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pISSN : 1226-0134 / eISSN : 2671-4450

2020 KCI Impact Factor : 0.94
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2019, Vol.27, No.1

  • 1.

    The Effects of Short Thumb Opponens Splint on Upper Extremity Function and Hand Function in Child With Obstetric Brachial Plexus Injury: A Case Report

    Jung, Yu-Jin | King, JI HEE | Kim Eun Joo | 2019, 27(1) | pp.1~13 | number of Cited : 0
    Abstract
    Objective: The purpose of this study was to investigate the effects of a short thumb opponens splint on the upperextremity and hand functions in a child with an obstetric brachial plexus injury. Methods: This single-subject experimental design study of an 11 year-old male patient diagnosed with an obstetricbrachial plexus injury was conducted using the ABA’ design. A total of 20 sessions were held, once a week for20 weeks. During the baseline period, five sessions were assessed without intervention. During the interventionperiod, ten sessions were assessed after intervention with a 6 h short thumb opponens splint. In the follow-upperiod, five sessions were assessed without intervention. To measure the upper extremity and hand functions, aBox and Block Test(BBT), nine-hole peg test, mallet scale, and an active movement scale were assessed before,during, and after intervention. Results: After intervention with a short thumb opponens splint, the participant showed significant improvement inhand(BBT, nine-hole peg test) and upper extremity(mallet scale, active movement scale) functions anddemonstrated improvement. Conclusion: The results of this study suggest that use of a short thumb opponens splint has a positive effect on theupper extremity and hand functions. These results can be used to form basis of a clinical intervention in patientswith an obstetric brachial plexus injury.
  • 2.

    A study on the Validity and Reliability of the Korean Version of a Life Balance Inventory(K-LBI)

    SANGMI PARK | Park, Ji-Hyuk | 2019, 27(1) | pp.15~26 | number of Cited : 3
    Abstract
    Objective: The purpose of this study was to develop a Korean version of a Life balance Inventory (K-LBI) formeasuring occupational balance. Methods: A translation and back translation of the LBI were first conducted, and the back translated and originalversions were compared to each other by the original author. Reports from 13 occupational therapists werecollected to investigate the content validity of 53 items in the K-LBI. An Item-level Content Validity Index(I-CVI) and Cronbach's alpha were calculated to verify the validity and reliability of the K-LBI. The correlationcoefficient and intra-class correlation coefficient were used to verify the convergent validity and test-retestreliability. Results: The average value of the I-CVI for 53 items was 0.79. A questionnaire survey was executed for 165community residents including adults and older adults. The coefficients were .356 (p=.01) and .490 (p=.01)based on a correlation analysis between the total average of the K-LBI and the Korean version of theWHOQOL-BREF, and the mental component score of SF12v2. Cronbach’s alpha was .875 and .831 based on theresults of older adults and adults. Conclusion: The K-LBI was verified as an occupational balance measurement with validity and reliability. It ispossible to use the K-LBI for people suffering from a low quality of life resulting from an occupational unbalanceto adjust their daily routine for a more balanced life.
  • 3.

    Effect of Physical Activity on Executive Function for Older Adults With Mild Cognitive Impairment: A Systematic Review

    Hyun Jung Kim | Hong MinKyung | Areum Han and 1other persons | 2019, 27(1) | pp.27~38 | number of Cited : 0
    Abstract
    Objective: The purpose of this systematic review is to provide basic data on the effects of physical activity on theexecutive function for older adults with a Mild Cognitive Impairment(MCI). Methods: A systematic search of PubMed, CINHAL, Medline, PsychINFO, Embase, and Cochrane was performed inaccordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis(PRISMA) guidelines. The risk of bias was assessed using the Cochrane collaboration tool. Using the terms “MCI” OR “mild cognitiveimpairment” AND “physical activit*” OR “physical performance” OR “physical exercise*”, AND “executivefunction*” as the search items, 11 Randomized Controlled Trial(RCT) studies, published between 2005 and 2017,were critically appraised and synthesized. Results: Interventions were mostly provided in groups as a multicomponent program. Fitness trainers, followed byphysical therapists and occupational therapists, provided the interventions. Trail Making Test(TMT)-A(21.40%)and TMT-B(17.90%) were the most common outcome measures. For a physical activity intervention, theaerobic component was the most popular(seen in eight studies, 72.70%), followed by non-aerobic(seven studies,63.60%). The aerobic and non-aerobic components had positive effects on the executive function compared tothe leisure component. Conclusion: The effects of physical activity on the executive function for older adults with an MCI were examinedin this review. To thoroughly understand the effects, the physical activity along with a cognitive approach in thefield of occupational therapy needs to be researched.
  • 4.

