• Title/Summary/Keyword: 지역사회작업치료

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The Effect of Visual Feedback Training on Balance and ADL in Cerebellar Ataxia : Case Report (시각되먹임 훈련이 소뇌 실조증 환자의 균형과 일상생활 수행에 미치는 영향 : 사례보고)

  • Yang, Hyun-Ju;Cho, Ba-Hoe;Jang, Jong-Sik
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.1
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    • pp.43-53
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    • 2013
  • Objective : The aim of this study was to identify the effect of visual feedback on balance and ADL in patient with cerebellar ataxia. Method : Between May of 2013, visual feedback applied to cerebellar ataxia patient. The visual feedback applied five times a week for two weeks to patient who are inpatients of Dae-jeon. To assess changes in balance, we performed the LOS, Romberg, BBS, We also assessed ADL using Canadian occupational performance measure(COPM). Result : For the patient of cerebellum ataxia, we can confirm the limitation of stability, and after the intervention, we can check out the changes which are maintained at Romberg test and Berg Balance Scale. In terms of daily activities, such as taking bath, moving to somewhere, using transportation, doing the laundry, and meeting activity, the level of performance and satisfaction has increased in all five fields. Conclusion : After the visual biofeedback training, patients with cerebellar Ataxia showed more increase in balance and ADL.

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Influence of Virtual Reality Games on eye-hand coordination in children with developmental disordered (가상현실게임 프로그램이 발달장애 아동의 눈-손 협응력에 미치는 영향)

  • Cho, Moo-Sin
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.63-69
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    • 2015
  • Objective : This study was the influence of the training program using virtual reality on eye-hand coordination in children with developmental disordered. Methods : Six children(5 males, 1 female)with developmental disordered were recruited and randomly assigned to the control group(n=3) and the experimental group(n=3). Three children in the control group performed a fifty minutes of SI program ten times for ten weeks. In the experimental group, the other three children underwent a fifty minutes of SI program and virtual reality game. K-DTVP-2(Korean Developmental Test of Visual Perception)was used to measure the eye-hand coordination. Results : After a ten weeks of training program, there were significant differences in the eye-hand coordination in the experimental group. Conclusion : The training program using virtual reality games influenced for improving at the eye-hand coordination in children with developmental disordered.

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The Effect of Vestibular Stimulation Activity on Visual Perception among University Students in the Age of Twenties (20대 대학생에서 전정계 자극 활동이 시 지각 과제 수행에 미치는 영향)

  • Ki-Hoon, Hong;So-Young, Hong
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.1
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    • pp.1-8
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    • 2017
  • Objective : The purpose of this study was to identify the effect of vestibular stimulation activity on visual perception. Methods : A total of 58 healthy adults in chungnam was participated in this study. I divided into the total 3 groups and studied. Group A was no vestibular stimulation, they sat on general chair and performed the visual perception task. Group B and C sat on general chair and ball chair respectively, after vestibular stimulation activity and they performed visual perception task. I measured the visual perception task with the time. Results : There was a significant difference between Group A and B and C. There was no significant difference between group B and C. Conclusion : The result shows that the vestibular stimulation activity is effective for an improvement in visual perception.

Review of Balance in Elderly by Vestivulo-ocular Reflex (안뜰눈반사를 통한 노인 균형 연구)

  • Baek, Su-Jeong
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.91-106
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    • 2018
  • The purpose of this paper is to review vestibulo-ocular reflex and vestibular rehabilitation for balace problem in elderly. Falling is a common problem associated with aging. Falling and the resulting consequences constitutes one of the most common and serious problems. Balance deficits are one of the top risk factors for falling. Three systems(visual, vestibular and somatosensory) need to be integrated and used to coordinate and control balance. During normal ambulation and head movement, the vestibulo-ocular reflex(VOR) stabilizes gaze, and helps to keep the image of the retina. There is a direct association between deficits in VOR and falls. Older adults have a decreased ability to enhance and suppress the VOR. Vestibular rehabilitation(VR) is an exercise-based group of approaches that began with the aim of central nervous system compensation. VR restores VOR gain and reduces error using repetitive movements of the head and eyes. Many researches showd balance and gait tests were superior in the VR group. It is considered this article helps to prevent elderly falling with vestibular rehabilitation.

