목적 : 본 연구는 상상연습이 성인 뇌졸중 좌측편마비 환자의 시각-운동 협응 향상에 미치는 효과를 밝히고자 하였다. 연구대상은 경상남도내 M시의 S병원에서 뇌졸중으로 인한 좌측편마비 진단을 받고, 재활치료 중인 3명의 환자를 대상으로 하였다. 연구방법 : 연구방법은 대상자 선정검사를 하고, 대상자 3명에 대해 기초선 검사 기간을 달리하여 다트게임을 실시하였다. 대상자 1이 기초선 단계에서 안정을 보일 때, 중재단계로 들어가 상상연습을 실시한 직후와 1시간 후에 다트게임을 실시하여 화살의 꽂힌 위치에서 과녁판 중심까지의 가장 가까운 거리 측정값의 평균을 구하였다. 대상자 1이 중재단계에서 안정을 보일 때까지 기초선에 있던 대상자 2도 상상연습 실시 직후와 1시간 후에 다트게임을 실시하여 측정값의 평균을 구했으며, 대상자 3도 대상자 2가 중재단계에서 안정을 보일 때까지 기초선에 있다가 상상연습을 실시, 직후와 1시간 후의 측정값의 평균을 구했다. 수집된 자료는 시각적 그래프와 기술통계량인 평균값을 통해 거리 측정값의 변화를 비교분석하였다. 결과 : 첫째, 대상자 모두 다트게임(신체적 연습)만 한 기초선 때보다 상상연습 직후에 연구대상자가 던진 화살의 꽂힌 위치에서 과녁판 중심까지의 가장 가까운 거리의 평균값이 감소하여 시각-운동 협응에 있어 향상을 보였다. 둘째, 대상자 모두 다트게임(신체적 연습)만 한 기초선 때보다 상상연습 1시간 후에 연구대상자가 던진 화살의 꽂힌 위치에서 과녁판 중심까지의 가장 가까운 거리의 평균값이 감소하여 시각-운동 협응에 있어 향상을 보였다. 결론 : 상상연습이 성인 뇌졸중 좌측편마비 환자의 시각-운동 협응 향상에 효과가 있었다. 위와 같은 결론을 통해 상상연습이 학습과 치료에 앞서 시연(demo)이 왜 필요한지를 밝히는 근거로서 제시될 수 있다는 것과 성인 뇌졸중 환자의 재활치료 방법에 활용 가능함을 보여주었다.

Objective : This paper presents an empirical study on the bias toward the disabled by the students studying occupational therapy, who will make an expert group to take care of them in the future. It was investigated how much sense of distance the students had according to the physical characteristics of the disabled. Method : Total 128 students majoring in occupational therapy were asked to fill out a self-administered questionnaire. The physical characteristics of the disabled and the sense of distance toward the disabled were measured as follows: The visible physical characteristics of the disabled were restricted to the disorders of external physical functions based on the Article 29 ‘Classification of the Disabled’ of the Disabled Welfare Act. The functional characteristics of the disabled were measured by using the FIM (Functional Independence Measure) method. Meanwhile, Westie (1952)’s inventory of the sense of distance was adopted for the inventory for the sense of distance toward the disabled in the study. Results : The subjects showed the biggest sense of distance toward the disabled in the order of the disabled with encephalopathy, physical handicap, language disorder, visual disturbances and acoustic disturbances. As for the functional characteristics, the sense of distance was the greatest in the order of the completely dependent disabled, partially dependent disabled, and completely independent disabled. The average sense of the distance was compared in terms of the subjects’ school and year, and the results revealed there were statistically significant differences in all the areas except for the sense of distance toward the completely dependent disabled. Conclusions : The sample needs to be expanded in number, and random sampling is required to secure diverse social and cultural backgrounds. In addition, the causality verification should be done in order to understand the nature of sense of distance in a study on it according to the physical characteristics of the disabled. Finally, an evaluation tool needs to be developed that can be used to measure the sense of distance toward the disabled.

The purposes of this study were to investigate the accomodations for the disabled children of the elementary schools in Suwon and to give helpful information to the parents and teachers for the improvement of the independence of disabled children at school. We measured the ramps, toilets, doorways and other accomodations in 64 elementary schools according to the checklists. The checklists of these facilities were based on the legal requirements of "The Act for the Benefit of the Disabled, Elderly and Pregnant Women". The data was analyzed by descriptive statistics and the test. None of the investigated schools satisfied all the legal requirements of the facilities. Fifteen elementary schools had adequate accomodations for the disabled children which allowed them to move independently from the entrance of the school to their classrooms located on the first floor. Only eight of fifteen schools had elevators to access their classrooms upstairs. The schools were divided into two groups according to their construction dates; before and after April 11th 1998, when "The Act for the Benefit of the Disabled, Elderly and Pregnant Women" took effect. There were statistically significant differences in the number of toilets, the width of the toilet entrance, and the slope of the ramps between the two groups (p<.05). We suggest that the accomodations for the disabled children need to be established on a systematic and on-going basis in the future. The teachers and administrators should be more aware of the legal requirements for appropriate accomodations for the disabled children.

