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pISSN : 1226-0134 / eISSN : 2671-4450

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2016, Vol.24, No.1

  • 1.

    Effects of the Distant Action-Observation Training Program on Function Restorations of Chronic Stroke Patients

    이하영 | 김환 | 권혁철 and 2other persons | 2016, 24(1) | pp.1~13 | number of Cited : 4
    Abstract
    Objective: The purpose of this study was to examine the effects of a distant action-observation training program on the upper limb functions and performance capacities in the activities of daily living of outpatients after a chronic stroke. Methods: Fifteen outpatients were randomly allocated into the experimental group (n=7), who received distant action-observation training, and the control group (n=8), who received a self-exercise program. Each intervention consisted of a 30 min session once a day, three times a week, for five weeks. To measure the functions of the upper limbs and performance capacities in the activities of daily living, the Fugl-Mayer Assessment (FMA) scale and Motor Activity Log (MAL) were used before and after the intervention. Results: The findings indicate that there is a significant differences between the changes in FMA and MAL scores for both groups (p<.05). Moreover, after the intervention, the MAL scores of the experimental group were significantly higher than those of the control group (p<.05). Conclusion: Based on the above findings, outpatient treatment in combination with a distant action-observation training program was shown to be an intervention method that can increase the function restorations of chronic stroke patients. It can also increase the effects on local chronic stroke patients.
  • 2.

    The Effects of Vibration Stimulation on Unilateral Neglect in Patients After a Stroke: A Single-Subject Design

    Jin-Hyuck Park | Park, Ji-Hyuk | 2016, 24(1) | pp.15~25 | number of Cited : 2
    Abstract
    Objective: The purpose of this study was to verify the effects of vibration stimulation on the unilateral neglect in patients after a stroke. Methods: A single-subject research method using multiple baselines across the individuals was employed in this study. All subjects who showed unilateral neglect caused by a stroke received vibration stimulation applied to their left forearm for 30 minutes per sessions. A total of 20 sessions were conducted. Their unilateral neglect was measured through a Line Bisection test and Albert’s test during each session, and the Catherine Bergego Scale was used to evaluate the degree of unilateral neglect based on the pre-and post-test on their daily life. The data were visually analyzed using graphs and a descriptive statistical analysis. Results: All subjects showed statistically significant improvements in the Line Bisection test and Albert’s test scores, and the Catherine Bergego Scale scores were improved post-test. Conclusions: The results of this study indicate that vibration stimulation has a positive effect on the unilateral neglect, and may be considered an alternative choice in clinical occupational therapy for reducing unilateral neglect.
  • 3.

    Study on Turnover of Occupational Therapists Using Price’s Causal Model of Turnover

    이기대 | Byoungjin Jeon | 2016, 24(1) | pp.27~38 | number of Cited : 1
    Abstract
    Objective: This study aimed to check the causality of occupational therapists' work orientation and turnover intention. Methods: Information was collected through surveys given to occupational therapists who are members of the Korean Association of Occupational Therapists. The survey consisted of questions regarding their work orientation. SPSS Version 18.0 was used for the technical statistics, and a reliability analysis on the collected data and AMOS was also used to analyze the structural equation model and check the causal effects among their profession, organizational structure, position, turnover factor, job satisfaction, organizational engagement, and turnover intention. Results: Occupational commitment (β=.39), self-authority (β=.25), procedural justice (β=.14) and opportunity of promotion (β=.15) turned out to have a significant causal effect on their job satisfaction, whereas distributive justice (β=.26), procedural justice (β=.30), and opportunity of promotion (β=.23) showed a meaningful causal effect on their organizational commitment. In addition, the dependent variable (turnover intention) revealed a significant causal effect on their job satisfaction (β=-.13), organizational commitment (β=-.73), and sense of calling (β=-.25). Conclusion: Price's model is expected to serve as a significant index to appropriately control the turnover rate by preventing occupational therapists from changing jobs through an adjustment of Price's causal model of turnover by estimating the turnover factors indicated from the job characteristics of the occupational therapists and adding them into the model.
  • 4.

