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pISSN : 1226-0134 / eISSN : 2671-4450

2020 KCI Impact Factor : 0.94
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2018, Vol.26, No.1

  • 1.

    Retrospective Cohort Survey on Post Stroke Recovery in Accordance With Hand Dominance.

    Jemo Park | Kim Hee Dong | Hwa Shik Jung and 10other persons | 2018, 26(1) | pp.1~13 | number of Cited : 1
    Abstract
    Objective: There has been observed that the degree of functional recovery is higher than non-dominant hand if the dominant hand paralyzed after a stroke. In Korean research context, there has not been enough research conducted on this issue. This study has therefore tried to explore the changes in functional recovery due to dominant hand paralysis by using a retrospective cohort survey to provide information to an occupational therapy intervention strategy. Methods: After recruiting primary subjects( n =205) from five medical institutions, we investigated subjects' general characteristics and stroke-related characteristics such as applied evaluation tools. Subjects who have admitted from onset to initial evaluation within 6 months were excluded. Information about the assessment records were collected from the secondary subjects( n =122). Six evaluation tools(Modified Barthel Index, Maunual Function Test, Hand Strength Test, Nine-Hole Pegboard Test, Functional Independence Measure, Box and Block Test) were selected through the frequency analysis for the assessment tool applied to the secondary subjects. Results: The assessment results of HST, NHP and BBT( p <.001) along with assessment period in MBI( p <.05) depending on the existence of dominant hand paralysis showed statistical difference. However, no interaction effect between the existence of dominant hand paralysis and assessment period. The changes on the assessment value of HST and BBT showed that the paralyzed dominant hand group was higher and statistically significant( p <.05) than the non-dominant hand group. Conclusion: We hope that the results of this study could be applied to various occupational therapy intervention strategies for hemiplegic patients due to stroke in the future.
  • 2.

    The Standardization of the Korean Drivers 65 plus to Identify Driving Fitness of Senior Drivers

    Han sang woo | Jaeshin Lee | kim su kyoung and 3other persons | 2018, 26(1) | pp.15~29 | number of Cited : 6
    Abstract
    Objective: The purpose of this study is to standardize a Korean Drivers 65 plus by evaluating its reliability and validity. Methods: After completing the final translation through verification, to verify the tool’s reliability and validity, 218 senior drivers, aged 65 plus, were assessed through translated versions of Drivers 65 plus, K-DBQ and MoCA-K. Results: The translated version was completed after verification of translation and reverse translation, participant comprehensibility, and suitability; no questions were deleted or added. In reliability testing of the translated version of Drivers 65 plus, the internal reliability of the items was Cronbach’s α=0.575, and test-retest reliability was .95 by ICC. In the confirmatory factor analysis to verify construct validity, the model fit indices were as follows: NC=2.954, CFI=.806, TLI=.736, NFI=.742 and RMSEA=.095. K-Drivers 65 plus and K-DBQ had a significant positive correlation( r =.470, p <.01) while there was a significant negative correlation with MoCA-K( r =-.495, p <.01). When we tested the usefulness of the K-Drivers 65 plus to assess driving suitability in senior drivers, the AUC (.726) was confirmed to have normal accuracy in selecting suitability. K-Driver 65 plus distinguished those with a total score of 31 or more as Risk drivers and those with scores of less than 31 as Safe drivers. Conclusion: Although K-Drivers 65 did not show high reliability and validity in this study, it was proven to be an adequate self-assessment tool for two reasons: 1) it can be easily provided to a large number of elderly drivers and 2) it is possible to prevent accidents by predicting driving suitability based on the results.
  • 3.

    The Effects of Eye Tracking-linkaged Attention Training System for the Cognition in Brain Injury: Pilot Study

    Kim,Young-geun | Kang, Yoon-Kyu | 2018, 26(1) | pp.31~44 | number of Cited : 1
    Abstract
    Objective: The purpose of study was to verify the clinical effect of a attention training with eye movement program(called EYAS) for recovering the attention and cognition in brain injury. Methods: For this purpose, 7 stroke and TBI with cognitive disabilities participated in a clinical experiment to verify the effect of attention training with eye movement program. The intervention tool was the eye tracking-linkaged attention training system(EYAS) which is computer–based cognitive rehabilitation program. All participant were evaluated with four standardized assessment tools(MMSE-K, MVPT, CNT) before, middle, after the planned intervention sessions. Cognitive interventions were intensively carried out for 16weeks, half an hour per session, 3 times a week. Results: The results were as follows. Three intervention periods for MVPT and CNT showed differences in cognitive abilities after the interventions as expected. The attention, response speed, memory, visual perception were improved significantly compared to before intervention. The cognition(MMSE-K, MVPT, CNT) scores after EYAS interventions were higher than before it's interventions. Conclusion: These results indicate that the attention training with eye movement program have effects on improving cognitive abilities(memory, visual perception) and response speed in brain injury patients. Further studies are needed to verify the effect on various group and more participants (ex, child).
  • 4.

