KJC Korea
Journal Central

Objective : The purpose of this study is to determine the impact of assistive device on the perform in ADL and life satisfaction. Methods : From August 1 through August 31 in 2004, the researchers visited forty physical disability people who reside in Gyeong-nam Gimhae-si to evaluate ADL using survey. The six researchers, who already finished all of FIM(functional independence measure) evaluation, individually interviewed the subject. The survey consists of 9 general character questions, 7 assistive device questions, and 3 satisfaction of life questions. Especially, the satisfaction of life questions based on 5 point scales by rehabilitation medical service, family support level, and participation level in the country. Results : Whether the subjects use assistive device or not, there was no difference to the subject's ADL skills. According to the subject who do not use the assistive device, there were statistically no difference at all in their satisfaction of rehabilitation medical service. However, according to the subject who use an assistive device with family support and participation in the country, they all showed high satisfaction (p<0.05). Conclusion : When the people with physical disabilities use the assistive device, family support and participation in the country highly effected in their satisfaction (p<0.05). Therefore, future study should investigate more people with physical disabilities who use an assistive device by considering regional characteristic.

Need on Home-Based Occupational Therapy for Persons With Stroke

Objective : The purpose of this study was to investigate the effect of knowledge of results (KP) and performance of results (KR) on motor learning in adult with mental retardation. Methods : One female subject participated in experiment. The study employed alternative treatment design. The learning tasks were two different typing with functional independence. Subject practiced typing provided with knowledge of results and performance in motor learning skill after baseline measurement. Performance time and error(%) were measured and analysed at baseline, immediately after practice, 1 hour later after practice, and 2 days later in the end of practice for retention. Results : Performance time and error were decreased after applying both interventions. Immediately after practice, the reduction of performance time was increased in KP more than in KR. But, in 1 hour later after practice, and 2 days later in the end of practice, the reduction of performance time was increased in KR more than in KP. The percentage of error reduced in KR more than in KP at all sessions. Conclusion : The practice with KR facilitated and maintained motor learning skills more than with KP. It suggest that practice with KR is desirable for improving of motor learning skill in adult with mental retardation.

Objective : The purpose of this study was to research velocity of reaching and spatial coupling of upper extremity during various bimanual reaching target activities. Methods : Experiments were performed on 30 subjects. They had no medical history of neurological and surgical problems with their arms and right handed persons. Using regular cups and a pen, they moved the cup and pen from one point to another.Reaching target activities: (1) to reach for and grasp a cup and then place on the other spot with only left hand, (2) same activity to the first activity with both hands simultaneously, (3) while doing same activity to the first activity with left hand, to reach for and grasp a pen and then place on the other spot in front of the with right hand, (4) while doing same activity to the first activity with left hand, to reach for and lift a cup and then place on the cabinet.We analyzed the peak angular velocity in elbow motion and displacement in wrist position using 3-D motion analysis system. Results : The peak angular velocity was increased significantly in #2 task comparing to in #1 task. The peak angular velocity was decreased significantly in #3 task comparing to in #2 task. The displacement from the table in Z-axis was increased significantly in #4 comparing to in #2. Conclusion : The result showed that bilateral activity enhanced angular velocity in elbow motion during upper extremity task. and the movement with one upper extremity affected the other. This is the basic study for improving reaching performance in people with neurological disease.

Objective : The purpose of this study is to make clear the evaluation and intervention of life-style on occupational therapy and to provide therapist with important information for planning and managing client's life-style. Methods : A researcher analyzed time use with 'Time-table' which divided thirties minutes for each occupational areas. A research person investigated the scales of importance and satisfaction for time use of each occupational areas, self-esteem and occupational performance and Correlations about one another. Results : The result of study explained that the more severity of disability, the more time ADL was needed. The balance among occupational areas was destroyed as disability was much. Conclusion : The improvement of time use leads healthy life-style. This result in the balance of life and increase self-esteem. The analysis and re-built is the important mission of occupational therapist who manage client's whole life.

Objective : This study was designed to investigate the relationship between visual ability and balance ability in hemiplegic patient.Methods : From July to August in 2003, we have performed MVPT, Berg balance test, One-legged Standing test on 35 hemiplegic patients who were diagnosed as stroke and traumatic brain injury and who were under Occupational Therapy in 4 university hospitals in Daejeon area. Collected data were analyzed by the independent t-test, pearson test and multiple regression.Results : The correlation coefficient r = 0.493 between the Berg Balance Test and the visual perception ability test, which indicates high correlation between visual perception ability and dynamic balance sustain ability. (p<0.01).As for the correlation between the one-leg standing test and the visual perception ability test, r=0.407 in the case that the subjects open their eyes and support themselves on the unparalyzed side of the body, r=0.345 in the case that the subjects close their eyes and support themselves on the unparalyzed side of the body, and r=0.332 in the case that the subjects close their eyes and support themselves on the paralyzed side of the body. These results indicate that there is a correlation between visual perception ability and static balance sustain ability (p<0.05).Conclusion : These results show that visual perception ability affects balance sustainability for hemiplegic patients. Therefore, visual perception ability of the patients should be evaluated in the early stages, and functional prognosis of the patients should be predicted, and the patients should be subject to visual perception ability training programs, thereby leading to anticipation of more effective rehabilitation treatment.

Objective : The purpose of this study is to investigate the hypothesis that proprioceptive stimulation may be effective in the visuoperception of cerebrovascular accident patients, using visuoperceptual measures. Methods : The data was obtained from 25 patients who had suffered stroke and who were treated in a university hospital from April 1st to August 31th, 2004. Subjects were examined with the Motor Free Visual Perception Test(MVPT). There were experimental runs with and without vibratory stimuli applied to the hemiplegic forearm serving as proprioceptive stimulation. Results : Muscle vibration sped up the visuoperception speed during applying it, but did not increase visuoperception itself. The more delayed visuoperception speed, the more vibration shortened processing time. Conclusion : In conclusion, vibration sped up the visuoperception speed in stroke patients. Therefore, applying vibration to cognitive rehabilitation on the stroke patients may improve their perceptual function.

Object: This study was design to collect Korean normative data of VALPAR Component Work Sample and to identify the application possibility of Meets in performance and work hardening program through level of work adaptation and work rate described in manual. Methods: 50 university students(30 males, 20 females) performed VALPAR Component Work Sample 2 twice. The rate of work adaptation(Does not meet(A), Does not meet(B), Meets, Meets may exceed) and agreement between two administration(assembly and disassembly) were assessed. Results: In men subjects, 15(50%) in Meets may exceed, 14(47%) in Meets, 1(3%) in Does not meet(A). There were 97% of subjects performed above Meets in trial(total time of two administration). In Women subjects, 3(15%) in Meets may exceed, 14(70%) in Meets, 3(15%) in Does not meet(A). There were 85% of subjects performed above Meets in trail. Conclusions: Valpar Component Work Sample may be used to determine subjects who were need to join in work hardening program and to decide objectively function level of injured worker.