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
제11권 제2호 (2003년 10월) 12건
1.
2003.10
구독 인증기관 무료, 개인회원 유료
Objective : To compare the value of basic activities of daily living between occupational therapists and patients with stroke. Methods : A questionnaire survey was conducted to investigate the relative importance of basic ADL (Activities of Daily Living) with a total of thirty-four item cards. The survey was completed by 36 occupational therapists that have clinical experience of more than three years in a hospital or rehabilitation settings and by 38 inpatients/outpatients with stroke. The relative importance of each activity of daily living was measured by the Q sorting technique. A Mann-Whitney U test was used to test the statistical significance of the mean difference in the Q score between the occupational therapists and the patients with stroke.
Results : Among the 34 items, 11 items (‘obtaining and using supplies’, ‘selecting clothing’ etc.) selected by inpatients, showed that the Q score was significantly higher in its importance than that of occupational therapists. The survey showed that ‘caring for nails’ was more im-portant to outpatients than it was to occupational therapists. Several items (18 items for in-patients, 3 items for outpatients) of the total 34 items were statistically significantly different on the value of the basic ADL between occupational therapists and patients with stroke. Conclusion : The relative value of each activity of daily living could serve as a guide for sequencing learning steps during the ADL training in a hostpital or rehabilitation setting.
4,000원
2.
2003.10
구독 인증기관 무료, 개인회원 유료
Objective : The purpose of the present study was to compare the Spinal Cord Independence MeasureⅡ (SCIMⅡ) and the Modified Barthel Index (MBI) to determine the evaluation tool in order to use the tool as an effective index for following these patients for functional changes and determining treatment and rehabilitation outcomes.Method : The present study was conducted with 20 patients who underwent there first time rehabilitation care at A hospital from December 2002 to April 2003. The patients were evaluated at a 2-week interval using the SCIMⅡ and the MBI.Collected data analysis were completed by using Total agreement and Kappa coefficient of agreement, McNemar test, t-test, Correlation analysis, and Wilcoxon rank sum test.
Results : The following results were obtained from this study.1.A high correlation was seen in the results of evaluation made by two raters in the SCIMⅡ, showing high interrater reliability(r=0.99, p<0.01).2.When functional changes were compared, more changes in the common items including management in bladder sphincter muscle(p<0.01), toileting(p<0.05), and bathing(p<0.05) were seen in the SCIMⅡ compared with the MBI. Furthermore, among the non-common items in the SCIMⅡ, significant changes were estimated in breathing, prevention of bed sores and bed mobility, and outdoor movement, the SCIMⅡ well reflecting major func-tional changes in patients with spinal cord lesion.3.When the scores of the SCIMⅡ and the MBI were compared at the time of admission and discharge, significant correlation was revealed between the two evaluation tools. However, the SCIMⅡ admission scores were significantly higher than the MBI admission scores in patients with quadriplegia (p<0.05), due to the effects of non-common items such as breathing, prevention of bed sores, and bed mobility.4.When these tools were compared according to muscle strength change, the SCIMⅡ com-pared with the MBI well reflected upper extremity motor score and the ASIA motor score in patients with complete and incomplete quadriplegia(p<0.05), and lower extremity motor score in patients with incomplete spinal cord lesion(p<0.05).Conclusions : These results indicated that the SCIMⅡ is more sensitive compared with the MBI as a tool for functional evaluation in patients with spinal cord lesion, suggesting that the SCIMⅡ would be used to examine functional changes in patients with spinal cord lesion and to effectively follow-up patients for rehabilitation treatment outcome.
5,700원
3.
2003.10
구독 인증기관 무료, 개인회원 유료
Objective : This study was conducted as a policy task on the distribution of occupational therapy in community health centers.Method : A questionnaire was sent to 242 community health centers nationwide and (a total of) 135 questionnaires was returned between November 15, 2002 to December 20, 2002. We used frequency analysis and cross analysis for the questionnaires, generated by SPSS for Windows 10.0 version. a statistic analysis program.Results : 1) They do not promote rehabilitation programs for the disabled person significantly in community health centers. 2) Little has been carried out for occupational therapy in the com-munity health centers. The absence of occupational therapist attributes to the lack of knowledge on occupational therapy by outpatients, the lower demand, the lack of budget for hiring occupa-tional therapist, and the lack of understanding on the role of occupational therapist. It also shows that the occupational therapy is currently performed comprehensively by other department. 3) The need for occupational therapists in the community health center was more than one person.
