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pISSN : 1226-0134 / eISSN : 2671-4450

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2018, Vol.26, No.3

  • 1.

    Efficacy Evaluation for Two-Hand Coordination Training Tool on Visual Perception and Hand Dexterity of Chronic Stroke Patients

    Kim Hee Dong | Hwa Shik Jung | Jemo Park and 2other persons | 2018, 26(3) | pp.1~11 | number of Cited : 1
    Abstract
    Objective: The aim of this study was to investigate effects of the two-hand coordination training tool on visual perception and hand dexterity in chronic stroke patients and to propose the role of the tool as a training method. Methods: Forty one participants were recruited based on the inclusion and exclusion criteria of the study and they were randomly divided into two groups. The combination of the two-hand coordination training tool(15 minutes) and traditional occupational therapy(15 minutes) were provided for the experimental group. On the other hand, only the traditional therapy given to the control group. The experiment lasted for six weeks and participants were required to attend the session for five days a week. Motor-free Visual Perception Test-3(MVPT-3) and Complete Minnesota Dexterity Test(CMDT) were used as outcome measures for both groups. Outcomes were measured every third weeks including intial measurement. Results: In the control group, completion time of CMDT was not significantly different between time periods (p>.05) while the time decreased over the period of experiment and the number of errors were significantly different between time periods (p<.05). There was increase in the scores of MVPT in the experimental group over time and the difference was statistically significant(p<.05) in the experimental group. Furthermore, group differences were shown at third and sixth week. There was no significant difference in the scores of CMDT between groups and between time periods. Conclusion: Findings of the results suggest that the training tool for two-hand coordination is effective and applicable for rehabilitation for visual perception and functional ability of upper extremity. Therefore, we hope this tool could be utilized both at home and hospital.
  • 2.

    Correlation Between Timing and Motor Function and Between Timing and Executive Function in Children With Attention Deficit Hyperactivity Disorder

    Lee, Soomin | Kang Je Wook | Moonyoung Chang and 1other persons | 2018, 26(3) | pp.13~23 | number of Cited : 2
    Abstract
    Objective: The purpose of this study was to examine the relationship between timing and motor function and between timing and executive function in children with Attention Deficit Hyperactivity Disorder(ADHD). Methods: The subjects were 32 children with ADHD aged between 6 and 12. The study tool used Interactive Metronome(IM) for the timing, Bruininks-Oseretsky Test of motor proficiency, Second edition(BOT-2) for the motor functions, and STROOP color and word test and Children’s Color Trails Test(CCTT) for the executive functions. A correlation analysis was conducted to analyze the relationship between timing and motor function and between timing and executive function. Results: Examining the correlation between the timing and the motor functions of the ADHD children, there was a negative correlation between the fine manual control and the body coordination of composite in the BOT-2 (p<.05). And there was a negative correlation between the fine motor precision and bilateral coordination of subtest in the BOT-2. Examining the correlation between the timing and the executive functions of the ADHD children, there was a negative correlation between the word score in the STROOP color and word test (p<.05), and CCTT-1 in the Children’s color trails test (p<.05). Conclusion: The results of this study confirmed the relationship between timing and motor function and between timing and executive function. Timing evaluation can predict the motor functions and executive functions of children with ADHD.
  • 3.

    Reliability and Validity of Craig Handicap Assessment and Reporting Technique-Korean(CHART-K) for Patients With Spinal Cord Injury

    Song Ye-Won | Cha tae hyun | Jaeshin Lee and 1other persons | 2018, 26(3) | pp.25~38 | number of Cited : 0
    Abstract
    Objective: In order to measure the result of domestic rehabilitation and find out the level of participation and communities integration, this study translated Craig Handicap Assessment and Reporting Technique(CHART) and completed its Korean version, and verified its reliability and validity. Methods: Craig Handicap Assessment and Reporting Technique-Korean(CHART-K) was completed through translation and back translation, and to apply it domestically, a pilot study was conducted. As for the result of the internal consistency, cronhach’s α, Pearson correlation coefficient. Afterwards, reliability and validity were verified. Results: Content validity index was calculated result stood at 0.97, which was high level, and no questions were deleted. Discriminant validity of CHART-K was tested average of the total score of the patients with spinal cord injury was lower than that of ordinary group, and the difference was statistically significant(p<.01). For convergent validity, correlation analysis was carried out with K-CIQ and the figure stood at .524, a statistically significant level(p<.01). Internal consistency was good with Cronbach’s α .628 and test and retest results showed a significant correlation of .730~ .992(p<.01). Conclusion: This study translated CHART, completed CHART-K suitable for domestic situation, and reliability and validity was confirmed. It is expected that CHART-K could be used as a tool to measure the degree of rehabilitation for patients with spinal cord injury and to find out the level of their participation and integration in the community integration, complementing the limitations of existing assessment tools.
  • 4.

