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2009, Vol.17, No.3

  • 1.

    The Comparison of EEG Activity by Computer Assisted Cognitive Rehabilitation Program in the Normal Elderly and the Elderly With Dementia

    강원구 | kim su kyoung | 강민희 and 2other persons | 2009, 17(3) | pp.1~13 | number of Cited : 25
    Abstract
    Objective : The purposes of this study were to look at the activation of the brain and to compare the normal elderly with the elderly with dementia after applying to the computer assisted cognitive rehabilitation program( Rehacom). Methods : The subjects were divided into two groups (elderly group without dementia) based on the MMSE-K and K-DRS. The subjects gazed at a point on a computer monitor during EEG measurement for 3 minutes as pretest. The subject ware then trained by AUFM (attention task mode) in computer assisted cognitive rehabilitation program. After 20 minutes or computer training, the subjects again gazed at a point on a computer monitor during EEG measurement for 3 minutes. Results : Dementia group improved in mean score, but there was not a significant change. The normal elderly subjects significantly increased in activity guotient (low beta/theta) for Fp1, F3, F4, T1, P3 and in attention concentration quotient (SMR/theta) for F4(p<.05). A significast difference betweer dementia graup and elderly group without dementia was found for F3, F4, F4, T1, T2, F4. Conclusion : The normal group showed a memningful change in frontal area. The dementia group showed an overall churge of activity, but not mearingful. This study present that the computer assisted cognitive rehabilitation program is a neurophysiologically effective method of cognitive training in the elderly. Therefore, occupational therapist should conduct research on the nature of the brain activation and specific region through the performance of computer assisted cognitive rehabilitation task.
  • 2.

    The Effects of Exercise With Cognitive Activity on Balance Performing Ability in the Elderly With Dementia

    유영열 | Yang Yeong-Ae | 2009, 17(3) | pp.15~26 | number of Cited : 10
    Abstract
    Objective : The aim of this study was to assess the effects of exercise combined with cognitive activity on balance performing ability in elderly people with dementia. Methods : The cognitive activity tools used were the reminiscence activity and the art activity. Sixty senile dementia patients volunteered to participate in the present study and were divided into three groups: the exercise with the reminiscence activity group(N=20) and the exercise with the art activity group(N=20) and exercise-only group(N=20). The period of the research was 3 months, beginning on Sep. 22, 2008 and The evaluating tools used for the present study were the Mini-Mental Status Exam-Korean (MMSE-K) and Berg Balance Scale (BBS). Results : The results of study were as follows. After 3 months, the MMSE-K and BBS total score increased more significantly for post-test than pretests(respectively, p<.05,). Two groups applied the cognitive activity increased more significantly for the balance performing ability than the exercise-only group. The cognitive ability in the exercise-only group also improved. The MMSE-K and the BBS score in the exercise combined with reminiscence activity group (group 1) showed the strongest increase cyer than other groups. Conclusion : These findings suggest that the exercise combined with the cognitive activity can be used to improve the balance performing ability in the elderly people with decreased balance ability and dementia.
  • 3.

    The Effects of Modified Constraint-Induced Movement Therapy on Unilateral Neglect and Activities of Daily Living in Stroke Patients

    김정희 | Moonyoung Chang | 2009, 17(3) | pp.27~40 | number of Cited : 11
    Abstract
    Objective : The purpose of this study is to investigate the effects of modified Constraint-Induced Movement Therapy (mCIMT) on the unilateral neglect and Activities of Daily Living (ADL) of stroke patients. Methods : A case study was utilized for four stoke patients with unilateral neglect. Unilateral neglect was measured using a Motor-free Visual Perception Test (MVPT), Line Bisection Test, Star Cancellation, and Catherine Bergego Scale. ADL was also measured using a Canadian Occupational Performance Measure (COPM) and Motor Activity Log (MAL). Results : The MVPT pre-mCIMT raw score was 22, and the left response behavior score was 14, increasing to 26 and 17 post-mCIMT, respectively. For the Line Bisection Test, the mean length of the error distance was improved from 35.2mm pre-mCIMT, and 18.5mm post-mCIMT. The Star Cancellation and Catherine Bergego Scale showed decreased mean error scores of post-mCIMT. For the patients in mCIMT, improvements of mean Amount Of Use (AOU) and Quality Of Movement (QOM) of MAL were 123% and 44%, and improvements of mean COPM satisfaction and performance scores were 3.90 and 3.05, respectively. However, the results showed no statistically significant improvement between pre- and post-mCIMT (p>.05). Conclusion : As the results of this study, while mCIMT showed a positive effect on the reduction of unilateral neglect, and also improved ADL for stroke patients, it failed to show a statistically significant improvement. It will be very useful to do a clinical intervention if mCIMT is proven as an effective application throughout more case-control studies with greater sample sizes.
  • 4.

