• Title/Summary/Keyword: 작업치료

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INHIBITION, PLANNING, AND WORKING MEMORY IN CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (주의력 결핍 과잉행동 장애 아동의 억제능력, 계획능력, 그리고 작업기억 능력)

  • Kim, Gui-Ae;Kim, Sang-Heop;Hong, Chang-Hee;Lee, Myoung-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.1
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    • pp.82-90
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    • 2004
  • Objectives:The study was performed to compare the executive function(EF;Inhibition, Planning and Working memory) between ADHD and normal group, and to controll the effect of age and intelligence. And the function of inhibition was assessed in two dimensions(cognitive inhibition and motor inhibition). Methods:K-WISC III and EF test(Go-No-Go, Stroop test, Tower of Hanoi, Digit) was administered to both 25 children with ADHD and 25 normal control participants, all aged between 7 and 12. The results were analyzed after statistically controlled for age and intelligence. Results:Children in the ADHD group had significantly lower IQ score than those in the control group and consistent relations were found between the child's age and the study's major variables. Once IQ and age were controlled, results indicated that children with ADHD had deficit only cognitive inhibition and motor inhibition. There was no significant difference in planning and working memory. Conclusion:These results suggested that specific deficits in inhibition control rather than general EF deficits are associated with ADHD. So inhibition is the core problem of children with ADHD. Thus, the therapeutic approach focused on cognitive inhibition and motor inhibition is required.

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Local Community and Nursing-home of the resident elderly in the Comparative Study of the Time Use for Occupational balance (작업균형에 의한 시간 사용 비교 연구: 지역 사회 거주 노인과 시설 거주 노인을 기준으로)

  • Park, Hun-Kyung;Jeon, Byoung-Jin;Lee, Jae-sin;Kim, Su-Kyoung
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.41-51
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    • 2014
  • Objective : Local Community and Nursing-home of the elderly of the general characteristics and time use compared with the Occupational balance of the two groups is to look at what is being done. Method : The study conducted by the Time Use Survey 2009 of National Statistical office, the results were statistically analyzed 246 by based on more than 65 years of age and older living in Daejeon. The Comparison subjects of this study compared the Daejeon nursing homes in two locations were selected and 146 people of use on the general characteristics and time use data were collected. Analysis using SPSS 12.0 for correlation analysis and multiple logistic regression analysis for the study were analyzed. Result : Local Community and Nursing-home of the elderly are compared. Each classified behavior correlation showed significant results in a difference in a time-use, respectively and also Nursing-home of the elderly, non-activity time in the form of the activity time was higher than the results. Conclusion : Through this research, according to the living environment for elderly people with a time use to find out that there was significant, the elderly living in Nursing-home more than the elderly living in the community and show the imbalance of the Occupational could be.

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Mutual Maturity Process between Client-Therapist in Music and Imagery Session: Therapist's Point of View (음악과 심상 세션에서 내담자-치료사간 상호 성장의 과정: 치료사의 관점에서)

  • Kim, Kyoung Sook
    • Journal of Music and Human Behavior
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    • v.9 no.2
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    • pp.35-52
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    • 2012
  • The purpose of the study was to prospect for mutual maturity between therapist-client in Music and Imagery music therapy session from therapists' points of view. Qualitative data has been collected by in-depth interview of therapist-client mutual maturity process, then analysed with grounded theories. The questions of the study were to ask process of mutual maturity experienced by music and imagery therapist and meaning of the experience itself. Therapists ware to answer the moment of mutual maturity, realization and meaning of mutual maturity process through semi-structured in-depth interview. The four therapists who participated in the interview are certified MIT(Music & Imagery Therapist) by Lisa Summer and currently in training GIM. From the in-depth interview, 81 concepts have been collected and have been divided into 20 categories in open coding, then rearranged into 9 categories in axis coding. To explain music and imagery therapists' maturity process through grounded theory paradigm, as a result, the main phenomenon of experience was 'to deal with counter-transference'. When dealing their counter-transference, therapists experienced their maturity process. Supervision and musical/non-musical self-reflection are also used for interactive intervention medium. So, maturity of therapists leads to knowing and accepting herself and mature therapists are able to help clients mature.

Research of Education Program for Autistic Children the Clay (흙 놀이를 통한 유아자폐증치료과정 연구)

  • Kim, Sung-Min
    • The Journal of the Korea Contents Association
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    • v.9 no.3
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    • pp.91-98
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    • 2009
  • The structure of modern society are complex, fast, overflowing of individualism and losing of independence through the standardization of human relationship. The frequency increased that children watch television and play computer game alone through this structure. Also, the mental disorder like as autism tend to be increase for childhood because, parents overprotect, unmethodical bringing up children, emotional disturbance and effect of genetic. Therefore, research and case study of art therapy publish that illustrates a tendency of developing and growing. On the base of this situation art therapy realize more important than before and gain power. Therefore, this research consider that clay therapy effect for autistic just children and investigate function of catharsis through the case study. Also, make study that social rappot and function of catharsis develop for children who has autism. The suggest effect of synergy which come from clay therapy(education of ceramic) and development of education program.

