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2014, Vol.22, No.1

  • 1.

    The Effect of the Lifestyle Redesign Program on the Quality of Life of Elderlies With Dementia

    Kim Hyeong Min | Lee Jaeshin | Byoungjin Jeon | 2014, 22(1) | pp.1~14 | number of Cited : 8
    Abstract
    Objective : The present study aimed to determine the effect of a lifestyle redesign program whose theoretical basiswas successful aging research, i.e., the USC Well Elderly Research Study, on elderly people with dementia andtheir quality of life. Methods : The subjects included ten elderly patients with dementia who underwent a lifestyle redesign program overa period of thirteen weeks. Before the program was initiated, a preliminary test was conducted over a period ofone week using the Occupational Questionnaire (OQ) and Geriatric Quality of Life-Dementia (GQOL-D). Apost-test was performed for one week upon completion of the eleven-week program. Results : After the lifestyle redesign program was applied, the quality of life as well as the rest and sleeping areasof the elderly people with dementia improved significantly. Furthermore, after the program was applied,instrumental activities of daily living (IADL), leisure, rest and sleeping areas improved significantly based on theanalysis results of the CDR grade. Conclusion : The lifestyle redesign program reduced the time spent resting and sleeping for elderly people withdementia, and increased the productive activity times such as IADL and leisure, thereby improving their quality oflife.
  • 2.

    The Correlation Between Self-Esteem of Occupational Therapists and Their Empathy With Others

    박성호 | 장문영 | 2014, 22(1) | pp.15~26 | number of Cited : 7
    Abstract
    Objective : This study aims to examine the correlation between the self-esteem of occupational therapists and theirempathy with others. Methods : A survey was conducted on 135 occupational therapists in the Busan and Gyeongnam areas fromDecember 2012 to February 2013. To measure the self-esteem of occupational therapists and their empathy withothers, the self-esteem scale and Korean-version of the empathy quotient (EQ) scale were employed. Results : A positive correlation was shown between self-esteem and cognitive empathy. Significant differences insocial skills, which is a subordinate item of self-esteem and empathy depending on gender, were shown, as weresignificant differences in empathy depending on wage. In addition, self-esteem and empathy both showedsignificant differences depending on the level of education of the occupational therapists. Conclusion : Occupational therapists with high self-esteem showed a high understanding of, and empathy toward,other people. Empathy is an essential element for forming a therapeutic relationship between a client andtherapist. These results imply that there is a need to implement a proper education program that improves theunderstanding of other people by clinical occupational therapists and occupational therapy students, and arousesthe motivation of clients.
  • 3.

    A Study on Reliability and Validity of Mirror Movement Test for Patients With Congenital Cerebral Palsy

    Hong, Deok-Gi | Yoo DooHan | Lee Jaeshin | 2014, 22(1) | pp.27~40 | number of Cited : 0
    Abstract
    Objective : The purpose of this study was to investigate the reliability and validity of a Mirror Movement Test forpatients with congenital cerebral palsy. Methods : Eleven items of the Mirror Movement Test were identified through a previous study performed by 72patients with congenital cerebral palsy. The data were analyzed through Winstep version 3.80 using the Raschmodel to examine the uni-dimensionality of the fit of each item, the distribution of difficulty of each item, and thereliability and appropriateness of the rating scale. Results : Based on a Rasch analysis, three (affected side) and two (unaffected side) out of the 72 patients wereconsidered to be inappropriate fits, and one item of the Mirror Movement Test for both sides was determined tobe an inappropriate item. The most difficult items were ‘touching the thumb and fingers’, and ‘clenching andunclenching the fist’. The easiest items were ‘flexing the elbow’, and ‘resistance to abducting the arm’. The fourcategories of rating scale were appropriate. The person and item separation reliability was above 0.90, which isa relatively excellent value. Conclusion : Mirror Movement Test is expected to be clinically useful. Follow-up studies on mirror movement areneeded for patients with various neurological diseases.
  • 4.

