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2009, Vol.17, No.2

  • 1.

    A Study of the Relationships Between Perceived Rehabilitation-motivation and Quality of Life in Patients After a Cerebrovascular Accident

    유영열 | 안창식 | 2009, 17(2) | pp.1~16 | number of Cited : 50
    Abstract
    Purpose : This study is designed to shed light on the relationships between perceived rehabilitation-motivation and quality of life in patients after a cerebrovascular accident. Method : The data were collected from 5 rehabilitation medical centers in the Seoul and Gyonggi-do districts from Dec. 2008 to Jan. 2009. The data were analyzed using an SPSS 10.0 program for descriptive statistics, Pearson correlation coefficients, and multiple regression analysis. Result : The results are as follows: For mean rehabilitation-motivation, the total score was 10.81, while for mean quality of life, the total scores was 14.94. The positive rehabilitation-motivation was influenced by the onset of patient status (F=2.701, p=.015), education level (F=6.532, p=.000), economic status (F=4.668, p=.001), while the negative rehabilitation-motivation was influenced by medical insurance forms (F=3.490, p=.009), economic status (F=4.155, p=.003), and education level (F=7.209, p=.000). Also, expectations regarding the medical institution & the social support were influenced by sex (F=2.281, p=.024), age (F=3.827, p=.001), medical insurance forms (F=4.485, p=.002), education level (F=11.332, p=.000), and economic status (F=4.776, p=.001). The quality of life in patients after a cerebrovascular accident was influenced by medical insurance forms, education level, and economic status (p< .05). As a result, the more quality of life in social health increases, the more rehabilitation-motivation is influenced (beta .680). Second, is the general quality of life (beta .285), while third is physical health(beta -.250). Conclusion : This study shows that there is an affinity between perceived rehabilitation-motivation and quality of life in patients after a cerebrovascular accident, particularly relationships between quality of social health and rehabilitation-motivation. Therefore, we should come up with programs to provide patients after a cerebrovascular accident so that they can increase their quality of life in social health.
  • 2.

    The Effects of Electrical Stimulation on the Neck Muscles of Patients With a Swallowing Disorder Caused by a Stroke

    신수정 | Jung Min-Ye | 유은영 and 3other persons | 2009, 17(2) | pp.17~28 | number of Cited : 6
    Abstract
    Objective : The purpose of this study is to investigate the effects of electrical stimulation on the neck muscles in the swallowing function of stroke patients with dysphagia. Methods : Eighteen stroke patients who are able to understand verbal commands and express themselves were recruited, based on the video-fluoroscopic findings of their swallowing difficulties. After two weeks of an observational period for spontaneous recovery, electrical stimulation during a one hour session each day, five days a week for four weeks was applied to the patients' neck muscles (digastic M., thyrohyoid M.). Their swallowing functions were evaluated using a functional dysphagia scale and pharyngeal transit time with a video-fluoroscopic swallowing study. The author compared the above initial data with the every- two-week follow-up data using a paired t test and repeated ANOVA measure, of which a significant level is below p=.05. Results : There was no natural recovery during the control stage (p>.05). After terminating treatment, the participants showed significant improvement in the functional dysphagia scale (p=.000) and had significantly reduced residue in their valleculae and piriform sinuses (p<.05). However, pharyngeal transit time did not show any difference between pre- and post-treatments (p>.05). Conclusion : These results suggest that electrical stimulation has positive effects on swallowing disorders caused by brain injuries and can be clinically used as a safe treatment method for dysphagia. In future studies, a long-term treatment of more than four weeks with a follow up should be conducted.
  • 3.

    A Study of the Relationship Between Post-stroke Depression, Acceptance of Disability, and Social Support

    방요순 | 허명 | Kim, Hee-Young | 2009, 17(2) | pp.29~40 | number of Cited : 24
    Abstract
    Objective : This study aims ascertain the influencing factor of post-stroke depression, and the relationship between post stroke depression, acceptance of the disability, and social support. Methods : For this research, 83 stroke patients were surveyed using a Short Geriatric Depression Scale, MOS Social Support Scale, and acceptance of disability scale, and assessed using an MMSE-K(Mini-Mental State Examination for Koreans) and Functional Independence Measure(FIM). Eighty of the surveys were used. Results : The manifestation of depression is significantly different for stroke victims according to gender, age, religion, family type, care giver, monthly income, therapy fees, and speech disorder. There are significant correlations with education, speech disorder, acceptance of disability, social support, and post-stroke depression. The most powerful factor of post-stroke depression is acceptance of the disability, and the next is social support. Conclusion : In managing the acceptance of one's disability, social support will be helpful to reduce post-stroke depression.
  • 4.