    A Systematic Study on the Leisure Assessment Tool for the Elderly

    Jeong Eun Hwa | Park, Ji-Hyuk | 2018, 26(3) | pp.39~55 | number of Cited : 3
    Abstract
    Objective: The purpose of this study is to analyze trends, evaluation items, and measurements of leisure participation by examining the leisure participation assessment tool of the elderly. Methods: From January 2001 to December 2017, the articles on the assessment of leisure activities for the elderly were searched using databases of Scopus, PubMed, NDSL, and Riss. Based on the selection criteria and exclusion criteria of the 170 articles, Total 14 articles was finally selected and analyzed. Results: The articles reviewed 6(43%) Level IV evidence articles, and as the world population ages, 11 studies(79%) have been conducted since 2010, showing that research on the leisure activities of the elderly has increased rapidly. In the total of 14 studies, there were 5 types of assessment tools used for leisure participation evaluation of the elderly, and the most frequently used evaluation was found in eight articles (57%) using self- developed questionnaire. The leisure evaluation items for elderly included various leisure activities by each assessment tool, and activities were distinguished based on the performer and the purpose of leisure. The measurement of the evaluation showed that 13 of the 14 studies measured participation or frequency. Conclusion: Among the 14 studies, self - developed assessment was the most common, and It was the most common in recent research as well. The leisure activity items for the elderly were divided into activities based on the performer and the purpose of leisure, and most of the measurements were made by participation and frequency. This study is expected to be a basic data to develop a standardized assessment tool that can evaluate the leisure search and participation in the future by analyzing assessment items and measurement methods of the existing leisure participation assessment tool.
  • 5.

    Effects of Gradually Decreasing Action Observation Training on Upper Extremity Function of Chronic Stroke Patients

    Kang, Myung-Su | Lee, Chunyeop | Kim Hee Jung and 1other persons | 2018, 26(3) | pp.57~68 | number of Cited : 2
    Abstract
    Objective: The purpose of this study was to investigate the effective intervention methods of upper extremity function changes in gradually decreasing action observation training and existing action observation training. Methods: The study subjects were 14 chronic stroke patients. Seven experimental groups performed gradually decreasing action observation training, and seven control groups performed existing action observation training. The intervention period was conducted for 3 times a week for 4 weeks for all groups. All groups also performed conventional occupational therapy and physical therapy. Wolf Motor Function Test(WMFT), Disabilities of the Arm, Shoulder and Hand(DASH), and a Box and Block Test(BBT) were used for pre- and post- assessments of the upper extremity motor function. The difference between before and after intervention was determined using a Wilcoxon signed ranks test for each group. A comparison of the post-intervention effects between the two groups was made using the Mann-Whitney U test. Results: There were statistically significant changes in WMFT, DASH, and BBT in both the experimental and control groups (p<.05). The changes in the upper extremity function between the two groups were compared, and the time of the WMFT and DASH scores in the experimental group were larger and statistically significant (p<.05). Conclusion: As a result of the study, gradually decreasing action observation training is considered more efficient than existing action observation training to improve the upper extremity function of chronic stroke patients. Therefore, intervention strategies that take into account the cognitive rate during the intervention of the action observation training are needed, as are subsequent studies with various subjects and functional evaluations needed.
  • 6.

    A Survey on the Awareness of Bioethics Among the Occupational Therapists

    Sagong, Bong | Lee, Ha-Young | Byoungjin Jeon | 2018, 26(3) | pp.69~78 | number of Cited : 2
    Abstract
    Objective: This study aimed to investigate the degree and characteristics regarding the awareness of bioethics among the occupational therapists. Methods: This study used question set from a bioethical research by Kwon(2003) which was agreed with the author. A questionnaire was composed of 49 questions in 9 sub­items regarding the general characteristics of the respondents and their bioethics. The questionnaires were distributed and returned in person or by mail. Except for the questionnaires lacking respondent integrity, 272 out of 293 questionnaires were analyzed. Descriptive statistics, an independent t­test, and a one­way ANOVA were conducted using SPSS 18.0. As for the post­hoc test, Scheffe’s test was used. Results: Although the degree of bioethics awareness among the occupational therapists was higher than the median, they felt confused in making decisions because their ethical values were not established. In addition, they found difficulty in dealing with bioethical problems. Conclusion: This study is expected to serve as primary materials in developing a program that will establish sound bioethics awareness for occupational therapists.
  • 7.

    Effects of Occupation-Based Home Modification and Intervention Using Assistive Devices on Activities of Daily Living Performance and Risk Factors at Home in Community–Dwelling People With Disabilities

