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2011, Vol.19, No.3

  • 1.

    Validation of the Sensory Profile for Korean Children With Pervasive Developmental Disorder

    박경영 | 유은영 | Jung Min-Ye and 3other persons | 2011, 19(3) | pp.1~12 | number of Cited : 9
    Abstract
    Objective : The purpose of this study was to verify the construct validity of the Sensory Profile in a sample of children diagnosed with Pervasive Developmental Disorder (PDD). Methods : Parents of 162 normal children and 204 children with Pervasive Developmental Disorder(PDD) between the ages of 3 and 5 participated in this study. The construct validity of the Sensory Profile was investigated using Rasch analysis. Rasch analysis was used to identify unidimensionality, item difficulty, and validation of the rating scale. Results : The results of Rasch analysis showed that 23 misfit items and item difficulty of the Sensory Profile was lower than the sensory processing level of Pervasive Developmental Disorder(PDD). As such, items of high-level of difficulty are needed as new items of the Korean Sensory Profile. A 3-point rating scale of the Sensory Profile was found to be more appropriate than the original 5-point scale. Conclusions : Finally, 4 items on the sedentary factor and 23 misfit items were eliminated, then the 5-point rating scale was converted into a 3-point rating scale. Further studies are needed in order to establish the clinical utility of the Korean Sensory Profile for children with Pervasive Developmental Disorder(PDD). New items of a high-level of difficulty and new cutoff values using a 3-point rating scale is needed.
  • 2.

    Correlation Between Manual Ability Classification System and Self-care Skills in Children With Spastic Cerebral Palsy

    안아라 | 박흥석 | 차상은 and 4other persons | 2011, 19(3) | pp.13~22 | number of Cited : 4
    Abstract
    Objective : The purpose of this study was to investigate the manual ability of children with spastic cerebral palsy using Manual Ability Classification System(MACS) and to analyze the relationship between the level of MACS and self-care skills. Methods : Forty-five children with spastic cerebral palsy were endrolled in this study. To evaluate interrater reliability of MACS, one rater carried out the test to subjects and another rater scored the performances independently by observation. The main rater evaluated the self-care skills of subjects based on Pediatric Evaluation of Disability Inventory(PEDI). Inter-rater reliability was analyzed using Interclass Correlation(ICC). Spearman correlation analysis was used to evaluate the correlation between the MACS and self-care skill. Further Kruscal-Wallis test and Mann-Whitney test were performed to examine difference in the PEDI scores between the MACS levels. Results : The inter-rater reliability of the MACS was good(ICC=.93). The correlation between the MACS and self-care score was high(r=-.921). Among self-care domains, shoes/socks(r=-.852), fasteners(r=-.849) and pants(r=-.846) had the greatest correlation with the MACS levels. Three domains in self-care skills showed significant differences between the MACS level 1 and 2, four between the level 2 and 3, one between the level 3 and 4, respectively. However no domain showed difference between the level 4 and 5. Conclusions : The MACS is a reliable instrument to assess the manual ability in children with cerebral palsy. Furthermore, this study suggests that the MACS could be clinically used to predict self-care skills in children with cerebral palsy.
  • 3.

    Father’s Involvement in Child Care and Parenting Self-Efficacy of Mothers With Developmentally Disabled Children

    전민영 | 박혜연 | 2011, 19(3) | pp.23~33 | number of Cited : 21
    Abstract
    Objective : The purpose of this study was to investigate the level of child-care involvement of fathers and the parenting self-efficacy of mothers who have developmentally disabled children, and to examine the variables explaining the mothers’parenting self-efficacy. Methods : The subjects were 190 mothers with developmentally disabled children who were receiving treatment in special therapy institutions. The instruments used for this study were the Paternal Involvement in Child Care Index and the Parenting Sense of Competence Scale. The data were analyzed using descriptive statistics, pearson & Spearman's Correlation and multiple regressions. Results : First, the mothers reported a medium level of parenting self-efficacy, as well as a medium level of involvement in the care of their children from their husband. Second, the mothers’parenting self-efficacy was significantly explained based on the level of their child's disability, and the degree of their husband’s child-care involvement. The mothers who have a child with a slight degree of disability and who receive more child-care support from their husband reported higher parenting self-efficacy. Conclusions : We confirmed that the mothers’level of parenting self-efficacy is related to the level of their child’s disability and the degree of their husband’s involvement in their child’s care. Thus, we newly recognized the importance of education and treatment for handicapped children. After this research, we recognized that the system needs to be changed for the families of handicapped children, and that the program should elicit the father's participation.
  • 4.

