2017, Vol.25, 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: This study is aimed at finding the effects of task-oriented robot-assisted therapy for stroke patients in terms of the motor function of the upper extremities and ADL performance based on a systematic review and meta-analysis. Methods: RCTs were identified through a database search of MBASE, Ovid-Medline, PubMed, CINAHL, and Cochran CENTRAL from 1980 to December 2015, and through additional manual searches. Meta-analyses were separately conducted in terms of the motor function of the subjects' upper extremities and ADL performance. A quality assessment was conducted using SIGN, the level of evidence was reviewed based on GRADE, and the risk of bias was assessed using the Cochrane collaboration tool. The statistical heterogeneities were also investigated, and RevMan 5.3 was used for a Meta analysis covering the averages and standard deviations. Results: Twelve studies were selected and reviewed. The overall task-oriented robot-assisted therapy group was made up of 341 participants (235 male, 106 female) with an average age of 60.50±5.51. The control subjects totaled 301 (207 male, 94 female, with an average age of 58.55±17.1). The improvement in the entire motor function of their upper extremities showed a statistical significance (mean difference, 0.34; 95% CI, -0.30 to 4.38; p<.05; I2=65.0%) with an FMA of 2.98 (mean difference, 2.10; 95% CI, 0.72 to 3.48; p<.05; I2=52.0%), BB of 2.25 (mean difference, 2.34; 95% CI, 0,30 to 4.38; p<.05; I2=28.0%), and FIM of 3.04 (mean difference, 4.14; 95% CI, -1.47 to 6.80; p<.05; I2=73.0%). However, their WMFT, overall ADL performance, ABILHAN, and MAL did not reach a level of statistical significance. Conclusion: Task-oriented robot-assisted therapy was shown to have a positive possibility for the recovery of stroke survivors, particularly in the motor function of their upper extremities and ADL performance. Further research will be needed to ground the evidence and support the clinical use of task-oriented robot-assisted therapy.

Objective: The purpose of this study was to investigate the effects of a task-oriented vocational rehabilitation program on the hand function and job competency and generalization for people with an intellectual disability. Methods: The study period was April 4 through June 24, 2016, and the subjects were four adults with an intellectual disability, who use the E welfare center in G. City. The study design was a multiple probe design across the behaviors of single subject research. The intervention was conducted in stages, i.e., basic competency, job competency, and the generalization process, for 50 min, two times a week, during a 12 week period. For the basic competency process, the grasping power, dexterity, and bilateral hand manipulation; for the job competency process, the number of finished strings and their accuracy; and for the generalization process, the number of finished bracelets, finishing time, and accuracy were all measured after the every session. Results: Their hand function and basic job performance were improved through the task-oriented vocational rehabilitation program. In addition, their job competency and generalization, which are required to hold and maintain a job, were improved through repetitive training of tasks conducted through a job analysis. Conclusion: The program worked effectively on the hand function, job competency, and generalization, all of which affect one's job performance. Therefore, this study proposes use of such a program for vocational rehabilitation.

Objectives : The purpose of this study was to determine whether treatment assignment training for a task-oriented intervention is more effective for hand functionally compared to a control group. Methods : A randomized controlled study was conducted for 30 patients with a hand burn injury. The patients were divided into a task-oriented intervention group (n=15) and a simple exercise therapy group (n=15). The experimental group was given task-oriented intervention, and the control group was provided with simple exercise therapy. The trial was applied for 30 min per day, three times a week for six weeks. To verify the effectiveness of the intervention, the Korean versions of the Michigan Hand Outcome Questionnaire (MHQ-K) and Jebsen-Taylor Hand Function Test (JTT) were used. Results : After six weeks of intervention, The MHQ-K and JTT scores of the simple exercise therapy group and the task-oriented intervention group both showed significant improvement in hand function (p<.05). Task-oriented intervention also showed a better effect regarding writing skills, and simulated feeding, and level of satisfaction (p<.05). Conclusions : Based on MHQ-K and JTT scores, task-oriented intervention was shown to be more helpful than simple exercise therapy to improve the confidence in patients with a hand burn injury.