목적 : 본 연구는 신체장애인들이 사용하는 보조기기가 일상생활활동 수행 능력과 삶의 만족도에 미치는 영향을 알아보기 위한 것이다. 연구방법 : 본 연구는 경상남도 김해시에 거주하는 신체장애인 40명을 대상으로 2004년 8월 1일부터 동년 8월 31일까지 각 가정을 방문하여 일상생활활동 능력 평가 및 설문조사를 실시하였다. 자료 수집을 위해 사전 지도와 FIM 평가에 대한 훈련을 받은 6명의 연구원들이 장애인과 개별적 면접을 통해 시행하였다. 설문지는 장애인의 일반적인 특성 9문항과 보조기기관련 7문항, 5점 척도의 재활의료서비스, 가족 지지정도, 지역사회참여 정도에 대한 만족도 항목 3문항으로 구성되었다. 결과 : 보조기기 사용 유무에 따른 신체장애인의 일상생활활동 수행 능력은 차이가 없었다. 재활의료서비스 만족도는 보조기기 사용집단과 미사용집단 간에는 통계학적으로 유의한 차이가 없었다. 가족지지 만족도와 지역사회참여 만족도는 보조기기 미사용집단보다 사용집단에서 모두 높은 만족도를 보였다(p<0.05). 결론 : 신체장애인들이 보조기기를 사용한 경우 가족지지와 지역사회참여 만족도에서 보다 높은 만족도를 보였다(p<0.05). 보조기기 사용유무에 따른 일상생활활동 수행 능력과 재활의료서비스 만족도에서는 통계학적으로 유의한 차이가 나타나지 않았다. 앞으로의 연구에서는 지역별 특성을 고려하여 여러 지역의 많은 장애인을 대상으로 보조기기 사용 특성에 대한 연구가 이루어져야 할 것이다.

목적 : 본 연구는 대전지역 노인들의 일상생활동작 수행수준과 삶의 질에 관련된 요소를 측정하여 노인들의 일상생활동작 수준 및 삶의 질에 따른 일상생활동작 수행의 차이에 대해 알아보고자 시도되었다. 연구방법 : 연구 대상은 대전광역시에 거주하는 65세 이상의 재가 노인 500명으로 하였다. 본 연구에서 사용된 설문지는 일반적인 특성 및 일상생활동작 능력 평가도구인 Barthel Index, Frenchy Activities Index와 SF-12에서 발췌한 삶의 질 관련 요소들로 구성되었으며, 일대일 면접조사를 통해 수집되었다. 결과 : 대전 지역 노인들의 일상생활동작 수행점수는 평균 96.05(표준편차 11.04)이었으며, 노인의 결혼 상태, 가족구성, 자녀유무, 직업유무에 따라 기본적 일상생활동작수행의 차이가 있었다(p<0.05). 수단적 일상생활동작 수행점수는 평균 18.41(표준편차 10.28)로 노인의 성별, 연령, 교육 수준, 가족구성, 자녀유무, 직업유무에 따라 수단적 일상생활동작 수행의 차이가 있었다(p<0.05). 노인의 주관적 건강상태 및 생활전반에 대한 만족도에 따른 기본적 일상생활동작 수행수준과 수단적 일상생활동작 수행은 그룹 간 유의한 차이가 있는 것으로 나타났다(p<0.05). 결론 : 본 연구결과를 통해 대전 지역노인들의 기본적인 일상생활동작 수행의 수준과 수단적 일상생활동작 수행의 수준을 알 수 있었고, 주관적 건강상태나, 생활만족도와 같은 삶의 질에 관련된 요소와 일상생활동작 수행수준 간에 관련이 있음을 알 수 있었다. 앞으로 노인들이 건강하게 살 수 있도록 삶의 질을 높이기 위해서는 일상생활동작 수행수준을 높일 수 있는 작업치료사의 역할이 요구되며, 노인들의 의존적인 문제를 보완하고 능동적이며 긍정적인 삶을 유지할 수 있는 중재 방안이 마련되어야 할 것이다.

