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2010, Vol.18, No.4

  • 1.

    A Study on Elderly People’s Level of Satisfaction With Assistive Technology Devices based on Occupational Therapy Intervention

    Moonyoung Chang | Jung Hye Young | 2010, 18(4) | pp.1~11 | number of Cited : 8
    Abstract
    Objective : In this research, the level of satisfaction among the elderly with assistive technology devices used in elderly services—which are part of long-term care insurance benefits—is examined and analyzed based on presence or absence of occupational therapy intervention. The objective is to examine the role of a professional occupational therapist in terms of assistive technology for elderly service systems. Methods : A survey was performed using ten elderly people to measure their level of satisfaction with assistive technology devices used in elderly services. Five participants went through occupational therapy intervention, while the other five participants did not. Data were collected from interviews with occupational therapists that were conducted between September and December of 2009. Quebec User Evaluation of Satisfaction With Assistive Technology (QUEST) 2.0 was used to measure the participants' level of isfaction, and an International Classification of Functioning (ICF) Disability and Health Checklist was used to assess the participant's physical functionality. Results : The analysis results showed that the participants in the intervention group showed a higher level of satisfaction. Among the items related to assistive technology devices for the elderly, the 'efficiency' category yielded a statistically significant outcome (p=0.01). Among the items related to assistive technology devices for elderly services, 'repair and maintenance service' (p=0.02) and 'quality of professional service' (p=0.01) showed statistically significant outcomes. Conclusion : The research findings in this paper suggest that occupational therapy intervention can improve participants’satisfaction with assistive technology devices used in elderly services. This supports the argument that occupational therapists are needed for assisting with technology devices used in elderly services. This research is also expected to help define the role of an occupational therapist as a professional assistive technology device practitioner for elderly service providers.
  • 2.

    Medical Characteristics of Elderly Arthritis Patients With Different ADL and Their Awareness of and Demand for Home-based Rehabilitation

    Park, Young-Zoo | 최종덕 | 김진경 | 2010, 18(4) | pp.13~25 | number of Cited : 2
    Abstract
    Objective: This study aims to examine the need for home-based rehabilitation services for elderly arthritis patients with different levels of ADL, and to use the results for developing home-based rehabilitation service models and health and welfare related policies. Method: Home-stay patients registered with one of three welfare centers or one senior daycare center in Daejeon were studied. A total of 150 questionnaires were distributed, and 110 were collected by their therapists. Among them, 79 questionnaires with high response rates were analyzed. The questionnaires consisted of i) ten questions to ascertain the need for home-based rehabilitation services, ii) a WOMAC to evaluate the subjects' severity of arthritis, and iii) an MBI. The WOMAC divided the ADLs of the 79 subjects into three classes. Results: Most of the patients studied (79.2%) had degenerative arthritis. The largest percent suffered from constant pain in their knees. They were not well aware of home-based rehabilitation services, but 74 (93.7%) stated that they needed such services: 15 (19.0%) in the first class, 44 (55.7%) in the second class, and 15 (19.0%) in the third class. Conclusion: This study showed that elderly arthritis patients staying at home have a high demand for homebased rehabilitation services. With an increasingly aging society, providing such services will enable elderly patients to avoid the discomfort of visiting hospitals and enhance their quality of life through regular rehabilitation treatments at home.
  • 3.

    The effects of group occupation therapy for improving the function of patients with brain injuries -On the physical and cognition-perception functions and activities of daily living

    임연주 | JEONG, WON-MEE | 구정완 | 2010, 18(4) | pp.27~37 | number of Cited : 6
    Abstract
    Objective : This research attempted to prove the effectiveness of applying group activity programs for patients with brain injuries. We compared and analyzed the influence on the upper limbs, cognitive and perception functions, and activities of daily living of patients who received only the occupational therapy and patients who receivedboth occupational therapy and group activity programs. Methods : We tracked 70 brain-injured patients who received only individual occupational therapy, which is a traditional 60-minute therapy that is applied 5 times a week during an 8-week period, and 30 brain-injured patients who agreed to participate in group occupational therapy programs including therapeutic activity programs. We gave this group individual occupational therapy 4 times a week for an 8-week period, along with a 60-minute group occupational therapy session once a week from May to October of 2008. Results : Comparing the patients who receivedthe individual occupational therapy with the patients who received both the individual occupational therapy and group activity programs, there were some significant differences statistically in their upper limbs, cognition and perception, and ADL. Conclusion : These results show that patients who receive both occupational therapy and group occupational therapy programs benefit more than patients who receive only traditional individual occupational therapy. We wish to developother group occupational therapy programs and intend to conduct many researches to prove their effectiveness in the future.
  • 4.