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.

The purposes of this research were to investigate home care rehabilitation services in rural areas and to collect basic data about disabled persons necessary when for carrying out rehabilitation services. Respondents were selected from six of a total of eight townships (Myon) and one town (Eup) in the Wonju city area. Wonju is in Kangwon Province (Do). Of a total of 338 names provided by the Myon offices, 298 persons were located and included registered and non-registered persons. Conditions included stroke, spinal cord injury, and cerebral palsy in addition to disabilities classified as first, second or third degree, in the case of registered cases. Respondent demographic characteristics, medical characteristics, rehabilitation service needs, willingness to receive rehabilitation service and individual opinions regarding rehabilitation services were analysed by frequency and percentage. The results were as follows: 1) Rehabilitation services received by disabled persons living at home in the rural areas surrounding Wonju city were medical rehabilitation (41.7%), diagnosis (36.5%), rehabilitation assistive devices (7.6%), social assistance (7.1%), rehabilitation counseling (3.0%), vocational rehabilitation (1.8%), educational rehabilitation (1.6%) and housekeeping services (0.5%). The majority of rehabilitation services were medical rehabilitation provided at hospitals and oriental medicine hospitals. 2) Sixty point eight percent of respondents expressed their willingness to receive home care rehabilitation services. Needs expressed were highest for medical rehabilitation (27.0%), followed by social assistance (19.4%), medical examination (12.4%), physician-generated diagnosis in the home setting (11.6%), sociopsychological rehabilitation (9.3%), vocational rehabilitation (7.6%), rehabilitation engineering (6.0%), educational rehabilitation (3.3%), and housekeeping services (3.3%). 3) Rehabilitation service needs were analyzed by severity classification: 65.8% of first degree, 62.7% of second degree and 55.6% of third degree disability classification, and 62.7% of non-registered disabled individuals responded that rehabilitation service was necessary. 4) Rehabilitation service needs were also analyzed by diagnosis: 62.6% of stroke, 85.5% of amputation, 60.0% of spinal cord injury and 52.4% of traumatic brain injury respondents answered positively that they were willing to receive rehabilitation service if it were to be provided. Rehabilitation service utilization data of disabled individuals living at home in rural areas were investigated and their rehabilitation needs analyzed. This critical information can be used when community-based rehabilitation programs for disabled persons living at home are planned for provision out of a public health center or when community-based rehabilitation welfare policy is formulated.

The residents of institutional settings for the disabled people are likely to be a potentially nutritional at-risk groups. The objective of the present study was to investigate the current nutrition and foodservice management in institutions for the disabled using a survey questionnaire. The majority (85%) of the institutions was using a simple pre-set menu that consists of rice, soup or stew, kimchi, and two other side dishes. Some twelve percent of the institutions served only one side dish. The residents were consuming a diet of a low diversity with insufficient amounts of micronutrient rich foods. As a protein source, legumes and soybean curds, and eggs were served 90% and 94% of the time, while beef, pork or poultry, a better iron source, was served less than 2-3 times per month. Fruits were most infrequently served food items in these facilities with 38% of the facilities serving fruits only 2-3 times per month. With regard to the nutrition and health care management, the physical examination on the residents was conducted annually in 88.8%, routine hemoglobin measurement peformed in 66%, and nutrition education was conducted in 10.9% of the surveyed facilities. The foodservice and nutrition management manual will help ensure a safe and better quality foodservice for the disabled people, which is necessary for the improvement of health and nutrition of these people.

Although the availability of home care rehabilitation services have been greatly increased since community-based rehabilitation was introduced to Korea, there is still a dearth of studies investigating the performance level of ADL (activities of daily living) for the physically disabled in the rural areas. The purposes of this study were to investigate the ADL performance level of disabled persons living at home in the rural areas of Wonju city, Korea, using FIM (functional independence measure) and to identify the specific areas of the ADL to be trained or evaluated by physical therapists or occupational therapists. 298 disabled people were interviewed by 10 physical therapy students. Analysis of the interviews indicated: 1) Forty seven point seven percent of the respondents were elderly-disabled persons whose ages were 61 years old or above, and 69.5% of respondents has the history of chronic disability period of 5 years or more. 2) FIM score of bathing, and stairs climbing showed severe dependent trend 3) FIM scores of self-feeding, urination, defecation, and comprehension ability were mildly dependent. These results revealed that functional evaluation/treatment for discharging from hospitals to the rural areas should be emphasized on the specific ADL performance areas such as bathing, and stairs climbing.