Conclusion : The results of this study suggest that appropriate occupational therapy program in the community health center includes the occupational therapy for the disabled person living at home, the occupational therapy for the disabled person in the rehabilitation program in the community health center, and the education on occupational therapy for the disabled person and their families.
4,300원
4.
2003.10
구독 인증기관 무료, 개인회원 유료
Objective : To evaluate the cognitive perceptual performance in relation to the instrumental activities of daily living in Korean elderly women living in Seoul, Pundang, and Kwang-ju county.Method : To evaluate the cognitive perceptual performance, LOTCA-G battery was employed while IADL by Lawton and Brody was used to evaluate the instrumental activities of daily living. T-test, ANOVA, correlation analysis, and multiple regression analysis were used to ana-lyze the accumulated data.Results : The total cognitive perceptual performance score (LOTCA-G) and the total instrumental activities of daily living score (IADL) generally demonstrated a high correlation : (1) From observing the correlation of each items, the ability to use the telephone demonstrated a positive correlation with orientation, concentration, visuomotor organization, perception, memory, thinking operation and praxis (2) While shopping demonstrated a positive correlation with think-ing operation, visuomotor organization, orientation and memory (3) Food preparation demon-strated a positive correlation with orientation, thinking operation, visuomotor organization, con-centration, memory and praxis (4) While house keeping had a positive correlation with ori-entation, memory, visuomotor organization, thinking operation, concentration and perception (5) Laundry demonstrated a positive correlation with all of the items except visuomotor organization (6) While the mode of transportation demonstrated a positive correlation with all of the items including orientation and memory (7) Responsibility for one’s own medication demonstrated a positive correlation with orientation and thinking operation (8) The ability to handle finances demonstrated a positive correlation with orientation and all of the items.Conclusion : Cognitive perceptual performance was found to be significantly correlated with the instrumental activities of daily living skills. In particular, orientation and thinking operation, which are the items of cognitive perceptual performance affected the instrumental activities of daily living the most. Thus, orientation, perception, visuomotor organization, thinking operation, memory, praxis, concentration and cognitive perceptual performance need to improve not only so elderly women may live independently in the community but so as to offer them a high stand-ard of livin.
5,800원
5.
2003.10
구독 인증기관 무료, 개인회원 유료
Objective : The purpose of this paper was to study the effect of involved upper extremity’s motor function recovery on Activities of Daily Living in subject with hemiplegia by using Fugl-Meyer Assessment (FMA) as a motor recovery test and Functional Independence Measure (FIM) as a functional test.Method : The subjects of the study were 20 stroke patients who were admitted in KeiMyung University Dongsan Medical Center from November, 2002 to April, 2003. Data were analyzed for wilcoxon signed-rank test, mann-Whitney U test, spearman’s rho using SPSS/PC+ program. Result : The results of the study was as follow;1. Involved upper extremity’s motor function and independence of ADL is significantly differ-ence after occupational therapy(p<.05).2. Involved upper extremity’s motor function recovery is not significantly correlated in-dependence of ADL. but, motor FIM and FMA is significantly correlated after occupational therapy(r=.461).3. Involved upper extremity’s motor function recovery is significantly difference in lesion site and not significant difference in sex, involved side (p<.05).4. Independence of ADL is not significant difference in lesion site, sex, involved side(p>.05).Conclusion : The results suggest that lesion site maybe a factor to predict involved upper extremity’s motor recovery and require various occupational therapy program according to lesion site.
4,200원
6.
2003.10
구독 인증기관 무료, 개인회원 유료
Objective : The purpose of this study was to compare the sensory-based behaviors of young children with and without cerebral palsy as reported by their parents on the Short Sensory Profile.Method : Short Sensory Profile questionnaire was completed by parents of 59 children with cerebral palsy 1 through 9 years of age and parents of 129 children without cerebral palsy 1 through 6 years of age.Results : The performance of children with cerebral palsy was significantly different form that of children without cerebral palsy on 4 of 7 factors. Factors were difference found included Movement Sensitivity, Auditory Filtering, Low Energy/Weak, Visual/Auditory Sensitivity.
