Korean Journal of Occupational Therapy 2021 KCI Impact Factor : 0.86

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pISSN : 1226-0134 / eISSN : 2671-4450

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2014, Vol.22, No.2

  • 1.

    The Factors Affecting Self-care Activities of Stroke Patients

    Yoo Doohan , Lee Jaeshin | 2014, 22(2) | pp.1~16 | number of Cited : 1
    Objective : The purpose of this study was to investigate the factors affecting the self care activities of strokepatients. Methods : To confirm the measurement model consisting of the sensory, motor, and visual perception of 160 strokepatients; the upper function; and the self care activity variables, Structural Equation Modeling (SEM) wasperformed. The collected data were analyzed using SPSS 18.0 for descriptive statistics, and correlation analysis,Amos 16.0, for SEM. Results : The analysis results among the variables that affect the self care activities showed a significantcorrelation, and the results of the SEM showed the significant fitness of the model. Significant factors affecting theupper extremity function as a mediating variable were motor skills (grip and pinch, β=0.964). In addition, thesignificant factors affecting self care activities as a final endogenous variable were sensory (β=-0.590) andvisual perception (β=-1.228). The factors affecting the self care activities throughout the upper extremityfunction directly or indirectly were the motor, sensory, and visual perception. Conclusion : Additional studies on the social and psychological factors affecting the self care activities of strokepatients will be necessary.
  • 2.

    A Comparison of the Effect According to Type of Electromyography-triggered Neuromuscular Electrical Stimulation on the Upper Limb Function and Activities of Daily Living in Stroke Patients: A Prospective, Randomized Controlled Pilot Trial

    Ji-Su Park , Jongbae Choi | 2014, 22(2) | pp.17~33 | number of Cited : 0
    The Journal of Korean Society of Occupational Therapy Vol. 22, No. 2, 2014 33AbstractA Comparison of the Effect According to Type of Electromyography-triggeredNeuromuscular Electrical Stimulation on the Upper Limb Function andActivities of Daily Living in Stroke Patients: A Prospective, RandomizedControlled Pilot TrialPark, Ji-Su*, M.Sc., O.T., Choi, Jong-Bae**, M.Sc., O.T. *Dept. of Occupational Therapy, Inje University Busan Paik Medical Center**Dept. of Occupational Therapy, Kyung Hee University Medical CenterObjective : This study aimed at investigating the effect of two types of electromyography-triggered neuromuscularelectrical stimulation on the upper limb function of the affected side and activities of daily living in stroke patients. Methods : A randomized controlled study was conducted for 20 patients within 6 months of occurrence of a subacutestroke. The patients were divided into two groups as follows: those treated with electromyography-triggeredneuromuscular electrical stimulation (EMG-NMES), and those treated with mental imagery training combined withEMG-NMES (MIT EMG-NMES), for 30 minutes a day, 5 days a week, for 4 weeks. For the assessment of upperlimb function, the Fugl-Meyer Assessment (FMA) and Wolf Motor Function Test (WMFT) were used, and for theassessment of daily living activities, the Modified Barthel Index (MBI) was used. Results : After four weeks of intervention, the MIT EMG-NMES-treated group showed statistically significantimprovement in the FMA and WMFT (p<.01), and improvement in the MBI, particularly in each of the self-carescores, with a statistical significance (p<.05). The EMG-NMES-treated group showed significant improvement inwrist movement on the FMA and in the upper limb function in the WMFT (p<.05). There was no statisticallysignificant improvement in the total MBI, except in the self-care score (p<.05). Conclusion : This study suggests that both the MIT EMG-NMES and EMG-NMES are beneficial in improving theupper limb function and activities of daily living in patients after an acute stroke.
  • 3.