    A Continuous State of Tension : The Mothers With Experience and a Change When Their Disabled Children Entered a Primary School for One Year

    한미애 | Kiyeon Chang | 박내화 | 2011, 19(3) | pp.35~50 | number of Cited : 17
    Abstract
    Objective : This study was aimed to figure out how the disabled children fit in a primary school and understand the meaning of the parents with both experience and a change when their disabled children entered a primary school. Methods : Qualitative research with phenomenological methods used in order to thoroughly understand and describe the parents of experience and a change, The subjects were four mothers whose disabled children attended a S children research institute in Daejeon and experienced the curriculum for one year after entrance into a primary school. An in-dept interview consisted of three stage for subjects was conducted respectively in order to collect data. Colaizzi used as analysis methods in order to educe meaningful sentences or phrases from what subjects described. General and abstractive statements based on those methods not only allowed to form the meaning of the sentences or phrases and be categorized as a bunch of theme but also enabled to describe the intrinsic structure of experience. Results : The experience and meaning from this study are as in the following. First, subjects suffered from anxiety, apprehend and regret because they did not be prepared. Second, they were in tense and simultaneously had worry and inner conflicts in choosing which school to be for the second child. Third, they had anxiety and apprehend about the ability of their children to fit in a primary school and expectations of their children. Fourth, they became intimate with teachers through a long conversation with the teachers. Fifth, though a difficult process, they found that their children and themselves had grown. Conclusions : We should make a successful transition by understanding parents who had disabled children with experience, a change and difficulties based on the results and through development and conduction of proper pre-school adaptation programs(proper family support and integrated occupational therapy aid services) which were related with a character of a school-age children.
  • 5.

    Content Validity of the Korean Version of the Pediatric Evaluation of Disability Inventory(PEDI)

    정병록 | So-yeon Park | 유은영 | 2011, 19(3) | pp.51~61 | number of Cited : 6
    Abstract
    Objective : The purpose of this study established the content validity of a Korean Version of the Pediatric Evaluation of Disability Inventory (PEDI). Methods : Thirty-eight allied pediatric health professionals completed a validity questionnaire for the content validity research. The validity questionnaire was asked to complete a modified version of the questionnaire used in Dutch and Puerto Rico, to evaluate the Korean version of the PEDI. Results : At least ninety-seven percent of the respondents rated that the most important aspects of the each domain (self-care, mobility, social-function) in examining functional status were represented in the Korean version of the PEDI. Eighteen percent of the respondents need to add items to the self-care and mobility domains. Twenty-one percent of the respondents need to remove items from the self-care domain. The average of seventy-three percent of the respondents rated that the Korean version of the PEDI is feasible for discriminative and evaluative purposes, respectively. Conclusions : This study indicated that the professionals confirmed the functional content and feasibility of the Korean version of the PEDI for outcome measurement in pediatric rehabilitation.
  • 6.

    Intervention of Occupational Therapy for Breast Cancer Patients Who Engage in Substantial Upper Extremity Functioning in Their Daily Life and the Quality of Life Effects of Their Increase in Functioning