    Clinical Application of the International Classification of Functioning, Disability, and Health Tools in Occupational Therapy

    방요순 | Kim, Hee-Young | 2010, 18(4) | pp.39~50 | number of Cited : 15
    Abstract
    Objective: The purpose of this study was to present the clinical use of ICF tools and discuss their usefulness in occupational therapy. Methods:The subject was a male stroke patient, and the study was conducted from April to March of 2010. First, stroke core sets were used to detect the categories. Next, ICF tools (categorical profile & assessment sheet, assignment maps, an intervention table, and an evaluation display) were performed step by step. Finally, 5 experts discussed the results. Results: Stroke core sets were used to select the categories under study. In clinical practice, ICF tools allow the description of a functioning state, an illustration of the patient's functioning experience, the relation between rehabilitation goals and appropriate intervention targets, an overview of the resources required to improve specific aspects of human functioning, and finally, changes in stated functionality following rehabilitative intervention. Experts expressed the positive aspects of ICF, but pointed out their consideration of the characteristics of occupational therapy. They also suggested the need for ICF education and cost effective analysis. Conclusion: Stroke core sets were used to select the categories corresponding to a patient's health status. ICF tools are definitely effective for evaluations, setting goals, role-sharing of professionals, and applying clientcentered problem-solving tasks. Therefore, clinical agreement regarding the terms and professionalism in a performance analysis will need to apply ICF tools for use in occupational therapy.
  • 5.

    Analysis of Caregiver Needs for Home-based Occupational Therapy Programs for Elderly Community Dwellers with Dementia based on Symptom Level and Caregiver burden

    박총순 | JEONG, WON-MEE | 오희철 | 2010, 18(4) | pp.51~62 | number of Cited : 10
    Abstract
    Objective : This study was conducted to investigate the common symptoms occurring inelderly community dwellers with dementia, along with an assessment of their caregivers' burden and the need for home-based occupational therapy. Methods : Survey interviews were conducted on 120 patients who visited theSeoul Dementia Center from April 15th, 2010, to May 15th, 2010. In total, 104 questionnaires were returned, but 15 were incomplete and excluded from further analysis. The collected data were analyzed through descriptive statistics, a t-test, ANOVA, and correlation analysis using SPSS 17.0. Results : Caregiver requirements for a program that builds skills for living in a community home, a leisure program, and a caregiver education program significantly increased with clinical dementia rating score (p<.01). The need for leisure programs and caregiver educational program also significantly increased with behavioral disturbance scores based on the Revised-Memory and Behavior Problem Checklist (p<.01). The need for activities in daily living programs and assistance with behavioral problems significantly increased with caregiver burden (p<.01). Conclusion : This study ascertained the need for home-based occupational therapy for elderly community dwellers with dementia, and described what needs to be contained in a home-based program to reduce caregiver burden and increase the coping skills of those living in a community home environment.
  • 6.

    The Correlation Between Dietary Stages and Quality of Life Assessed by SWALQOL in Patients with Dysphagia

    차태현 | MINYE JUNG | Bo-In Chung and 1other persons | 2010, 18(4) | pp.63~75 | number of Cited : 5
    Abstract
    Objective : This study investigated the change of the quality of life by the SWAL-QOL method which was developed in 2002 to evaluate the quality of life of the individuals with dysphagia. Methods : Subjects of the study were 58 patients undertaking the Swallowing ehabilitation treatment at the 16 organizations. Data were collected and analyzed on the 21 out of the 58 whose swallowing dietary stage was improved after 4 weeks Results : After the dietary status has been changed, the average score of the 11 items and the total score were increased enhancing the life quality. Significant differences were found in all items according to the first and second survey of SWAL-QOL. In the SWAL-QOL, swallowing ability had significant interrelationship with the general burden, eating duration, communication, the fear of eating, and the mental health. The improvement of the dietary stage showed positive relationships with the general burden, eating duration,communication, fear of eating and the mental health while negative relationship with the age. Total score of the SWAL-QOL indicated significant interrelationship with the general burden, eating duration, symptoms, food selection, communication, the fear of eating, and mental health. When the medical treatment period was long, the total score of the SWAL-QOL showed the negative relationship. Conclusion : This study was significant because it viewed dysphagia therapy, traditionally focusing on physical and physiological properties, as psychosocial aspect and suggested patient's quality of life. Also we found that the quality of life was increased by improving dietary stage in the patients with dysphagia
  • 7.