    JO YE JI | Hee Kim | 2018, 26(3) | pp.79~90 | number of Cited : 1
    Abstract
    Objective: This study was conducted to investigate the effects of home modification and intervention using assistive devices on occupational performance, activities of daily living performance and risk factor at home in people with disabilities. Methods: Eight participants diagnosed with cerebrovascular diseases and physical disabilities due to chronic diseases were included in this study. The Canadian Occupational Performance Measure(COPM) was used to identify important daily activities at home and confirm the performance and satisfaction of the activities. The Assessment of Home-based Activities(AHA) was utilized to identifythe importance, difficulty and safety scores of selective activities . The Home Safety Self-Assessment Tool(HSSAT) was used to identify risk factors at home. In order to compare the effects of home modification and intervention using assistive devices on occupational performance, activities of daily living and risk factors at home before and after the intervention, Wilcoxon signed rank test was conducted. Results: The front entrance, living room, bedroom, kitchen and bathroom were selected as important spaces to conduct occupational performance. After the intervention of home modification and assistive devices application, performance and satisfaction significantly increased. There was a significant enhancement in independence and difficulty in the level of activities of daily living at home, and the overall risk factors at home significantly decreased, especially in the bedroom and bathroom. Conclusion: The occupation-based home modification and intervention using assistive devices improved occupational performance of people with disabilities and reduced the risk factors at home. Researchers were capable of providing chances of maintaining independent role and participating in daily lives to people with disabilities. We suggest applying various assesment tools for each individual’s household and expect more occupation-based home modifications to happen.
  • 8.

    The Effect of Action Observation Trunk Training on Trunk Control Ability, Balance, Activity of Daily Living in Acute Stroke Patients: Randomized Controlled Pilot Study

    Jung Kyeoung Man | Min Cheol Joo | Jung, Yu-Jin and 3other persons | 2018, 26(3) | pp.91~103 | number of Cited : 1
    Abstract
    Objective: This study investigated the effects of action observation trunk training on trunk control, balance, and activities of daily living in patients with acute stroke. Methods: Fourteen inpatients were randomly allocated to either the experimental group, who underwent action observation trunk training, or the control group, who underwent landscape observation trunk training(n = 7 each). Each intervention consisted of a 30-min session once a day, five times a week, for three weeks. Each intervention consisted of a 30-min session once a day, five times a week, for three weeks. To measure trunk control, balance, and performance capacity in activities of daily living, the Trunk Impairment Scale(TIS), Modified Functional Reach Test(M-FRT), Berg Balance Scale(BBS), and Korean-modified Barthel Index(K-MBI) were used before and after the intervention. Results: After the intervention, both groups showed a significant increase in TIS, M-FRT, BBS, and K-MBI scores (p<.05). Using change value comparison, the experimental group showed a greater increase in TIS and M-FRT scores (p<.05). Conclusion: Action observation trunk training was effective in facilitating trunk control, balance, and activities of daily living in patients with trunk control deficits after acute stroke. Therefore, action observation trunk training in standing may be used as a new intervention method to provide active and dynamic training for rehabilitating patients with acute stroke.
  • 9.

    Effects of Eccentric Viewing Training Program on Reading and ADL in Individuals With Central Scotomas: A Single-Subject Research Design

    Seung-Pyo Hong | Eun Young Yoo | Park Shin Hae and 3other persons | 2018, 26(3) | pp.105~115 | number of Cited : 0
    Abstract
    Objective: To examine the effects of the eccentric viewing training software on reading and Activities of Daily Living(ADL) for individuals with central scotomas in Korea. Methods: A single-subject A-B-A research design for two low-vision individuals with central scotomas was used to examine the effects. The research was conducted over 14 sessions, which included three sessions during a pre-training baseline period (A), eight sessions during an intervention period to apply eccentric viewing training software on Korean character stimulation (B), and three sessions in a post-training baseline period (A). To measure reading and ADL, participants were assessed for their reading speed, Canadian Occupational Performance Measure(COPM), and Assessment of Motor and Process Skills(AMPS). Results: An Analysis of the data showed that the participants’ reading speed increased compared to their pre-training baseline scores, showing the highest level of increase in the first two to three sessions of training. The participants improved their performance in the reading-related activities, although a comparison of their overall ADL function pre-training and post-training showed no change. Conclusion: These findings suggest that the eccentric viewing training based on specific language characters, Korean, is an effective intervention method for improvement in the reading skills of individuals with central scotomas.
  • 10.

    A Status of Occupational Therapy at a Pilot Project of Rehabilitation Medical Institutions

    Song, Young-Jin | Woo, Hee-Soon | 2018, 26(3) | pp.117~128 | number of Cited : 2
    Abstract
    Objective: The purpose of this study was to identify the current status and problems of Pilot Project of Rehabilitation Medical Institutions through survey on OTMethods: From June 1 to June 30, 2018, the survey was conducted on 293 occupational therapists from 13 institutions out of a total of 15 institutions of Pilot Project of Rehabilitation Medical InstitutionsResults: As a result of the questionnaire, intervention and employment of occupational therapist were practiced in terms of quantitative rather than qualitative aspect due to low Institutions's fee. This necessitated institutional complement and improvement to provide professional treatment. In addition, the adequate intervention between basic ADLs and instrumental ADLs is very important in daily life. As a result of this study, it was found that most of the activities related to activities of daily living in the pilot project institution are only basic ADLs of daily living, and that Instrumental ADLs are carried out at a very low frequency. Conclusion: Through this study, problems have to be identified, and the relevant improvement needs to be included in the main project, which can make the purpose and specific functions of recovery phase clear. By doing so, it will finally be possible for the subjects to return to their life as soon as possible.