    Song, Young-Jin | 정원규 | 송문성 and 1other persons | 2011, 19(3) | pp.63~74 | number of Cited : 5
    Abstract
    Objective : The purpose of this study is to determine in patients following breast cancer surgery, the shoulder range of motion restrictions during occupational therapy as well as their upper extremity functioning and the daily life activities and their quality of life in order to assess the effects of their postoperative therapy. Methods : From September 2009 to April 2010, occupational therapy was conducted to increase the limited range of motion after breast surgery performed on 73 patients. For this treatment, occupational therapy,functional training, and daily life activities were performed more than twice weekly in order to provide home treatment programs which were then continually reviewed and appropriately modified. The duration of treatment of the limited shoulder joint range of motion continued until a normal angle of less than 20% was achieved. Information regarding the passive range of motion of the shoulder joint before and after treatment, upper extremity disability (Disability of the Arm, Shoulder and Hand; DASH), the quality of life (Functional Assessment of Cancer Therapy-General; FACT-G), and fatigue (Fatigue Severity Scale; FSS), was collected and the data then analyzed. Results : Following the occupational therapy, shoulder flexion, abduction, internal rotation, and external rotation range of motion showed significant change. (p<.001) The upper limb disability score (DASH) significantly improved (p<.001) but not show a statistically significant correlation between DASH and general characters like patient age, the period of treatment, treatment frequency. Quality of life (FACT-G) showed significant difference at physical and Well-Being(p<.001), but the social and functional Well-Being did not change significantly. Patient fatigue(FFS) significantly improved after treatment (p<.001) with the increase in the number of treatments showing a decrease in patient fatigue. Conclusion : Breast cancer resection joint occupational therapy for patients with limited shoulder range of motion, when applied to the upper extremities as well as used to promote the improvement of patients’everyday life with a decrease in disability and improvement in their quality of life, appeared to be effective and successful. Therefore, considering this information as part of breast cancer clinical treatment together with a variety of tasks that can be used as part of the therapy should demonstrate the success and usefulness of this treatment and postoperative therapy.
  • 7.

    The Effects of Korean Computer-based Cognitive Rehabilitation Program(CoTras) for the Cognition and ADL in Stroke

    김영근 | 2011, 19(3) | pp.75~87 | number of Cited : 26
    Abstract
    Objective : The purpose of study was to verify the clinical effect of a Korean Computer-based cognitive rehabilitation program(called CoTras) for recovering the cognition and ADL in stroke. Methods : For this purpose, 70 stroke with cognitive disabilities participated in a clinical experiment to verify the effect of CoTras. They were randomly assigned to CoTras Group(40 participants)and Control Group(30 participants). All participant were evaluated with four standardized assessment tools(Lowenstein Occupational Therapy Cognitive Assessment; LOTCA, Motor-Free Visual Perception Test; MVPT, Korean version of Mini-Mental State Examination; MMSE-K, Functional Independent Measure; FIM) before and after the planned cognitive intervention sessions. Cognitive interventions were intensively carried out for 6weeks, half an hour per session, 3 times a week. Results : The results were as follows. Two groups showed no difference in cognitive abilities before the interventions as expected. However, they showed significant differences after the interventions. CoTras Group improved significantly compared to the Control Group Cognition(MMSE-K, MVPT, LOTCA) and ADL scores after CoTras interventions were higher than before it’s interventions. Conclusions : These results indicate that CoTras have effects on improving cognitive abilities and ADL performance in stroke patients. Further studies are needed to verify the effect on various group(ex,dementia).
  • 8.

    A Change in the Physical and Psychological Functions of Virtual Reality Environmental Training of Industrial Clients With Chronic Lower Back Pain

    이상헌 | 고대식 | Jung Dae in | 2011, 19(3) | pp.89~100 | number of Cited : 6
    Abstract
    Objective : The purpose of this study was to investigate the effect of virtual reality environmental training as a health management method for balance proficiency, physical self-efficacy, and degree of life satisfaction of clients with chronic lower back pain. Methods : A single-subject experimental design was used to identify changes through sessions focusing on balance proficiency. In addition, a pre- and post-test experimental design was used with a focus on balance proficiency, physical self-efficacy, degree of life satisfaction, and level of pain. Eight subjects performed the virtual reality environmental training. The subjects performed three activities of Nintendo Wii Sports programs chosen by themselves during a period of forty-five minutes, three times a week. During the baseline and treatment phase, the evaluator measured the patients' balance proficiency and pain for every session. And measured the physical self-efficacy and degree of life satisfaction before the baseline and after the treatment. Results : The balance proficiency of clients with chronic back pain was maintained and improved during the treatment sessions with the exception of the right leg stances of two subjects. The physical self-efficacy and degree of life satisfaction were improved but the pain continued. Conclusions : This research suggested the capability of the Nintendo Wii Sports game as a new health management method to maintain and improve balance proficiency, physical self-efficacy, and degree of life satisfaction.
  • 9.

