• Title/Summary/Keyword: 일상생활수행

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The Effects of Telerehabilitation Based Occupational Therapy on Executive Function, Activities of Daily Living, and Occupation Performance of People With Stroke (원격재활 기반 작업치료가 뇌졸중 환자의 실행기능, 일상생활수행, 작업수행에 미치는 영향)

  • Park, Seong-Sun;Kim, Su-kyung;Yoo, Doo-Han;Kim, Hee
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.115-127
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    • 2021
  • Objective : The purpose of this study was to investigate the effect of telerehabilitation on executive function, activities of daily living, instrumental activities of daily living, and occupational performance in stroke patients. Methods : The participants of this study were 30 outpatients with stroke residing in community. Both groups underwent the intervention 3 times a week for a total of 18 sessions. For the experimental group telerehabilitation was administered at home to only fifteen participants in the experimental group schedule, and it was supervised by the caregiver. Fifteen people in the control group underwent only the traditional occupational therapy. Executive function and instrumental activities of daily living were evaluated using the Korean version of the Executive Function Performance Test (EFPT-K). The basic daily activities of living were assessed using the Modified Barthel Index (MBI). The Canadian Occupational Performance Measure (COPM) was used to evaluate the client-centered occupational performance. Results : After the intervention, the experimental and control groups showed improvements in executive function, instrumental activities of daily living and occupational performance. Occupational performance improved more significantly in the experimental group than in the control group. Conclusion : Telerehabilitation and occupational therapy positively affect executive function, instrumental activities of daily living and occupational performance of patients with stroke. We suggest that telerehabilitation combined with occupational therapy is more effective in improving the occupational performance of stroke patients.

Comparison of Activities of Daily Living Differences with Dementia Stage (치매 단계별 일상생활수행능력의 차이 비교)

  • Jang, Jong-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.557-563
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    • 2017
  • This study aims to obtain information about the ADL and I-ADL functions of people with dementia living in the community and nursing care facilities regarding their dementia stages for the purpose of supporting occupational therapists working in dementia care centers. The information was collected from 100 people with dementia living in the community and 100 people with dementia staying in care facilities from October 1 to November 20, 2015. 15 facilities participated in this study, including nursing homes, day care centers, health centers, geriatric hospitals and metropolitan dementia centers. All of the assessors were trained in the use of the instruments, ADCS-ADL, S-IADL, S-ADL and MMSE-K, by the researcher before conducting any evaluations or interviews. In order to compare the differences in the levels of ADL according to the dementia stage, an analysis was made via the post-hoc test after conducting a one-way ANOVA. An analysis of the residence type and dementia stage was made through the independent t-test. The comparison of the level of ADL between the people with dementia living in the community and those living in nursing homes showed differences in the moderate level of dementia for all items of the I-ADL and ADL (p<.01). The post-hoc test showed that there is a difference among the minimum, mild, and moderate levels. When the differences in ADL according to the residence type were examined, there were no significant differences in any of the stages (p>.05). Considering these results, it may be critical to identify the changes in the I-ADL rather than those in the ADL for the outcome index when conducting future intervention studies on dementia.

A Comparative Study of Changes in Cognitive Function, Depression and Activities of Daily Living in Patients with Dementia, Mild Cognitive Impairment and Ischemic Stroke (치매, 경도인지장애, 허혈성 뇌졸중 환자에서 인지기능, 우울 및 일상생활수행능력의 변화 비교)

  • Jung, Mi-Sook;Oh, Eun-Young;Cha, Kyeong-In
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.517-527
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    • 2022
  • This study aimed to compare changes in cognitive function, depression and ability to perform activity of daily living (ADL) in patients with dementia, mild cognitive impairment (MCI), and ischemic stroke (IS) and to identify factors associated with changes in instrumental ADL. A total of 86 patients (dementia=30, MCI=32, and IS=24) were included to analyse cognitive function, depression, and basic and instrumental ADL obtained at the time of diagnosis and 1 year after baseline. Repeated measures analysis of variance and multiple linear regression were used. A significant group by time interaction was found in executive function (p=.037) and instrumental ADL (p=.023) across groups. The MCI group has little change in executive function and instrumental ADL from the baseline to 1 year after diagnosis while other two groups showed changes with the dementia group showing declines and the group of IS having improvement in these factors over time. Changes in executive function(p=.030) and basic ADL (p<.001) explained 26.9% in the variance of changes in instrumental ADL. These findings showed a different changing pattern in executive function during the first year after diagnosis of dementia, MCI, and IS which have cognitive changes as their main symptoms, probably leading to a different changing pattern in instrumental ADL. Healthcare professionals should routinely assess for executive function and instrumental ADL problems and intervene to maintain and improve these functional outcomes immediately after disease.