    The Treatment of Dysphagia in Dermatomyositis Patients: A Case Study

    윤인진 | 박미정 | 2010, 18(4) | pp.77~92 | number of Cited : 2
    Abstract
    Objective: The purpose of this case study was to describe the symptoms and treatment of dermatomyositis patients with dysphagia. Methods: The subject was a 20-year old dermatomyositis patient with dysphagia. He was evaluated based on the Functional Dysphagia Scale (FDS) and Penetration Aspiration Scale (PAS) employing a videofluoroscopic method, and on the American Speech Language and Hearing Association: National outcome measurement system (ASHA NOMS). From November 10th, 2009, to January 30th, 2010, while hospitalized in the department of rehabilitation medicine, he received the treatment once a day 6 times a week, and while hospitalized in the department of rheumatology, he received the treatment once a day 5 times a week. The treatment was implemented by an occupational therapist. The treatment included postural control, oroesophageal tube feeding, diet modification, strengthening of the neck muscles, airway protection, vocal cord adduction, laryngeal elevation, head lift, thermal tactile stimulation, cough exercises, and movement. Result: The patient's total FDS score decreased from 60 to 56, the to 52, 48, and 36, consecutively. His PAS level decreased from 3 to 2, increased from 2 to 3, and then decreased from 3 to 2, and from 2 to 1, consecutively. His ASHA NOMS level increased from 2 to 4, and from 4 to 5, consecutively. Conclusion: In this particular case study, the swallowing function in a dermatomyositis patient with dysphagia improved though dysphagia therapy intervention
  • 8.

    The Effect of Postural Vertical Training without Visual Feedback on Functional Recovery and Activity of Daily Living in Stroke Patients with Pusher Syndrome

    Chon Seung-Chul | 2010, 18(4) | pp.93~102 | number of Cited : 2
    Abstract
    Objective : The purpose of this study is to compare the effects of postural vertical training with and without visual feedback to improve functional recovery and activities of daily living in stroke hemiparesis with pusher syndrome. Method : This study used a single subject experimental design alternating with multiple baselines across individuals. Participant 1, 2, and 3 performed 4, 7, and 10 sessions each during the baseline phase, and 14, 11, and 8 sessions at the intervention, respectively. Assessments were made by using the Scale for Contraversive Pushing (SCP) and the Barthel Index (BI), which were separately implemented. Additionally, EMG was separately applied for the evaluation of activation of both gluteus medius muscles in pre-/post intervention. Results : The SCP scores of participant 1, 2, and 3 were respectively improved by 52.4%, 36.4%, and 23.6% in postural vertical training without visual feedback; however, less improvement occurred on postural vertical training with visual feedback, as the scores were 42.9%, 26.1%, and 13.2% each. Likewise, the BI scores of participants 1, 2, and 3 were improved by 22.4%, 15.5%, and 15.8% in postural vertical training without visual feedback, while the scores were improved by 17.0%, 11.4%, and 14.8%, relatively with postural vertical training with visual feedback. Additionally, the result of electromyography on the gluteal muscle was improved in post-intervention, as compared to preintervention. Conclusion : The findings suggest that postural vertical training without visual feedback is more adaptable in clinical applications than postural vertical training without visual feedback on functional recovery and activities of daily living in stroke hemiparesis with pusher syndrome. Future studies, using more participants and longterm training, are required to generalize the results of this study.
  • 9.

    Verification of the Effects of Snoezelen Treatment on the Behavioral Problems of Children with Developmental Disabilities using a Quantitative EEG Analysis

    이지연 | 유은영 | MINYE JUNG and 3other persons | 2010, 18(4) | pp.103~112 | number of Cited : 2
    Abstract
    Objective: This paper investigates the electroencephalography (EEG) and behavioral changes associated with Snoezelen treatment for children with developmental disabilities. Methods: A single-subject A-B-A experimental design was used to determine the effects of Snoezelen treatment. Two children with developmental disabilities participated in this study. In the intervention phase after a baseline assessment, participant 1 was given 30-min access to a Snoezelen room for seven sessions, while participant 2 was given access for eight sessions. Following this process, access to the room was withdrawn for both participants. The outcome measurements included an EEG and child behavior checklist (CBCL). Results: During the Snoezelen treatment phase, both participants showed increases in relative alpha power and decreases in relative theta power. Decreases in relative gamma power appeared for participant 2 only. The total CBCL scores for both participants decreased after the Snoezelen treatment phase. Conclusion: These findings provide potential neurophysiologic evidence of the clinical effects of Snoezelen treatment identified in previous research.
  • 10.

