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

• Journal of Korean Public Health Nursing
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• v.26 no.3
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• pp.404-416
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• 2012

Purpose: The purpose of this study was to explore relationships among cognition, activities of daily living, and depression in persons with decreased memory. Method: Data were collected from 121 out-patients with decreased memory and analysis was performed using descriptive statistics, t-test, ANOVA, Bonferroni test, and Pearson's correlation coefficients with the SPSS/WIN 18.0 program. Result: K-MMSE was significantly increased by BADL (r=.40, p<.001), whereas K-MMSE was significantly decreased by K-IADL (r=-.51, p<.001) and K-IADL significantly decreased by BADL (r=-.51, p<.001). Conclusion: The K-MMSE of persons with decreased memory showed association with BADL and K-IADL. Management of patients complaining of decreased memory and development of nursing interventions will slow down the progression of cognitive impairment.

• Journal of Agricultural Extension & Community Development
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• v.27 no.1
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• pp.1-16
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• 2020

The study aims to examine how everyday life skills of disabled seniors in rural areas affect their depression and self-esteem through their quality of life and explores how to improve the quality of life of disabled seniors. To achieve this, 238 participants who were registered as disabled and aged 65 or over took part in this research. Results showed that the quality of life among disabled seniors decreased when their everyday life skills were relatively more advanced than those of non-disabled people. It was also found that the high level of everyday life skills possessed by disabled seniors caused more severe depression and lower self-esteem. Their quality of life negatively affected self-esteem and depression and their everyday life skills were a key factor that influenced depression and self-esteem.

• Korean Journal of Adult Nursing
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• v.22 no.6
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• pp.676-686
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• 2010

Purpose: This study has aimed to examine the relationship among self-esteem, Activities of Daily Living (ADL) and depression reported by hospitalized elderly patients with chronic diseases. Methods: A descriptive correlation study by means of a self-report questionnaire or face-to-face interview was used to collect data from 119 elderly patients who were hospitalized in a General Hospital from January 5 to February 25, 2010. Their levels of depression was measured using Short-Form Geriatric Depression Scale, self esteem using Jeon's, and activities of daily living using K-ADL. Results: 80.7% of the subjects experienced depression. Depression correlates with self-esteem (r=-.67) and ADL (r=.45). The influencing factors on depression were self-esteem, ADL, subjective health status, and family support satisfaction ($R^2=.57$), while self esteem in itself explained 45% of variance in depression. Conclusion: These findings indicate the importance of early detection of depression, which starts from the admission of patients and the continuing evaluation/management in daily life after discharge to ensure their well-being and quality of life. The development of program empowering self esteem, ADL and subjective health status with adequate family support during hospitalization and in daily life is indispensible.

• The Journal of Korean Academic Society of Nursing Education
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• v.10 no.2
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• pp.252-261
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• 2004

Purpose: This study attempts to develop the basic data of Constipation reduction program for institutionalized elderly by surveying the constipation and the ADL (Activities of Daily Living) of them. Method: Data are collected by nurses caring for four hundreds five institutionalized elderly during May through July in 2004. Questionnaire contains a bowel assessment, constipation control intervention, and ADL. Result: The constipation rate was found to be 43%. The 82.5% of the study sample was treated with laxatives, and a 59.9% of the sample was practicing enema. The average score of the ADL was 38.32(range: 0 - 100). According to surveying on the ADL in relation to the function of the constipation, ADL is found to be higher in the non-constipation group than the constipation group (t=-2.786, p=.006). Conclusions: The institutionalized elderly tended to have a high rate of constipation. The elderly having constipation was almost dependent on laxatives and enema for relaxing constipation. The high rate of constipation was related to the low performance of the ADL.

• Therapeutic Science for Rehabilitation
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• v.2 no.1
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• pp.36-47
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• 2013

Objective : To identify the effect of bilateral arm training for activities of daily living(ADL) of the chronic phase after stroke. Methods : 20 patients with stroke, randomized to an experimental group(n=10) and a control group(n=10). Both groups received the usual occupational therapy. In addition, an experimental group received an bilateral arm training, 30-min sessions per a day for 6 weeks. The Functional Independence Measure(FIM) was used to evaluate ADL for both groups. Results : First, there is a significant difference before and after receiving the bilateral arm training(p <.05). Second, there are significant differences in all ADL areas of Self-care, Transfer, Social cognition after bilateral arm training(p<.05). Third, there are significant differences in all sub-areas of Self-care, only stairs of Locomotion, and only Problem solving of Social cognition by comparing sub-areas as bilateral arm activity(before and after) and occupational therapy intervention(before and after). Conclusion : Using bilateral arm training for the chronic phase after stroke improved their abilities of ADL. Therefore, there are an expectation to use bilateral activity training for the chronic after stroke clinically and a need of further study about bilateral arm training related to ADL in the future.

