2009, Vol.17, No.4

The Relevant Factors and Effect of Swallowing Function on Oropharyngeal Stimulation Program in Stroke Patients With Swallowing Disorder

우지희 , JEONG, WON-MEE , Kim, Yong-Gyu and 1 other persons | 2009, 17(4) | pp.1~12 | number of Cited : 12

Objective : The aim of this study was to investigate the related factors and effects of an oropharyngeal stimulation program on the swallowing function of dysphagia patients after suffering a stroke. Methods : We applied an oropharyngeal stimulation program for 3 weeks to 40 patients (20 were under 6 months since suffering a stroke, and the other 20 were over 6 months, as of November 2008). We investigated the general features of dysphagia patients, cognitive function, duration after onset, and functional dyspahgia scale scores according to PO/NPO feeding type. Results : The results are as follows: 1. According to the onset duration, cognitive function, and PO/NPO feeding type, the functional dyspahgia scale showed a difference between before and after the program. In particular, the normal cognitive group under 6 months since suffering a stroke showed a statistically significant difference (p<.05). 2. The subjects were stratified according to the duration after onset (under or over 6 months), cognitive function, and feed type and applied oropharyngeal stimulation program. We found that the subjects under 6 months since their onset, with normal cognitive function and PO feeding type, showed a significant difference with functional dysphagia scale (p<.05). 3. The results of multiple regression analyses before and after the oropharyngeal stimulation program proves that the duration after onset, cognitive function, and PO/NPO feeding type have an influence on the functional dysphagia scale. Conclusion : Our findings suggest that an oropharyngeal stimulation program is beneficial to dysphagia patients under 6 months since suffering a stroke, with normal cognitive function and PO feeding type. It is necessary that more comparative studies on the related factors of an oropharyngeal stimulation program with functional electric stimulation be conducted.

Effects of EMG Biofeedback Training on the Hand Functions of Stroke Patients

한승협 , 최용원 , 감경윤 | 2009, 17(4) | pp.13~24 | number of Cited : 7

The Study on the Necessity of Occupational Therapy for Social Cognition

Kim,Young-geun | 2009, 17(4) | pp.25~35 | number of Cited : 5

The Clinical Application of ICF(International Classification of Functioning, Disability and Health) for Functional Ability Analysis of Stroke Patients

Seung Heon An , Park Dae-Sung , 이석민 | 2009, 17(4) | pp.37~44 | number of Cited : 16

Effects of EMG Biofeedback Training on the Hand Functions of Stroke Patients

심영헌 , 정진화 , Yu, Jae-Ho | 2009, 17(4) | pp.45~56 | number of Cited : 2

Effects of EMG Biofeedback Training on the Hand Functions of Stroke Patients

Hwang, Sang-hui , 이기업 , 최경림 | 2009, 17(4) | pp.57~70 | number of Cited : 0

The Effects of Different Head Angles on Suprahyoid Muscle Activation

Woo, Hee-soon , Kiyeon Chang , Chon Seung Chul | 2009, 17(4) | pp.71~79 | number of Cited : 5

A Study on the Prevalence of Attention Deficit Hyperactivity Disorder in Normal Children and Their Self-Efficacy and Self-Control

김진영 , kim jin kyung , Taekyoung Lee | 2009, 17(4) | pp.81~87 | number of Cited : 4

A Study on the Readability and Content Validity of Korean-translated Version of the Sensory Profile

Park Kyoungyoung , 유은영 | 2009, 17(4) | pp.89~98 | number of Cited : 16

A Study on the Factors Affecting Falls of the Elderly in Rural Areas

Byoungjin Jeon , Lee Jaeshin , Ok Ja Lee and 3 other persons | 2009, 17(4) | pp.99~112 | number of Cited : 21

Objective : To confirm the variables in the falling efficacy of the elderly in rural areas, this paper deals with the causal relationship between variables that is related to the physical and psychological factors and effects through functional mobility as a parameter. Methods : Data were collected from 290 elderly subjects in 15 senior centers in the Nonsan area from September 3rd, 2008 to May 30th, 2009. For the physical factor, measurements of lower extremity (LE) strength and obesity index were carried out with an InBody 720, which measures the impedance for body parts. For the psychological factor, pain and depression tests were carried out. For functional mobility, tests for Timed Up and Go (TUG) and walking a line were carried out. Data on falls used the Fall Efficacy Scale (FES). Physical and psychological factors were used as exogenous variables for analysis, and the ML (maximum likelihood) estimation procedure of Amos 7.0 was used to analyze functional mobility as a mediating variable, and causal effect of falls as a final endogenous variable. Results : The results of the analysis for correlation between variables that affect fall efficacy showed a negative affect of functional mobility, abdominal obesity, visceral fat, pain, depression, and age; and a positive affect for strength of LE and sex. Significant factors affecting TUG as a mediating variable were LE strength (β=-.352), obesity index (β=.159), and psychological variable (β=.240); and age (β=.424) was a significant factor affecting TUG as a control variable. Significant factors affecting TUG as a final endogenous variable were functional mobility (β=-.524) and psychological variable (β=-.152). The order of absolute influence in total effect included direct effects, and indirect effects were functional mobility (-.524), psychological variables (-.236), and age (-.164) Conclusion : The factors that affected the fall efficacy of seniors in rural areas were functional mobility, LE strength, psychological variables, obesity index, and age. An occupational therapy mediation program that is related with the above factors should be developed to improve the performance ability in daily life, which can increase the fall efficacy of seniors.

An Analysis on the Status and Supply-Demand of Occupational Therapists in Korea

JUNG, MINYE , Cha Yu Jin | 2009, 17(4) | pp.113~127 | number of Cited : 53

Objective : The purpose of this study is to analyze the supply and status of occupational therapists and grasp the demand accurately, to estimate the appropriate supply-demand of occupational therapists in the future and to contribute to accomplishment of appropriate occupational therapists. For this purpose, I will examine the training and increase status of occupational therapists, the professional activities and employment status of occupational therapists, and appropriate supply estimation of occupational therapists. Methods : I utilized secondary data for all materials used for manpower estimation and found the sum total and average through a technical statistical analysis for the collected data. Results : As a result of the analysis of the status of supply and manpower of occupational therapists in Korea, it is seen that occupational therapists have been trained at 19 4-year colleges and 27 3-year technical colleges. The average passing rate of applicants for the national examination for occupational therapists is 78%, with currently 4395 occupational therapists having been produced. The employment ratio in 2008 was 79%, while in 2009 it was 83%. 54.9% of occupational therapists are members of the Korean Association of Occupational Therapists. Occupational therapists are mainly employed in rehabilitation hospitals, followed by general hospitals and other hospitals and clinics. Compared to other countries, the level of supply of occupational therapists is very lacking; however, it is expected that the number of trained occupational therapists will be equal to that of advanced countries by 2020. Conclusion : 57.9% of occupational therapists are employed in medical institutions. The number of occupational therapists per 100,000 persons after 2020 will be 37 persons, which is the similar to the quantitative growth of advanced countries. It is urgent to change the Korean legal systems to an advanced state so that occupational therapists can provide occupational treatment services to the chronically disabled and aged in communities, other than at medical institutions in the future.

KJCKorea
Journal Central

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81

2009, Vol.17, No.4