2008, Vol.16, No.4

Effects of a Group Cognitive Rehabilitation Therapy on Mild Dementia Patients in a Community - Focused Occupational Therapy Intervention Process Model -

JEONG, WON-MEE , Lee, Dong-Young , Ryu, Seung-Ho and 4 other persons | 2008, 16(4) | pp.1~17 | number of Cited : 35

The Effects of Functional Electrical Stimulation on Arm Motor Function in Patients With Chronic Hemiplegia

김정화 , Yong-Soon Yoon , Chong, Bok-Hee | 2008, 16(4) | pp.19~29 | number of Cited : 9

Trunk Control After Stroke and the Relationship With Balance, Activity Daily Living ; PASS, TCT, BBS, FM-B, MBI

An, Seung-Heon , lee suk-min | 2008, 16(4) | pp.31~44 | number of Cited : 8

Objective : The purpose of this study was to find the correlations among Postural Assessment Scale for Stroke(PASS), Trunk Control Test(TCT), Berg Balance Scale(BBS), Fugl-Meyer Balance(FMB) Assessment, and Modified Barthel Index(MBI). Methods : The subjects were 43 chronic stoke patients of the Korea National Rehabilitation Center in Seoul. All patients were assessed on trunk control measured using PASS and TCT, on ADL using MBI, and on balance using BBS and FM-B. The data were analyzed using a pearson product correlation. MBI & PASS scale among other clinical and instrumental indexes, and multiple stepwise regression analysis, were peformed to identify the prognostic factors for PASS-subscale, FM-B, TCT, BBS, and ADL incline. Results : The results of this study were as follows: There were significant correlations between PASS and TCT (r=.79～.96), PASS & TCT, BBS, FM-B (r=.65～.82), and MBI (r=.75～.79). There were also significant correlations between BBS & FM-B (r=.77～.78) and FM-B & BBS (r=.84)(p<.01). The walking item in the MBI subscale showed the strongest variance in PASS-Maintaining Posture, Changing Posture, Total, FM-B (p<.001), TCT, and BBS (p<.01). The unsupported standing item in the PASS subscale showed the strongest variance in ADL, FM-B, TCT, and BBS(p<.001). The PASS Total score was the strongest variance of the ADL (p<.01). The unsupported standing item of the PASS subscale showed the strongest variance in personal hygiene, bathing one's self, toilet, stair climbing, ambulation, and chair․bed transfer (p<.001), while supine to the affected side lateral and supine to sitting up on the edge of the table items showed the strongest variance in dressing(p<.001) and feeding (p<.01). Conclusion : The use of both quantitative and qualitative scales was shown to be a good measuring instrument for the classification of the general performance of stroke patients. Further study on PASS, TCT, BBS, FM-B, MBI is needed using a longitudinal study design.

The Study on Physical Predictors Which Affect Performance of Acute and Post-acute Stroke Patients

Song, Young-Jin , KWON JAE-SUNG | 2008, 16(4) | pp.45~54 | number of Cited : 1

The Effects of Weighted Vest on EEG in Child With Attention Deficit Hyperactivity

Lee, Ji-Yoeun | 2008, 16(4) | pp.55~64 | number of Cited : 2

The Effect of a Work-Hardening Program for Workers Returning to Work With low Back Pain

So-Yeon Park , Kim, Hyun-Wook | 2008, 16(4) | pp.65~76 | number of Cited : 5

Objective : This study was performed to examine the effects of a work-hardening program on workers who returned to their jobs after medical treatment for work-related low back pain. Methods : This study was conducted in a domestic car manufacturing company from August through November, 2005, and all participants returned to their jobs after over 6 months of medical treatment for work-related low back pain. Experimental (N=18) and control groups (N=20) were selected for the study. For the experimental group, an individualized education and exercise program built on a fear-avoidance beliefs model was provided for 2 hours a day, 5 days a week for approximately eight weeks. For the control group, workers who returned to their normal jobs through a long adaptation period after returning to work were selected. The characteristics of the two groups were compared by the scores of fear-avoidance beliefs, disability of activities of daily living, pain intensity, depression, and the safe maximum weights in pre- and post-tests. Results : Statistically significant decreases in the scores of fear-avoidance work beliefs (FABQ1-work), disability of activities of daily living due to low back pain (RDQ), pain intensity (VAS), and depression (K-BDI), and the safe maximum weights assessed at three different heights were found after intervention in the experimental group (p＜.05). The mean working period after returning to work in the experimental group was 6.1 (±3.2) months, while that of the control group was 22.4 (±14.9) months, which were statistically and significantly different (p＜.05). The results showed that, in adapting to their job, the functional status of the experimental group improved up to the level of the control group in about 8 weeks. Conclusion : This study confirmed that an individualized work-hardening program in the workplace is an effective means for improving workers' functional capacity and for decreasing the duration of a period of adaptation to work. We expect that in the future, the study of work-hardening programs to support an early return of workers with low back pain will be vitalized.