A study on the Fear of falling, Activity of daily living and Quality of life for the Elderly (노인의 낙상두려움, 일상생활수행능력과 삶의 질에 관한 연구 -낙상경험유무, 만성질환유무, 거주지역별 비교-)

  • Kang, Ki-Seon;Yang, Ji
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.193-199
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    • 2017
  • The purpose of this study was to provide basic data for the development of fall prevention programs for the elderly and for improvement of quality of life based on history of falls, chronic diseases, location, fear of falling, daily living activities, and quality of life. This study was conducted from 15th August to 17th September of 2016 on 185 elderly subjects above the age of 65 living in four centers of J city and four centers of J rural. The results of this study are as follows: There were no statistically significant differences in daily living activities, fear of falls, and quality of life regarding falls in the past. There were statistically significant differences in fear of falling and quality of life regarding chronic diseases. There were statistically significant differences in daily living activities and quality of life regarding residence. This study confirms that there were relations among daily living activities, fear of falling, and quality of life, and there was a negative correlation between fear of falling and accomplishment of daily living activities(r=-.386, p<.000). There was also a positive correlation between accomplishment of daily living activities and quality of life(r=.513, p<.000). Therefore, avoiding outings on slippery roads and creating safe environments for the elderly are important to reduce fear of falling. Additionally, a system should be developed for the elderly to acquire necessary information for daily life.

Relation between Leisure Sports' Activities among Older Adults on Activities of Daily Living and Successful Aging (노인의 여가스포츠 활동참가와 일상생활수행능력 및 성공적 노화의 관계)

  • Kim, Kyong-Sik;Lee, Eun-Joo
    • The Journal of the Korea Contents Association
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    • v.10 no.4
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    • pp.424-432
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    • 2010
  • The purpose of this study was to analyse relationship between leisure sports' activities among older adults on activities of daily living and successful aging. For accomplish this purpose of study, the survey questionnaires were used to collect data. This study firstly set up the population as the Korean elderly who were aged over 65 and living at Seoul as of 2009, 300 persons were chosen by sampling. The numbers, used in actual analysis is leisure sports' activities participant 162, non participant 128. total 300. The statistics method utilized in this study for analyzing the collected data were ANCOVA analysis, multiple regression analysis, path analysis. Activities of daily living reliability is $\alpha$=.876 above and successful aging reliability is $\alpha$=.807 above. The conclusions of this study were as being follows. First, according to the experience of in leisure sports' activities of older adults, it was not difference between the activities of daily living. Secondly, the experience of in leisure sports' activities of older adults had positive effect on successful aging. Thirdly, more intensity of in leisure sports' activities of older adults, had positive effect on instrumental activities of daily living. Fourth, more frequency and intensity of in leisure sports' activities of older adults, had positive effect on social successful aging, more frequency and period(time) of participated in leisure sports' activities of older adults, had positive effect on psychological social successful aging. Finally, the degree of in leisure sports' activities of older adults, had direct or indirect positive effect on activities of daily living and successful aging.

Structural Equation Modeling of Factors Contributing to Activities of Daily Living in Children With Cerebral Palsy (뇌성마비 아동의 일상생활동작에 영향을 미치는 요인에 관한 구조방정식 모형 검증)

  • Park, Eun-Young
    • The Journal of the Korea Contents Association
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    • v.9 no.10
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    • pp.206-217
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    • 2009
  • The purpose of this study was to investigate the cause-effect relationship between motor impairments, hand function, gross motor function and activities of daily living (ADL) in children with cerebral palsy through the analysis of structural equation modeling. For this, 105 children with cerebral palsy (between 6 and 12 years old) were assessed about muscle tone and strength, range of motion, abilities of selective motor control, hand function, gross motor function and ADL. The results of this study were follows: Firstly, there were significant correlations between motor impairments of muscle tone, muscle strength, the abilities of selective motor control and ADL (p < .05); Secondly, a good correlation between the gross motor function, hand function and ADL was found in all children (p < .05); Thirdly, the appropriateness of research model was good. This study focused on exploration of the relationship between the motor impairment, gross motor function, hand function and ADL through structural equation modeling.