    A Survey on the Awareness of Occupational Therapy of the Public in General

    Hwang, Do-Yeon | Hwa Shik Jung | Jemo Park and 3other persons | 2018, 26(1) | pp.45~57 | number of Cited : 3
    Abstract
    Objective: This study was conducted to survey the awareness of Occupational Therapy of the general public and suggest the improvement plan. Methods: A randomly selected 2,980 subjects from general public in Gwangju and Jeonnam province who agreed to a survey were participated. If the subjects had heard or known about OT, then they were guided to continue to the next questions. However if they haven't, the surveyor checked the questionnaire and finished the survey. The questionnaire consisted of four questions for OT awareness and other four questions for OT necessity. The data analysis were carried out for 2,967 subjects by excluding 13 respondents who responded poorly to the questions. Results: Of the 2,967 subjects, 252(8.5%) participants said that they had heard or known of OT. Being aware of OT was statistically significant in terms of age and occupation( p <.001) especially in their 20s(28.6%) and student group(41.7%). Regarding the necessity of OT, 215(85.3%) participants responded that OT is needed for our lives and an average of 3.73±75 out of 5 point scale was evaluated on the prospects for future OT. Conclusion: The current OT field is increasingly expanding as compared to the past. However, it has still relatively low recognition yet. Therefore, it is hoped that the results of this research will be useful as a basis for the establishment of policies for improving OT awareness.
  • 5.

    A Systematic Review of the Intervention for Motor Skill’s Improve Applied to Patients With Autism Spectrum Disorder

    Park, Ho-Il | Park Hae Yean | 2018, 26(1) | pp.59~74 | number of Cited : 0
    Abstract
    Objective: The aim of this study was to analyze the interventions for patients with ASD’s motor skills. Methods: Pubmed, Google scholar, Medline(ProQuest) were searched from 2007 to 2017. Key search terms were used “Autism or Autistic Disorder or Asperger Syndrome or PDD-NOS AND Motor skills or Fine motor skills or Gross motor skills”. After the secondary classification, the exclusion criteria were applied. A total of 15 papers were used in the analysis. Results: The most study design was two groups, non-randomized study and single subject study( n =6), related papers trended to be increasing since 2013. The most study area were occupational therapy( n =4) and special physical education( n =4), the most frequently conducted intervention was physical activity( n =7). 14 studies of all reported to be effective, BOT-1, BOT-2 was the most frequently used( n =7) assessment tool in the studies. Conclusion: Through this study, we provided evidence of ASD’s intervention to domestic occupational therapist by investigating ASD’s intervention conducted overseas.
  • 6.

    Development of Korean Occupational Therapy Practice Guideline for Dementia

    Han Dae-Sung | Jung Min-Ye | Jongbae Kim and 3other persons | 2018, 26(1) | pp.75~89 | number of Cited : 2
    Abstract
    Objective: The purpose of this study is to develop an evidence-based occupational therapy guideline for Alzheimer’s disease based on the Occupational Therapy Practice Framework in order for occupational therapists to choose appropriate evaluations and interventions and provide effective, economical, and professional services to patients with Alzheime\r’s disease and their caregivers. Methods: 5 occupational therapy guidelines evaluated with the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool. In order to identify additional evidence on occupational therapy conducted in Korea, conduct a literature review and found 185 articles. Of these, 58 articles on occupational therapy evaluation and intervention were selected and analyzed. Results: The final guideline was completed by combining the first draft and the items obtained through additional literature review based on the Occupational Therapy Practice Framework. The items were combined into domains of area of occupation, performance skills, performance patterns, environment, activity demands, and caregivers. ADL, IDL, cognitive skill, behavioral management, training of physical function, physical environment, and care-giver domains had high recommendation grades (A). Conclusion: Studies with high levels of evidence have been conducted on various intervention methods, thereby confirming the effectiveness of occupational therapy. Moreover, this study suggest grades of recommendation in order for effective approaches to be taken in each domain.
  • 7.

    The Effects of a Multimodal Interventional Program on Cognitive Function, Instrumental Activities of Daily Living in Patients With Mild Alzheimer's Disease

    HAMMINJOO | Jaeshin Lee | kim su kyoung and 1other persons | 2018, 26(1) | pp.91~102 | number of Cited : 9
    Abstract
    Objective: This purpose of this study was to investigate the effects of a multimodal interventional program(MIP) that combined physical activity and emotional activities centering on cognitive activities on cognitive function, instrumental activities of daily living(IADL) in patients with mild Alzheimer's Disease. Methods: A total of 59 patients with mild Alzheimer's disease were randomly assigned to a study group of 39 patients and a control group of 20 patients. For the experimental group, the multimodal intervention program and the control group were applied for the non-intervention. MIP was conducted twice a week for 8 weeks and for 110 minutes per session. In order to evaluate the cognitive function of the subjects, MMSE-DS, COSAS were used, and K-IADL was used to measure IADL. Results: Among the 59 patients with mild Alzheimer's disease who were taking medication, the group with MIP showed a statistically significant improvement in cognitive function and instrumental activities of daily living compared with the group without non-intervention( p <.01). Conclusion: The multimodal intervention program is the effective intervention program for the maintenance and improvement of cognitive function and IADL in patient with mild Alzheimer's disease.
  • 8.