    A Survey on the Activities of Daily Living Training for Occupational Therapy in Korea

    Lee, Chunyeop , Moonyoung Chang | 2014, 22(2) | pp.35~46 | number of Cited : 5
    Objective : This study aimed at surveying the ADL training for occupational therapy, such as general matters,context, detailed treatment activities, and changes after a revision of the legislation in Korea. Methods : Eighty-four occupational therapists that treat adult and elderly patients were chosen randomly. Andquestionnaire was carried out using mail and e-mail. Results : The following are the results of this study. First, on average, 7.47 people were treated during the day,and 75.0% of respondents performed ADL training for 20 minutes at a time. Second, the best ADL assessmentused was the Modified Barthel Index (56.6%), which was usually evaluated once a month (60.7%). Third, 76.2%of the respondents have an independent ADL room, and 45.2% of the respondents have a kitchen and dining room. Fourth, they usually conduct dressing (22.4%) and communication management (22.1%) training. Fifth, there wasno change in revenue after the revision of the legislation (47.7%). Finally, the importance of ADL training washigher than the performance and satisfaction. Conclusion : This survey of domestic ADL training will provide basic data for a treatment system.
  • 4.

    Meta-analysis on a Cognition Assessment Tool and the Prediction of Risk Factors on Older Drivers With Mild Cognitive Impairment (MCI)

    송아영 , 박민경 , Lee Jaeshin | 2014, 22(2) | pp.47~64 | number of Cited : 6
    Objective : The study aims to predict the risk factors during driving situations, and verify the usability of cognitionassessment tools that may be used to check the level of danger when driving for the safety of older drivers withMCI. Methods : A meta-analysis was performed on 17 RCT studies conducted for driving and cognition assessments byclassifying the “MCI” and “normal” groups. A quantitative analysis was also conducted based on the statisticalheterogeneity, size effect, sensitivity, and publication bias for every cognition assessment tool and risk factor. Results : A Jadad assessment was conducted to assess whether the selected studies were of high quality. In termsof the effective size of each tool, TMT-A was 0.44, TMT-B was 0.54, and UFOV-sub-test 2 was 0.52, whichcan be interpreted as having a “large size effect.” For the size effect, the driving error was 0.83, the vehicle speedwas –0.17, the reaction time was 0.70, the braking was 0.47, and the turning was –0.81. Therefore, the drivingerror and turn were interpreted as having a “large size effect”, and the reaction time and braking were interpretedas having a “medium size effect” and “small size effect,” respectively. Conclusion : TMT-A, TMT-B, and UFOV–sub-test 2 are useable to verify the driving danger of MCI drivers. Inaddition, driving error is useable as additional information for safe driving.
  • 5.

    A Study on Cognitive Distortion, Depression, and School Function for School-age Children

    배자현 | 2014, 22(2) | pp.65~75 | number of Cited : 2
    Objective : This study aimed at examining the difference in cognitive distortion, depression, and school functionbetween children with a disability and children without a disability during their school-age years. In addition, aninvestigation into the effect of cognitive distortion and depression on the school function in school-age childrenwas conducted. Methods : From grades 2 through 6, 40 children with a disability and 50 children without a disability were selected. Every participant filled in a Children’s Depression Inventory (CDI) and Children’s Negative Cognitive ErrorQuestionnaire (CNCEQ), which were evaluated based on the School Function Assessment (SFA) by their teachersor therapists. The collected data were analyzed using SPSS18.0. Results : A statistical difference was found for CNCEQ, CDI, and SFA between children with a disability and thosewithout a disability. Academic achievement, which is a subarea of CNCEQ, was the factor affecting school-agechildren’s SFA, and explained 23.2% of the SFA changes. Conclusion : The results indicate that the children with a disability were more depressed, more negativelydistorted, and less functional in school than the children without a disability. Therefore, to deal with negativeclients, occupational therapists need to apply a psychological approach to their services.
  • 6.

    Physiologic Response in Sensory Stimulation of Children With Anxiety Disorder : A Systematic Review

