• Title/Summary/Keyword: 그룹작업치료

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A Translation and Construct Validity Study of the Evaluation in Ayres Sensory Integration® (EASI) (Evaluation in Ayres Sensory Integration® (EASI)의 번역 및 구성타당도 연구)

  • Kim, Kyeong-Mi;Lee, Ji-Hyun;Jung, Hyerim;Choi, Jeong-Sil;Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.1
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    • pp.24-38
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    • 2021
  • Objective : This study aimed to create a Korea translation of the Evaluation in Ayres Sensory Integration (EASI) and to then test the adapted version for construct validity. Methods : The translation and content validation process were conducted in accordance with a four-step process, namely translation, integration, content validity examination, and backward translation. The construct validity of the translated version was evaluated using the EASI for children aged 3~12 years with and without sensory integration problems, comparing the two groups as well as preschool and school-aged groups. The group comparison was analyzed using the Mann-Whitney U test in SPSS. Results : In terms of content validity, all 20 items averaged more than 3.17 points. Of the four EASI categories, there was a difference in Sensory Perception (p=0.044) between the typical and sensory integration groups, and there was a statistical difference between tactile and vestibular sensations. Between the preschool and school-aged children, statistical difference was observed in two categories, namely Praxis and Ocular-Postural-Bilateral Motor Integration. Conclusion : Based on its construct validity, the Korean version of EASI is suitable for use in research. The construct validity study highlighted items that explain differences between typical and diagnostic children and items that explain those differences by age. Our findings could therefore be considered when interpreting EASI results.

The Effect of Task-Oriented Mirror Therapy involve Visual Illusion on Upper Extremity Functions in Stroke Patients: Single Subject Study (착시현상이 반영된 과제지향적 거울치료가 뇌졸중 환자의 상지기능에 미치는 영향: 개별실험연구)

  • Choi, Seong-Youl;Kim, Su-Kyoung;Lee, Jae-Hong
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.2
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    • pp.13-23
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    • 2013
  • Objective : The purpose of this study is to evaluate the effect of task-oriented mirror therapy involve visual illusion on upper extremity functions in stroke patients. Method : We divided into two groups that task-oriented mirror therapeutic exercise program include visual illusion and not include. In order to determine the change in upper extremity function, Box & Block Test and Line-bisection Test was evaluated each time period. Result : The result of this study that we found out that all participation's upper extremity function had been improved during the intervention and sustained during baseline regression. Applying mirror therapy program include visual illusion group more improved trend line during the intervention, visual illusion group, it had been shown there are higher difference between visual illusion group and non-visual illusion group in upper extremity functions. Conclusion : It is thoughtful that task-oriented mirror therapy could help for stroke. It might be more effectiveness to apply who have exercise program include visual illusion.

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Application of Occupation-Based Practice for Neurodevelopmental Children's Subway Use (신경발달 장애 아동의 지하철 이용하기 작업에 대한 작업기반 중재의 적용)

  • Ra, Dae-Yeop;Kong, Myung-Ja;Chang, Ki-Yeon
    • Korean Journal of Occupational Therapy
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    • v.26 no.4
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    • pp.27-41
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    • 2018
  • Objective : This study implemented occupation-based practice as a group program for children with neurodevelopmental disabilities, and investigated the quality of occupational performance, performance and satisfaction, and efficacy levels of the program. Methods : ADOC-S(Aid for Decision making in Occupation Choice-School) and COPM(Canadian Occupational Performance Measure) were used to establish common meaningful occupational goals for 10 children with neurodevelopmental disabilities. After occupational analysis of the 'subway use', the Performance Quality Rating Scale(PQRS) were used to evaluate the quality of occupational performance. Occupation-based interventions were implemented by participants individually performing meaningful occupations in the most natural and real-life environments as possible. The trial consisted of 1 session of pre-intervention assessments, 8 sessions of intervention, where a single session of 100 minutes is provided once a week. Post-intervention evaluation was conducted over one session. Results : The quality of occupational performance by PQRS was 38.10 higher than before intervention. The occupation-based intervention as a group program used the maintain and modify(compensation, adaptation) approaches and acquisition model. In the early stages of intervention (1 to 4 sessions), the occupational performance was greatly improved. The performance level of COPM increased by 5.80 and the satisfaction level was increased by 7.00. In addition, high scores were found in program satisfaction through parental interview. Conclusion : The results of implementing occupation-based interventions to children with neurodevelopmental disabilities showed increase in quality of occupational performance, performance, and satisfaction along with positive effects of satisfaction levels for the program.