Review of the Neuroscientific Evidences for the People With Schizophrenia (조현병 환자의 신경과학적 근거에 대한 고찰)

  • Shin, Eun-Sik
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.5-12
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    • 2013
  • The purpose of this review is to address the flow of current neuroscientific researches and to provide for the clinicians with therapeutic evidences for schizophrenia which can help them clinical decision making. Since the very beginning, a lot of scientific studies about schizophrenia have been undertaken. In this review, I describes the evidences focused on development of schizophrenia including neurobiological dysfunction, neurodevelopmental model, Kalirin, and Brain-Derived Neurotrophic Factor(BDNF) and neuroanatomic abnormalities based on neuroimaging studies. In conclusion, schizophrenia influencing on broad impairment of human function such as activities of daily life, occupations, and relationships has been studied underlying causes and treatments, but still remained uncertainty. However, there are plenty of useful evidences available for the clinicians to make a good therapeutic choice.

A Review of the Plasticity and Constraint Induced Movement Therapy : Children With Spastic Hemiplegic Cerebral Palsy (신경가소성 원리를 이용한 강제유도운동치료에 대한 고찰: 경직성 편마비형 뇌성마비 아동을 대상으로)

  • Cho, Sang-Yoon
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.13-23
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    • 2013
  • Constraint-Induced Movement Therapy(CIMT) is considered as one of the most interesting upper extremity rehabilitation in the field of neurorehabilitation. CIMT is an intensive training provided in the affected upper limb for 6 hours a day, 5 days a week for 2 weeks, while unaffected arm is restrained for 90% of waking hours. Recently, instead of CIMT, modified Constraint-Induced Movement Therapy(mCIMT) has been applied because of the clinical limitations of CIMT. CIMT or mCIMT studies have used various outcome instruments to measure different aspects of upper limb function after intervention. There are various kinds of evaluation tools to measure different aspects of upper limb function after CIMT intervention. It has been proven that Pediatric Motor Activity Log(PMAL), Quality of Upper Extremities Skills Test(QUEST), Melbourne Assessment of Unilateral Upper Limb Function(MAULF), Assisting Hand Assessment (AHA) are effective. The purpose of this study was to investigate the cortical change in children with hemiplegic cerebral palsy after CIMT. As a result, use-dependent cortical reorganization was revealed. Also, increased activity of the contralateral motor cortex and decreased activity of the ipsilateral cortex were found. It supports the mechanism of cortical reorganization, the principles of neural plasticity and specifically activation of the contralateral cortex, for improving upper limb function after CIMT.

Correlation Between Cognitive Impairment Screening Test (CIST), Korean-Mini Mental State Examination, 2nd Edition (K-MMSE~2) and Clinical Dementia Rating (CDR) of Patients with Stroke (뇌졸중 환자를 대상으로 한 인지선별검사(CIST), 한국판 간이정신상태검사 2판(K-MMSE~2) 및 임상치매척도(CDR)의 상관성)

  • Hwang, Do-Yeon;Ryu, Sung-Hyun;Kwon, Ki-Hyun;Choi, Cho-Rong;Kim, Soo-A
    • Therapeutic Science for Rehabilitation
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    • v.11 no.2
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    • pp.53-62
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    • 2022
  • Objective : This study aimed to present basic data that could help in selecting or using evaluation tools in clinical settings. Methods : This study included 51 patients with stroke. The Cognitive Impairment Screening Test (CIST), Korean-Mini Mental State Examination, 2nd Edition (K-MMSE~2), and Clinical Dementia Rating (CDR) were used as evaluation tools. The correlation between evaluation tool scores was analyzed using Spearman's rank correlation coefficient, and the comparison of total scores between the CIST and K-MMSE~2 according to global CDR scores was analyzed using the Wilcoxon signed-rank test. Results : The correlation between the total CIST and K-MMSE~2 scores and global CDR scores was statistically significant (p<.01). The correlation between the sub-scores of the CIST and K-MMSE~2 showed a statistically significant correlation for all sub-scores (p<.01). The comparison of total scores between the CIST and K-MMSE~2 according to global CDR scores showed no statistically significant differences in all global CDR scores. Conclusion : This study showed that there was a correlation between CIST, K-MMSE~2, and CDR in patients with stroke. In the future, we hope that the results of this study will help to select or use cognitive function evaluation tools in clinical settings.

