한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제11권6호
  • /
  • Pages.69-74
  • /
  • 2020
  • /
  • 2233-4890(pISSN)
  • /
  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
권호 표지
DOI QR코드

DOI QR Code

척수손상 작업치료 가이드라인 인식 및 요구에 대한 융합연구

Convergence Study on the Recognition and Need of Spinal Cord Injury Occupational Therapy Guidelines

  • 하성규 (연세대학교 일반대학원 작업치료학과) ;
  • 박혜연 (연세대학교 보건과학대학 작업치료학과)
  • Ha, Sung-Kyu (Dept. of Occupational Therapy, Graduate School of Yonsei University) ;
  • Park, Hae-Yean (Dept. of Occupational Therapy, College of Health Science, Yonsei University)
  • 투고 : 2020.03.24
  • 심사 : 2020.06.20
  • 발행 : 2020.06.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 척수손상 작업치료 가이드라인의 개발에 앞서 척수손상환자에게 적용하고 있는 작업치료 실태와 임상에서 요구하는 가이드라인의 범위를 알아봄으로써 이에 따른 필요성의 제기 및 근거 기반 재활 중재 서비스 체계 구축을 위한 것으로 동일 분야 연구에 활용이 있을 것으로 사료 된다. 조사방법으로는 현재 작업치료사가 근무하는 기관을 중심으로 작업치료사 112명을 대상으로 2019년 10월 3일부터 17일 까지 총 15일간 설문조사 하였다. 그 결과 임상에서 주로 사용되는 중재방법에는 신체활동훈련 106명(94.6%), 일상생활동작훈련 96명(85.7%), 교육-카운슬링-정보제공 44명(39.3%), 보호자 교육 39명(34.8%)순으로 조사되었다. 연구결과를 통해 작업치료 가이드라인의 인식과 임상적 요구를 확인하였다.

Prior to the development of guidelines for occupational therapy for spinal cord injury, this study explored the actual condition of occupational therapy applied to patients with spinal cord injury and the range of guidelines required by the clinic, thereby raising the necessity and establishing an evidence-based rehabilitation intervention service system. It is thought that it will be used for research in the same field. As a survey method, a total of 15 days of surveys were conducted from October 3 to 17, 2019, among 112 occupational therapists, focusing on the organizations currently employed by occupational therapists. As a result, there are 106 physical activity training (94.6%), daily life movement training (85.7%), education-counseling-information 44 (39.3%), and guardian education 39 (34.8). %). The research results confirmed the recognition and clinical needs of occupational therapy guidelines.