The Impact of Abdominal Muscle Strengthening Exercises, Back Muscle Stretching and Multi-Training on the Lumbar Flexibility of 20s Adults (복부근력강화운동, 배부근 스트레칭 및 복합운동이 20대 성인의 허리 유연성에 미치는 영향)

  • Hong, Ki-Hoon;An, Ji-Hye;Yoo, Sun-Wook;Yun, Hyun-Joo;Lee, Chun-Yeop;Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.2
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    • pp.57-65
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    • 2013
  • Objective : The purpose of this study was to identify the effect and difference of abdominal muscle strengthening exercise, back muscle stretching and multi-training on the lumbar flexibility of 20s adults. Method : The abdominal muscle strengthening exercise, back muscle stretching and multi-training were conducted 9 times targeting 21 subjects who attended K University from 2013 May 29 to June 14. Sit and Reach Tests were conducted 2 times(before and after exercise program) for flexibility test and measured data were processed with SPSS program WIN 12.0K. By the Wilcoxon signed rank test, the effectiveness of exercises are verified. By the Kruskal-Wallis test and Mann-Whitney test, the difference of effectiveness among the exercise groups are verified. Result : The results of this study were summerized below 1. Before and after exercise, in abdominal muscle strengthening exercise group, back muscle stretching group and multi-training group are showed statistically significant differences(p<.05), 2. There were statistically significant difference in the improvement of the flexibility between each group(p>.05). Conclusion : These data suggests that all of the 3 exercise programs are brought positive influences on the improvement of flexibility, and abdominal muscle strengthening exercises and flexibility multi-training are effective on the flexibility more than, back muscle stretching in 20s adults.

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Item-Level Psychometrics of the 12 Items of the Coping Orientation to Problems Experienced Scale (스트레스 대처 척도 12개 항목에 대한 심리측정 속성)

  • Nam, Sanghun;Hilton, Claudia L.;Lee, Mi-Jung;Pritchard, Kevin T.;Bae, Suyeong;Hong, Ickpyo
    • Therapeutic Science for Rehabilitation
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    • v.11 no.3
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    • pp.65-80
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    • 2022
  • Objective : This study examined the psychometric properties of the 12-item Coping Orientation to Problems Experienced Scale (COPE) using Rasch analysis. COPE is one of the instruments used to measure stress-coping skills. Methods : The study participants were 480 community-dwelling older adults. We tested the instrument's unidimensionality assumption using principal component analysis (PCA). Item fit was examined using infit-and-outfit mean-square (MnSq) and standardized fit statistics (ZSTD). The precision and item difficulty hierarchies of the instrument were examined. The item-difficulty hierarchy was investigated to identify the easy and difficult items. We tested differential item functioning (DIF) for sex and age groups. Results : PCA revealed that the instrument met the unidimensionality assumption (eigenvalue = 1.78). Among the 12 items, item 2 was removed because of misfit (Infit MnSq = 1.33, Infit ZSTD = 5.05, Outfit MnSq = 1.56, Outfit ZSTD = 7.15). The remaining 11 items demonstrated a conceptual item-difficulty hierarchy. The person strata value was 3.10, which is equivalent to a reliability index value of 0.81. There was no DIF for the sex and age groups (DIF contrast <0.27). Conclusion : The findings indicated that the revised COPE-11 has adequate item-level psychometric properties and can accurately measure stress coping skills.

Effect of Tongue Exercise on Stroke Patients With Dysphagia : A Systematic Review (혀 운동(tongue exercise)이 연하장애를 가진 뇌졸중 환자에게 미치는 효과 : 체계적 고찰)

  • Son, Yeong Soo;Choi, Yoo Im
    • Therapeutic Science for Rehabilitation
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    • v.11 no.3
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    • pp.7-22
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    • 2022
  • Objectives : This study was a systematic review of tongue movements in stroke patients with dysphagia. This study aimed to provide a basis for verifying the effects of tongue movement and identifying the tendency of tongue movement. Methods : A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist and flow chart. PubMed, MEDLINE, CINAHL, RISS, and e-articles databases were searched. A total of six documents were investigated, and the PEDro scale was used to evaluate the quality of the papers. Results : Three intervention methods were included in the six papers analyzed. Regarding the type of tongue exercise, three TPRT (Tongue to Palate Resistance Trainings) and two TSAT (Tongue Strength and Accuracy Training) were mediated through the IOPI (Iowa Oral Performance Instrument), and only one study applied TSE (Tongue Stretching Exercise). The treatment effects for each intervention implemented in the literature were confirmed to be effective. However, generalizability of findings is difficult because of the small sample size. Further, no significant difference was found between the experimental and control groups. Conclusions : This study can help occupational therapists provide efficient swallowing rehabilitation treatment by applying tongue exercises to stroke patients with dysphagia. More research should be conducted to determine the effects of tongue exercise.