Conclusion : Finding from the study suggest that young children with cerebral palsy have probable deficit in a variety of sensory processing abilities as measured by the Short Sensory Profile. The Short Sensory Profile can provide information about the sensory processing skills of children with cerebral palsy to assist occupational therapist in assessing and planning inter-vention for these children.
4,000원
7.
2003.10
구독 인증기관 무료, 개인회원 유료
Objective : The purpose of this study was to investigate the change of activity of daily liv-ing(ADL) on task-oriented Learning program in adult with cerebral palsy.Method : The subjects were forty members who were treated at dept. occupational therapy the H Rehabilitation Center in kwang ju from January 2003 to July 2003. The ADL were meas-ured with Functional Independence Measure(FIM) and collected data were statistically analysed by SPSS PC for Wilcoxon signed rank test using NPARIWAY.Results : 1. A age distribution of the subject was from 20 to 36, and the average age was 25.6. The number of the twenties are the most number of the subjects by 28 persons(70%). The men were 19 persons(47.5%) and the women were 21 persons(52.5%). The clinical types of adult with cerebral palsy were dyskinesia 4 persons(10%), spastic quadriplegia 10 persons(25%), spas-tic hemiplegia 12 persons(30%), spastic diplegia 14 persons(35.5%). In the dominated hand, the right’s was 27 persons(67.5%), and the left’s was 13 persons(32.5%) and the number of person with language disability was 26 persons(65%), without language disability was 14 persons (35.5%). The duration of medical treatment was 61 days at the shortest, 123 days at the lon-gest, and the average duration was 82 days.
2. The variation to the performance of daily life after pre-treatment and post-treatment through the general characteristics of the adult with cerebral palsy was significantly (p<.01) in-creased independent of age, gender, clinical types except dyskinesia, dominated hand, speech dis-ability and treatment duration of less than 2∼3month.3. The variation of the pre-treatment and the post-treatment in the detail item to the per-formance of daily life of the adult with cerebral palsy through task-oriented Learning program was significantly(p<.01) increased at the self-care, sphincter control, locomotion, mobility, com-munication and social cognition.Conclusion : Cerebral palsy cause disability on daily life with decrease of motor performance ability by adding marked growth of the adolescence, disease, treatment interruption, trauma etc, to past poor motor control function, impaired balance reaction, muscle spasticity etc. But if proper task-oriented Learning program has been performing to patients continuously, General ADL performance ability will be increasing in young adult with cerebral palsy patients.
4,500원
8.
2003.10
구독 인증기관 무료, 개인회원 유료
Objectives : To study and compare the effects of monocular patching and half-eyes patching on the unilateral neglect of stroke patients.Methods : Eleven stroke patients with the unilateral neglect were enrolled. To these patients eight tests such as line bisection test, Albert’s test, letter cancellation test, shape cancellation test, house copying, daisy copying, clock drawing, and reading task were applied for the evalua-tion of the unilateral neglect. These tests were done without patching and with monocular and half-eyes patching respectively.Results : Eye patching methods were effective for reducing the unilateral neglect in 11.1 ∼ 57.1% of patients. Half-eyes patching was significantly effective in clock drawing test(p=.02), In general half-eyes patching was more effective than monocular patching.Conclusion : We suggest that eye patching method could be used as an effective and prac-tical way to reduce the unilateral neglect of the stroke patients.
4,300원
9.
2003.10
구독 인증기관 무료, 개인회원 유료
Purpose : This study is for investigating the factors influencing on treatment effect of devel-opmental disability children under 6-year-old.Methods : This study was investigated March, 2003 from January, 2003 to child fewer than 6 ages and parent each 43 people who is undergoing medical diagnosis from occupational ther-apy of K university hospital, S hospital, C hospital.Results : Obstacle type of 43 disabled children handicap by 50% and language impairment, mental retardation, sight obstacle, difficulties. It is 25.6% that there is no family member that can give help for disabled children’s treatment, is that 1 person is more 69.8%, and that have 3 people 4.7%, and in 25 points full marks that stew of family more than 21 points by 79.1% lazi-ness or family of stew that in general by high thing appear. Disabled children was using aver-age 4.16 places’ treatment institution during a week. Total number of treatment during a week is 5.19 times of treatment per average one child patient.
