• The Journal of Korean society of community based occupational therapy
• /
• v.8 no.3
• /
• pp.1-12
• /
• 2018

Objective : This study conducted a preliminary study to develop a occupational therapy model focused on improving living functions within the community care system. Methods : From June to July, 2018, the literature on community care was researched, focusing on cases of Japan's Management Tool for Daily Life Performance (MTDLP), Sweden, United Kingdom, Germany and domestic S Elderly Care Centers and I Health Centers. Based on this information, a group of experts developed a occupational therapy model within the community care system. Results : Assessment tools such as occupation-based health promotional table, interest checklist, occupational goals for improving living functions, sheet for evaluation of living functions, survey of daily life time (weekday and weekend), and sheet for transition of living functions were developed to conduct evaluation for occupational therapy. The improving living functions program, analysis of activities based on ICF model, lifestyle redesign program, cognitive exercise therapy, the Lee Silverman Voice Treatment (LSVT), hospice, and home modification were also organized interventions already in place by occupational therapists. Conclusion : This study showed specific measures and models for the implementation of occupational therapy within community care systems. Occupational therapy is positioned as a specialized area that is essential to the client, and we look forward to the use of this model.

• Journal of agriculture & life science
• /
• v.43 no.5
• /
• pp.27-32
• /
• 2009

This study purposed to examine the effect of the horticultural therapy on activities of daily living and cognitive function of demented old adults in facilities. According to the results of evaluating BADL, the ability to perform daily activities decreased from 9.71 to 9.21 in the control group, but in the experimental group, the ability to perform daily activities increased significantly(p=.009) from 10.86 before the horticultural therapy to 12.43 after the therapy. According to the results of evaluating K- MMSE, the score decreased from 10.57 to 9.07 in the control group, but the experimental group showed a significant improvement in cognitive functions from 10.43 before the horticultural therapy to 13.29 after the therapy(p=.003). As presented above, the horticultural therapy was effective in improving activities of daily living and cognitive function of demented old adults.

• Journal of rehabilitation welfare engineering & assistive technology
• /
• v.9 no.2
• /
• pp.105-113
• /
• 2015

The purpose of the study was to verify the clinical effect of Computer-based cognitive rehabilitation program for Children for recovering the visual perception and ADL ability in intellectual disability. For this purpose, 3 intellectual disabilities with visual perception and ADL disorders participated in a clinical experiment to verify the effect of Computer-based cognitive rehabilitation program. They all have 5 common conditions in intellectual disability for objective experimental result. All participant were evaluated with Korean-Development Test of Visual Perception-2(K-DTVP-2), Wee Functional Independence Measure(Wee-FIM) before and after the planned intervention sessions. All intervensions were intensively carried out for 20weeks, 1 time a week. The result were as follows. K-DTVP and Wee-FIM scores were improved significantly compared to pre-intervention. Further studies are needed to verify the effect on various group and lots of participants.

• Therapeutic Science for Rehabilitation
• /
• v.2 no.2
• /
• pp.47-59
• /
• 2013

Objective : This study is conducted to find the influence on upper extremity function, cognitive function and activities of daily living when stroke patients receive task-oriented training in group or individually. Methods : Twenty-six inpatients are assigned to two groups(task training group and individual training group) randomly, who receive rehabilitation therapy after stroke diagnosis for 5 months(june to november, 2012) in a hospital. Both groups receive a task-oriented training for 30 minutes a day for 3 weeks. FMA were used to measure upper extremity function, K-MMSE were used to measure cognition, and MBI for ADL. Results : Before training. two groups were not different significantly in upper extremity function and cognitive function. But in activities of daily living, bathing self(p<.001), feeding, personal hygiene and total score(p<.05) are higher in group training group. After training, upper extremity function is higher in individual training group(p<.001). In both training group, upper extremity function, feeding, personal hygiene, bathing self, dressing, toilet, chair/bed transfers, ambulation and stair climbing, total score are improved significantly(p<.05). In comparing of variation before and after training, upper extremity function(p<.001), feeding and total score of activities of daily living are more improved significantly in individual training group(p<.05). Conclusion : The outcome shows that task-oriented training can improve upper extremity function and activities of daily living in both training group. Especially, the more upper extremity function is improved, the more activities of daily living is improved. In the future, it will be necessary longitudinal study for a long time for more patients.

• Proceedings of the Korea Contents Association Conference
• /
• 2011.05a
• /
• pp.377-378
• /
• 2011

급격한 고령화 시대에 노년층의 사회참여욕구가 확대되고 있으나 어떻게 해야 하는지를 모르고 있어 지역사회의 사회참여 프로그램에 대한 인지도가 매우 낮고 제도나 프로그램에 대한 접근성이 제한적인 실정이다. 가족기능이 해체된 노인을 대상으로 노후 생활 지원욕구에 발맞춰 경제적지원, 취업지원, 의료지원, 여가지원 등 각종 복지 서비스를 제공함으로써 보편적이고 일상적인 생활을 영위하도록 지원하고자 많은 노력을 하고는 있으나 이를 체계적으로 실시할 수 있는 모델이 부족한 것이 현실이다. 이에 본 논문에서는 노인들의 역할 및 지위 상실로 인하여 가정에서 고립된 생활을 하는 노인을 대상으로 복지 전문가가 현장에서 비교적 손쉽게 적용할 수 있는 체계화된 모델을 제안함으로 생활스트레스 감소, 인지기능 향상, 우울증 감소, 생활만족도를 향상시키고 노인여가 문화에 대한 건전성 확산을 통해 건강한 노후생활을 영위하게 하며 문화생활 지원을 통해 사회적 비용 부담 경감을 도모함과 동시에 자존감의 고취 및 자율성을 획득하고 자아성취감과 만족감을 느끼게 하는데 있다.

