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pISSN : 1226-0134 / eISSN : 2671-4450

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2015, Vol.23, No.3

  • 1.

    The Effect of Dynavision Training on Visual Attention During Task After Stroke: Single Subject Research Design

    Choi Seong-Youl | Han sang woo | Jaeshin Lee | 2015, 23(3) | pp.1~13 | number of Cited : 4
    Abstract
    Objective : This study examined effect of Dynavision training on visual attention while conducting tasks after a stroke, and performed an eye-tracker analysis. Methods : Across an ABAB single-subject research design, three stroke patients conducted Dynavision training during the intervention period, and the eye-tracker evaluated their visual attention after each session. A visual analysis was conducted using a graph, and the changes in the values were analyzed through two standard deviations and the trend line. Results : The values of eye fixation, eye saccade, and eye scan-path remained high within the two standard deviation band more than twice during the intervention and reversal intervention period. The trend line for the intervention and reversal intervention period was steep. The trend line for the percentage of correct answers on paper was increased during the reversal baseline period. In addition, the trend for the line reversal intervention period was steeper than for the intervention period. Conclusion : Dynavision training after a stroke affected the visual attention while conducting tasks, and an eye-tracker evaluation was more objective than a pencil-paper evaluation.
  • 2.

    The Effect of a Leisure Motivation and Participation Restriction of Stroke Patients on Level of Leisure Activity

    Hong Deok Gi | Jeong hwan yoon | 박종현 and 1other persons | 2015, 23(3) | pp.15~24 | number of Cited : 10
    Abstract
    Objective : The purpose of this study was to verify leisure motivation and participation restrictions effect on level of leisure activity in stroke patients. Methods : Since 12 November 2014 until 19 December, we have collected a data about participation restrictions, a leisure motivation, and Korean Activity Card Sort (K-ACS) Targeting 125 inpatients/outpatients who were diagnosed with stroke that are over 55 years old. For the data analysis, we implemented a descriptive statistic, a pearson correlation coefficient, and a multiple regression analysis. Results : The study shows that the stroke patients’ level of current leisure activity showed a significant correlation with a leisure motivation and participation restrictions. The leisure motivation in subordinate area, it manifest a correlation that is significant in learn, self-development, a health, and social. And it showed a significant of personally restrictions in subordinate area of participation restrictions. The element that effects on a level of current leisure activity, it resulted as personal restrictions, learn and social of leisure motivation, the explanation ability was analysed as to 20.0%. Conclusion : Need to utilize an intervention method to maintain a healthy life in participating a leisure activity for the stroke patients, and it is needed of an approach towards restrictions elements and motivator for the leisure intervention.
  • 3.

    The Effects of Time-Use Intervention on Depression and Rehabilitation Motivation for Stroke Patients

    박수진 | Song seung il | 2015, 23(3) | pp.25~37 | number of Cited : 3
    Abstract
    Objective : This study examined the impact of a sixteen-week time-use intervention perio on the depression and rehabilitation motivation of stroke patients with psychological difficulties. Methods : Ten stroke patients who were divided into an experimental group and a control group participated in this study from May 2014 to August 2014. Depression changes were measured using a Beck Depression Inventory (BDI), and their rehabilitation motivation was evaluated using the Rehabilitation Motivation Scale. Results : The results of the present study showed that the experimental group and control group presented significant differences before and after intervention in terms of their depression and rehabilitation motivation. However, after intervention, the depression and rehabilitation motivation did not differ between the two groups. Conclusion : The results of this study indicate that time-use intervention was effective in improving the depression and rehabilitation motivation of stroke patients, and therefore time-use intervention with occupational therapy will be useful as a clinical method for improving their level of depression and rehabilitation motivation.
  • 4.

    The Effects of Ocular Motor on Visual Perception Ability and Eye-Hand Coordination of Patients After a Stroke

    이은희 | OH MYUNG HWA | Chung Hyunae and 2other persons | 2015, 23(3) | pp.39~52 | number of Cited : 4
    Abstract
    Objective : The purpose of this study was to determine the effects of ocular training on visual perception ability and eye-hand coordination of patients after a stroke. Methods : The subjects this study were ten stroke patients who have trouble with handling visual perception. The experimental group received both upper extremity function training and ocular motor training. The control group received upper extremity function training, and Developmental Test of Visual Perception-Adolescent and Adult (DTVP-A) and Visual Object Space Perception Battery (VOSP) were used to measure their visual perception, whereas Minnesota Manual Dexterity Test (MMDT) and CMS-10 were used to measure their eye-hand coordination before and after intervention. Results : The two groups both showed an increase in visual perception and eye-hand coordination after intervention, but the experiment group showed a significantly greater increase than the control group (p<.05). Differences in groups showed significantly increase with experimental group in form constancy of DTVP-A, total score of VOSP and moving part of MMDT (p<.05). Conclusion : The two groups both showed an increase in visual perception after intervention, but there was a greater improvement within the experimental group, which performed ocular training. As a result, it can be predicted that ocular motor training may be helpful in recovering and increasing the abilities of strok patients.
  • 5.