    Development of the Evaluation Tool of School-aged Children's Handwriting

    Lim, Kyung-Min | Eun Young Yoo | Jung Min-Ye and 3other persons | 2018, 26(1) | pp.103~118 | number of Cited : 5
    Abstract
    Objective: The objectives of the present study were to develop a tool to assess school-aged children’s handwriting using Rasch analysis, testing the tool’s reliability and validity. Methods: The development of the handwriting evaluation tool proceeded in Four steps namely, construction of assessment items, test for construct validity using Rasch analysis, and test for inter-rater reliability. In the first step, Preliminary items for handwriting evaluation were collected through literature search. In the second step, 17 items were constructed through expert survey, content validity survey and expert review. In the third step, In the final step, testing and scoring methods were determined. data were collected from 326 1st–6th grade children and a handwriting evaluation tool consisting of 16 items was developed based on the Rasch analysis results. Results: The following results were obtained. First, regarding subject fit and item fit examined through Rasch analysis, on the sentences of lower difficulty the number of misfit subjects were 13 and misfit items were reverse and the degree to which lines were smooth, while on the sentences of higher difficulty the number of misfit subjects were 11 and misfit item was the degree to which lines were smooth. Second, regarding item difficulty, the average subject ability was higher than the average item difficulty. The most difficult item was consistency in letter size, while the least difficult item was reverse. Third, the item reliability computed in the Rasch analysis was excellent, ranging from .96–.99, and the subject reliability was acceptable with a range of .69–.70. Conclusion: This study is significant since it is the first to develop a tool that takes the unique features of Hangul (Korean alphabet) into account and objectively assesses school-aged children’s handwriting. We believe the study’s findings will be useful for occupational therapists who assess and treat school-aged children’s major task, handwriting
  • 9.

    Validation of the Activity Participation Assessment for School Age Children

    Kim Se Yun | Hong Deok Gi | Jaeshin Lee | 2018, 26(1) | pp.119~132 | number of Cited : 3
    Abstract
    Objective: The purpose of this study was to verify the validity of the Activity Participation Assessment(APA) for school age children. Methods: The subjects were 495 school aged children. The validity of the APA was verified using Rasch analysis to investigate the persons and items fitness, the distribution of item difficulty, separation reliability, and the appropriateness of the rating scale. Finally, the items were categorized using exploratory factor analysis. Results: The result of Rasch analysis showed that 16 out of 495 school aged children were not fit unidimensionality. Out of 83 items, 19 items were determined to be unsuitable items. Of the appropriate items, the most difficult item was ‘play the baseball’, and the easiest item was ‘bath/shower’. A three-point rating scale of the APA was found to be more appropriate than the original six-point rating scale. The separation reliability of subjects and items was each .95 and .99. The result of exploratory factor analysis revealed 8 factors consisting of 30 items. Conclusion: The validity of APA was verified using Rasch analysis. Further research needs to prove the concurrent validity of the APA with a three-point rating scale and to analyze the factors that influence the participation of children.
  • 10.

    Validity and Reliability of Korean-translated Version of Community Integration Questionnaire(K-CIQ) for Patients With Stroke

    Song, A-Young | Cha tae hyun | Jaeshin Lee and 1other persons | 2018, 26(1) | pp.133~146 | number of Cited : 1
    Abstract
    Objective: This study was to develop Korean Version of Community Integration Questionnaire(K-CIQ) translational CIQ, validity and reliability were verified. Methods: In study of K-CIQ, total of 300 study subjects including 200 adult stroke patients and 100 normal people. In order to validity and reliability of K-CIQ which was 4 validity studies were conducted including content, discriminant, convergent and construct validity, and internal consistency and test-retest reliability. Results: Content validity results showed high scores around 4 point in all 15 item in the verification of understanding, and content validity index was highly calculated at .96 in item-fit test. In K-CIQ average scores in discriminant validity results, stroke group showed lower scores than normal group and the differences were statistically significant( p <.01). In convergent validity results, correlation between SF-36 and K-CIQ was .197 and this showed statistically significant positive correlation( p <.01). In construct validity results, 4 factors and 13 item were identified. Internal consistency of total item in K-CIQ was at high level of .712. In test-retest reliability results all areas were statistically significant. Conclusion: The K-CIQ for stroke patients, has been proven validity and reliability. Based on these results, K-CIQ is expected to be used as basic data to measure various local rehabilitation results and related studies, and as useful tools to measure social independence and regional community participation.