    최연우 , Kyeong-Mi Kim | 2014, 22(2) | pp.77~87 | number of Cited : 0
    Objective : This study aimed at examining the difference in cognitive distortion, depression, and school functionbetween children with a disability and children without a disability during their school-age years. In addition, aninvestigation into the effect of cognitive distortion and depression on the school function in school-age childrenwas conducted.The aim of this study was to provide children with an anxiety disorder sensory stimulation withphysiology response features. Methods : We examined the papers published in journals from January 2000 to May 2013, using the Cochranelibrary, EBSCOhost, Embase, ScienceDirect, MEDLINE, PsycINFO, PubMed, and Social Sciences Citation Index. The key-words for the search were “generalized anxiety disorder, specific phobias, panic disorder, socialanxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, separation anxiety, children,pediatric, adolescent, sensory stimuli, sensory response, startle reflex, startle reactivity, auditory, olfactory,visual, vestibular, proprioceptive, tactile, taste, skin conductance response, galvanic skin response, heart rate,beats per minute, heart rate variability, vasomotor activity, and electromyography.” Five studies were used forthe data analysis, and all levels of evidence were at level Ⅱ. Results : The level of arousal from sensory stimulation in children with an anxiety disorder was higher than inhealthy children. The magnitude of sensory stimulation was higher in children with an anxiety disorder, with ashorter latency, than in healthy children. The children with an anxiety disorder also indicated a delayed habituationto stimulation. Conclusion : The children with an anxiety disorder have different physiological response features than the normalcontrol group. A systematic study is expected to be conducted to investigate the physiology response using thesame method as for children with an anxiety disorder.
  • 7.

    Job Analysis of Occupational Therapists for 2013

    Lee Hyang Sook , Kiyeon Chang , Jung, Min-Ye and 2 other persons | 2014, 22(2) | pp.89~112 | number of Cited : 45
    Objective : This study set up the definition of an occupational therapist and its conception and job scope so thatthe basic job performance ability, problem solving ability, and overall thought ability required in the field for newoccupational therapists can be evaluated and verified, and the systematized knowledge, skills, and attitudesresulting from the above research analyzed. Methods : We conducted a research analysis of the job characteristics, set up the definition of an occupationaltherapist and its conception and job scope, and conducted a job analysis of occupation therapists, targetingoccupational therapy experts and a new group of occupational therapists with less than 3 years of experience,from January 2012 to November 2013. Results : The number of duties increased from five (patient assessment, occupational therapy, education,management, and self-development) to six (consultation, assessment, intervention planning, intervention,education and management, and self-development) in this job analysis, compared to the primary job analysis in2000. The number of tasks also increased from 32 to 37, while the number of task elements was reduced from168 to 131. These results show that the job area of occupational therapy was extended, and the contents of thejob were greatly changed. Conclusion : Based on this job analysis of occupational therapists, we standardized the contents of clinical practiceand made students majoring in occupational therapy receive structured clinical training, reflecting the current job. This study will bring an improvement in the quality of occupational therapy education and a contribution to anexpansion of the area of occupational therapy.
  • 8.

    Korean Assistive Technology Satisfaction Assessment Tool Development

    An, Hayeon , Janghwan Kim , Jeong Dong-hoon and 3 other persons | 2014, 22(2) | pp.113~124 | number of Cited : 6
    Objective : The purpose of this study was to develop an assessment tool that can collectively and objectivelyevaluate the application of an assistive technology appropriate for domestic circumstances. Methods : Through reviews of previous research and preliminary expert research, the primary extraction of theevaluation factors for assistive technology satisfaction, expert research, and content validity evaluation factors forassistive technology satisfaction appropriate for domestic circumstances were identified. and evaluation factorsextracted for an analysis of the validity and reliability of the exploratory factor analysis and internal consistencyreliability were confirmed. Results : A review of previous research and preliminary expert research, expert research, content validity throughinvestigation, and finally, ‘Assistive Technology Device’, ‘Assistive Technology Service’, ‘Activities of DailyLiving’ ratings of three assessment items and 17 evaluation factors were determined by extracting the elements. Second, based on the 3 factors and 16 evaluation factors extracted through the exploratory factor analysis, thecoefficient of internal consistency, Cronbach’s α, was determined to be .908. Furthermore, after the items weredeleted, Cronbach’s α was .777~.871. Conclusion : Thus, the 3 assessment items that comprised the finalized assistive technology satisfaction assessmenttool, and the 16 evaluation factors, were completely developed. further study requires convergent validity,concurrent validity and test-retest reliability. In addition, in the field of assistive technology and occupationaltherapy, assistive technology results are expected based on the information available.