    Restructured New Daily Living- A Study on the Participation of Older People With Disabilities in an Adult Daycare Program -

    Seulgee Kim | 2009, 17(2) | pp.41~53 | number of Cited : 3
    Abstract
    Objective : The purpose of this study is to understand and explain the experiences of participation of older people with disabilities in an adult day-care program. Through this study, we found ground materials for pre paring support programs that promote elderly disabled peoples' adaptation to adult day-care and the roles of occupational therapy to be considered in such care. Methods : A qualitative research was conducted to understand the experiences of the elderly in an adult daycare center. This study collected data through in-depth interviews with participants, participant observations, field notes, and program diaries from December 1st, 2005 to April 30th, 2006, and analyzed them using the grounded theory method. Results : In the analysis, 115 concepts, 12 categories, and 34 subcategories were emerged from the raw data, and all are constituted on the paradigm model. ‘Reconstructed new daily livingʼ was the care category in this study and was found to be related with the change of two factors: daily routine and social network. The part icipants showed three types of participation: dependent participation, independent participation, and interdepen dent participation, and each of the participation types showed differences in expectation, meaning of activity, and interactions with peers. Conclusion : This study explained the significance of the participation of the elderly in an adult care center, and provided strategies for occupational therapy intervention to enhance their participation.
  • 5.

    The Effects of Sensory Integration Therapy on the Persistent Preoccupation in a Child With Autism Spectrum Disorder

    Lee, Na-Hael | park woong sik | 이상헌 | 2009, 17(2) | pp.55~64 | number of Cited : 7
    Abstract
    Objective : This study was aimed at identifying the effects of sensory integration therapy on the persistent preoccupation of a child with autism spectrum disorder. Methods : A 5 year-old child with autism spectrum disorder and continuous preoccupied behavior was selected as a treated subject according to the purpose of this study. Among the single subject design of the study, the research method used an A-B design, and free play for 20 minutes was video recorded 3 times as a basis step. For the intervention step, 20 minutes of free play after a 40 minute intervention was video recorded 8 times. The resulting data is presented in the table and frequency graph and was analyzed visually. Results : The average frequency of the continuous preoccupied behavior decreased at the intervention step, more than at the basis step, and the continuous preoccupied behaviors showed a decreasing tendency as the treatments in the intervention step progressed. Conclusion : This study shows that the sensory integration therapy is effective in reducing continuous preoccupied behavior of children with autism spectrum disorders.
  • 6.

    The Correlation Between the Value of Play and Play of Choice for School Age Children

    최지혜 | Kyeong-Mi Kim | 정수연 and 1other persons | 2009, 17(2) | pp.65~78 | number of Cited : 3
    Abstract
    Objective : The purpose of this study is to determine the correlation between the value of the play and play of choice for school age children in Korea. Method : From October 19 to October 20 in 2007, three researchers randomly selected 204 school age children (4th to 6th grade) in Gyeong-nam, Gimhae city, and analyzed them. Analysis of the data was done using ANOVA and a correlation analysis. Results : The results of the research are as follows: For the frequency of a child's play of choice, playing a computer took was first with 139, and watching TV was in second with 117. The values of play the children received appears as follows: emotional value (20.0 ± 3.53), social value (17.2 ± 4.08), physical value (15.3 ± 3.81), and cognitive value (13.7 ± 4.77). For the results of play of choice, the values of playing differ in accordance with the child's sex, type of house, and number of academies attended. In the relationships between value of play and play of choice, significant differences appear between soccer and physical value, drawing pictures and cognitive value, reading comic books and emotional value, cognitive value. Conclusions : In this research, we assumed that there is a relationship between value of play and play of choice. By the results in relationships between value of play and play of choice, there appeared a significant difference in the areas of soccer and physical value, drawing pictures and cognitive value, reading comic books and emotional value, cognitive value. Thus, the result of this research will be useful in showing the relationship between significant elements of elementary school student's playing value, value of play, and play of choice.
  • 7.