The Relationship between Structured Time Usage and Quality of Life for University Students : Centered on Health-related University Students (대학생들의 시간 사용과 삶의 질의 관계 : 보건계열 대학생을 중심으로)

  • Sim, Kyoung-Bo;Kwag, Sung-Won
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.3
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    • pp.31-39
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    • 2019
  • Objective : The purpose of this study is to identify time management among college students and provide them with a basic resource for planning and educating them on efficient time management methods for improving the quality of life of all clients who receive occupational therapy services, including non-disabled people. Methods : This study is a survey of four-year university students using the questionnaire to know the relationship between structured time usage and quality of life. A total of 142 questions, excluding eight missing questionnaires, was compared and analyzed with using the general characteristics, time structure questionnaires (time structure questionnaires) and World Health Organization (WHOQOL-BREF). Results : The results of this study showed that there was a significant correlation between quality of life and structured time management, and between the sub-items of structured time management; sense of purpose, structured daily life, persistence, past direction and sleep intensity. Also, factors that affect the quality of life were sleep (β=.214), structured daily life (β=.203), a sense of purpose(β=.343), and past direction(β=.244) appeared in order. Conclusion : In the case of university student who is working within structured time, there were difficulties in showing satisfactory quality of life. These factors of poor quality of life were analyzed to affect structured daily life, sense of purpose, past direction, and sleep level.

Application of Cognitive Enhancement Protocol Based on Information & Communication Technology Program to Improve Cognitive Level of Older Adults Residents in Small-Sized City Community: A Pilot Study (중소도시 지역사회 거주 노인의 치매예방을 위한 Information & Communication Technology 프로그램 기반 인지향상 프로토콜 적용: 파일럿(Pilot) 연구)

  • Yun, Sohyeon;Lee, Hamin;Kim, Mi Kyeong;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.12 no.2
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    • pp.69-83
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    • 2023
  • Objective : This study, as a preliminary study, applied an Information & Communication Technology (ICT) home-based program to elderly people aged 65 years or older to confirm the effect of the cognitive enhancement program and to find the possibility of remote rehabilitation. Methods : This study from August to October 2022, three subjects were selected and the intervention was conducted for about 2 months. This intervention was conducted using Korean version of Mini-Mental State Examination, Korean version of Montreal Cognitive Assessment (MoCA-K), Computer Cognitive Senior Assessment System, and the Center for Epidemiologic Studies Depression scale to evaluate cognitive improvement before and after the program. The therapist remotely set the level of cognitive training according to the subject's level through weekly feedback. Results : After the intervention, all subjects showed improved scores in most items of the MoCA-K conducted before and after the intervention. In addition, among the items of Cotras-pro, upper cognition, language ability, attention, visual perception, and memory were improved. Conclusion : Cognitive rehabilitation training using an ICT home-based program not only prevented dementia but also made it habitual. Through this study, it was confirmed that remote rehabilitation for the elderly could be possible.

The Effect of Light Stimulation on the Reduction of Unilateral Neglect of Stroke Patients: Single Subject Research Design (뇌졸중 환자에게 불빛 자극이 편측무시 감소에 미치는 영향: 단일 사례 연구)

  • Lee, Ho-Seung
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.2
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    • pp.61-69
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    • 2012
  • Objective : The purpose of this study was to investigate the effect of left visual stimuli for reducing the severity of unilateral neglect. Method : This research used a reversal design(ABAB) of single case study. The subject was a 60-year-old male patient who had left unilateral neglect. Remedial approach is more valuable method than compensatory approach in term of reducing the unilateral neglect. One of the method of remedial approach is controlled sensory stimulation. Result : I performed the line bisection test before and after the stimulation, and while doing that, put blinking lights to the patient from the left side. The average errors in the line bisection test decreased in B B', the intervention period, compared with A A'. The MVPT left response behavior score increased from 13 to 18. Conclusion : This shows that the light stimulation is effective in the reduction of unilateral neglect.