• Journal of Society of Occupational Therapy for the Aged and Dementia
• /
• v.12 no.2
• /
• pp.75-85
• /
• 2018

Objective : The purpose of this study aimed to find out about the impact of RAPAEL Smart Glove on cognitive function and Daily living. Method : While 15 experimental group was given 'RAPAEL Smart Glove', 15 control group was given traditional cognitive rehabilitation. LOTCA, NCSE and MBI were taken to assess cognitive function and activities of daily living of two group before and after each intervention. Result : Cognitive function and Activities of Daily Living of both experimental group and control group presented statistically significant difference before and after each intervention(p<.05). But Statistically, the experiment group presented a significant improvement. Conclusion : The result of this study indicates that the existing rehabilitation treatment and 'RAPAEL Smart Glove' together can produce good effect on cognitive function and activities of Daily Living of mild cognitive impairment patient.

• Therapeutic Science for Rehabilitation
• /
• v.9 no.2
• /
• pp.119-135
• /
• 2020

Objective : The purpose of this study was to investigate the effects of bimanual intensive training on Upper Extremity Function and activities of daily living in stroke patients. Methods : The subjects were 18 patients who were diagnosed with hemiplegic stroke. They were randomly assigned to bimanual intensive training group (n=9) and unilateral intensive group (n=9). Bimanual training group performed bimanual task and unilateral training group performed one hand task for 1 hour per session, 5 times a week, for 4 weeks. Chi-square test, Wilcoxon signed rank test, and Mann-Whitney U test were used for analysis. Results : The results showed that, upper extremity motor function and bimanual coordination were significantly improved in patients in the bimanual training group (p<.05). Additionally, the ratio of affected hand use and amount of use/quality of movement in the hemiplegic upper extremity in activities of daily living for patients in the bimanual training group were significantly improved (p<.05). Although the unilateral group improved motor upper extremity function and activities of daily living in the upper extremity (p<.05), it was not significantly different from that in the bimanual training group. In between-group comparison, bimanual coordination and ratio of the affected hand use in a day were significantly different (p<.05). Conclusion : It is reasonable to conclude that bimanual intensive training therapy is an effective intervention method to improve upper extremity motor function, and activities of daily living in stroke patients.

• Therapeutic Science for Rehabilitation
• /
• v.5 no.1
• /
• pp.67-75
• /
• 2016

Objective : This study was examined the effects of task-oriented training therapy after botulinum toxin injection, upper extremity function and activities of daily living for stroke patient. Methods : The subject was a 44 year old male who suffered from hemiplegic patient received a task-oriented training therapy after botulinum toxin injection on involved upper extremity for 30-min sessions 5 times every week during 8 weeks. The scores were obtained before the injection, at 4 weeks, and 8 weeks after the injection. The upper extremity function was assessed using a Manual Function Test and Box and Block Test, and also Modified Barthel Index was applied for evaluation of Activities of Daily Living performance ability. Results : The results of this study show that the subject's In-hand manipulation and dexterity function increase significantly. Also, In activities of daily living, personal hygiene area, feeding area, toilet area, dressing area scores are improved significantly. Conclusion : Through this study, task-oriented training after botulinum toxin injection can improve upper extremity function and Activities of Daily Living performance ability of patient with stroke.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.8
• /
• pp.431-440
• /
• 2019

This study was conducted to investigate changes in activities of daily living (ADLs) according to the Gross Motor Function Classification System (GMFCS) after one year of physical and occupational therapy and to compare the responsiveness of ADL tools. A total of 48 children with spastic cerebral palsy participated in the study. The GMFCS, Functional Independence Measure for Children (WeeFIM), and Pediatric Evaluation of Disability Inventory (PEDI) were measured. The results showed that the GMFCS was significantly correlated with the PEDI (p<0.05), while there was a significant difference in the change of ADLs measured by the PEDI, but not the WeeFIM. There was a significant difference in the changes in ADLs according to the GMFCS, and the change in ADLs in the high functional level group was significantly higher than in the low functional level group (p<0.05). After physical and occupational therapy, the degree of improvement of ADLs varied according to the GMFCS, but seemed to be improved in a clinically meaningfully way. The PEDI is sensitive to changes in ADLs, so it may be used widely in clinical practice.

• The Science & Technology
• /
• v.9 no.7 s.86
• /
• pp.15-19
• /
• 1976

생활이 과학화됨에 따라 생활양식이 향상되고 인간의 사회적접촉이 많아지고 그 접촉방법과 형태가 또한 다양해지고 있다. 그러므로 의생활에서 의복의 형태의 다양성과 기능성의 요구도가 높아져가고 있으며 생산면에서도 시간적인 절약과 경제적면으로 제작의 공업화로 인한 기성복화가 요구되고 있다. 이런점으로 보아 의생활에서 혁신과 경제성으로 생각해야 할 것은 기성화의 문제와 소비문제라고 생각된다.