2017, Vol.25, No.2

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 an oral sensory stimulation home program on tooth-brushing of children with Autism Spectrum Disorder(ASD). Methods : A single-subject ABA research design was employed for three children with ASD. The procedure consisted of a total of 15 sessions, including 4 during baseline period(A1), 8 during the intervention period (B), and 3 during the baseline regression period(A2). For the independent variable oral sensory stimulation home program was provided for children 2 or 3 times a day during the intervention period. For the dependent variables on tooth-brushing performance were rejection behavior and allocated time. Canadian Occupational Performance Measure (COPM) and oral sensory sensitivity in Sensory profile were measured before and the intervention, as well as after the baseline regression period. The result were presented using visual graph and bar graphs. Results : All children decrease rejection behaviors and increased allocated time on tooth-brushing. The parents reported increased performance and satisfaction on COPM for the tooth-brushing of their children. The oral sensory sensitivity decrease for all children in intervention period and the improvement in oral activity performance can be maintained after the intervention. Conclusion : This study result supports evidence that the oral sensory home program is beneficial in improving tooth-brushing performance in children with ASD with oral defensiveness.

Objective : This study was to determine the effect of Robot-assisted Upper limb Training in patients with acute stroke. Methods : Fourteen inpatients were randomly allocated into the experimental group (n=7), who received Robot-assisted Upper limb Training, and the control group (n=7), who received a conventional occupational therapy. Each intervention consisted of a 30 min session once a day, five times a week, for four weeks. To measure the functions of the upper limbs and performance capacities in the activities of daily living and grip power, the Fugl-Meyer assessment-Upper Extremity (FMA-UE), Manual Function Test (MFT), Korean-Modified Barthel index (K-MBI), Grip power were used before and after the intervention. Results : After intervention, both the groups showed significant increased FMA-UE, MFT, K-MBI, Grip power (p<.05). But change values in terms of FMA-UE, MFT, K-MBI, Grip power exhibited a no statistically significant difference compared with conventional group (p＞.05). Conclusion : In patients with upper limb deficits after acute stroke, the Robot-assisted upper limb training was an effective intervention method to facilitate motor and functional recovery of upper limb. Therefore, robot-assisted upper extremity training can be used as an intervention method to support standardized treatment using stable equipment from the beginning of the upper extremity rehabilitation of stroke patients.

Objective : In this study, an integrated manual that integrates various processes of current assistive technology service along with assistive product information was developed. The purpose of developing integrated manual was to help understand and use easier for people related to the assistive technology service from an advocacy intervention perspective. Methods : Data were collected from 11 regional assistive technology centers and 4 administrations of Korea by visiting, telephoning and referencing webpage. From these institutions, assistive technology service manual, service procedure, and related laws and ordinances were collected. These collected data were then reviewed, classified and finally developed integrated rehabilitation assistive technology service manual that consists of assistive technology service flowchart and assistive technology product information. Results : Developed flowchart was firstly classified into the regional assistive technology centers and governmental administrations and providing the service procedures and product information, respectively. An integrated flowchart was finally developed by providing assistive technology service procedure and product information according to the providing agencies and users' personal characteristics. Conclusion : Developed rehabilitation assistive technology service manual can save time and expenses of assistive technology users and providers. It is expected that people who need assistive technology service can have an independent advocates in occupational therapy perspective.