A Predictive Model of Instrumental Activities of Daily Living in Community-dwelling Elderly Based on ICF Model (ICF 모델에 근거한 재가노인의 도구적 일상생활수행능력 구조 모형)

  • Park, Yong-Kyung;Suh, Soon-Rim
    • The Journal of the Korea Contents Association
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    • v.18 no.2
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    • pp.113-123
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    • 2018
  • This study was conducted to construct and test a structural equation model of instrumental activities of daily living(IADL) in community-dwelling elderly. The model was based on ICF(International Classification of Functioning, Disability and Health) model. The participants were 260 elderly who were more than 65 years old. Physical and psychological function, visual-motor integration and social activities had direct effects on IADL. That is, the better the subjective health status, the lower the depression and the less chronic illness, the better IADL. Personal factor, social support and social activities had indirect effect on IADL. This model explained 32% of the variance in IADL.

Effects of Video Observation Training on Neglect and Ability to Perform Activities of Daily Living of Stroke Patients (동영상 관찰훈련이 뇌졸중 환자의 편측무시와 일상생활활동 수행능력에 미치는 영향)

  • Kim, Tae-Sue;Kwon, Hyuk-Cheol;Cho, Young-Seok
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.53-61
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    • 2014
  • Objective : The purpose of this study was to examine the effects of video observation training on neglect and ability to perform activities of daily living of stroke patients. Methods : Patients diagnosed with stroke were selected as subjects according to criteria to select the research targets. The additional video observation training besides OT and PT was carried out to 15 patients in an experimental group and sham therapy besides OT and PT was performed to 15 patients in a control group. Line-bisection test were conducted to compare the neglect before and after therapy intervention and FIM was conducted to compare the ability to perform the activities of daily living. Results : The result of this study that we found out that degree of neglect in an experimental group where video observation training was carried out improved neglect and the ability to perform activities of daily living. Conclusion : The video observation training the video observation training is expected to be useful in clinics.

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Effect of the Horticultural Therapy on Activities of Daily Living and Cognitive Function of Demented Old Adults (원예치료가 치매노인의 일상생활 수행능력과 인지기능에 미치는 영향)

  • Yun, Suk-Young;Kim, Hong-Yul
    • Journal of agriculture & life science
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    • v.43 no.5
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    • pp.27-32
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    • 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.

The Effect of the Elderly's Ability to Perform Daily Activities on Life Satisfaction: Focusing on Mediating Effect of Depression (노인의 일상생활 동작수행이 삶의 만족도에 미치는 영향: 우울감의 매개효과 중심)

  • Yoon, Mee-Ra;Lee, Mee-Ae
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.187-196
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    • 2022
  • The purpose of this study is to examine the mediating effect of depression in the relationship between the performance of daily activities in the elderly and their life satisfaction. The subjects of the study were 10,097 people from the Survey on the Elderly (2020), and the SPSS 25.0 program was used for data analysis. The main research results that analyzed the elderly's daily life movement performance by dividing it into daily life discomfort and movement performance difficulty are as follows. First, it was confirmed that the effects of discomfort and difficulty in performing daily activities of the elderly on life satisfaction were significant. Second, the effects of discomfort in daily life and difficulty in motion performance in the elderly on depression were found to be at a statistically significant level. Third, the effect of depression on life satisfaction was found to be statistically significant. Fourth, the partial mediating effect of depression was examined in the relationship between the daily life discomfort and difficulty in motion performance of the elderly on life satisfaction. These results clarified that daily life discomfort, difficulty in performing movements, and depression should be reduced in order to improve life satisfaction of the elderly. Through this, a discussion was presented to increase the life satisfaction of the elderly.