    A Phenomenological Study on the Experience of Parents of Children With Disabilities in Selecting Rehabilitation Therapy Center

    Lee, Na-Hael | Kyeong-Mi Kim | 2014, 22(1) | pp.41~52 | number of Cited : 7
    Abstract
    Objective : The purpose of this study is to understand the significance of experience for parents of children withdisabilities in selecting a rehabilitation therapy center and to comprehend the strategies for the selection process. Methods : This study used a phenomenological approach for a qualitative study. The participants were 7 mothers ofchildren with disabilities, who agreed to participate in this study. They underwent rehabilitation therapy for morethan a year after their children were diagnosed with a disability from their doctors. Results : This study drew 26 units of meaning, 8 central meanings, and 3 themes. The results were analyzed into 3themes; needs for rehabilitation therapy, difficulty in using rehabilitation therapy centers, and a selection strategyof a rehabilitation therapy center. The needs for rehabilitation therapy include the seriousness of the disability,difficulty in using a rehabilitation therapy center including psychological discomfort, and difficulty of the center’sprocedures, and a selection strategy for the rehabilitation therapy center included the therapist’s expertise. Conclusion : The most important selection strategy for a rehabilitation therapy center for parents of children withdisabilities was the therapist’s expertise. This study can provide information on the various experiences of parentsof children with disabilities in selecting a therapy.
  • 5.

    The Effects of Eight-week Tongue-holding Maneuver Program on Activation of Swallowing-related Muscles

    우희순 | Kiyeon Chang | 오종치 | 2014, 22(1) | pp.53~64 | number of Cited : 9
    Abstract
    Objective : This study aims to measure the effects of an eight-week tongue-holding maneuver program as aresistive exercise on the activation of swallowing-related muscles. Methods : The tongue-holding maneuver was applied to twenty-seven healthy adults divided into experimental andcontrol groups. The experimental group performed the tongue-holding maneuver three times per day for 20minutes. The control group performed normal swallowing three times per day for 20 minutes. The effects of theweek-week experiment on the suprahyoid and infrahyoid muscles were measured using sEMG and a VisualAnalog Scale. Results : The experimental group showed a statistical significant difference in both suprahyoid and infrahyoid muscleactivities. The control group did not show a statistical significant difference. In addition, in the results of the VAScomparison of the pre- and post-training groups, the experimental group showed a statistical significantdifference but the control group did not. Conclusion : Applying a tongue-holding maneuver over an eight-week period as a resistive exercise for healthyadults showed changes in swallowing muscle activity and VAS.
  • 6.

    A Systematic Review on Driving Ability and Measurement Method of Drivers After a Traumatic Brain Injury

    NAMHAE JUNG | Moonyoung Chang | 2014, 22(1) | pp.65~78 | number of Cited : 2
    Abstract
    Objective : This study was conducted to determine a method for measuring the driving ability of drivers sufferingfrom a traumatic brain injury. Methods : We systematically searched published studies in MEDLINE, Ovid, IOS press, OT seeker, Cochrane library,and the Science Direct database from April to May 2013. The keywords used in the search were ‘automobiledriving’, ‘drive’, ‘driver’, and ‘brain injury or head injury’. Grade II rated evidence was found from eight studies,and grade III and V rated evidence was found from one study each. The methodological levels of the quantitativestudies were fair (3) and poor (7), and the qualitative study was good (1). Results : The measurements for the driving ability were 8, 7, and 6 based on a driving simulation,self-administration, and a real road test, respectively. The reported traffic accident variable was used mostfrequently (13.3%), and the self-perception of the driving ability was the next frequently used. The results of thedriving ability showed that TBI drivers had a significantly greater number of accidents and as a lower response fordangerous situations than normal persons or other patients. TBI drivers rated high in ability to drive on their own. Conclusion : This study presented a variety of variables to use when occupational therapists assess the drivingability for persons with TBI, and proposed that active and consistent training and management for an adaptivestrategy are needed for the resumption of driving with drivers with TBI.
  • 7.