    Effects of a Small Group Occupational Therapy Program on Adolescents at Risk of Suicide: A Preliminary Study

    이종서 | 강대혁 | 박소연 | 2016, 24(1) | pp.39~52 | number of Cited : 4
    Abstract
    Objective : The aims of this preliminary study were to examine the effects of a client-centered small group occupational therapy program on depression, anxiety, alienation, and suicidal ideation of adolescents at risk of suicide, and identify their changes in occupational performance. Methods: Five clients registered with a community mental health promotion center for case management participated in this study. A small-group occupational therapy program was designed based on conventional mental health day-hospital occupational therapy programs and audiovisual education programs for suicide prevention. One 50 min session was implemented per week at the high school where all of the clients were attending for 10 weeks, from August to October 2013. A Wilcoxon signed-rank test was employed to determine the statistical significance. Results: The statistical significance (p<.05) was found in the Korean version of the Beck Depression Inventory (K-BDI) and a slight decrease in individual scores was observed in the Korean version of the Beck Anxiety Inventory (K-BAI), Student Alienation Scale (SAS), and Suicidal Ideation Scale (SIS). The Canadian Occupational Performance Measure (COPM) showed a statistical significance (p<.05) in changes in the occupational performance and satisfaction. Conclusion: The client-centered small-group occupational therapy program presented in this study was found to decrease the symptoms of depression, anxiety, alienation, and suicidal ideation, and improve the occupational performance among the adolescents at high risk of suicide, and furthermore, it emphasized the importance of individualized goal setting through group activities.
  • 5.

    Intervention for Improving Physical Function of Children and Adolescents With Impaired Health: A Systematic Review

    우지희 | Kim, Jung-Ran | 2016, 24(1) | pp.53~63 | number of Cited : 1
    Abstract
    Objective: The purpose of this study was to identify the diagnostic groups, evaluation tools, and intervention for improving the physical functionality of children and adolescents with impaired health through a systematic review. Methods: This study searched for other researches published in the PubMed, CINAHL, Embase, and RISS databases from 2000 to 2014. The keywords were “health impairment children OR chronic illness adolescent” AND “cancer OR diabetes mellitus OR asthma OR juvenile idiopathic arthritis” AND “physical exercise OR physical intervention.” Results: Fifteen studies were used for the data analysis, and the evidence was from levels Ⅰ, Ⅱ, and Ⅴ. The subjects suffered from cancer (56.0%), diabetes mellitus (16.7%), asthma (16.7%), and juvenile idiopathic arthritis (11.1%). An aerobic training intervention (82.0%) method was most frequently used. The areas of the evaluation were the motor and functional ability (56.0%), quality of life (23.0%), and respiratory function (23.0%). Nine studies (out of 15) showed a positive effect on the physical function of children and adolescents with impaired health. Conclusion: This study presented an evidence-based practice concerning an intervention for improving the physical functionality of children and adolescents with impaired health. Further studies are required to encompass the effectiveness of school-based occupational therapy in children and adolescents with health impairments.
  • 6.

    Effects of a Task-Oriented Intervention on Handwriting of School Aged Children With ADHD: A Case Study

    신민경 | Park, Ji-Hyuk | 2016, 24(1) | pp.65~74 | number of Cited : 11
    Abstract
    Objective: The aim of the present study was to investigate the effects of task-oriented handwriting intervention implemented for children with ADHD. Methods: The subjects of the present study consisted of 5th graders with ADHD who have difficulties with visual-motor integration and have complained of handwriting problems. This study used an ABA design, with a total of 12 trials in a 2-8-2 arrangement. The baseline and follow up periods consisted solely of measuring the performance regarding the handwriting task, but during the intervention, hand-writing focused training was conducted for 20 minutes after each measurement trial. Results: After implementing the task-oriented handwriting intervention, the handwriting legibility of the subjects improved significantly, whereas there was no significant change in speed. Conclusion: The present study demonstrates that applying task-oriented handwriting training to children with ADHD has a positive effect on their legibility. In future studies, it will be necessary to apply this technique to more subjects, and to classify the handwriting features according to the school year and diagnostic group, as a means to preparing evidence for handwriting implementation.
  • 7.