목적 : 본 연구는 65세 이상 노인 뇌졸중 환자의 작업치료 전과 후의 일상생활 수행능력을 비교하고 작업치료 후 기능의 변화를 분석하여 작업치료의 가치를 검증하고자 하였다.1994년 6월부터 2004년 3월까지 A대 병원에서 작업치료를 받고 퇴원한 65세 이상 노인환자 중 치료기간이 180일 이내이며 의무기록열람이 가능하였던 228명을 연구대상으로 하였다.연구방법 : 의무기록 열람을 통한 후향적인 조사를 실시하여, 성별, 발병 당시의 연령, 진단, 발병원인, 발병횟수, 치료기간, 학력 등의 일반적인 정보와 치료 시작시와 종료시 MMSE와 MBI의 개별항목 점수와 전체점수를 조사하였다. MBI 개별항목 중 대․소변처리 항목은 정보의 부정확성으로 제외하여 전체점수는 최저 0점 최고 80점 만점으로 하였다. 통계분석은 SPSS(Ver 12.0)통계처리 프로그램을 이용하였으며, 65세 이상 뇌졸중 환자들의 작업치료 전, 후의 일상생활 수행능력의 변화를 알아보기 위하여 전체 MBI 점수와 일상생활동작 개별항목의 점수는 짝비교 t-검정을 실시하고, 연령군, 치료기간군, MMSE 전체 점수간의 일상생활동작수행능력의 향상점수는 일원배치 분산분석(One-Way ANOVA)을 실시하였다.결과 : 첫째, 대상자의 치료 후의 MBI 전체 점수는 43.19±26.90으로 치료 시작 시 20.12±20.34보다 23.07±19.92점 향상되었으며(p<0.001), 치료 후의 MBI 개별항목 모두에서 통계적으로 유의하게 점수가 향상되었다. 특히 걷기 5.52±5.44점(p<0.001), 의자/침대로 이동하기 4.59±4.82점(p<0.001), 옷 입고 벗기 3.27±3.38점(p<0.001), 화장실 동작 3.24±3.76점p<0.001)에서 다른 항목보다 유의하게 높은 점수의 향상이 있었다.둘째, 대상자의 MMSE 점수가 높을수록 MBI 점수도 높았다(p<0.001).결론 : 대상자들의 작업치료 전, 후의 MBI 점수를 비교한 결과 작업치료 후의 MBI 전체점수와 개별항목 점수 모두에서 치료 전보다 수행능력이 향상되었다. 또한 인지기능이 높을수록 일상생활동작 수행능력이 더욱 향상되었다.위와 같은 결론을 통해 이 연구는 65세 이상 노인 뇌졸중 환자에게 독립적인 일상생활동작 수행능력을 증진시키기 위하여 작업치료를 시행하는 것이 효과가 있음을 보여주었으며, 향후 65세 이상 노인 뇌졸중 환자의 작업치료에 기초 자료를 제공할 수 있을 것으로 기대된다.