    The Effects of Training Using Virtual Reality Games on Stroke Patients’Functional Recovery

    Kim Ju Hong | OH MYUNG HWA | Jaeshin Lee and 1other persons | 2011, 19(3) | pp.101~114 | number of Cited : 34
    Abstract
    Objective : This study has been performed to investigate the effect of the training using virtual reality games on the functional recovery of stroke patients. Methods : The object of study was 24 hemiplegic patients. 12 patients were randomly and respectively assigned to a control group that have received traditional rehabilitation therapy and a test group that trained virtual reality games, in addition to traditional rehabilitation therapy. The study has been conducted for 16 weeks. To investigate the functional recovery of the object, limb function, balancing, visual/perceptual abilities, and quality of life of the objects were measured through a follow-up survey, and analyzed before training, 6 weeks after training, 12 weeks after training, and 4 weeks after the completion of training. Results : As a result of the analysis of the comparison of the differences between two groups, in respect the areas of balancing, visual/perceptual abilities and the quality of life, there were significant differences. In respect of a test group, in all the areas of limb function, balancing, visual-perceptual abilities, and quality of life, there were significant differences, and in respect of a control group, in limb function, balancing, and visual/perceptual abilities, there were significant differences. Conclusions : As a result of the training targeting stroke patients, by using virtual reality games, in the areas of balancing, visual/perceptual abilities and the quality of life, there were differences between two groups, and a test group showed significant differences in more areas than a control group. Through this study, the effects of the training, targeting stroke patients by using virtual reality games, on the functional recovery were suggested. And it is recommended that the future study performs the virtual reality training from the early stage of therapy, targeting many stroke patients, for collecting more data, and then suggests a proper protocol for stroke patients, by using virtual reality games.
  • 10.

    Application of Rehabilitation Problems Solving Form for a Person With Spinal Cord Injury

    방요순 | 김희영 | 2011, 19(3) | pp.115~128 | number of Cited : 2
    Abstract
    Objective : This study was performed to verify the comprehensive perspective based on the ICF-model and logical clinical thinking of Rehabilitation Problem Solving(RPS) Form. Methods : The patient was a 31-year-old man who injured spinal cord. A plan of care was to address impairment, activity limitation and participation restrictions by using RPS Form. And we discussed about clinical utilities of RPS Form with 6 clinical experts. Results : After the intervention, subject participated in computer lecture more often and for longer duration. And he expressed positive attitude about intervention. Experts mentioned agreeable opinion about using RPS Form in clinic. Conclusions : RPS provides a visual simpleness and clearness and it also guides logical thinking in clinical practice. Therefore RPS Form can be used to enhance multidisciplinary patient management and assists in clarifying clinical roles as part of a multidisciplinary team. The case report demonstrates that the RPS Form can be a viable strategy for occupational therapy.
  • 11.

    The Phenomenological Study on Occupational Therapy Students’ Gosiwon Life During Fieldwork

    Sanghui Hwang | 전병진 | jeong sil choi | 2011, 19(3) | pp.129~143 | number of Cited : 6
    Abstract
    Objective : In the fieldwork process, experiences of students living in the Gosiwon after finishing work in the hospital greatly affected overall practice. The study on everyday life of the Gosiwon will be used as basic data to better understand students’fieldwork experiences. The question of the study was “what are daily survival strategies for fieldwork students who lived in Gosiwon?”. Methods : In depth interviews were conducted with five students who finished occupational therapy fieldwork three and four times. Data collection ended when new content was not created any longer. The duration was from Oct, 2008 to Jan, 2009. To protect ethical aspect of the subjects, they submitted the written consent with records such as protection about rights to volunteer in the survey and stop their participation, anonymity for secrecy, memo and recording about interview contents. The data collection and analysis were conducted according to‘ Giorgi’s four specific procedures. Results : The results of the study consisted of 86 semantic units, 14 sub-components, and 6 components, and components about occupational therapy students’survival in the unfamiliar and desolate Gosiwon were as follows. There were‘ burden of narrow Gosiwon space’,‘ difficulty of common life’,‘ experience of serious psychological stresses’,‘ obtaining of power from family’s love’,‘ understanding of the survival strategy in the common life’, and‘ understanding of the survival strategy in the unfamiliar environment’. Conclusions : Fieldwork students used their own various strategies to survive the Gosiwon, and diverse approaches should be sought to support them.