KJC Korea
Journal Central

Objectives: This study investigated the effects of video self-modeling on motor skill performance in adolescents with Asperger syndrome. Methods: A single-subject A-B-A' and alternating treatments experimental research design was used to determine the effects of video self-modeling. Three adolescents diagnosed with Asperger syndrome participated was evaluated. Participants’ motor skill performance was recorded during each session, and COPM were assessed before and after the video self-modeling phase. The data were analyzed visually using graphs. Results: The results were as follows. After the video self-modeling intervention sessions, motor performance time decreased, while performance quality, total COPM score increased. Conclusion: This study showed that video self-modeling enhanced motor performance skill in adolescents with Asperger syndrome.

Objective: The purpose of this study was to compare time use changing on ages and each year after categorizing occupations based on the data of '2004, 2009, 2014 Time Use Survey'. Methods: The sample over 10 years old consisted of 31,634 in 2004, 20,263 in 2009, and 26,988 in 2014 time use data. We classified life cycle from 10s to 89 years old and behaviors were classified by areas of occupation in OTPF (3rd Edition). Results: The results showed that 'play', 'social participation' and 'rest' time at teenagers are increasing. At 20s, 'education' was increasing and 'work' and 'leisure' were decreasing. Adults with over 60 are spending their much time on leisure, but the most activities are static like watching television. Conclusion: Researchers found that there was occupational time use changing based on ages. Therefore, we suggest that occupational therapists need to reflect change trend of time use for occupational balance when they provide OT service.

Objective: The purpose of this study was to investigate the relationship among quality of sleep(QOS), pain degree, and activities of daily living(ADL) in stroke patients, and their quality of sleep and pain degree impact on ADL. Methods: The study was performed on 100 patients hospitalized after a stroke diagnosis. A study design is descriptive, cross-sectional study. Performance of ADL, quality of sleep, and pain degree were measured using Korean Modified Barthel Index(K-MBI), Pittsburgh Sleep Quality Index(PSQI), Numeric Rating Scale(NRS), respectively. Data were analyzed by using descriptive statistics, analysis of frequency, t -test, one-way ANOVA, correlation analysis, and regression analysis. Results: The performance of ADL in stroke patients was significant correlation with quality of sleep and pain degree( p <.01). The degree of pain did not have a significant effect on the ability to perform daily activities, but the quality of sleep was a factor that significantly influenced the ability to perform activities of daily living.( p <.05) Conclusion: The results of this study indicate that the ADL is related to QOS and pain degree, and when the QOS is poor, it has a negative impact on the performance of ADL. Therefore, occupational therapists should consider all these factors for improvement of ADL in stroke patients.

Objective: The purpose of this study was to investigate the effects of task-based mirror therapy to improve upper extremity motor function and use in daily living for patients with stroke. Methods: The subjects were 18 patients who were diagnosed with hemiplegic stroke. They were randomly assigned to experimental( n =8) and control groups( n =10). All patients received general rehabilitation intervention during the experimental period and task-based mirror therapy was provided only to experimental groups. Task-based mirror therapy was composed of 20 sessions, 30 minutes per session, 5 times a week, for 4 weeks. For result analysis, descriptive statistics, Fisher's exact test, Wilcoxon signed rank test, and Mann-Whitney U test were used. Results: After intervention, the score of Fugl-Meyer Assessment(FMA), Action Research Arm Test(ARAT), Motor Activity Log(MAL), and the dexterity and coordination of elbow joint movement for patients in the experimental group significantly improved. Although the control group who received general rehabilitation treatment promoted ARAT and MAL scores, their scores were significantly less than those of the experimental group, and FMA score and quality of movement were not statistically promoted. In between-group comparison, FMA, ARAT, MAL, and the dexterity and coordination of elbow joint were significantly different. Conclusion: Based on these results, it is reasonable to conclude that task-based mirror therapy is an effective intervention method to improve upper extremity motor function and to facilitate upper extremity use in daily living.