목적 : 이 연구의 목적은 한국의 실정에 맞는 뇌졸중 환자용 일상생활 평가도구를 만드는 것이다. 연구방법 : 문헌 조사를 통해 기존의 일상생활 평가항목들을 수집한 후 평가도구의 타당도를 낮춘다고 지적된 바 있는 항목들을 삭제하였다. 그리고 작업치료 전문가 집단에 의뢰하여 이 평가목록 중 뇌졸중 환자의 일상생활 평가항목으로서 부적절한 항목을 선택하도록 하였다. 이렇게 얻어진 34개 항목으로 서울에 소재한 병원급의 근무하고 있는 임상경력이 3년 이상인 27명의 작업치료사들을 대상으로 Q표본분류방법을 이용하여 현재 치료하고 있는 환자들을 고려한 중요도 조사를 실시하였다. 결과 : 조사를 통해 얻어진 Q점수의 평균값을 사용하여 순위가 낮은 10개 항목을 삭제하였다. 이로써 하위항목을 포함하여 29개 평가항목으로 기본 일상생활 평가도구를 구성하였으며, 주변인의 도움 정도(%)로써 채점 기준을 마련하였다. 이 평가도구의 검사자간 신뢰도를 조사하여 신뢰도가 낮은 5개 항목을 삭제하였고 남은 항목을 수정한 뒤 검사자간 신뢰도를 재조사한 결과 0.75이상의 높은 신뢰도를 보였다. 기본 일상생활 평가도구를 뇌졸중 외래환자 72명을 대상으로 사용하였으며, 이 조사를 통해 얻어진 자료를 다중회귀분석을 함으로써 설명력이 99.0%인 항목을 최종적으로 선택하여 평가도구를 구성하였다. 입원환자와 달리 외래환자의 경우 ‘용변을 보기 위해 옷 벗고 다시 입기’, ‘방바닥, 침대에서의 기능적 이동성’, ‘신체 각 부위에 대해 비누질 한 후 씻고 수건으로 닦기’, ‘자동차로 옮겨 앉기’ 항목이었다. 또한, 각 평가항목에 대해 다중회귀 계수의 비를 구하여 가중치를 부여하였다. 외래환자는 ‘실내보행’ 항목에 4배, ‘자동차로 옮겨 앉기’, ‘양치질하기’, ‘적절한 식사도구 사용하기’의 3개 항목에 3배, ‘신발, 양말 신고 벗기’ 항목에 2배의 가중치를 부여하였다. 그 결과 총점의 범위가 0-80점에 해당하는 일상생활 평가도구를 완성할 수 있었다. 결론 : 본 평가도구의 평가항목간 내적 일치도는 Cronbach α계수가 0.93이었다. 앞으로 본 평가도구에 대한 공인타당도, 구성타당도 연구 그리고 검사-재검사 신뢰도 연구가 필요하며, 뇌졸중 환자 집단에 대한 임상적 유용성에 대한 연구가 이루어져야 할 것이다.

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.

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.

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.

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.

The purpose of this study was to examine the effects of stroke patients' cognitive score on their the activities of daily living. The subjects of this study were 30 stroke patients who were admitted to Te-Bong hospital from November, 2002 to March, 2003. The subjects were administerd an MMSE as a cognitive assessment and an MBI as a functional assessment upon referral to physical therapy initially. The results were as follows: 1. The MMSE scores for the stroke patients were related to the patients' abilities to perform their activities of daily living. The changes of MBl scores significantly correlated with the changes of MMSE scores (p<.05). 2. The subjects with left hemispheric lesion scored higher in MMSE than those with right hemispheric lesions (p<.05). 3. The hemispheric lesions did not significantly affect the activities of daily living score (p>.05).

Objectives : To develop a basic ADL instrument for persons with stroke, reflecting our cultural values. Method : The ADL instruments that have been developed previously were gathered, excluding the ADL items, which lowered the validity of the instrument. We surveyed occupational therapists on the values of basic ADL with a total of thirty-four item cards. The value of ADL was measured by Q sorting technique. And ninety-eight patients with stroke were evaluated to gain final items selection and weighted items. Results : Ten items for inpatients were selected. For inpatients, functional ambulation at indoor was weighted to four times; the excluded items using proper utensils, and cleaning mouth were weighted to two times. Conclusion : We developed a basic ADL instrument for inpatients and the range of score of each instrument was 0∼80. The internal consistency for inpatients was high (Cronbach α=0.94). However, further study requires the concurrent validity, construct validity and the test-retest reliability of the present ADL items.

The purpose of this study was to investigate the changes of the activities of daily living (ADL) by the motor learning program for upper extremity in stroke patients. The subjects were sixty-two members who were treated at the department of occupational therapy. The ADL were measured with Functional Independence Measure (FIM). The result's were as fol1ows; 1. The ability to perform daily activities after treatment was significantly increased independent of age, gender, cause, affected side and speech disability (p<.01). The differences between the pre-treatment and the post-treatment was no significant correlation to sex, cause, affected side and duration of treatment, but the speech disability was significant. Therefore the pre-treatment scores and post-treatment scores were significantly different. 2. The variation of the pre-treatment and the post-treatment in the detail item to the performance of daily life of the stroke patients through the upper extremity motor learning program was significantly increased in self-care, sphincter control, locomotion, mobility, communication and social cognition (p<.01) Consequently, The motor learning program for upper extremity significantly improved the performance level of all ADL areas in stroke patients.