    Analysis of Structural Relationship Among Factors of Health Related Quality of Life in the Elderly With or Without a Stroke

    Kim, Souk-Boum | 2015, 23(3) | pp.53~66 | number of Cited : 2
    Abstract
    Objective : The main purpose of this study was to analyze the structural relationship among factors that have an impact on Health-Related Quality of Life (HRQOL) in three groups: A stroke patient group (Exp 1), high-risk stroke patient group (Exp 2), and a normal control group. Methods : For this survey, we conducted a secondary analysis using ‘the fifth Korea national health and nutrition examination survey (2010-2011)’, and investigated 2,293 elderly people over 65 years in age. Results : The results were as follows: HRQOL had a significant difference among groups (control>Exp2>Exp1) (p<.05). In the total effect of the experimental 1 groups, their HRQOL was significantly affected by their mental health (β=.425), self-rated health (β=.391), and medical health (β=.290)(p<.05). In the total effect of the experimental 2 group, their HRQOL was significantly by their self-rated health (β=.425), medical health (β =.272), mental health (β=.249), and functional health (β=.234) (p<.05). In the total effect of the control group, their HRQOL was significantly affected by their self-rated health (β=.398) and mental health (β=.184)(p<.05). Conclusion : In conclusion, this study suggested two matters to improve the HRQOL in people with or without a stroke. First, to improve the HRQOL in people suffering from senility, a different approach is needed according to whether the person has had or not had a stoke. Particularly in stroke patients, we should treat both their physical disability and mental health. Second, regardless of whether they have had a stroke, their HRQOL is influenced strongly by their self-rated level of health, and therefore an improvement of HRQOL will be induced by promoting positive health behaviors.
  • 6.

    A Comparative Study on the Participation of the Elderly and Its Affecting Factors Between Rural and Urban Areas

    변은진 | 김선미 | Park, Ji-Hyuk | 2015, 23(3) | pp.67~77 | number of Cited : 6
    Abstract
    Objective : The purpose of this study was to compare the participation and influencing factors between rural and urban elderly and to identify their affecting factors. Methods : Data were collected from 77 rural and urban elderly. The instruments used in this study were Korean version of Mini-Mental State Examination (MMSE-K), Outpatient Physical Therapy Improvement in Movement Log (OPTIMAL), Korean form of Geriatric Depression Scale (KGDS), Rosenberg Self-Esteem Scale (RSES) and Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation). Data were analyzed using a chi-Square test, t-test, Pearson’s correlation and multiple regression. Results : All four functions had a statistically significant correlation with their participation. There were significant differences in factors relating to participation between the rural and urban elderly. A high level of negative correlation was found between participation and depression in rural elderly (r=-.486, p<.01), and a high level of positive correlation was found between participation and self-esteem in urban elderly (r=.598, p<.05). The main affecting factor was self-esteem in the urban elderly (p<.01). Conclusion : There were differences in the participation and influencing factors between rural and urban elderly, and the rural elderly were found to have more weaknesses than those from an urban area. An intervention program for participation should be designed differently between those from rural and urban areas.
  • 7.

    Efficacy of Dementia Prevention Program for Cognitive Function, Depression, and Physical Function in the Elderly Non-Demented Women-Focused on Senior Citizens Center

    박종섭 | 박수정 | 윤지영 and 1other persons | 2015, 23(3) | pp.79~96 | number of Cited : 22
    Abstract
    Objective : Dementia prevention program has been applied in Center for dementia by the occupational therapists. We evaluated the efficacy of this program to the elderly non-demented women in senior citizens center for cognitive, physical function and depression. Methods : We applied this program to women subjects from a senior citizens centers in 12 sessions. Cognitive and physical functions and depression were compared between pre and post-intervention with Korean Mini-Mental State Examination (K-MMSE), Timed-Up and Go test (TUG), One Leg Standing Test (OLST) and Geriatric Depression Scale Short Form-Korea version (GDSSF-K). Results : We enrolled 26 non-dementia women from four senior citizens centers in Seoul Yangcheon-gu. The K-MMSE improved after the dementia prevention program significantly (p=.00). The GDSSF-K was significantly different between pre and post-intervention (p=.02). For physical function, TUG (p=.02) and OLST in opening eyes were significantly improved (respectively, p=.00 in right side, and p=.00 in left side). OLST in closed eyes were tend to be improved after the intervention, however, they were not significantly different. Conclusion : The dementia prevention program of Center for dementia has proved to improve cognitive and physical function and to reduce depression in the non-demented women from senior citizens centers. These findings suggest that the dementia prevention program that has led by occupational therapist in Center for dementia can be applied other setting in a community.
  • 8.