Objective: The purpose of this study is to investigate the correlation between sleep quality, stress and rehabilitation motivation, which is an important area of work for stroke patients, and emphasize the importance of sleeping in stroke patients. Methods: This study was conducted from May 2016 to September 2016 for inpatient and outpatient stroke patients in five hospitals located in Busan and Kyungnam provinces, Six months after the outbreak, MMSE-K score of 24 point or more, Data were collected using questionnaires (sleep quality, stress, rehabilitation motivation measurement tool), Finally, 132 parts were analyzed. Results: The total stress and sub-items of stress(personal, family, and social stresses) showed a statistically significant negative correlation with sleep quality(p<.01). The total motivation and sub-items of motivation(task-oriented, change-oriented, mandatory, and external rehabilitation motivation) showed a statistically significant positive correlation with sleep quality, excluding the amotivation( p <.01). Conclusion: The higher the quality of sleep in stroke patients, the lower the stress level and the higher the rehabilitation motivation level, Stress and rehabilitation motivation, which are important factors in the rehabilitation of stroke patients, were closely related to sleep quality. Assessment of effective occupational therapy for stroke and consideration of sleep, an important work area in intervention, is required

Objective: The purpose of this study was to investigate the effect of occupational therapy based multimodal cognitive rehabilitation on cognitive function in elderly people with mild dementia. Methods: Forty mild dementia patients were randomly divided into occupational therapy based multimodal cognitive rehabilitation group and traditional intervention(cognitive stimulation and cognitive training) group. Both therapies were applied for 2 hours in a day and 2 times in a week for 7 weeks. To verify the effect of intervention, the following cognitive function evaluation measures used : Allen Cognitive Level Scale(ACLS), Korean version of Mini Mental State Examination(MMSE-K), Trail Making Test-A(TMT-A). Results: The ACLS score of the occupational therapy based multimodal cognitive rehabilitation group was significantly increased than traditional intervention(cognitive stimulation and cognitive training) group ( p <0.05). However, MMSE-K, TMT-A scores showed no significant differences between the two groups. Conclusion: Occupational therapy based multimodal cognitive rehabilitation is an effective intervention for improving higher cognitive function in mild dementia patients

Objective: The purpose of this study was to provide a basis for the effects of community-based interventions on dementia patients. Methods: The study was used systematic review method. The databases were collected using RISS, Pubmed, Google Scholar. Each articles were assessed for quality using the PEDro Scale. Nine articles were chosen, and the articles analyzed about the method of intervention, the evaluation tool, the evaluation area, and the experts who performed the intervention. Selected articles were systematically organized in PICO. Results: The qualitative level of the articles were all level 1 in the study of the level 5 step classification. Because all nine articles analyzed the randomized control study. The 55.5% of the articles’ subjects were dementia only. The most frequent intervention was the exercise program(33.3%), and the use of the single domain intervention was higher than complex domain intervention. Community-based intervention was effective in the physical domain of dementia patients and in the quality of life domain of the caregivers. The interventions were effective in the areas of exercise, cognition, QOL, and ADL. Specialists were often referred to as physical therapists, occupational therapists, and nurses. Conclusion: This study could be used by occupational therapists as a basis for community intervention for patients with dementia.

Objective: The purpose of this study is to determine the prevalence rate and severity of challenging behaviors among people with intellectual disabilities living in institution settings. Methods: 419 with intellectual disabilities living thirteen institution settings where were in Gangwondo were conducted to determine the challenging behaviors. Utilizing the KBPI-01, three areas of challenging behavior (self-injurious, stereotyped, and aggressive/destructive) were assessed to frequency and severity. Results: A total of 53.2% showed self-injury, 68.3% stereotyped behavior, and 54.7% aggressive/destructive behavior, at a rate of at least once per month. The results showed severity of challenging behavior that a total of 53.2% showed self-injury, 67.8% stereotyped behavior, and 54.7% aggressive/destructive behavior. These correlations suggest that the frequency and the severity scales were highly. The profound level group was the most prevalent of self-injurious and stereotyped behavior and the unspecified level group was the most prevalent of aggressive/destructive behavior. In a low age group (3~20 years) was the most prevalent of self-injurious and stereotyped behavior. The 51~74 years group showed the most prevalent of aggressive/destructive behavior. Conclusion: These results suggested the need for enhanced understanding of seriously challenging behaviors among individuals with intellectual disabilities and are important for analyzing the therapeutic service systems.