    The Actual Demand and Use Pattern of Assistive Devices Among Employers Hiring Workers With Disabilities

    Jung Min-Ye | Park Hae Yean | No-yul Yang and 3other persons | 2009, 17(2) | pp.79~89 | number of Cited : 7
    Abstract
    Objective : The purpose of this study was to describe the actual demand and use pattern of assistive devices among employers hiring workers with disabilities. Methods : This study was conducted using 1054 enterprises registered in a ʻJob Information Systemʼ. The question retrieval method is post and e-mail. The post retrieval ratio is 13% and the e-mail retrieval ratio, which became clogged down, is 10.7%. Finally, the questionnaires of a total of 121 respondents were analyzed. The study period was from October to December, 2008. Results : Employers (36.3%) who experienced assistive device support are currently using 17 items of office assistance, 25 items of information access, 80 items of work utensils, and 2 items of communication. They also expressed additional support demand for 5 items of both locomotion and ADL, 3 items of visual devices, 2 items of both hearing and hand devices, and 1 item of communication. The percentage of recognition of the Assistive Technology Center among the employers (63.6%) who did not experience assistive device support was 31.5%, and 58.4% of the employers replied that they will use Assistive Technology Service. When they choose an assistive device, they consider its effectiveness, handiness, and safety. Employers want an Assistive Technology Service to expand the support estimate, expand the equipment type, number, and assessment, and support the work place environment. Conclusion : We identified that employer service utilization of the Korea Employment Promotion Agency for the disabled(KEPAD). Assistive Technology is low. Not only did they have little understanding of the Assistive Technology support, but their intention to use the service was also low. They believe that important Assistive Technology matters are a support estimate, and expanding the equipment type and number. So, in order to use Assistive Technology, KEPAD must make employers recognize Assistive Technology.
  • 8.

    The Effects of Implementation of Tinted Eyeglasses on Concentration Through EEG Examination

    Jaeshin Lee | Ju Hyun Jeong | Kim, Ji-Jyun and 4other persons | 2009, 17(2) | pp.91~104 | number of Cited : 11
    Abstract
    Objective : The purpose of this study is to investigate changes of attention in elementary school students based on the color of their eyeglass lenses. Methods : This study was conducted using a Computerized Neurocognitive-function Test(CNT) and measured Electroencephalogram (EEG) to investigate changes of attention based on the eyeglass lens color of the subjects. A total of 30 1st to 4th grade elementary school students living in W-dong, Daejeon Metropolitan City were tested. The CPT was measured a total of five times, when glasses with no tint were worn, and when red, yellow, blue, and black tinted glasses were worn. Results : Based on the EEGs taken during the CPT, which compared cases when glasses with and without tinted lenses were worn, and the lens color when tinted glasses were used, each of 4 areas, relative alpha, beta relative, learning, and attention, showed levels of p< .05 , with statistically significant differences. Conclusion : Black and blue tinted lens glasses are expected to have a positive influence on attention.
  • 9.

    A Review on the Use of a Goal Attainment Scale as Measurement Tool for the Effectiveness of Rehabilitation Intervention of Children

    최유진 | Kyeong-Mi Kim | 2009, 17(2) | pp.105~114 | number of Cited : 9
    Abstract
    The current climate in health care is increasingly raising the notion of evidence-based practice, and emphasizes the suggestion of evidence regarding the effectiveness of intervention. The importance of measuring the change after a period of intervention based on individualized intervention goals has increased. Therefore, measurements are also individualized depending on the severity of disability, intervention goals, and diversity of treatment. A Goal Attainment Scale (GAS), described as an individualized-measurement tool and criterion- referenced measure of change, can be applied to variable intervention goals and settings. Although there are several positive and negative attributes, the sustained use of GAS in the preceding research will be a testimony to its clinical utility. For review results of an experimental study with children, GAS is used for measuring the activity and participation in an ICF model. In the majority of studies, GAS is used for the effectiveness of intervention in children with cerebral palsy.