    Effects of Expiratory Muscle Strength Training on Activation of Suprahyoid Muscles and Swallowing Function of Pharyngeal Dysphagia Patients

    Ji-Su Park | Oh Dong Hwan | 장문영 | 2015, 23(3) | pp.97~109 | number of Cited : 1
    Abstract
    Objective : The purpose of this study was to investigate the effects of Expiratory Muscle Strength Training (EMST) on the suprahyoid muscle activation and swallowing function of stroke patients. Methods : This study randomly assigned 21 stroke patients to an experimental group and a control group. Four-week EMST was performed at resistance of 70% of the maximum expiratory pressure with the experimental group and at resistance of 20% of that with the control group. Evaluation was conducted using surface Electromyographic (sEMG), Videofluoroscopic Dysphagia Scale (VDS), and Penetration-Aspiration Scale (PAS) based on Videofluoroscopic Swallowing Study (VFSS). Results : There was a statistically significant difference in the activation of the suprahyoid muscles using sEMG of the experimental group (p<.05) while there was no significant difference in that of the control group. Both group showed significant difference in the pharyngeal phase of VDS and PAS. Also in the comparison of variation in VDS and PAS before and after the intervention, there were statistically. Conclusion : Finding from this study confirmed that EMST applied 70% maximum expiratory resistance would be a remedial method which could help activate pharyngeal dysphagia patients’ suprahyoid muscles and improve swallowing function.
  • 9.

    The Effects of Sensory Integration Coping Skills Parent Program for Autism Spectrum Disorder on the Parenting Stress and Parenting Efficacy

    정희승 | Eun Young Yoo | MINYE JUNG and 3other persons | 2015, 23(3) | pp.111~126 | number of Cited : 14
    Abstract
    Objective : The purpose of this study is to conduct parent education about autism spectrum disorders with sensory modulation disorder and coping skills for parents to nurture. After parental education participation to verify the effects of parenting stress and parenting efficacy. Methods : The study subjects were conducted with mothers Gwangju and Jeonju 20 people twice a week to target a total of seven sessions of four weeks. Research tools to measure the effectiveness of parent education parenting stress (Korean-Parenting Stress Index; K-PSI) and parenting efficacy (Parenting Sense of Competence; PSOC) was used for tests. Data analysis was performed using SPSS Version 18.0. Results : After a parent education parenting stress was statistically significantly decreased in all categories (p<.001). Influence on the child area has shown that most parenting stress the ‘reinforce parent’ impact on the parent area parenting stress is ‘attachment’ appeared to be the largest of its kind. Parenting Efficacy was also statistically significantly improved in all categories (p<.001). Conclusion : In this study, conducted by a parent education program have reduced parenting stress of mothers to nurture and was confirmed to be effective in promoting parenting efficacy.
  • 10.

    Risk Factors Related to Musculoskeletal Disorders to Occupational Therapists: A Comparison Between Pediatric and Adult Occupational Therapists

    전선영 | 김해준 | 최혜숙 | 2015, 23(3) | pp.127~141 | number of Cited : 2
    Abstract
    Objective : This study is a descriptive examination related to musculoskeletal disorders and the risk factors between pediatric and adult occupational therapists as a way to provide basic information for the purpose of preventing musculoskeletal disorders. Methods : This study surveyed 101 occupational therapists who are employed at ten general hospitals and social welfare centers in Seoul and Gyeonggi-do, South Korea. A questionnaire was used as the research tool for determining their socio-demographic characteristics, job satisfaction, workload, task frequency, and symptoms of musculoskeletal disorders. The data were analyzed using the SPSS Version 17.0. Results : The waist and back are the areas that pediatric and adult therapists complain about being the most painful. The next problem areas are the shoulders followed by the neck. When reviewing the occurrence of factors that influence musculoskeletal disorders according to the body area, the results show that these factors increased 4 to 15 times depending on the therapist's posture while treating patients, conducting their workload, and frequently doing tasks. Conclusion : The results show that the prevalence rate of musculoskeletal disorders of occupational therapists is significantly higher. To enhance the posture and physical task environment for therapists working in a diverse range of departments, further studies are needed.
  • 11.

    Reliability and Validity of the Assessment of Home-based Activities (AHA)

    No-yul Yang | MINYE JUNG | 2015, 23(3) | pp.143~152 | number of Cited : 3
    Abstract
    Objective : The aim of this study was to verify the reliability and validity of the Assessment of Home-based Activities (AHA), which can assess the elderly’s performance of daily activities at home in the three areas of independence, difficulty, and safety. Methods : A total of 360 elderly people aged 55 or older without physical disorders participated in this study. To verify the reliability and validity of AHA, the internal consistency, test-retest reliability, convergent validity, and discriminant validity were analyzed. Of them, we calculated the convergent validity, and the correlations between each activity of the AHA and Korean-Activities of Daily Living (K-ADL)and between each activity of the AHA and Korean-Instrumental Activities of Daily Living (K-IADL) were examined. In addition, to test the discriminant validity, the performance of daily activities between the group of general elderly and the group of elderly after a stroke was compared. Results : The internal consistency was within the range of .91 to .98 and the test-retest reliability showed a range of .78 to .86. The convergent validity showed that the correlations of all sets of two activities with similar names or features were statistically significant (p<.01). The discriminant validity showed that the general elderly people performed daily activities at a higher level than the elderly after suffering a stroke in all areas (p<.01). Conclusion : The AHA is a suitable instrument that can assess the performance of daily activities at home of elderly people, and is expected to be useful in implementing interventions of training for activities of daily living and home modifications in the field of rehabilitation.