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.

중국은 8500만 명의 장애인이 있으며 세계에서 제일 장애인이 많은 국가이다. 장애인이 일반인과 동등한 사회적 권리를 누릴 수 있도록 어떻게 보장하는가는 중국정부의 중요한 과제이다. 장애인 관광권리 의 실현은 우선 국가정책 차원에서 확인과 지원이 필요하다. 따라서 중국 장애인 관광의 역사, 현황, 부 족 및 개선방안을 전반적으로 살펴보자면 정책고찰을 접점으로 삼는 것이 최선의 연구방안이라고 할 수 있다. 이는 본 연구의 출발점이기도 하다. 이를 위해서 본 연구는 다음과 같은 목적을 가지고 진행하였다. 첫째, 중국의 장애인 관광정책이 지금까지는 어떤 역사변천, 어떤 시대특징, 어떤 정책체계를 보여 준다. 수직적으로 장애인 관광정책의 역사적 변천과정 고찰을 통해 정책 논리를 정리하고자 한다. 둘째, 선진국은 장애인 관광정책에서 어떤 모색과정, 어떤 시행효과, 어떤 입법사례를 보여 준다. 수평적으로 미일 양국의 장애인 관광정책의 비교를 통해 유익한 시사점을 추출하고자 한다. 셋째, 역사적 변천과 국제적 사례를 바탕으로 어떻게 개선되어야 하는지에 대해 중국정부가 고민해야 한다. 이론적으로 검토를 통해 중국의 미래 장애인 관광정책에 대한 개선방안을 제시하고자 한다. 본 연구에서는 중국의 장애인 관광정책에 대해 다음과 같은 개선방안을 제시하였다. 첫째, 이념개선: 유니버설 디자인으로의 전환이다. 둘째, 입법개선: 입법선행체제로의 전환이다. 셋째, 기구개선: 비정부 기구에 대한 중시이다. 넷째, 인지개선: 사회구성원에 대한 홍보이다. 다섯째, 시설개선: 인프라와 서비스에 대한 디자인. 총체적으로 중국의 장애인 사업은 새로운 발전시대에 접어들었고 장애인의 관광권리도 정부와 사회 전체의 관심과 지지를 받아야 한다. 장애인 관광 사업의 발전을 정책적으로 추진하여 사회구성원 모두가 참여하는 평등, 융합, 공유라는 관광 환경과 사회 환경을 조성해야 한다.

본 연구의 목적은 multimodal 사회기술 훈련을 도입한 원예치료 프로그램이 장애아동의 사회성 향상에 미치는 영향을 확인하는 데 있다. 본 연구에서는 연구대상을 통제군과 실험군으로 나눠, 교사평가와 아동평가로 구분하여 사전·사후로 사회기술 평정체계(social skills rating system; SSRS) 도구를 사용하여 장애아동의 사회성의 변화를 측정하였다. 원예치료 실시 전·후의 변화를 살펴보면, 실험군에서는 교사용 사회기술평정체계(SSRS)의 자기통제, 자기주장, 협동 모두 유의한 향상을 보였고, 아동용 SSRS에서도 자기통제, 자기주장, 공감, 협동 모두 유의한 향상이 나타났다. 즉 원예치료 실시 전·후 비교 시에 교사용은 3개 항목 중 3개 항목, 아동용은 4개 항목 중 4개 항목 모두 유의한 차가 발생함으로써 전반적으로 원예치료 효과가 확실함을 알 수 있다. 원예치료 프로그램 실시 후 통제군과 실험군의 두그룹을 비교한 결과, 통제군에 비해 실험군이 교사용 SSRS의 자기통제를 제외한 자기주장, 협동에서만 유의한 향상이 나타났고, 아동용 SSRS에서는 자기주장과 공감에서는 유의한 향상이 있었으나, 자기통제와 협동에서는 유의한 차이가 나타나지 않았다. 즉 통제군과 실험군 비교 시에 교사용은 3개 항목 중 2개 항목, 아동용은 4개 항목 중 2개 항목에서 유의한 차가 발생함으로써 대체적으로 양호한 원예치료 효과가 있음을 알 수 있다. 본 연구결과를 통하여 multimodal 사회기술 훈련을 도입한 원예치료 프로그램이 장애아동의 사회성을 향상시켜 낮은 자신감과 사회성으로 기인된 부적응행동의 감소에 긍정적인 영향을 미치는 것을 확인할 수 있었으며, 이는 향후 원예치료가 장애아동 뿐만 아니라 사회성 향상을 필요로 하는 다양한 대상자에게 적극 활용될 수 있을 것으로 기대된다.