 4 weeks and 12 weeks after the injection. Modified Ashworth Scale was employed to grade spasticity before the injection, at 4 weeks, and 12 weeks after the injection.
Results: Among the subtests of Jebsen Hand Function Test, the speed increased in the writing (15.4%), turning cards (64.4%), simulated feeding (92.0%), moving empty large cans (30.0%) and moving weighted large cans (41.6%), however, the speed of other subtests which were checkers(-26.8) and picking up small objects (0.0%) did not increase. The performance on Nine Hole Peg Test did not change (0.0%). Hand power of grip strength increased by 275%.
Finger power increased in lateral pinch strength (40.0%) and three jaw chuck pinch strength(150.0%). Based on Modified Ashworth Scale, spasticity decreased from grade 4 before the injection to grade 1 at 4 weeks and 12 weeks after the injection in wrist and fingers.
Conclusion: Occupational therapy intervention after botulinum toxin injection can improve the hand function in a patient with dystonia.
4,000원
13.
2002.10
구독 인증기관 무료, 개인회원 유료
Objective: The purpose of this case study was to describe the treatment of a stoke patient with dysphagia.
Method: The subject was an adult stroke patient with dysphagia. She was evaluated on the Functional Dysphagia Scale employing videofluoroscopic method. Swallowing task was swallowing of a thick fluid (5 cc) on oral intake. The treatments in this case study included active postural control activities, strengthening of facial muscles, facial and oral cavity massage, jaw and tongue mobilization, respiratory activities, icing and feeding training once a day.
Results: A total score of functional dysphagia scale decreased from 95 to 60 and 23 consecutively.
Conclusion: In this particular case study, the swallowing function in the stroke patient with dysphagia improved through occupational therapy intervention.
4,000원
14.
2002.10
구독 인증기관 무료, 개인회원 유료
Nowadays, there are many issues in introducing accreditation of occupational therapy education in Korea. Accreditation is a system for recognizing educational institutions and professional programs affiliated to those institutions on a level of performance, integrity, and quality which entitles them to the confidence of the educational community and the public they serve. I believe accreditation system in the United States is well-established through nongovernmental, voluntary institutional or professional association. On the basis of analyzing accreditation system of the United States, this study introduces the arrangement for establishing
of accreditation policy in Korea.
4,000원
15.
2002.10
구독 인증기관 무료, 개인회원 유료
The purposes of this research were to support understanding for the structure and content of Occupational Adaptation, to clarify the role of occupational therapist and the main intervention method on this model, to discuss the correlation between holistic thinking and occupational adaptation.
To achieve above goals, the literatures on occupational adaptation which was introduced by Schkade and Schultz were investigated. Occupational adaptation is the description for adaptation
processing that exists to everybody. Such processing helps the human adapt to occupational
challenges, to perform various roles and activities, and to acquire competence.
Occupational adaptation is not a collection of technique but a way of thinking about intervention in the individual’s internal adaptation process. The holistic approach, which is the background of occupational therapy, is the important thinking of occupational adaptation. In conclusion, Occupational adaptation is a method to apply the holistic thought to practice contexts.
Further study on occupational adaptation is recommended to explore the appropriate methods that are practical for the occupational therapy atmosphere in Korea.
4,000원
16.
2002.10
구독 인증기관 무료, 개인회원 유료
The first national occupational therapy licensing examination was administered by the National Institute of Health in 1965. In 1998, National Health Personnel Licensing Examination Board assumed responsibilities for the development, administration, and implementation of the licensing process based on current and valid standards for occupational therapy practice. The
purpose of awarding license is to identify for the public those persons who have demonstrated both the knowledge and the skills necessary to provide occupational therapy service. As an effort to develop, maintain, and defend the content validity of practice-based occupational therapy licensing examination, National Health Personnel Licensing Examination Board sponsored and authorized the occupational therapy practice analysis study in 2000. Based on the occupational therapy practice analysis study, Minimum Standards for the Education of Occupational Therapists By World Federation of Occupational Therapists, and The National Occupational Therapy Practice Analysis in the USA, this article points out several problems concerning the existing national occupational therapy licensing examination and suggests the alternatives that reflect current professional practice.
4,000원
17.
2002.10
구독 인증기관 무료, 개인회원 유료
The purposes of establishing accreditation standards for the occupational therapy program are to
assure the quality of the program and to assist in the development of the program. Accreditation serves the public as accredited programs modify their requirements to reflect changes in knowledge and practice generally accepted in the field. To students, accreditation provides an assurance that the educational activities of an accredited program have been found to be satisfactory, and therefore meet the needs of students. Also it assists in the transfer of credits between institutions, or in the admission of students to advanced degrees through the general acceptance of credits among accredited institutions when the performance of the students has been satisfactory and the credits to be transferred are appropriate to the receiving institution. The occupational therapy programs benefit from accreditation through the stimulus provided for self-evaluation and self-directed program improvement and strengthening of program self-evaluation by the review and counsel provided through the accrediting agency. At the same time, this process enhances the reputation of an accredited program because of public regard for accreditation. Lastly, the profession of occupational therapy can be strengthened by contributing to the unity of the professions in an activity directed at improving professional preparation and professional practice.
4,000원
18.
2002.10
구독 인증기관 무료, 개인회원 유료
Though it has passed over 50 years since occupational therapy was introduced into Korea, the Korean occupational therapy is still in the beginning stage. This researcher investigated the reality of educating students and the problems in the field of occupational therapy. The quality of manpower is determined by how we can secure specialties in the process of educating students, and it is highly related with the standards of service. Therefore, the efforts to acknowledge the present situation of supply and demand for educating occupational therapy students should be made cautiously. To assure the quality of occupational therapists and make the better circumstances for them and predict the promising future in the field of occupational therapy, the basic regulations and minimum standards for educational institutions and practice institutions must be established immediately.
4,000원
19.
2002.10
구독 인증기관 무료, 개인회원 유료
Objective: This study compares the effectiveness of palmar static digit extension splinting with dorsal block dynamic digit extension splinting on preventing postoperative secondary joint flexion contracture of metacarpophalangeal joints and proximal interphalangeal joints.
Method: Six patients with Dupuytren’s Disease were randomly selected for this study and divided equally into two groups. Group A was fitted with the palmar splint and Group B with the dorsal splint. Both groups were fitted with the experimental splints at the end of their first initial evaluation session. All patients received six months of comprehensive hand therapy.
Patients were also assigned a program of independent daily home exercise. Objective measurements of at the initial evaluation and during the 12th and 24th week of hand therapy.
Results: This study found significantly greater improvement of ROM from using the dorsal block dynamic digit extension splint than with the palmar static digit extension splint when combined with comprehensive hand therapy.
4,300원
