2008, Vol.16, No.2

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81

pISSN : 1226-0134 / eISSN : 2671-4450
https://journal.kci.go.kr/kjot

Objective : This study examines how CIMT and FU therapy affect the upper extremity function and activities of daily living of hemiplegic stroke patients under a home environment. Methods : The study adopted a multiple baseline design among experiment groups. Six hemiplegic stroke patients were divided into three groups (two for each group). CIMT restricted the use of the healthy side of the upper limb (5 hours), while focusing on training of the stroke-affected upper limb (3 hours). In regard to FU, the patients had to wear gloves on the healthy side of the upper limbs to limit their use for five hours during the most active time of day. The function of the upper limbs was measured based on a Box and Block Test (BBT) during the therapy period, and on an Assessment of Motor and Process Skills (AMPS) and Motor Activity Log (MAL) both before and after the therapy. A visual analysis was conducted using a graph, and changes in values were analyzed before and after the therapy to analyze the experimental results. Results : MFT and BBT demonstrated that all patients showed improved functionality. The performance indicator of AMPS and frequency of using the stroke-affected limbs and quality of movement in MAL also showed improvement in all patients. In all groups, patients who went through CIMT showed more improvement than those who followed FU therapy. Conclusion : Both CIMT and FU conducted in a home environment had a positive impact on the upper extremity function of hemiplegic stroke patients, and the effect of CIMT was better than FU.

Objective : The purpose of this study is to examine the quality of life for handicapped students, and to identify the correlation between quality of life and the ability to perform daily routines. Methods : The study examined 102 handicapped students attending special schools in the Kyounggi-do, Incheon, Daejeon, and Cholla-do areas, who are in the ages between 15 and 22, with a disability level between 1 to 3. For the survey, a tool that measures the quality of life of handicapped people and a Functional Independence Measure (FIM) were used. Results : In regard to quality of life, the students showed the highest scores in emotional well-being and satisfaction. For the sub-items, age and settlement type resulted in a significant difference in quality of life; sex and disability level did not. The FIM showed a positive correlation with quality of life. Conclusion : The study revealed that age and settlement type results in a significant difference in quality of life for handicapped students, and that quality of life is positively related to the ability to perform daily routines. Thus, to improve the quality of life, it is critical to enhance the ability to perform daily routines.

Objective : This study examines the correlations between asymmetrical weight bearing and activities of daily living (ADL) in hemiplegic stroke patients. Methods : The degree of asymmetrical weight bearing was measured for 63 hemiplegic stroke patients who went through rehabilitation treatment at Samyook Rehabilitation Hospital between December 2007 and February 2008. Tetrax was used to measure the weight load on the affected lower extremity, and an MBI was used to measure the level of ADL performance. Results : The analysis of the correlation between weight load on the affected lower extremity and performance of ADL yielded a statistically significant value (r=.539). The MBI showed a high correlation with movement, personal hygiene, and ambulation. Conclusion : The study demonstrated that asymmetrical weight bearing and performance of daily activities are related for hemiplegic stroke patients. For a more effective rehabilitation of patients, asymmetrical weight bearing on the lower extremity needs to be taken into consideration during treatment.