    Experience the Suffering of Front-line Soldiers : Applied to Parse’s Human Becoming Research Methodology

    Jang, Jong-Sik | 송병남 | Cha tae hyun | 2014, 22(1) | pp.79~96 | number of Cited : 2
    Abstract
    Objective : This study aimed at discovering the structure of suffering experienced through the military life ofsoldiers on a front-line. Methods : For this study, conversations with twelve soldiers who experienced military life at a front-line werecarried from March to May 2013. The data were collected up to a saturation point, at which the stories becomerepetitive regarding the suffering experienced by participants in a front-line, or when no more new contents werediscovered. Data collection and analysis were conducted in accordance with the procedure of Parse’s humanbecoming theory. Results : As a result this research, the suffering of soldiers at a front-line were from severe cold, a loss of liberty,and worries about imminent attacks from North Korea. Over time, the suffering they experienced in their life andtheir social interactions became essential and remained pleasant memories. Conclusion : Mental health therapists are placed in the military to work professionally with the psychological aspectsof the soldiers, and mental health was shown to positively affect adaption to military life, a reduction in suffering,and the prevention of suicides.
  • 8.

    A Study on the Research Ethics of Occupational Therapy Researchers

    박소연 | kim jin kyung | 2014, 22(1) | pp.97~108 | number of Cited : 3
    Abstract
    Objective : The purpose of this study was to understand the perception of researchers about research ethics. Methods : This study used a previous study on research ethics performed by Seong et al. (2011). The survey’scontents largely consist of the general characteristics of the subjects, the general categories of the researchethics, and the perceptions of the researchers. Among the 150 survey copies that were finally distributed, 85were collected, which is a collection rate of 56.0%. The variables of frequency and percentage, along with achi-square test, were used to identify the subjects’ general characteristics and whether they received ethicseducation. In addition, a cross-tabulation analysis was performed to measure the level of research ethics amongthe researchers. Results : The researchers showed a high level of perception regarding research ethics at a rate of 98.2%. However,their experience with education on research ethics remained at 44.7%. The researchers exhibited a high level ofagreement regarding the opening of information on the subjects of their experiments. However, their level ofcorrespondence was low among the questions for each category. Conclusion : Researchers having a higher awareness of research ethics have stricter criteria. In the future, thisresearch on occupational therapeutic ethics will be used as basic data for additional studies.
  • 9.

    The Effect of Vibratory Stimulation on Upper Function Recovery in Patients With Stroke

    Yoo, Eun-Young | Park,Ji-Hyuk | 김영조 and 4other persons | 2014, 22(1) | pp.109~124 | number of Cited : 1
    Abstract
    Objective : The purpose of this study is to investigate the effect of vibratory stimulation on upper function forpatients with stroke. Methods : The subjects of this study included 13 stroke patients. They were divided into 2 groups; 7 experimentalsubjects and 6 control subjects. Vibratory stimulation was applied to experimental group five times a week fortwo-week period. To evaluate the changes in upper motor function, spasticity, hand dexterity, and sensoryfunction, Fugl-Meyer Assessment, Modified Ashworth Scale, Box and Block Test, two point discrimination, andmonofilament was used. Motion data was collected during reaching task of hemiside using 3D motion analysissystem. Results : In experimental group, the dexterity of elbow joint and static two point discrimination sensitivity werestatistically improved (p<.05), whereas upper motor function, hand dexterity, and spasticity were not significantlyrecovered (p>.05). In between-comparison, while there was no big difference between experimental and controlgroup in pre-test, dexterity of elbow joint and static two point discrimination sensitivity were significantlydifferent in post-test (p>.05). Conclusion : After the intervention, experimental group who received vibratory stimulation showed improvement indexterity of elbow joint and static two point discrimination sensitivity than control group who wasn’t givenvibration.