    The Correlation Between Depression, Motivation for Rehabilitation, Activies of Daily Living, and Quality of Life in Stroke Patients

    김형선 | 정진화 | Woo, Hee-soon and 3other persons | 2009, 17(3) | pp.41~53 | number of Cited : 53
    Abstract
    Objective : The purpose of this study is to analyze the correlation between depression, motivation for rehabilitation, Activities of Daily Living (ADL), and quality of life in stroke patients, and to improve, their quality of life by providing clinical intervention technigues for staff members assisting stroke patients in the fields of medicine and social welfare. Methods : This investigation was performed using 123 stroke patients who obtained 24 points and above on an MMSE-K: some of them were being hospitalized or treated as outpatients at 14 general hospitals, 2 rehabilitation hospitals, or 1 community rehabilitation center. In order to measure their depression, motivation for rehabilitation, activities of daily living, and quality of life, the researcher used BDI, an instrument to measure diabled patient's motivation for rehabitation, as well as an MBI and SS-QOL. Results : The quality of life of stroke patients was negatively correlated with their depression (p<.001) and positively correlated with their ADL (p<.001). Among the sociological characteristics of the population, the factors affecting their quality of life were depression (p<.001). ADL (p<.001), and monthly income (p<.05). These variables explained 47.9% of the aspects of their quality of life. Conclusion : These findings suggest the following alternatives to improve the quality of life of stroke patients. Early diagnosis and intervention in psychological and emotional problems such as depression and anxiety are necessary for their rchabilitation after their first stroke, ana thus we need to make an effort to eliminate negative factors in their reuality of life. Also, practitioners need to provide the opportunity for vocational rehabilitation for their patients. These support methods can provide various programs that will help patients create a secondary goal-directed and intrinsic motivation for themselves.
  • 5.

    The Effects of Dysphagia Management Education on Knowledge, Practice, and Stress of Family Caring for the Patients With Post-stroke Dysphagia

    방요순 | Kim, Hee-Young | 손경현 | 2009, 17(3) | pp.55~65 | number of Cited : 3
    Abstract
    Objective : The purpose of this study was to investigate the effect of dysphagia management education on the knowledge, practice, and stress. Methods : The subjects(education group: 39, control group: 39) were randomized selected among post stroke dysphagia patients. Before their education, their knowledge was significant relations with family type, hours of daily care; their practice was significant relations with age, monthly income, disease and stress had a significant relation with age. Results : Knowledge and practice were significantly increased based on education but stress did not. Control group showed no significant differences. After the education, their knowledge showed significant relations with feeding type, total duration of care work. Practice had significant relations with health status, disease, and feeding type. Also, there was no significant relations between the knowledge, practice and stress. Conclusion : The findings of this study suggest that the dysphagia management education for families caring for the post stroke dysphagia patients is effective for improving knowledge and practice.
  • 6.

    A Study of the Status of Dysphagia Rehabilitation Conducted by Occupational Therapists in Korea

    Woo, Hee-soon | Kiyeon Chang | 차태현 and 1other persons | 2009, 17(3) | pp.67~77 | number of Cited : 18
    Abstract
    Objective : This study has been conducted to identify the status of dysphagia therapy by occupational therapists in Korea, and to provide a substantial material for development of dysphagia therapy. Methods : This study analyzed 137 survey questionnaires given to occupational therapist in general hospitals and professional rehabilitation hospitals, which were sent out and collected by mail from June 1, 2008 to April 30, 2009. Results : While dysphagia therapy is actively conducted by rehabilitation hospitals, care hospitals, general hospitals and university hospitals based on various therapeutic techniques nationwide, due to an improved awareness of occupational therapists and increased demand on treatment, some problems have come to light, including the amount of unattended time for designated treatment, lack of objective evaluation, and most of all, insufficient knowledge of therapists. Conclusion : At this point in time, when dysphagia therapy is being recognized as an important professional field, it is necessary to strengthen the overall professionalism through active environment improvements and acquisition of relevant knowledge. Also, further concrete and in-depth studies linked with various academic areas are necessary in order to acquire qualitative upgrade in evaluation and treatment of dysphagia.
  • 7.