• Korean Journal of Adult Nursing
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• v.18 no.4
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• pp.612-621
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• 2006

Purpose: The purposes of this study was to identify the health status, health-related life habits, activities of daily living and biophysical index of the elderly in Korea and Japan respectively, and to compare the Korean elderly with those of the Japanese elderly. Method: Two hundred ninety five elderly from Korea and 325 elderly from Japan, aged over 65 years were conveniently recruited from welfare centers in both countries. Health status, health-related life habits, and activities of daily living were assessed by self-report questionnaires. BMI, lean body mass, body fat, body fat rate, muscle area of limbs and grip strength were measured for biophysical indices. Descriptive statistics, non paired t-test and Chi-square test were used to describe and to compare the levels of these variables. Results: The mean scores on frequencies of Korean and Japanese elders' chronic diseases were 2.9 and 0.8. The mean scores on activities of daily living were 9.8 and 12.4 respectively. The Korean elderly had higher mean scores of BMI, and body fat rate than The Japanese elderly, and showed lower mean scores of muscle areas of the lower extremities and grip strength. Hypertension was the most prevalent disease in the both groups. Conclusion: Significant differences in several variables of health status, health-related life habits, activities of daily living and biophysical index were noted between the Korean and Japanese elderly.

• Journal of Digital Convergence
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• v.17 no.5
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• pp.235-247
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• 2019

This study was carried out to evaluate the efficacy of Virtual Reality(VR) program on recovery of functional in Stroke through systematic literature review and meta-analysis. The following databases were used to search the literature: RISS, KISS, KMbase. Keywords included 'stroke', 'CVA' 'virtual reality', 'rehabilitation', 'virtual reality program' and the evaluated articles were published from 2009 to November 2018. The statistical was used R program, the effect size of upper limb, balance and ADL were calculated by random-effects model. As a result, 9 RCT studies were meta-analyzed and were evaluated for the risk of bias by the RoB of Cochrane Collaboration; the overall risk of bias was low. The effect sizes of VR program was balance(g=.77), ADL(g=.80) as indicated by a "large effect size". Therefore, VR program is large effective in reducing balance and ADL in strokes. It is necessary to develop and apply a virtual reality-based program using more efficient program development.

• Therapeutic Science for Rehabilitation
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• v.8 no.4
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• pp.41-51
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• 2019

Objective : The purpose of this study was to investigate the effects of virtual reality-based activities of daily living (ADL) training on ADL and rehabilitative motivation in patients with traumatic brain injury. Methods : This study was performed using a pre-post design with seven traumatically brain injured patients. Subjects were subjected to virtual reality-based ADL training for 30 minutes a day, 2 to 3 times a week for 4 weeks. Evaluation was conducted before and after the intervention using the Korean Modified Barthel Index (K-MBI), Cognitive Functional Independence Measure (C-FIM), and Volitional Questionnaire (VQ). Changes before and after intervention were analyzed by Wilcoxon signed-rank test, and correlations were analyzed using Spearman's coefficient. Results : After intervention, patients with traumatic brain injury showed significant improvements in K-MBI (p<.05). There was no significant change in total C-FIM score and VQ score (p>.05). Total C-FIM score correlated significantly with VQ score (p<.05, r=.755). The social cognition domain of C-FIM had a significant correlation with VQ score (p<.05, r=826). Conclusions : Virtual reality-based ADL training can improve ADL performance, but further research is needed to determine whether improvements in social cognition and rehabilitative motivation are possible.

• Journal of Korea Entertainment Industry Association
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• v.13 no.4
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• pp.321-329
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• 2019

This study aimed to investigate the effect of virtual reality training focus on ADL on upper extremity function and activities of daily living in stroke patients. 20 patients with chronic stroke were included in this study. The participants were divided into the experimental (n=10) or control (n=10) groups. Both groups received conventional rehabilitation therapy for 30 min a day, 5 times per week for 4 weeks. The experimental group also performed virtual reality training focus on ADL for 30 min a day, and the control group performed general virtual reality training for 30 min a day. The Fugl-Meyer Assessment (FMA) and Functional Independence Measure (FIM) scores were evaluated before and after the intervention, and both groups showed significant improvement (p<.05). Compared to the control group, the experimental group showed significant improvement in the FMA wrist score and the FIM total, self-care, and sphincter control scores (p<.05). These findings suggest that virtual reality training focus on ADL may have a positive effect on wrist function and overall ADLs compared to that using general virtual reality training in stroke patients.