Objective: The purpose of this study is to verify the reliability and validity of the home safety self-assessment tool(HSSAT). Methods: HSSAT was adapted to a Korean-translated version of home safety self-assessment tool(K-HSSAT) using a translation-reverse translation technique. The content validity index was identified by ten experts. Reliability was verified as an internal consistency coefficient between examinations, reexaminations and various inspectors. The verifications were performed to compare the pre-and post-application of solutions in 10 people. Results: The Content Validity Index of K-HSSAT resulted in a high value (0.94). After verifying its convergent validity, the correlation coefficient ranged within 0.232 to 0.520 for the total score of K-HSSAT and each CHFH domain, where all 4 CHFH domains showed significant correlations( p <.01). The internal consistency coefficient (Cronbach’s α value) of K-HSSAT resulted in 0.89. After reliability was verified between multiple inspectors, all 9 domains showed statistically significant correlations( p <.01). The comparison of K-HSSAT solutions before and after the application resulted in a difference that was statistically significant( p <.01), at 17.40±4.55 and 12.70±3.26, respectively. Conclusion: The validity and reliability of K-HSSAT were confirmed. K-HSSAT has been evinced to be a diverse tool not only for evaluating the falling environmental dangers of elderlies’ homes but also for other environmental modifications.

Objective: To present the reliability and validity of the SSP2 testing with typically developing children and developmental disorder children. Methods: Two groups of children, a 100 typically developing and 100 developmental disorder, were selected from six different locations to test the reliability and validity of the translated version of SSP2. Results: The internal consistency of sensory processing score of SSP2 was confirmed to be .89, and behavioral responses associated with sensory processing was .92. The Test-retest reliability of sensory processing ranged from .89 to .90, and behavioral responses associated with sensory processing ranged from .80 to 97 showing a significant correlation. In discriminant validity, it showed a statistically significant difference. The coefficient between the total score of sensory process of convergent validity was .85, and the correlation coefficient between the total score of behavioral responses associated with sensory processing was .84, which indicates a high correlation. Conclusion: This study translated the SSP2 for checked its reliability and validity. as a result of the study, there was a high level. Therefore it is deemed that SSP2 will be easy to use in clinical practice.

Objective: The purpose of this study is to investigate the level of human rights susceptibility among college students majoring in occupational therapy to provide basic data for the development of human rights related curriculum and human rights behavior of college students. Methods: A structured questionnaire consisting of general characteristics and 10 human rights susceptibility episodes was distributed and 408 copies were used for final data analysis. Results: The average of human rights susceptibility was 60.60 (± 26.72). In the case of experience in human rights-related education, human rights susceptibility was higher than that of inexperienced students, but it was not statistically significant. As a result of differences in human rights susceptibility by sub - factors, the perception of the situation was high in all grades. According to grade level, the perception of the situation was in the second grade, and the perception of the result and the perception of responsibility were the highest in the third grade. Conclusion: Based on the results of this study, it is necessary to strengthen the contents to improve the human rights consciousness and human rights behavior in the curriculum, and to discuss the practice of occupational therapy to enhance the Occupational Justice in education and clinic.

Objective: The purpose of this study was to investigate the career selection status in occupational therapy(OT) students in Korea and to analyze their career maturity and career anxiety according to the general situation. Methods: The subjects for this study were collected 2,180 samples from seven 4-year colleges and seven 3-year colleges. A total of 1,590 surveys were analyzed in the final analysis. Results: Most OT students had volunteer experiences at the organizations related to disabilities, and their family members had jobs related to health services. Cases of recommendation for selecting major were a little bit higher than self-selection, and most of them got information about OT through internet. The most of respondents were interested in the pediatric parts and sensory integration intervention. Respondents wanted to get a jot in medical institutions among various choices and 61.1% respondents were answered to want work to the university hospitals. The anxiety level about national examination was 4.29 out of 5 points. Confidence about OT when they entered the University was 4.34, but it decreases to 4.15 at this point. Career anxiety was significantly high when career confidence was high. Also. career maturity and anxiety had significant negative correlation. Conclusion: The results of the present study will contribute to our knowledge regarding ways to provide better academic service as well as career counseling and guidance to OT students.