The purpose of this case is to find effectiveness of improvement of cognitive function with head injury patients through Computer-Assisted Cognitive Rehabilitation(CACR) program within various training programs. The subjects were three inpatient persons with head injury on Rehabilitation Hospital in Yonsei University and aged 28 and 14 and 2 woman and another man. It was used PSS CogRehab program during 15 days. Cognition, perception and activities of daily living(ADL) were compared pre-CACR with post-CACR by LOTCA, MVPT and MBI. According to this case study, in spite of short-term period, the subjects had changed of performance skills of cognition, perception and activities of daily living. Results were as follows : 1. LOTCA score of 3 cases showed increasing change after CACR performance, especially perception and visuoperception organization were increased. 2. Raw score was increased and processing time was controlled adjustable of MVPT within 3 cases. 3. MBI score of 3 cases were improved, especially dressing, feeding and toileting were improved each one step.

This longitudinal study of CVA patients has two parts: the first with 50 subjects and the second with 24 subjects. The first part of study shows that in making a prognosis of the early stage of CVA, the factor of visual neglect is most critical. The second part suggested that I-ADL is a better criteria than ADL for long-term CVA patients. 1) In the first study, the 50 subjects, hospitalized in the Department of Rehabilitation Medicine, Korea University Hospital from January 1998 to December 1999, were divided by the result of their MVPT (Motor Free Visual Perception Test) into two groups: one with visual neglect and the other with no visual neglect. In terms of ADL (Activities of Daily Living), the group with visual neglect significantly scored less that the group with no visual neglect. This result strongly supports the hypothesis that the factor of visual neglect is closely related with the CVA patients’ progress of ADL. 2) After two years, the follow-up study on remaining 24 clients (4 deceased, 22 unreachable) has been conducted in an attempt to identify any significant differences of the progress of ADL and I-ADL (Instrumental Activities of Daily Living) between two groups: neglect and neglect-free group. At this time, the ADL of both groups have remarkably improved with no significant difference between groups. However, both groups still scored significantly low in I-ADL. 3) These results lead us to the conclusion that only in the early rehabilitation period, the factor of visual neglect is very useful to predict a prognosis of the CVA patients. In addition, it is reasonable to suppose that rehabilitation for the chronic CVA patients should be guided by I-ADL rather than ADL.

Activities of daily living (ADL) and instrumental activities of daily living (I-ADL) are tasks of self-care, functional mobility, functional communication, home management, and community living that enable an individual to achieve personal independence. The purpose of this study were to investigate the effect of factors on ADL in stroke patients and to identify the relationship between the function of upper extremities and ability of ADL. Thirty-one stroke patients participated in this study. The results of this study were as follows: 1) There were significant functional gains between admission and discharge on the MFT score, dexterity, and the motor FIM(p<0.01). 2) There were moderate correlation between MFT score of the non-affected side and motor FIM score at discharge(r=0.499, p<0.01) and high negative correlation between dexterity of non-affected hand and motor FIM score at discharge(r=-0.704, p<0.01). 3) There was a significant difference on motor FIM score among academic background groups (p<0.01). 4) There was no significant difference on motor FIM score among caregiver groups (p<0.01). 5) Four factors were found. one factor comprised dexterity of non-affected hand at admission and discharge and duration of treatment. Two factor comprised MFT of non-affected side at admission and discharge and academic background. Three factor comprised MFT of affected side at admission and discharge and caregiver. Four factor comprised sex and affected side.