키워드

참고문헌

  1. A. Singh, L. Tetreault, S. Kalsi-Ryan, A. Nouri & M. G. Fehlings. (2014). Global prevalence and incidence of traumatic spinal cord injury. Clinical epidemiology, 6, 309. https://doi.org/10.2147/clep.s68889
  2. L. Teeter, J. Gassaway, S. Taylor, J. LaBarbera, S. McDowell, D. Backus & S. E. Kreider. (2012). Relationship of physical therapy inpatient rehabilitation interventions and patient characteristics to outcomes following spinal cord injury: the SCIRehab project. The journal of spinal cord medicine, 35(6), 503-526. https://doi.org/10.1179/2045772312Y.0000000058
  3. S. D. Guy, S. Mehta, A. Casalino, I. Côté, A. Kras-Dupuis, D. E. Moulin & C. L. Bradbury. (2016). The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord: recommendations for treatment. Spinal Cord, 54(1), S14-S23. https://doi.org/10.1038/sc.2016.90
  4. World Health Organization. (2014). WHO handbook for guideline development. World Health Organization.
  5. H. L. Gainforth, A. E. Latimer-Cheung, P. Athanasopoulos & K. A. M. Ginis. (2013). Examining the effectiveness of a knowledge mobilization initiative for disseminating the physical activity guidelines for people with spinal cord injury. Disability and health journal, 6(3), 260-265. https://doi.org/10.1016/j.dhjo.2013.01.012
  6. K. M. Ginis, A. L. Hicks, A. E. Latimer, D. E. R. Warburton, C. Bourne, D. S. Ditor & P. Pomerleau. (2011). The development of evidence-informed physical activity guidelines for adults with spinal cord injury. Spinal cord, 49(11), 1088-1096. https://doi.org/10.1038/sc.2011.63
  7. K. A. M. Ginis, J. W. van der Scheer, A. E. Latimer-Cheung, A. Barrow, C. Bourne, P. Carruthers & K. C. Hayes. (2018). Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline. Spinal cord, 56(4), 308-321. https://doi.org/10.1038/s41393-017-0017-3
  8. K. P. Arbour-Nicitopoulos, S. N. Sweet, M. E. Lamontagne, K. A. M. Ginis, S. Jeske, F. Routhier & A. E. Latimer-Cheung. (2017). A randomized controlled trial to test the efficacy of the SCI Get Fit Toolkit on leisure-time physical activity behaviour and social-cognitive processes in adults with spinal cord injury. Spinal cord series and cases, 3(1), 1-8.
  9. E. Y. Y. Cheung, K. K. K. Yu, R. L. C. Kwan, C. K. M. Ng, R. M. W. Chau & G. L. Y. Cheing. (2019). Effect of EMG-biofeedback robotic-assisted body weight supported treadmill training on walking ability and cardiopulmonary function on people with subacute spinal cord injuries–a randomized controlled trial. BMC neurology, 19(1), 140. https://doi.org/10.1186/s12883-019-1361-z
  10. S. H. Chang, T. Afzal, J. Berliner & G. E. Francisco. (2018). Exoskeleton-assisted gait training to improve gait in individuals with spinal cord injury: a pilot randomized study. Pilot and feasibility studies, 4(1), 62. https://doi.org/10.1186/s40814-018-0247-y
  11. H. Kooijmans, M. W. Post, H. J. Stam, L. H. Van der Woude, D. C. Spijkerman, G. J. Snoek & J. B. Bussmann. (2017). Effectiveness of a self-management intervention to promote an active lifestyle in persons with long-term spinal cord injury: The HABITS randomized clinical trial. Neurorehabilitation and neural repair, 31(12), 991-1004. https://doi.org/10.1177/1545968317736819
  12. C. A. Pelletier, J. T. De Zepetnek, M. J. MacDonald & A. L. Hicks. (2015). A 16-week randomized controlled trial evaluating the physical activity guidelines for adults with spinal cord injury. Spinal Cord, 53(5), 363-367. https://doi.org/10.1038/sc.2014.167
  13. D. Dorstyn, J. Mathias, L. Denson & M. Robertson. (2012). Effectiveness of telephone counseling in managing psychological outcomes after spinal cord injury: a preliminary study. Archives of physical medicine and rehabilitation, 93(11), 2100-2108. https://doi.org/10.1016/j.apmr.2012.06.002
  14. C. F. Nooijen, H. J. Stam, I. Schoenmakers, T. Sluis, M. Post, J. Twisk & R. J. Van Den Berg-Emons. (2016). Working mechanisms of a behavioural intervention promoting physical activity in persons with subacute spinal cord injury. Journal of rehabilitation medicine, 48(7), 583-588. https://doi.org/10.2340/16501977-2110
  15. S. Hitzig, B. Craven, A. Panjwani, N. Kapadia, L. Giangregorio, K. Richards & M. Popovic. (2013). Randomized trial of functional electrical stimulation therapy for walking in incomplete spinal cord injury: effects on quality of life and community participation. Topics in spinal cord injury rehabilitation, 19(4), 245-258. https://doi.org/10.1310/sci1904-245
  16. M. L. Jones, N. Evans, C. Tefertiller, D. Backus, M. Sweatman, K. Tansey & S. Morrison. (2014). Activity-based therapy for recovery of walking in individuals with chronic spinal cord injury: results from a randomized clinical trial. Archives of physical medicine and rehabilitation, 95(12), 2239-2246. https://doi.org/10.1016/j.apmr.2014.07.400
  17. K. P. Arbour-Nicitopoulos, K. A. M. Ginis & A. E. Latimer. (2009). Planning, leisure-time physical activity, and coping self-efficacy in persons with spinal cord injury: a randomized controlled trial. Archives of physical medicine and rehabilitation, 90(12), 2003-2011. https://doi.org/10.1016/j.apmr.2009.06.019
  18. R. L. Kirby, D. Mitchell, S. Sabharwal, M. McCranie & A. L. Nelson. (2016). Manual wheelchair skills training for community-dwelling veterans with spinal cord injury: a randomized controlled trial. PloS one, 11(12).
  19. E. Kelly, M. Mulcahey, S. Klaas, H. Russell, C. Anderson & L. Vogel. (2012). Psychosocial outcomes among youth with spinal cord injury and their primary caregivers. Topics in spinal cord injury rehabilitation, 18(1), 67-72. https://doi.org/10.1310/sci1801-67