While child’s treatment adaptation degree is that 32.6% well regardless of sentiment or hygienic condition, 37.2% when sentiment or hygienic condition is good well, and 18.6% is usual, 2.3% is different according to sentiment or hygienic condition therapist or treatment institution, and 9.3% is not well in most case. Comparing coefficient of correlation with adaptation degree and cura-tive effect when treat and treatment actual conditions of family’s support, home treatment num-ber of times, medical fee, treatment equipment utilization number of times, treatment number of times etc. and child’s characteristic of child’s age, obstacle grade, duplicated obstacle number and so on, Child’s duplicated obstacle number showed high negative correlation of comparative with curative effect, and child’s obstacle degree showed high negative correlation with curative effect.Conclusion : By result of this study, child’s motor development treatment effect is considered that child’s obstacle degree and duplication number of obstacle is connected. Therefore, it means that efficient and practical treatment to grasp child’s obstacle and state more closely and more interests and efforts of parent and therapist are in need.
4,200원
10.
2003.10
구독 인증기관 무료, 개인회원 유료
Objective : The purpose of this study was to investigate attitudes of Korean occupational therapists toward introducing an accreditation system of occupational therapy education programs. Method : The self-administering written questionnaire was employed for this survey research. The questionnaire was developed and reviewed by the Accreditation Board for the Education of Korean Occupational Therapists and was composed of 18 items which included both closed-ended and open-ended questions. The questionnaire was distributed to Korean occu-pational therapists who attended at the 10th annual conference of Korean Association of Occupational Therapists in October 2002.Results : Among 106 respondents, 80.2% expressed their concern about the sudden increase of new occupational therapy education programs and they believed that the curricula of new in-stitutions and the quality of the institutes’ graduates would be different. On the question of ne-cessity of introducing the accreditation system of occupational therapy education programs, 89.7% responded that it was necessary. All respondents agreed that clinical fieldwork experience was necessary and the preferred length was 16, 24, and 12 weeks in order. The areas to be in-cluded in the accreditation were the number of qualified professors, fieldwork hours, and the contents of curricula in order. 77.4% of the sample responded that they would trust the result and process of the accreditation. Conclusion : Based on the result of the survey, it could be inferred that the majority of oc-cupational therapists were concerned about improving quality of the profession rather than its quantitative expansion. Therefore, it is expected that the accreditation system of occupational therapy education programs would ensure the qualitative growth of occupational therapy pro-fession in Korea.
4,000원
11.
2003.10
구독 인증기관 무료, 개인회원 유료
The driving capacity screening test for the people with physical disabilities has been heavily criticized due to the following reasons. First, the passing scores have been set based on phys-ical power that is much higher than the power actually required for driving. Second, there is a lack of scientific data for the criteria of the passing scores. Third, it does not test persons who might have cognitive and visuo-perceptual deficits which affect safe driving greatly. The current traffic and transportation law warrants that the people with bilateral upper extremity disabilities are allowed to apply for a driver’s license examination if he/she can drive an individually modi-fied vehicle safely. It means that the focus of the driver licensing system for the people with physical disabilities has to be shifted from restricting the driving rights to enabling the potential drivers. In order to protect the individual’s rights and public safety, the driver rehabilitation spe-cialist system which emphasizes comprehensive evaluation and training for the people with physical disabilities has to be introduced. This article presents the critical roles the occupational therapists may play as driver rehabilitation specialists and generalists in the rehabilitation of drivers with physical disabilities.
4,000원
12.
2003.10
구독 인증기관 무료, 개인회원 유료
This article presents an overview of the reminiscence concept and the results of intervention studies in reminiscence therapy on the elderly and the dementia. Reminiscence is thinking and talking about one’s past. it is a composit mental process with involves psychological, emotional, and social interaction aspects. Reminiscence therapy contribute to psychological adaptation by improving of self-esteem, self-integration and life satisfaction and increasing emotional support, activity of daily living adaptation and coping skill on the elderly and the dementia.Depression, anxiety of death, disability and pain were decreased through reminiscence therapy.Especially, communication was improved and behavioral problem was reduced in patients with dementia. Reminiscence therapy are effective method on psychosocial aspects of the elderly with or without disability and it expected to have potential as a therapeutic activity in the field of occupational therapy.
4,000원