    Effects of Client-Centered Home Modification and Caregiver Education on Activity Performance and Satisfaction of Persons With Mild Dementia: A Case Study

    이창대 | MINYE JUNG | 김재남 and 1other persons | 2016, 24(1) | pp.75~88 | number of Cited : 15
    Abstract
    Objective: The purpose of this study was to investigate the effects of client-centered home modification and caregiver education on the changes in activity performance and satisfaction level of persons with mild dementia in a home environment. Moreover, the role of an occupational therapist as a service provider in Korea for persons with dementia was discussed Methods: The participant of this study was an 84 year-old woman with Alzheimer's disease. The independence, difficulty, and safety of the participant regarding her activity performance were assessed through an AHA. COPM was used to determine the meaningful activities for the participant. Based on the results, the target intervention activities were selected. Moreover, home modifications and caregiver education were determined as intervention methods according to the cognitive level of the participant, which was assessed through her ACLS. The outcome measures were collected post intervention and during a 6-month follow-up assessment. Results: The performance level of the activities, which showed a decline owing to cognitive impairment, increased after the intervention. The increase in independence, difficulty, and safety was maintained after 6 months. Activity satisfaction also improved throughout the intervention. Conclusion: Client-center home modifications and caregiver education improved the activity performance and satisfaction of the participant. Furthermore, occupational therapists are required to offer services to clients with dementia as a case manager.
  • 8.

    Effectiveness of Occupational Therapy for Improving Participation: A Systematic Review

    김연주 | 김문영 | 이주현 and 1other persons | 2016, 24(1) | pp.89~108 | number of Cited : 6
    Abstract
    Objective: The purpose of this study was to examine the trend of interventions improving participation of occupational therapies’ clients and to provide evidence and implications regarding occupational therapy practice for client participation. Methods: For the main keywords of a database search, “Participation AND Occupational therapy AND Intervention” were used. Using Scopus, PubMed, and Google Scholar, we systematically examined papers published in journals from January 2005 to April 2015. A total of 12 studies were included in the analysis. Results: The results revealed the level of quality and trend of each study, the types of intervention, the environments provided during the intervention, the diseases of the participants, the applied tools, and dependent variables measured through participation. The quality and quantity of the studies were shown to be improving. In addition, the interventions were mostly provided for chronic conditions in the form of a self-management program in a community setting. The tools were used by the researchers following their research intention. Quality of Life (QoL) through participation was the most frequently measured condition. Conclusion: Through this systematic review, we were able to determine and understand the trends in occupational therapy service for improving participation. In the future, based on this study, research on intervention for improving participation may be further developed.
  • 9.

    A Study on Development of ‘Dysphagia Rehabilitation’ Course by DACUM Job Analysis

    Song, A-Young | 전영혜 | Cha tae hyun and 6other persons | 2016, 24(1) | pp.109~129 | number of Cited : 0
    Abstract
    Objective : The purpose of this study was to develop courses of dysphagia rehabilitation in order to cultivate occupational therapists who have knowledge, technical skills and attitudes required in a clinical situations and to present a direction for specialized dysphagia rehabilitation. Methods : Job of dysphagia rehabilitation was defined by using job analysis technology of Developing a Curriculum (DACUM). Priority of jobs and a need of education were verified for occupational therapists who work in dysphagia rehabilitation. Knowledge, functions and instruments were checked for core work extracted through verification to draw subjects and compose curriculum. Results : Four duties which are related to dysphagia rehabilitation and eighteen works were checked. Based on the check, six core jobs were extracted and four subjects (basic theory, reason and characteristics of dysphagia, evaluation of dysphagia and dysphagia therapy) according to knowledge, function and instruments were drawn for 15 week course. Conclusion : The result of this study can be used as basic data for dysphagia rehabilitation education program and systematic education because this study developed subjects by concretely analyzing duty of dysphagia rehabilitation.