병원 근로자의 요통에 관한 조사

  • Park, Eun-Ok
    • Korean Journal of Occupational Health Nursing
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    • v.2
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    • pp.60-70
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    • 1992
  • 본 연구는 병원 근로자의 요통의 정도와 관련 요인들을 파악하고자 1992년 12월 1일부터 1993년 1월 23일까지 병원근로자 961명을 대상으로 실시되었다. 조사내용은 요통과 요통의 동반증상, 요통의 관련요인인 인구사회학적 특성, 작업특성에 관한 것으로 인구사회학적 특성에는 성, 연령, 근무기간, 직종 등을 포함하였고, 작업 특성에서는 작업강도, 요부의 긴장 요구정도, 작업의 단순성 및 반복성, 물건이나 환자를 운반하는 정도, 밀기와 끌기의 정도, 증상 발생 시 휴식의 가능성 등과 작업 자세를 포함하였다. 자료수집방법은 본 연구자가 개발한 자가보고식 설문지를 이용하였다. 1. 전체 대상자 961명 중 59.5%가 요통을 호소하였으며, 요통호소자의 동반증상으로는'허리의 뻐큰함'이 78.7%로 가장 많았고, '다리가 저리다'가 59.1%였으며, '허리의 운동 장애'가 23.6%, '다리의 감각이상'이 20.3%인 것으로 나타났다. 2. 인구사회학적 특성에 따른 요통호소율을 비교해 본 결과, 첫째, 성별 요통호소율은 유의한 차이를 보였다(p<.05). 둘째, 요통호소군과 비호소군의 두 집단 간 평균연령에 유의한 차이를 보이지 않았으며, 연령별 호소율을 비교하였을 때, 가장 높은 요통호소율을 보인 집단이 25-29세 연령군으로 65.0%였으며, 가장 낮은 요통호소율을 보인 집단은 30-34 세 군으로 53.9%였다. 세째, 근무기간별 요통호소율을 비교해 보면, 10년 미만의 근무기간을 가진 군은 요통호소율에 별 차이를 보이지 않는데 반해, 10-12년 근무기간 군은 55.3%, 13년 이상의 근무기간 군은 47.9%의 요통호소율을 보이고 있어, 장기 근무자가 오히려 낮은 요통호소율을 나타내었다. 그리고 평균 근무기간의 비교에서 요통호소군이 낮은 근무기간을 보이고 있고, 두 집단 간의 차이는 유의하였다(p<.05). 네째, 직종 별로 요통호소율을 보면, 조리보조원(82.2%), 방사선 기사 (67.1%), 물리 치료사(68.2), 간호사(65.9%) 등의 순이었다. 3. 요통호소군과 비호소군의 작업특성을 비교한 결과, 첫째, 요통호소군이 바호소군에 비하여 본인의 작업이 힘들다고 느끼며, 유의한 차이를 보였다(p<.001). 둘째, 요통호소군이 허리의 긴장상태를 많이 요한다고 생각하였으며, 비호소군과 비교하여 유의한 차이가 있었다(p<.001). 세째, 요통호소군이 작업의 단순성이나 반복성을 더 심하게 느끼고 있었고, 유의한 차이를 나타내었다(p<.01). 네째, 요통호소군이 물건이나 환자를 운반하는 일을 더 많이 하는 것으로 나타났으며, 비호소군과 유의한 차이를 보이고 있었다(p<.001). 다섯째, 요통호소군이 비호소군에 비해 밀거나 끄는 일을 더 많이 하고 있는 것으로 나타났으며, 유의한 차이를 보였다(p<.001). 여섯째, 요통호소군에서 증상발생시 휴식이 더 가능하지 않은 것으로 나타났으며, 비호소군과 유의한 차이를 보였다(p<.001). 허리에 부담을 주는 작업의 특성을 전체적으로 파악하기 위하여 위의 여섯항목에 대해 각각 5점을 주어 전 항목의 점수 총합을, 요통이 있는 군과 요통이 없는 군으로 나누어 비교해 보았을 때, 요통호소군은 30점 만점에 24.34(${\pm}4.01$)이었고, 비호소군은 22.05(${\pm}4.18$)이었으며, 이들 두 집단 간에 유의한 차이가 있는 것으로 나타났다(p<.001). 일곱째, 작업 자세에 따른 비교에서 주로 한 자리에 서서 일을 하는 집단이 71.8%로 가장 높았고, 서서 부서 간이나 한 부서 안을 왔다갔다 하는 군이 다음으로 높고, 앉아서 일을 하는 군이 50.3%로 가장 낮았다.

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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 Comparative Study on the Working Memory and the Phonological Awareness between Children with Multi-cultural Families and General Families (다문화아동과 일반아동의 작업기억 및 음운인식 능력 비교 연구)

  • Park, Yoo Rin;Kwon, Do Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5025-5032
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    • 2012
  • The purpose of this study is to compare the working memory and the phonological awareness between Children with multi-cultural families and general families. The research subjects were 15 multi-cultural and 15 general primary school students who were attending 1st-3rd grade in D city. Working memory tested K-TTFC-2 by standardized tool. Phonological awareness abilities was considering the age of the subjects, tested phoneme awareness. Data process was conducted by t -test and frequency test in SPSS program. The results were as follows. First, working memory comparison of both groups showed significant differences. Especially had significant difference in chapter 1, chapter 4. Second, comparison of phonological awareness between both groups showed significant statistic differences. Third, the Phonological awareness comparison of both groups showed that there are differences in sound matching(word medial coda), substituting middle sound in monosyllabic words, phoneme switching. This research result is considered that can be used as the fundamental data for the development of the therapy data considering the working memory and the phonological awareness of children with multi-cultural families.