Analysis of the Risk Level of Musculoskeletal Disorders for Workers at Automative Component Factory Using Work Sampling

Jang, Young-Sook , Taekyoung Lee , So-Yeon Park | 2008, 16(4) | pp.77~88 | number of Cited : 8

Objective : Using a work sampling technique and cross-section analysis, this study was performed in order to analyze the risk level of musculoskeletal disorders for workers engaged in the manufacturing industry. Methods : Using a self-entering mode questionnaire, the study was conducted to survey the musculoskeletal disorders of 29 workers at an automative component factory. The extent of the musculoskeletal disorders of the workers was classified into basis 1(KOSHA), basis 2(NIOSH), and basis 3 (labor scientific research institute of Incheon university). And the risk levels of the musculoskeletal disorders were evaluated using OWAS, RULA, and REBA for each work posture, extracting 1 cut per 1 sec, based on the work sampling technique, after having photographed the work processes of the individual workers with a high performance camera. Results : The number of workers who complained of pain in one or more parts of their body were 24 persons (82.8%) in basis 1, 22 persons (75.9%) in basis 2, and 19 persons (65.5%) in basis 3. As a result of having analyzed the musculoskeletal disorders, OWAS was in risk level 4 in a cross-section analysis (inflicted with severe musculoskeletal disorders), and as for the work sampling technique, the workers in risk level 2 (inflicted with milder musculoskeletal disorders) were 3 persons. Also, the workers whose work sampling of risk level had been 3 (continuous observation and fast work improvement were required) while their cross-section analysis for RULA was at risk level 4 (precision survey and immediate improvement were required) were 2 persons, while in REBA, the workers whose work sampling risk level was 2 (risk was normal) while their cross-section analysis risk levels were 3 (risk was high) were analyzed as 3 persons. The consistencies of the work sampling and cross-section analysis in the high-risk group and the low-risk group are as follows; OWAS (Kappa=.4423), RULA (Kappa=.4938), and REBA (Kappa=.5193). Conclusion : The results showed that this study may be used to analyze the exposure risk level to the musculoskeletal disorders of workers using a work sampling technique, and it has been confirmed as a trusted method in selecting the workers who require a preferential improvement of their work environment.

The Analysis Study of Time Use and Occupational Performance Issues for Individuals With a Spinal Cord Injury in Rehabilitation Hospital

Seung-Pyo Hong , Lee, Ji-Eun , Park, Sun-Hee | 2008, 16(4) | pp.89~98 | number of Cited : 13

The Effects of Line Drawing on Object Recognition

Kim, Young-Geun , HyunJung Shin | 2008, 16(4) | pp.99~112 | number of Cited : 0

A Review of the Application of Snoezelen on BPSD of older People With Dementia

Han sang woo , Lee Jaeshin | 2008, 16(4) | pp.113~124 | number of Cited : 7

Introduction : This research tries to provide the information needed for succeeding research through investigating the subjects, research designs, analysis methods and results, and limits of the existing literature in order to look at the applicational effects of a multisensory environment for the aged with dementia showing abnormal behavior. Body : The materials of the research were collected by retrieving research items in the areas of "dementia, multiple sensory, snoezelen, and Behavioural and Psychological Symptoms of Dementia (BPSD)" from the data base of PubMed. Among the collected materials, 12 research results are suggested regarding the application of a multisensory stimulation program to the aged with dementia showing abnormal behavior in terms of subject, research design, measurement tool, cure method and result, analysis method, and limit. All the researches that applied a multisensory stimulation program to the aged with dementia showing abnormal behavior show a positive effect, and 10 researches present a statistically meaningful result. According to the comparison, the group of multisensory stimulation programs shows more meaningful difference than a control group that was normally protected and managed, and a comparison group that was applied by activities in awareness level, defiant behavior, depression symptoms, apathetical behavior, aggressive behavior, and interaction ability. However, some of the results show a meaningful difference only during the mediation period or present the re-appearance of abnormal behavior during a follow-up survey. That is, these results do not show a meaningful outcome compared to the results before the mediation period. Conclusion : The multisensory stimulation program shows a positive effect toward the reduction of abnormal behavior of the aged with dementia, but follow-up research to maintain the positive effect is needed.

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Journal Central

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81

2008, Vol.16, No.4