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pISSN : 1226-0134 / eISSN : 2671-4450

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2012, Vol.20, No.1

  • 1.

    Correlations Between Occupational Performance Skills and Symptoms in Persons With Schizophrenia

    신은식 | 강대혁 | 이택영 | 2012, 20(1) | pp.1~13 | number of Cited : 2
    Abstract
    Objective : The purposes of this study were to investigate relationships between occupational performance skills and symptoms in persons with schizophrenia and to identify factors affecting occupational performance skills. Methods : The participants were 30 in-patients diagnosed with schizophrenia. The Assessment of Motor and Process Skills(AMPS) was used for measuring occupational performance skills and the Brief Psychiatric Rating Scale-Extended(BPRS-E) was employed to evaluate psychopathologies. Self perception of difficulties was measured with the Behavior and Symptom Identification Scale(BASIS-32) and social and interpersonal skills were measured with the Health of Nation Outcome Scale(HoNOS) and the Abbreviated Life Skills Profile-16(LSP-16). The correlations between the AMPS scores and the other scales were examined and stepwise multiple regression analysis was performed to identify the predictive variables that explain changes of occupational performance skills. Results : Occupational performance skills of schizophrenic patients were related to their psychotic symptoms. Especially negative symptom and manic symptom were related to both motor and process skills and coefficients were statistically significant. Statistically significant relationship was found between disorientation and process skills. In stepwise multiple regression analysis, the LSP-16 total scores and behavioral problem of the HoNOS were identified variables that explained the changes of motor skills. The LSP-16 total scores and manic symptom of the BPRS-E were identified as the major predictive variables of motor skills. Conclusion : Various variables affecting occupational performance skills were identified. These results could help to establish specialized and systematic occupational therapy intervention in mental health. Further research is warranted to support effectiveness of occupational therapy program.
  • 2.

    Study of Sensory Processing Ability and Problem Behavior of Delinquent Juveniles

    한수연 | Kiyeon Chang | 한미애 and 1other persons | 2012, 20(1) | pp.15~28 | number of Cited : 8
    Abstract
    Objective : This study was aimed to figure out the correlations between sensory processing ability and problem behavior and to compare sensory processing ability of general teenagers with that of juvenile delinquents. Methods : The subjects were teenagers between the age of 13 and 19 in D metropolitan city. Among the subjects, juvenile delinquents had lived in Juvenile hall through legal proceedings due to their delinquency and the number of the juvenile delinquents who were on probation was 114. The number of general teenagers that went to the middle and high school was 124, bringing the total number of subjects. Results : The score of sensory processing ability between general teenagers and juvenile delinquents, Juvenile delinquents between the age of 17∼13 statistically showed lower scores of both sensory avoiding(p<.05) and sensory sensitivity(p<.01) than those of general teenagers. The results of ages between of 17∼13 statistically showed lower score of not only low registration(p<.05) and of crime such as felonious, sex violence, theft but also sensory sensitivity(p<.05) and of crime such as sex violence, theft, felonious. In the correlation of juvenile delinquents between sensory processing ability scores and problem behavior, Juvenile delinquents between the age of 19∼18, sensory sensitivity(r=-.47, p<.05), sensory avoid(r=-.45, p<.05) and drug abuse was significant correlation statistically. low registration and status offenses(r=-.33, p<.05), violent behavior(r=-.33, p<.05) was significant correlation statistically, between the age of 17∼13. Conclusion : These results indicated that juvenile delinquents between the age of 17∼13 had the difficulty of sensory processing and those who had trouble with sensory processing show problem behavior. Therefore, if we could find out the difficulty of sensory processing in early stages and provide sensory integration as a approach about problem behavior, it would be beneficial.
  • 3.

    Effects of Preventive Activities for Musculoskeletal Disorder on Occupational and Physical Therapists’Pain and Job Stress

    Han Seung Hyup | Dong-hee Noh | 손보영 and 3other persons | 2012, 20(1) | pp.29~41 | number of Cited : 8
    Abstract
    Objective : This study was performed to determine the workplace risks for work-related musculoskeletal disorders (MSD) in occupational and physical therapists and to investigate the effects of preventive activities for MSD based on their pain and job stress. Methods : This study was conducted using 21 occupational and physical therapists working at C hospital in C city, Gyeongnam province, from May to July, 2010. A Quick Exposure Checklist (QEC) was performed to determine the workplace risks, and an 8-week program of activities for preventing MSD was then introduced. Changes for pain and stress level before and after the preventive program were recorded using the Visual Analogue Scale (VAS) and Korean Occupational Stress Scale (KOSS), respectively. Results : QEC showed that the working environment of therapists needs to be improved. There was a statistically significant decrease in the scores of VAS and KOSS after undergoing the preventive program (p<.05). There was also a significant correlation between the change in pain and change in stress (r=.859,p<.05). Conclusion : This study showed that the preventive activities for MSD, based on a working environment analysis, are effective for a reduction of work-related pain and stress of occupational and physical therapists, and suggests the use of preventive programs in the workplace.
  • 4.