    Measurement Tools for Occupational Therapy for Stroke Patients: A Systematic Review

    정혜영 | Kyeong-Mi Kim | Moonyoung Chang | 2009, 17(3) | pp.79~95 | number of Cited : 12
    Abstract
    Objective : This research looks at the usage frequency of tools used for measuring the results of occupational therapy for stroke patients based on their application fields using the classification standard of ICF models. We ascertain the necessary components to approach health and disability issues in occupational therapy. Methods : For the main key words of a database search, “Occupational therapy AND stroke” are used. We systematically examined papers published in journals from January 2001, when the ICF model was first suggested, to May 2009, using PubMed. Results : The number of discovered measurement tools for occupational therapy for stoke patients was 37, with a frequency of 69. There were no measuring tools found for body structure. The use frequency of measurement tools for body function was 37, or 53.62% of the total use frequency. The use frequency of the measurement tools for activity and participation was 32, or 46.38% of the total percentage. The results of the research show that except for body structure varying measurement tools were used. Also, we found that measurement for participation was rarely conducted. Conclusion : This paper conducted a systematic review of the research literature reporting on the measurement tools for occupational therapy for stroke patients. Since one measurement tool includes various fields, there is a limitation in classifying them in detail. However, we were able to ascertain the mediation direction of occupational therapy by classifying the fields based on the classification standard of the ICF model. It is determined that a mediation approach is needed to comprehensively access occupational therapy for health and disabilities.
  • 8.

    The Reliability and Validity of the Spinal Cord Independence Measure (SCIM) Ⅲ

    Park Kyoungyoung | 정이정 | 김정희 | 2009, 17(3) | pp.97~109 | number of Cited : 11
    Abstract
    Objective : The purpose of this study was to determine the reliability and validity of the third version of Spinal Cord Independence Measure (SCIM) in patients with spinal cord lesions. Methods : Thirty one subjects (26 males, 5 female) with spinal cord injury participated in this study. To determine inter-rater reliability, the relationship between the SCIM III scores obtained by two raters was evaluated by Kappa coefficient and in total agreement. Concurrent validity was examined by correlating the SCIM III scores to the Functional Independence Measure (FIM) scores. Results : Total agreement between raters was above 67% and the agreement of 16 items was 80% or greater among 19 items. In most SCIM III tasks, the Kappa coefficients range from .62 to 1.00. The Pearson product- moment correlation coefficients between FIM and SCIM III by two raters were .972 and .975. Conclusion : We conclude that the inter-rater reliability and concurrent validity of the SCIM III used for evaluating the activities of the daily living of the patients with spinal cord injury were high. And the application of the SCIM III will be possible nationally in the future if afterwards the test-retest reliability, and the difficulty of an item and conformance of the scale are established.
  • 9.

    A Study on Empowerment, Job Satisfaction and Organizational Commitment Perceived by Clinical Occupational Therapists

    심재훈 | 오덕원 | 차태현 | 2009, 17(3) | pp.111~120 | number of Cited : 18
    Abstract
    Objective : The aim of the study was to analyze the relationship between empowerment, job satisfaction, and organizational commitment among occupational therapists. Methods : Data were obtained from 150 occupational therapists. Subjects completed a specific questionnaire, which consisted of four parts: 13 questions for general characteristics, 12 questions for the empowerment, 20 questions for job satisfaction, and 15 questions for organizational commitment. The empowerment score collected from occupational therapists was compared with categories of the general characteristics of the subjects, and relationship among empowerment, job satisfaction, and organizational commitment was determined by using the correlation analysis. Results : The level of the empowerment perceived by occupational therapists was 58.72, and the meanings factor showed the greatest score among four categories of the empowerment. Statistical analysis for the comparison of the empowerment revealed significant differences in gender, age, educational level, employment status, marriage condition, and employment history. Significant correlations were found among the empowerment, job satisfaction, and organizational commitment (p<.05). Conclusion : The findings indicate that the empowerment of occupational therapist may be affected by various clinical situations, and it has a strong correlation with job satisfaction and organizational commitment. This study may be helpful to establish the specific strategies for improving the work efficacy of occupational therapists. This study will be warranted by further studies in this field.
  • 10.

    Adaptation of the Korean-translated Version of the Pediatric Evaluation of Disability Inventory and Cross-cultural Research; Preliminary Study

    정병록 | 유은영 | Jung Min-Ye and 1other persons | 2009, 17(3) | pp.121~132 | number of Cited : 11
    Abstract
    Objective : The purpose of this study compared functional status between a sample of non-disabled Korean children and their American peers, and established the content validation of a Korean version of the PEDI. Methods : The Korean PEDI was developed by three bilingual users who were educated in the United States. Twenty-eight non-disabled Korean children between the ages of two and five years divided into six age groups to compare functional level in the American and Korean samples. Results : The results in a five-point scale score of the content validation of a Korean version of the PEDI were the average over the 4.67 points. The normative standard scores of the self-care domain in the 2.5~2.9 age group, the mobility domain in the 2.0~2.4, 2.5~2.9, and 3.0~3.4 age groups, and the caregiver assistance part in the 2.5~2.9 age group were lower than in their American peers. The scaled scores of the mobility domain in the 4.0~4.4 age group, the social-function domain in the 4.0~4.4 age group, and the caregiver assistance part in the 4.5~4.9 age group were lower than in their American peers. Conclusion : This study indicated that there were cultural differences between Koreans and their American peers.