2013, Vol.21, No.1

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81

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

Objective : The purpose of this research was to investigate the effects of computer-based cognitive training on the cognitive function and instrumental activities of daily living in people with schizophrenia. Methods : The design of this research including a pre-test and a post-test study. For this study, the concentration, memory, executive function, and level of instrumental activities of daily living were used as dependent variables, and computer-based cognitive training (REHACOM) was used as an independent variable. Twelve subjects participated in the study. As an intervention, the concentration, memory, and executive function training program of REHACOM was conducted twice per week during and an eight-week period, 16 times in total. Results : As a result of the study, the patients demonstrated significant improvements in their concentration,memory, executive function, and instrumental activities of daily living (p<.05). Additionally, there was a significant correlation between memory and instrumental activities of daily living (p<.05). Conclusions : This study demonstrated that a computer-based cognitive training program is effective not only on the cognitive function, but also on the instrumental activities of daily living, in people with schizophrenia. As a future study, investigators need to consider research using a control group and a specialized cognitive training program applying various cognitive functions.

Objective : This study was conducted to examine the ADL and life satisfaction of the physically disabled at home and to look at their interrelationship and the factors that affect them. Methods : The subjects of this study were 102 physically disabled people staying at home who were aged 20or older. Their ADL and life ssatisfaction were measured using K-ADL and K-IADL, and a life satisfaction scale, respectively. Results : First, the subjects had overall low ADL and life satisfaction levels. Second, the correlation among KADL,K-IADL, and life satisfaction were significant, with the exception of the correlation between K-ADL and life satisfaction. In particular, their life satisfaction had a more significant correlation with their K-IADL than their K-ADL. Third, the examination of factors affecting their life satisfaction showed that mobility and the use of transportation influenced their life satisfaction. Conclusion : Intervention with I-ADL rather than B-ADL is considered to be necessary to enhance the life satisfaction of the physically disabled at home.

Objective : This study was designed to evaluate the clinical utility of the Fall Efficacy Scale (FES) for the prediction of falls in stroke patients. We demonstrated whether the FES can measure the standards for the screening of risk factors for falling by stroke patients. In addition, we identified the factors the affect the FES and the predictive factors of falling. Methods : The subjects included 69 inpatients with hemiparesis who can walk independently. We surveyed the number of falls and used the FES to identify their fear of falling. and conducted an evaluation on their cognitive function and depression using the Mini Mental State Examination, Korean version (MMSE-K) and Geriatric Depression Scale, Korean version (GDS-K). The assessments on their functional performance measured their activities of daily living (Modified Barthel Index; MBI), strength of their lower limbs (Sit to Stand Test; SIT), limb paresis (Fugl-Meyer Upper/Lower Extremity; FM-U/E, L/E), balance (Berg Balance Scale; BBS), and mobility (Timed Up & Go test; TUG). A receiver operation characteristic curve was utilized to investigate the optimum cutoff value of the FES on the prediction of falling, and a multiple linear regression analysis and logistic regression analysis were used to identify the main factors for FES and the prediction of falling. Results : A cut-off score of ≥14.5 on the FES was the standard value for the prediction of risk factors of falling, and <14.5 was used for those with a low incidence of falling. The most affective factors of FES were the TUG variables, and we identified that FES as a psychologic factor exists in terms of a discrimination between the falling group and non-falling group. Conclusion : FES is able to assess the self-efficacy related the fear of falling, and identify the functional performance ability. In addition, FES may be used as part of an initial assessment tool to identify the related falling risk. To comprehensively understand the related risk of falling in individual patients, further study is needed, including a quantitative analysis evaluating the patient's physical function, and should include psychologic factors.