    Effectiveness of Therapy Ball on Behavior Problems, Attention, and Seating Behavior in Children With Autism Spectrum Disorder in a Classroom Setting

    박윤이 | Park Soo Hyun | Eun Young Yoo and 1other persons | 2012, 20(1) | pp.43~56 | number of Cited : 6
    Abstract
    Objective : The purpose of this study was to investigate the effectiveness of therapy ball on behavior problems and seating behavior in children with autism spectrum disorder in a classroom setting. Methods : The subjects of the study were three male participants diagnosed with autism spectrum disorder who were attending a special education class in kindergarten. Single-subject A-B-A-B experimental design was used. The study was conducted in the preschool setting with children during daily language class. During baseline and withdrawal (A phase) participants used their typical classroom seating device (chair). During the intervention (B phase) participants sat on therapy balls. The experiment consisted of 23 sessions and the total duration was 5 weeks. Dependent variables were percentage of behavior problems, attention,and seating behavior. Data were graphed and visually analyzed for differences between phases. Results : The participants showed substantial improvement in attention and seating behavior when seated on therapy balls, and percentage of behavior problems was decreased. Conclusion : In conclusion, this study provides evidence that the use of therapy ball in the classroom setting may decrease behavior problems and facilitate attention and seating behavior in children with autism spectrum disorders.
  • 5.

    A Research Study About Current State and Awareness Level of College Students, Majoring Occupational Therapy in Korea Ⅱ:Concentrate on Major Satisfaction Level and Career Confidence Level

    이주현 | 김한솔 | Park Hae Yean and 3other persons | 2012, 20(1) | pp.57~71 | number of Cited : 10
    Abstract
    Objective : The purpose of this study was to analyze the correlation between general characteristics and career anxiety and career maturity levels of students majoring in occupational therapy in Korea. Methods : The methods used are the same as those in the study‘ A Research Study About Current State and Awareness Level of College Students, Majoring Occupational Therapy in Korea Ⅰ: General State and Major Selection’. Results : The major satisfaction level was higher among male students than female students, 17 to 22 age group than the 26 to 28 age group, and 3-year college students than 4-year students. Students who had any type of leave of absence and transfer students showed lower major satisfaction level than the other students. Career confidence level, including career anxiety and career maturity levels, was higher among male students than female students. Higher aged students showed higher career maturity level and lower career anxiety level. Four-year college students showed higher career anxiety level and career maturity level. A higher license examination anxiety correlated with a higher career anxiety level. Conclusion : Through these results, departments of occupational therapy should offer individual education plans and attention, bearing in mind the characteristics of each student. In addition, 3- and 4-year students should make cooperative relationships to improve the quality of their department.
  • 6.

    Effect of Simulation-Problem Based Learning Apply to Department of Occupational Therapy Students and Study of Comparing Education Effect.

    Chae Soo Gyung | Kim Hyo Sil | Kim soo Jin and 2other persons | 2012, 20(1) | pp.73~92 | number of Cited : 11
    Abstract
    Objective : The purpose of this study was to examine the effectiveness of a Simulation-Problem Based Learning (S-PBL) curriculum to determine any influence on learning achievements and the satisfaction of students. Methods : The study aimed to examine 966 nursing and health allied college students with experience in an SPBL curriculum based on the Problem Based Learning (PBL) curriculum. The department of occupational therapy investigated the educational effectiveness of students using a comparative analysis among the related departments to determine the effect on the management of the curriculum through a comparison with students educated through PBL for two years and with semesters. Results : 1) The study indicates that occupational therapy students show higher learning achievements and more satisfaction during their first semester than their second semester. Also, seniors received higher results in every category compared to freshmen, and in particular, group activities showed higher results for every grade. 2) The S-PBL curriculum indicated a significantly helpful learning style in terms of problem solving, group activity, communication, and practical-based education skills. 3) The students educated through integrated subjects showed higher learning achievement in every category except problem solving. In addition, they showed higher satisfaction with the school’s educational environment and management than those who were educated through partially integrated subjects. Occupational Therapy students statistically improved their abilities in prep, communication and group activities. On the other hand, there was not a significant difference in terms of satisfaction with their education. Conclusion : The students showed high learning achievement and satisfaction when they were educated through S-PBL and integrated curricula during each semester and in each grade. Thus, if the faculty of an Occupational Therapy department wants students to have the ability to integrate, solve problems, and show practical-based education skills in school, they need to apply an S-PBL curriculum more widely in each semester and each grade using an integrated curriculum.
  • 7.

