2016, Vol.24, 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 study was to examine the effects of a distant action-observation training program on the upper limb functions and performance capacities in the activities of daily living of outpatients after a chronic stroke. Methods: Fifteen outpatients were randomly allocated into the experimental group (n=7), who received distant action-observation training, and the control group (n=8), who received a self-exercise program. Each intervention consisted of a 30 min session once a day, three times a week, for five weeks. To measure the functions of the upper limbs and performance capacities in the activities of daily living, the Fugl-Mayer Assessment (FMA) scale and Motor Activity Log (MAL) were used before and after the intervention. Results: The findings indicate that there is a significant differences between the changes in FMA and MAL scores for both groups (p<.05). Moreover, after the intervention, the MAL scores of the experimental group were significantly higher than those of the control group (p<.05). Conclusion: Based on the above findings, outpatient treatment in combination with a distant action-observation training program was shown to be an intervention method that can increase the function restorations of chronic stroke patients. It can also increase the effects on local chronic stroke patients.

Objective: The purpose of this study was to verify the effects of vibration stimulation on the unilateral neglect in patients after a stroke. Methods: A single-subject research method using multiple baselines across the individuals was employed in this study. All subjects who showed unilateral neglect caused by a stroke received vibration stimulation applied to their left forearm for 30 minutes per sessions. A total of 20 sessions were conducted. Their unilateral neglect was measured through a Line Bisection test and Albert’s test during each session, and the Catherine Bergego Scale was used to evaluate the degree of unilateral neglect based on the pre-and post-test on their daily life. The data were visually analyzed using graphs and a descriptive statistical analysis. Results: All subjects showed statistically significant improvements in the Line Bisection test and Albert’s test scores, and the Catherine Bergego Scale scores were improved post-test. Conclusions: The results of this study indicate that vibration stimulation has a positive effect on the unilateral neglect, and may be considered an alternative choice in clinical occupational therapy for reducing unilateral neglect.

Objective: This study aimed to check the causality of occupational therapists' work orientation and turnover intention. Methods: Information was collected through surveys given to occupational therapists who are members of the Korean Association of Occupational Therapists. The survey consisted of questions regarding their work orientation. SPSS Version 18.0 was used for the technical statistics, and a reliability analysis on the collected data and AMOS was also used to analyze the structural equation model and check the causal effects among their profession, organizational structure, position, turnover factor, job satisfaction, organizational engagement, and turnover intention. Results: Occupational commitment (β=.39), self-authority (β=.25), procedural justice (β=.14) and opportunity of promotion (β=.15) turned out to have a significant causal effect on their job satisfaction, whereas distributive justice (β=.26), procedural justice (β=.30), and opportunity of promotion (β=.23) showed a meaningful causal effect on their organizational commitment. In addition, the dependent variable (turnover intention) revealed a significant causal effect on their job satisfaction (β=-.13), organizational commitment (β=-.73), and sense of calling (β=-.25). Conclusion: Price's model is expected to serve as a significant index to appropriately control the turnover rate by preventing occupational therapists from changing jobs through an adjustment of Price's causal model of turnover by estimating the turnover factors indicated from the job characteristics of the occupational therapists and adding them into the model.