Effectiveness of Occupation Based Lifestyle Intervention Program for Health Management of Community Dwelling Older Adults (지역사회 거주 노인의 건강관리를 위한 작업기반 라이프스타일 중재 프로그램의 효과)

  • Shin, Yun-Chan;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.11 no.2
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    • pp.77-91
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    • 2022
  • Objective : This study aimed to assess the effects of occupation-based lifestyle intervention programs on older adults in the local community. Methods : Nine community-dwelling older individuals participated in this study using a one-group pre-post design. The occupation-based lifestyle intervention program consisted of 12 group sessions, and one individual session was conducted for seven weeks. Occupational balance, activity occupancy, activity participation, depression, health-related quality of life, and program satisfaction were assessed. Results : The average attendance rate of the nine participants was 10.11 (SD=1.36). Overall occupational balance (p=.012), activity participation status (p=.008), performance (p=.012), and satisfaction with activity participation (p=.008) were increased. Furthermore, the results showed changes in leisure time (p=.008) and rest time (p=.008). Finally, there were some improvements in the overall health-related quality of life (p=.034) and depression scores (p=.012). Conclusions : Occupation-based lifestyle intervention programs positively affected occupational balance, activity occupancy, activity participation, depression, and health-related quality of life in community-dwelling older adults. This research suggests promising benefits and feasibility of the program for community-dwelling older adults.

Thematic Analysis of the Therapeutic Song Writing Experience of Music Therapy Interns: A Focus Group (음악치료 인턴들의 치료적 노래만들기 경험에 대한 주제분석: 포커스 그룹을 중심으로)

  • Park, Chanyang;Kim, Jinah
    • Journal of Music and Human Behavior
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    • v.17 no.1
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    • pp.1-24
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    • 2020
  • The internship is essential for the music therapy curriculum and affords interns the opportunity to apply their classroom-based knowledge and skills to real-world clinical settings. However, challenges associated with the internship can result in interns undergoing trial-and-error learning, interpersonal conflicts, and intrapersonal difficulties. An experiential music therapy group may be useful in helping interns process these incidents and develop their personal and professional skills. We explored the experiences of music therapy interns participating in therapeutic song writing. In this study, five music interns completed two 4-hour sessions of therapeutic song writing. Following the second session, a group interview was conducted with participants to gather data on their experiences. The interview was recorded, transcribed, and analyzed. Six themes and 18 sub-themes were derived from the data. The six themes were preconceptions of therapeutic song writing, meaningful lyric creation, challenges in song composition, structured experiences during song writing process, development of self-awareness through music, and relational experiences resulting from the group process. Participants were able to incorporate their individual internship experiences into a single song by communicating with group members during the step-by-step process. Participation in therapeutic song writing was found to help music therapy interns identify and process challenges encountered during their internship and further their personal and professional development.

A Study on Health Status' Factors Affecting HRQOL in the Elderly Stroke Patients With or Without Sequela (노인 뇌졸중 환자의 후유증 유무에 따른 HRQOL 요인별 중요도 분석)

  • Kim, Souk-Boum;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.1
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    • pp.37-47
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    • 2017
  • Objective : The main purpose of this study was to analyze factors affecting a health related quality of life(HRQOL) in the elderly stroke patients with(Group 1) or without(Group 2) sequela. Methods : This survey performed secondary analysis with 'the fifth korea national health and nutrition examination survey', and investigated 91 elderly stroke patients over 65 years. Results : The results were as followed: HRQOL and self rated health had a significantly lower in Group 1(p<.05). In all groups, HRQOL was affected by self rated health(${\beta}=0.39$), mental health, and medical health significantly(p<.05). In group 1, HRQOL was affected by mental health(${\beta}=0.45$), self rated health significantly(p<.05). In group 2, HRQOL was affected by medical health(${\beta}=0.45$), functional health, mental health significantly(p<.05). Conclusion : In order to improve the HRQOL of stroke patients during rehabilitative therapy, it is important that early detection and early intervention of depression and suicide, which affect mental health status, are important in the case of severe aftereffects. If the patient continues to support his/her current status regardless of aftereffects, he/she can improve the HRQOL with functional recovery of the stroke patient, and finally have a positive effect on the independence of the stroke patients.

The 20th Anniversary of the Korean Academy of Sensory Integration (KASI): PLAY inSIde Camp Report (대한감각통합치료학회 창립 20주년 학술대회: PLAY inSIde 캠프 보고)

  • Kim, Eun Young;Choi, Jeong-Sil
    • The Journal of Korean Academy of Sensory Integration
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    • v.15 no.1
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    • pp.1-9
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    • 2017
  • Objective : This paper is a report on the PLAY inSIde camp which connects sensory integration and play; the camp was designed for celebrating the KASI's 20th anniversary. Subjective : The camp was consisted of group play activity programs based on sensory integration for children aged 5~6 years with developmental disorder. The programs consisted of the Opening Program, Group Activity Program, Post Group Activity Program, and the Closing Activity Program. During the children's programs, their parents participated in parent education. The therapists participating in the camp planned and envisioned activity programs through pre-meetings and rehearsal sessions, where there were discussions among therapists and supporters. Conclusion : Through the camp, children experienced play activities involving sensory integration with other children, therapists shared their expertise in interaction with other therapists, and the KASI could share the accumulated resources with the society. After the events designed by the KASI, social participation through the occupation based on sensory integration could be facilitated and promoted in the future.