KJC Korea
Journal Central

Objective : The purpose of this study was to investigate the difficult activities and the important activities in the daily living at home for elderly people by gender and age. Methods : We chose 49 elderly people who were over 65 old and inhabited in Kimhae city. For the assesment of this study, we used a questionnaire about general trait of characters and difficult and important ADL for elderly people based on Occupational Therapy Practice Framework Domain and Process(2002). We used interview method to get the information. Results : The most difficult ADL ranked from the first to the forth were as follow, cleaning, health management and maintenance, meal preparation and cleanup, bathing and showering. Functional mobility and laundry both ranked the fifth. In difficult ADL, Meal preparation and cleanup, bowel and bladder management, cleaning were made significant differences by gender. and personal hygiene was made by age. The most important ADL ranked from the first to fifth were as follow, health management and maintenance, eating, personal hygiene, bowel and bladder management and bathing and showering. In important ADL, Meal preparation and cleanup were made a significant difference by gender. and personal hygiene and laundry were made by age. Conclusion : We recognized that these elderly people had investigate that the difficult activities and the important activities in the daily living at home by gender and age. When we apply training in the clinical settings and develope new product for elderly people, the difficult and the important ADL should be considered by gender and age.

Objective : This study examines the relationship between the Allen Cognitive Level Screen(ACLS) and the Mini Mental State Examination-Korean version(MMSE-K). Methods : For this investigation, we chose 50 old people who were over 60 years old (60 ~89), and inhabited in Wonju city. Two proficient occupational therapists(1st, 2nd author) administered ACLS and MMSE-K separately. Results : Correlation between the ACLS and the MMSE-K was significant, which result was Pearson correlation r=.427(p<.005). ACLS shows revers correlation with age(r=-.417) and correlation with education duration.(r=.359) Correlation between age was significant(F=7.935), and correlation between sex, education duration were statistically insignificant. Conclusion : The result of this study suggests that both ACLS and MMSE-K are valid and sensitivity measurement tools in evaluating cognitive 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.

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 : This study investigated differences in parenting stress and the quality of life on disabled types and the relationship between parenting stress and quality of life. Methods : 115 children(3 to 7years of age) received occupational therapy intervention in rehabilitation hospitals or welfare centers for disabled persons at Seoul, Kyung-gi province. Their mothers were given Parenting Stress Index(PSI) to assess the parenting stress and the quality of life scales to assess the quality of life. Results : The total PSI scores of psychological disorders were higher than the other groups. A significant difference was found in parenting stress on the disabled types. Psychological and physical disorders group was a negative relationship between parenting stress and quality of life, but mental retardation group was not correlative. Conclusion : The study showed that clinicians must develop appropriative programs and social supports to decrease parenting stress and increase quality of life for their parent.

Objective : This study was conducted to assess the changes in knee joint angle, distance of independent walking, and occupational perfomance and content after treating child with spastic plantar flexion by using functional foot orthosis(FFO). Methods : Design was a single-subject experimental reversal design(A-B-A) conducting 18 sessions. Knee joint ROM, distance of independent walking were measured before and after application of FFO. Also, COPM was performed with care person. Results : Compared baseline, knee joint angle was decreased and distance of ambulation was increased. In addition, both content and performance of COPM was significantly improved. Conclusion : Application of FFO on child(CP) with mild spastic is considered to be effective in fucntional level, alignment and independent gait, and quality of life based on COPM

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.

The korea is aging society and older adult's healthy and independent life is getting more necessary and important. Falls are the most serious health problems in elderly population. It lead to premature death, physical injury, immobilization, psychological problems, social limitation, and long-term disability. Consequently, prevention of falling is important about personal quality of life as well as decrease of social resource. The purpose of this article was to review risk factor and intervention that minimize risk of falling. Risk factors for falling are classified as intrinsic or extrinsic. Increased age, a history of falls, impaired balance, poor muscle strength and slow walking speed are examples of intrinsic factors. Other intrinsic risk factors include age-related physiologic changes and chronic conditions of various body systems. The external approach for falling is home modification of architectural barrier by occupational therapist. Older adults benefit from exercise of various type, including muscle strengthening exercises, flexibility training, aerobic exercises, walking to increase muscle strength and to improve balance and gait velocity. The various assistive devices and protective equipments used for prevention. Beside, emotional and cognitive behavioral approach help prevention. Falling is due to complex causes and therefore, prevention is required comprehensive approach.