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Relationship between Structured Time Use and Well-being for University Students (대학생을 대상으로한 구조화된 시간 사용과 웰빙(well-being)의 상관관계)

  • Kim, Hwan-Hee;Chang, Moon-Young
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.1
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    • pp.29-39
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    • 2011
  • Object : The relationships between the TSQ(Time structure questionnaire) and Well-being were examined. Methods : TSQ and questionnaire about Well-being were executed for 223 university students from April 26th to May 7th, 2010. The questionnaire adapted the item of the TSQ and Korean WHOQOL-BREF, SWLS(Satisfaction with Life Scale), LSES(Life Satisfaction Expectancy Scale), SHS(Subjective Happiness Scale). The questionnaires were distributed directly to the participants. Relativity between the TSQ and questionnaire about Well-being were analyzed using Pearson's correlation analysis. Results : As a result of the relationship between the TSQ and questionnaire about Well-being, overall there was a positive correlation. TSQ(sense of purpose, structured routine, persistence, past orientation) and questionnaire about Well-being showed a statistically significant correlation(p<.05). Conclusion : A structured time use and well-being by investigating the relationship, we were able to see the importance of time management. Currently, clinical occupational therapy focused on performance components, in future, intervention of personal time management to help make ones live well-being.

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Influence of Fall-preventive Occupational Therapy Applied to Elderly in the Community upon Balance Ability (여성노인에게 적용한 낙상예방 작업치료가 균형 능력에 미치는 영향)

  • Chang, Ki-Yeon;Woo, Hee-Soon
    • The Journal of the Korea Contents Association
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    • v.10 no.3
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    • pp.232-240
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    • 2010
  • This study is to look into the effectiveness of fall-preventive occupational therapy of elderly by clarifying the influence of occupational therapy applied to female elderly in the community upon balance ability. A 6-week occupational therapy program including both training and exercise for prevention of fall down was applied by dividing into 13 persons of experimental group and 13 persons of control group for female elderly aged more than 65 years who were capable of independence gait and have not taken any drug to adversely affect balance. For balance ability assessment, the Berg balance scale and the Tetrax fall index were used. The Berg balance scale in experimental group was shown to be 48.38 to 50.69 through the 6-week program, indicating changes in significance level(p=.017). The Tetrax fall index in experimental group was shown to be 46.77 to 35.54 through the 6-week program(p=.000). Changes in significance level were not found for both the Berg balance scale and the Tetrax fall index in control group. As seen from the results of this study, it is found that 6-week application of the fall-preventive occupational therapy program including fall prevention training and exercise was effective for promotion of elderly's balance ability, and further studies just on the effect of fall prevention training are required to be made.

The Effects of Musculoskeletal Disorder Prevention Exercise Program Considering Agricultural Work Posture (농작업 자세를 고려한 근골격계 질환 예방 운동프로그램의 효과)

  • Park, So-Yeon;Kim, Jin-Kyung
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.1
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    • pp.1-10
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    • 2013
  • Objective : This study investigates the impact of the musculoskeletal disorder prevention exercise program designed on the basis of agricultural work posture on the balance ability, Oswestry Disability level, and Psychosocial stress of participants from one rural village in Chungnam area. Method : The exercise program was provided to 21 farmers with musculoskeletal symptoms living in one village in Chungnam area. Such program was performed once a week, 90 minutes per session, for a total of twelve weeks from July 10 to October 11, 2008, and was constructed in a way to increase flexibility and muscular strength, taking agricultural work posture into account. The balance ability, Oswestry Disability Index, and Psychosocial Well-being Index scores were analyzed based on the data of 13 of the farmers who participated in the program for more than eight times and in all of the pre- and post-assessments. Result : Thirteen participants were all women who were 70.55(${\pm}6.78$) years old on average. Most of them were engaged in general dry-filed farming. The parts where they mainly felt the pain were low back(69.2%) and knees(61.5%), and 46.2% responded 'not healthy' to the question on the overall health status. The static balance ability when standing on the right foot significantly increased from the average 9.27(${\pm}5.53$) seconds before intervention to 14.22(${\pm}5.47$) seconds after intervention(p<.05). The Oswestry Disability Index showed a significant change, decreasing from the average 19.84(${\pm}6.89$) seconds to 14.38(${\pm}7.58$) seconds(p<.05). However, there was no change in the Psychosocial Well-being Index. Conclusion : This exercise program that has been conducted for the female farmers who are mainly engaged in the dry-filed farming has contributed to the improvement of their static ability and reduction of their Oswestry Disability Index scores. It is expected that the studies on the effects of the differentiated exercise programs depending on work characteristics will make progress in the future.

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