    감각통합치료가 주의력에 문제가 있는 자폐스펙트럼아동에게 미치는 영향

    김보경 | 박신희 | 방현선 and 3other persons | 2010, 18(4) | pp.113~125 | number of Cited : 7
    Abstract
    Objective : The purpose of this study was to investigate the effects of sensory integration intervention on children with autistic spectrum disorder (ASD). Method : Sensory integration intervention was administered to 2 children with ASD, ages 10 and 12, who attend a daycare center in Daejeon. The intervention was administered for 30 minutes per session 13 times in total, and a single subject design was employed. Changes in the children's attention capabilities were measured using a Star cancellation test every session. The data used were based on a visual analysis. Result : Based on Star cancellation and CPT, the results of this study demonstrated a complete improvement in the attention rates of the children post-intervention. Conclusion : Since the results of sensory integration intervention showed positive effects on the attention capabilities of the subjects, this study suggests that a clinical intervention is required for children with ASD.
  • 11.

    Influence of Video-based Self-observation on the Problematic Behavior of Children with Attention Deficit Hyperactivity Disorder

    김진경 | 이택영 | 최종덕 | 2010, 18(4) | pp.127~135 | number of Cited : 4
    Abstract
    Objective: This study aims to determine whether video-based self-observation has a positive impact on their problematic behavior and the time taken to complete the assignment. Methods: The independent variable was considered to be watching of the video by the children. The dependent variables were as follows: (1) body movement, (2) saying unnecessary things, and (3) change in assignment execution time. For the individual experiment, A-B design was applied. Using these baselines, the above mentioned videos were shown to the children for 7minutes. Following this, the children were assessed for the frequency of problematic behaviors and the time to complete the assignment. These data were used to plot a grasp. Results: After the children watched the video, their problematic behavior decreased. In the first participant, body movement decreased by 11.8 times on an average, saying unnecessary things by 6.3 times, and assignment execution time by 5.5 minutes. In the second participant, body movement decreased by 11.4 times on an average, saying unnecessary things by 4.4 times, and assignment execution time by 5.5 minutes. In K-CBCL assessment, problematic behavior scores of participant 1 and 2 were decreased by 3 and 2 points respectively. Conclusion: When children were made to watch a video of them executing an assignment, their selfrecognition increased; thus, this exercise provided internal feedback to these children who were earlier insufficiently aware of their behavior. Therefore, this technique was effective in reducing problematic behavior in these children moreover; the time taken by them for executing an assignment was lesser than that taken by normal children.
  • 12.

    The Influence of Internet Use on Quality of Life in People with Spinal Cord Injuries

    심선화 | 정진화 | 유재호 | 2010, 18(4) | pp.137~150 | number of Cited : 4
    Abstract
    Objective : The purpose of this study was to examine patterns of Internet use among people with spinal cord injuries (SCI), and to assess the relationship between Internet use and quality of life (QOL) based on two types of SCI. Methods : A total of 154 subjects were recruited from one general hospital and six rehabilitation centers in Kyung-Ki province. The subjects selected suffered from a spinal cord injury at least 6 months prior, and were asked to complete a self-administered questionnaire. Data from the questionnaire were analyzed to ascertain the difference in QOL among the subjects based on two types of injury location (tetraplegia and paraplegia). A statistical analysis was conducted using SAS version 8.2. Results : In cervical injury patients, there is a significant high QOL related to Internet use (P<.01), while in tetraplegia patients, there is a significant low QOL of emotional state related to Internet use. The emotional state was higher in the group of using a adaptive device and the highest level of utilization. And body health and functional areas were higher in the group of the highest level of utilization(P<.05). The self-esteem was higher in groups of using the Internet for long periods, utilizing the highest level, using the Internet after disability and the main use for friendship. Groups with a longer amount of Internet use, highest level of utilization, and Internet use after their disability (mainly using the Internet for email and chat applications, such as homepage visits and for the purposes of maintaining friendships), showed a higher level of self-esteem(P<.05). Conclusion : The results of this study showed that Internet use can benefit patients with tetraplegia. Rehabilitation therapy and intervention in terms of Internet use should be developed for people with an SCI,and should be carefully customized depending on the SCI location.