    A Study on the Theoretical Framework for Assistive Technology Service of Occupational Therapists : Centering on Mating Person and Technology(MPT)

    Lee, Hye-kyung | Hyuk-Cheol Kwon | Jin Yong Kong and 2other persons | 2012, 20(1) | pp.95~107 | number of Cited : 3
    Abstract
    The purpose of the study is to enhance the understanding in Assistive Technology service of occupational therapists and to expand the base of occupational therapists about assistive technology with establishing their role. Through the previous literature, the study investigated the influence of Assistive Technology on satisfaction and quality of life for people with disabilities, and inquired rehabilitation model, need-based model, Human Activity Assistive Technology model(HAAT) and Matching Person and Technology(MPT). The MPT model is an user-centered approach that seeks an optimal matching of person and technology based on person’s psychosocial perspective on the application of Assistive Technology. Occupational therapists have developed their own tasks that raise the quality of life by participating in successful tasks, and improving and complementing physical abilities through utilizing wheelchairs, splint, and assistive tools for daily life. Hence, with more passion and attention, the evidence-based application study of Assistive Technology should be carried out actively in order to give more roles and weight to occupational therapists in the Assistive Technology.
  • 8.

    A Systemic Review and Meta-Analysis on the Effects of FES Intervention for Stroke Patients

    Yoo DooHan | Jaeshin Lee | Kim, Hyeong-Min and 1other persons | 2012, 20(1) | pp.111~126 | number of Cited : 7
    Abstract
    Objective : The purpose of this study is to look at a systemic review and meta-analysis on the effects of FES Intervention for stroke patients. Through this comprehensive study, we have to standardize and compare the studies. Methods : Depending on the selection criteria, 23 researches was searched for by EBRSR and Cochrane database. Compliance with the qualitative analysis of research evaluation framework divided along the subject characteristics and study characteristics were coded. And select frequently used tool to measure the average and standard deviation and sample size depending on the topic have conducted a meta-analysis. Results : Selected 23 studies were Pedro score 3 points or more, and randomized trials. The primary outcome measure tools including tools for upper extremity, motor activity log, activity daily of living were used. FES in an effort to maximize the effects of intensive applied for a short period of time, the different ways to attach a high-intensity stimulation, or perform certain tasks with the voluntary and include an active performing showed that maximizes the effectiveness of treatment. In activities of daily living was not a significant effect. The effect of upper extremity function by FES intervention on the meta-analysis showed significant effect, but motor activity log was not. Conclusion : FES has been widely used clinically for stroke patients to maximize the effect had been applied to various interventions. Specifically, the FES is applied with a specific task, depending on the nature of the project showed that the effect of differences. In addition, the use of FES applied to a variety of interventions are needed on national occupational therapy.
  • 9.

    Interventions to Promote Upper Limb Recovery in Stroke Patients: A Systematic Review

    Kim Hwan Hee | Kyeong-Mi Kim | Moonyoung Chang | 2012, 20(1) | pp.129~145 | number of Cited : 25
    Abstract
    Objective : This paper aims to investigate the usage frequency of interventions for promoting the upper limb recovery of stroke patients. For this purpose, published articles were analysed using the PICO principle. Methods : For the main key words of a database search,“ (stroke OR CVA) AND (hand OR upper OR shoulder) AND intervention”were used. We systematically examined papers published in journals from January 2008to April 2011, using PubMed and MEDLINE. Fifty-two studies (randomized controlled trials) were included in the analyses. Results : The number of discovered interventions for promoting the upper limb recovery of stroke patients was 20, with a frequency of 56. The frequency of use is Constraint-Induced Movement Therapy at 12; electrical stimulation, 10; bilateral arm training, 7; strength exercise & robotic therapy, 4; and virtual reality, 3. The articles (Constraint Induced Movement Therapy, electrical stimulation) were analyzed based on patient,intervention, comparison, and outcome using the PICO principle. Conclusion : This paper conducted a systematic review of research articles reporting on the intervention used to promote the upper limb recovery of stroke patients over the past 3 years. This research is also expected to help select a subject, intervention, duration, and assessment according to the characteristics of the individual.
  • 10.

    Preliminary Research Study for the Development of Success Management Indicators in Rehabilitation Hospital

    Kim,Young-geun | Tae-ho Kim | 2012, 20(1) | pp.147~159 | number of Cited : 3
    Abstract
    Objective : The purpose of this study was to suggest preliminary information for the development of successful management indicators in a rehabilitation hospital. Method : For this purpose, 24 professional panels participated in the indicator extraction and content validity. First, 4 of the professional panels extracted preliminary indicators based on the evaluation indicators for special rehabilitation hospital accreditation, and debated the appropriate management indicators over 3 sessions. Upon a second investigation, the preliminary indicators were evaluated by 24 professional panels to extract the successful management indicators using a content validity method (Index of Content Validity). The panels then created a scale based on the indicators. Results : The results were as follows. A total of 24 indicators were extracted from 51 preliminary indicators used to measure successful management. These final 29 indicators showed a CVI of more than 80%. The 100% CVI indicators consisted of hospital costs and inpatient management, high level therapy skills, educational support, rapport with patients, and kindness. The lowest indicators were rehabilitation center for children and expensive equipment. Conclusions : The results suggest that indicators abstracted from this study might not be perfect indicators, and further studies are needed to upgrade and broaden the development of successful management indicators in rehabilitation hospitals.