    Activity Levels and Life Satisfaction of Stroke Patients in a Local Community According to Cognitive and Physical Functions

    Lee, Seung-Hee | Kim Hee Jung | Lee, Chunyeop and 1other persons | 2019, 27(1) | pp.39~50 | number of Cited : 0
    Abstract
    Objective: The purpose of this study is to examine the level of leisure and social activities, IADL, and lifesatisfaction of stroke patients residing in a local community according to their cognitive and physical functions. Methods: The subjects of the study were 159 stroke patients. For testing, a Korean-Montreal CognitiveAssessment, an Outpatient Physical Therapy Movement Log, a Korean Activity Card Sort, and a life satisfactionlevel questionnaire were used. The Pearson's correlation and a multi-regressive analysis were also applied. Results: Regarding the influences on the general activity level, the visuospatial executive functions, orientation,attention, abstraction, and lower limbs each had a significant influence. Regarding the IADL of the activity level,the visuospatial executive functions, orientation, attention, and lower limbs had a significant influence. For leisure,the orientation, abstraction, trunk, and lower limbs had a significant influence. Conclusion: It is expected that if an occupational therapy program considering segmented cognitive and physicalfunctions is applied, it will be helpful to improve the activity levels and life satisfaction of stroke patients in alocal community.
  • 5.

    A Systematic Review and Meta-Analysis of Cognitive Rehabilitation Occupational Therapy Intervention for Stroke Patients

    Shin, Chi-Hwan | Hwang mose | Eun Young Yoo | 2019, 27(1) | pp.51~69 | number of Cited : 3
    Abstract
    Objective: The purpose of this study is to analyze the cognitive rehabilitation approach applied to occupationalstroke patients as practiced by domestic and overseas occupational therapists, and to propose the effectivenessand practicality of clinical intervention. Methods: We searched for studies from 2008 to 2017 through Pubmed, CINAHL (EBSCOhost), PSYCINFO, KISS,and RISS using the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines (PRISMAguidelines). The key search terms were "Stroke AND Occupational Therapy AND Cognitive Rehabilitation." Theinclusion and exclusion criteria were applied to a total of 17 studies. Results: The results were analyzed through a qualitative analysis of the research, a quantitative meta-analysis,categorization of the cognitive rehabilitation approach, FAME classification for the domestic clinical utility, and apost-intervention measurement tool. The orthodontic approach, adaptive approach, and dynamic interactionapproach showed moderate effects, and the functional approach showed a small effect. Conclusion: This study was designed to suggest an approach that can be applied immediately in Korea by examiningthe cognitive rehabilitation approach applied to stroke patients as practiced by domestic and overseas occupationaltherapists. In the future, many approaches should be supplemented, and various approaches should be applied toclinical practice in Korea.
  • 6.

    Effect of Smooth Pursuit Eye Movement Combined With Neck Muscle Vibration to Unilateral Neglect and Performance of Activities of Daily Living on Chronic Stroke Patient: A Single Subject Research Design

    Shin, Jae-Yong | Kim, Jung-Ran | Areum Han and 1other persons | 2019, 27(1) | pp.71~83 | number of Cited : 0
    Abstract
    Objective: The purpose of this study is to identify the effects of SPEM combined with NMV on the unilateral neglectand performance of activities of daily living for chronic stroke patients. Methods: This study was performed on three patients 6 months after a stroke. It used the ABAC design among asingle subject research method. The study consisted of a 1 week baseline (A1), 2 week intervention (B), 1 weekbaseline (A2), and 2 week intervention (C). In intervention (B), a SPEM single arbitration was performed. Inintervention (C), a combination of NMV and SPEM was conducted. A line bisection test and bells test wereconducted every session, and K-CBS and K-A-ONE were applied during the last session of each interventionperiod. Results: The results of this study showed that the unilateral neglect was improved in both the paper-pencil test andthe behavioral test. In particular, it was shown that a combination approach was more effective. As the unilateralneglect improved, the performance of the ADL also improved. Neurobehavioral impairment affecting theperformance of daily living of the unilateral neglected patients was affected by not only the unilateral neglect butalso the spatial relationship and paralysis. Conclusions: This study confirmed that the SPEM combined with NMV can alleviate unilateral neglect and improvethe performance of activities of daily living for chronic stroke patients.
  • 7.