The purpose of this study were to investigate the independent ADL (Activities of Daily Living) level of elderly people using a questionnaire made up of a mobility scale, two basic ADL measurement tools, and an instrumental ADL measurement tool, and to differentiate between the levels according to various performance environments. The subjects were elderly people (over 60 years) who live in Wonju City (pop.240,000). A survey tool made up of 110 items was used for this study and the quiestionnaire was completed by 7 investigators who interviewed the respondents at gatherings for the elderly. The results were analyzed according to gender, 3 age groups (60-69, 70-75, and over 76), comfortable position preference (floor sitting or chair sitting), and housing type (detached house or apartment) by non parametric statistics, Kruskal-Wallis and Mann-Whitney U tests. The results were as follows: 1. According to age group, basic ADL dependence level was not significantly different in ‘cleaning house’, ‘travelling’, ‘street crossing’, ‘hospital visiting’, and ‘walking around’. Women were more significantly dependent than men in instrumental ADL: ‘going to the post office’, ‘driving’, and ‘street crossing’, but without significant difference of dependence level in basic ADL. 2. According to position pattern, dependence level was not significantly different for ‘face washing’, ‘hair washing’ or ‘foot washing’. At rest, people sitting on the floor were more dependent in instrumental ADL items only for ‘shopping’ and ‘attending religious services’. People living in detached houses reported significantly more difficulty using the toilet than those in apratments. 3. The most sensitive items for evaluating functional independence of the elderly were: ‘using the telephone’, ‘face washing’, ‘hair washing’, ‘foot washing’, and ‘bottle opening’ in basic ADL, and ‘hospital visiting’, ‘travelling’, and ‘street crossing’ in instrumental ADL. The Cronbach α value of mobility, basic ADL, instrumental ADL were 0.87, 0.86, and 0.91, respectively. To evaluate the ADL of old age, we have to use evaluation tools suitable to the Korean culture. The most useful items were ‘telephone use’, ‘face washing’, ‘hair washing’, ‘foot washing’, ‘bottle opening’ in basic ADL, and ‘hospital visiting’, ‘travelling’, and ‘street crossing’ in instrumental ADL. Especially, instrumental ADL is more valuable than basic ADL in evaluating old age. It is more important in evaluating the practical aspects of life in old age to consider housing and living patterns because there are some ADL items which are affected by comfortable sitting preference and housing style.

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 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.

The present study was surveyed for the normal meal and particular folk meal in east cot area in Kyungpook province, Pohang, Youngduk, and Uljin areas. The results are as below: Most subjects for surveying were 30-40 years old and permanent residents in those areas. For the normal meal, the boiled rice was the top main dishes among 18 main dishes. The folloing upper five main dishes were boiled bean rice, boiled barley rice, boiled miscellaneous cereals rice, noodles, and Bbimbab (miced rice with cooked various vegetables and meats). Less frequent main dishes were raw fish Bbimbab and the various fish soups etc. The two upper side dishes, out of 17 surveyed ones, were kimchi and soybean paste soup. Twelve dishes(about 70%) out of 17 side dishes, the loach soup, the marinated and fermented raw fishes (fish Sikhae'), the baked mackerel, the pickled fishes, the friedsardine, the green seaweed, and the quid, etc. were made from the sea products. For the particular folk meal, about 30 kinds of the specific folk food items of this area were surveyed: Gudungchi' Sikhae', which was made with seaweed, out of the 11 kinds of fish Sikhae', raw fish(Whae') in water, Sigumjang', a salty agar, a steamed seaweed which was covered with the flour or bean power the various kinds of fish soups, the various kinds of fish stews were the particular folk side dishes in these areas. The dietary habit in these east coast areas were affected by the various sea food products, the fishes and the seaweeds, which were acquired easily through four season in these area.

The purpose of this paper is to evaluate the fact that rehabilitation therapy helps stroke patients in the area of activities of daily living(ADL). The ADL evaluation tool used in this study is the modified Barthel Index. The subjects were 71 stroke patients who admitted rehabilitation department of Samsung Medical Center from January to September 1997. All subjects received rehabilitation therapy. The sbuject's ADL were evaluated on admission and again at the time of discharge. The results follows : 1. Using the modified Barthel Index, revealed on admission 38.26 points at discharge 68.73 points. 2. Severe disability(Barthe1 score 60 or less) were reduced from 84.5% on admission to 29.6% at discharge. Very severe disability(Barthe1 score 40 or less) were also reduced from 66.2% on admission to 12.7% at discharge. 3. The degree of change in each area of the modified Barthel Index were measured. There was an overall positive change during the admission period. The greatest change occurred in the category of dressing and transferring. The least change in donning & doffing a brace and wheelchair mobility. The modified Barthel Index used to assess the change in ADL function of stroke patients woulds seem to be very useful method. And there should be a focus on the recovery of ADL function in stroke patients receiving rehabilitation therapy.