    A Systematic Review of Effective Interventions to Improve Executive Function of Children and Adolescents With ADHD

    Shin, Ga-In | Hong, Cho-Rong | Woo, Ye Shin and 1other persons | 2019, 27(1) | pp.85~102 | number of Cited : 0
    Abstract
    Objective: The aim of this systematic review was to examine the effect of intervention on the executive function inchildren and adolescents with Attention Deficit Hyperactivity Disorder(ADHD) and to provide evidence regardingoccupational therapy. Methods: Studies for this review were collected by searching the Proquest, Scopus, and Pubmed databases forarticles from 2009 to 2018 using the following keywords: “ADHD” AND “Executive function” AND “InterventionOR Therapy OR Effect OR Occupational therapy” AND “RCT OR Randomized control trial.” A total of 13 studieswere included in this review paper. Results: The 13 studies were analyzed regarding their level of quality, general characteristics, types of interventions,measuring instruments, and areas of intervention effects as measured using dependent variables. The types ofinterventions included ten studies on cognitive intervention and three studies on physical intervention. Workingmemory among the areas of execution functions was most frequently used. The measurement tools for each areaappeared to vary widely, including the Behavior Racing Inventory of Executive Function(BRIEF) and the Trail MakingTest. Among the included studies, seven showed effectiveness in terms of working memory. Conclusion: This review showed the trends in interventions used to improve the executive function of children andadolescents with ADHD, as well as the assessment tools and areas of executive function that were effective. Thisstudy will provide a clinical basis for occupational therapists. Further studies should be actively conducted in thefield of occupational therapy based on the results of this review.
  • 8.

    Roles of Occupational Therapist in Community Care System

    Park, Young-Ju | Lee, Chunyeop | Ji, Seok-Yeon and 2other persons | 2019, 27(1) | pp.103~113 | number of Cited : 5
    Abstract
    Introduction: The purpose of this study is to clarify whether occupational therapy is a essential area forestablishing community care and to emphasize the necessity of occupational therapy by providing basic data on theroles of occupational therapists in the community care system. Results: Based on the background regarding the emergence of communities, we reviewed case studies of communitycare in Korea. According to the direction of the community care promotion by the Ministry of Health and Welfare,within the community care system, occupational therapists provide rehabilitation and healthcare services forchildren with premature and developmental disabilities in the community, hospice palliative care for terminally illpatients, case management for mental health care and nursing facility expatriates, and the provision of services inan interim model for discharge support services. Conclusion: To establish a successful role of occupational therapist in a community system, an internationalclassification of functioning-based evaluation tools should be developed and a study model of occupational therapyshould be developed in a community care system. It is also necessary to formulate an institutional framework forcarrying out the roles of a case meeting and case manager.
  • 9.

    Effects of Errorless Learning for Face-Name Memory and Memory Self-Efficacy of the Elderly With Mild Dementia: Single Subject Research Design

    LEE YU NA | MINYE JUNG | Park, Ji-Hyuk and 1other persons | 2019, 27(1) | pp.115~126 | number of Cited : 0
    Abstract
    Objective: The aim of this study was to determine through face-name association whether errorless learning has aneffect on face-name memory and memory self-efficacy of the elderly with mild dementia. Methods: The study subjects were three elderly persons diagnosed with dementia. The independent variable wasEL which combines SR with a face-name association. As the dependent variables, the face-name retrievalsuccess rate and face-name memory level in a real life setting, the Names-Faces and Delayed Names-FacesRecall of the K-MAS and the memory self-efficacy were measured. Results: The results of this study showed that after errorless learning the face-name retrieval success rate andface-name memory level in a real life setting, the Delayed Names-Faces Recall and memory self-efficacy allimproved for each subject. The measurement of the treatment maintenance effect showed that the improvementsin the face-name retrieval success rate and face-name memory level in a real life setting, as well as the memoryself-efficacy, were maintained for all subjects. Conclusion: According to our study, errorless learning was found to be an effective mediation for face-namememory and memory self-efficacy of the elderly with mild dementia.
  • 10.

    Development of Guidelines for Home Modification for Walking in Disabled People With Hemiplegia

    Lee, Chunyeop | Duk-hyun An | Kyung-Yoon Kam and 3other persons | 2019, 27(1) | pp.127~143 | number of Cited : 0
    Abstract
    Objective: This study was conducted to develop guidelines that will be used as a recommendation when occupationaltherapists intervene in a home modification for the walking of disabled people with hemiplegia. Methods: Five experts conducted a Delphi Study. The first survey was conducted using open questions, the secondsurvey was conducted using 4-point closed questions through a survey tool using the results of the first surveyand a prior study. The third survey provided the subjects the opportunity to revise their opinions. Results: As the results of the study, a total of 96 items were selected, excluding 31 items with a minimum scoreof CVI 0.78 points or lower and a convergence of 0.50 points or higher. When the contents of each item weredivided into components, 49 were found to show functional support, 34 were easy to move and access, 23 wereaccessible, and nine regarded the functions and efficiency of the space. Conclusion: These guidelines contain specific details necessary to conduct a home modification intervention, whichwill be used actively in community-based occupational therapy.