• Journal of The Korean Society of Integrative Medicine
• /
• v.3 no.2
• /
• pp.79-87
• /
• 2015

Purpose: This study was conducted to provide occupational performance evaluated by stroke patients themselves as an intervention according to the periods of its outbreak and examine the effects of it on their activities of daily living and life quality by using the Canadian Occupational Performance Measure (COPM). Method: The subjects of this research were divided into nine persons for the experimental group receiving the client-centered occupational therapy intervention and another nine for the control group getting the conventional occupational therapy intervention. And the intervention was performed for 30 minutes, three times a week, for total eight weeks. The level of activities of daily living was evaluated by the Functional Independence Measure (FIM), and life quality was tested by using SS-QOL. Results: First, about the difference of change in the FIM points of the two groups, there was statistically significant difference in Mauchly's sphericity verification (p<.05). Second, about the difference of change in the SS-QOL points of the two groups, there was statistically significant difference in Mauchly's sphericity verification (p<.05). Third, regarding the coefficient of difference in the change of FIM and SS-QOL points according to the two groups, there existed statistically significant correlation in all the evaluations of before, in the middle of, and after the FIM points and also before, in the middle of, and after the SS-QOL points (p<.05). Conclusion: With the findings of this research, we can see that the client-centered occupational therapy training group shows more improved activities of daily living and life quality than the conventional occupational therapy training group. Therefore, it is expected that the client-centered occupational therapy training will be applied usefully to clinical situations as an intervention to improve stroke patients' activities of daily living as well as life quality.

• The Journal of Korean Academy of Sensory Integration
• /
• v.6 no.1
• /
• pp.35-46
• /
• 2008

Objective : This study verifies the effects of sensory integrative (SI) therapy on vestibular- and proprioceptive sensory (BPS) processing ability of a child with Asperger Syndrome (AS). Method : A boy who is 11 years and 2 months old took the Functional Independence Measure for Children (Wee-FIM), Canadian Occupational Performance Measure (COPM), Short Sensory Profile, Bruininks-Oserestky Test of Motor Proficiency-2 (BOT-2), and Test of Playfulness (ToP) for the baseline. The child participated in 3 evaluation sessions and 8 therapy sessions based on the AB research design. Duration of each session is 50 min and the therapy session is divided into 40 minutes for treatment and 10 minutes for evaluation. Since the vestibular sense and proprioception build up one's ability of postural control, several tests were employed to evaluate the child' postural control as outcome measure; distance from front leg of chair to heel of the child with sitting (C-H distance), angle between trunk and thigh (hip joint angle) with sitting, and the 'prone-extension posture' which is a subtest of Clinical Observation of Motor and Postural Skill (COMPS) to examine postural control embodied with integration of reflex and BPS processing. Result : During the therapy, average data of the C-H distance is decreased from 27.33cm to 11.69cm, average data of the hip joint angle is also decreased from $43.3^{\circ}$ to $20^{\circ}$, and average time for the prone-extension posture is increased from 13.15seconds to 24.84seconds. Conclusion : This result indicates that the ability to postural control in sitting and to maintain the prone-extension posture can be improved by sensory integrative therapy, with enhanced BPS processing.

• Korean Journal of Social Welfare
• /
• v.37
• /
• pp.33-66
• /
• 1999

The primary objectives of this research is to identify (1) demographic characteristics and job needs of women with disabilities in Korea and (2) factors that predicts the degrees of their job needs. This study uses the data based on interviews with 805 disabled women selected randomly from the registered disabled women in Seoul, Kuyngki-Do, Pusan, and Kuyngsangnam-Do. In the aspect of disabilities, this study showed that more than half of disabled women in our sample have very severe disabilities (1st degree and 2nd degree of disabilities) and needs others' help in their daily lives. In the demographic aspect, this study found that disabled women's education level is very low and their monthly income is also very low. This study also found that in spite of their disabilities and functional limitations, more than 3/4 of disabled women have needs about jobs. Finally, using logistic regression analysis, this study found that disabled women's type of disabilities, dependencies in daily life, age, job experiences, job training experiences, willingness for independence, and parental attitude about disabled women's future are statistically significant in predicting the degree of their job needs. This study will contribute to developing knowledge about disabled women's characteristics and provide practical implications for intervention strategies and assistance programs related to promoting their welfare.

• Journal of Korean Clinical Health Science
• /
• v.2 no.1
• /
• pp.35-45
• /
• 2014

Purpose: This study analyzes occupational therapy interventions to improve activities of daily living (ADL) in dementia patients and the instruments used to verify their effects through a systematic review and attempts to use the results as preliminary data in selecting further interventions and instruments. Method: The databases searched included NDSL, DBpia, RISS, KISS and National Assembly Library with search words including 'Alzheimer's disease', 'Alzheimer', 'daily living' and 'ADL.' The subjects of analysis were a total of 7 studies, and a frequency analysis was used for the usage count of the interventions used in each study. In order to provide evidence, PICO Method was used for sorting. Result: As a result of this study, there were 7 occupational therapy interventions applied to improve ADL in dementia patients, which were used 7 times total. As for the instruments used to validate the effects of the interventions for the ADL, it turned out that '3 studies used AMPS (42.9%),' which was the most, followed by 'Allen Cognitive Level Screen' (ACLS) and Functional Independence Measure' (FIM), respectively used in 2 studies (28.6%); and 'Modified Barthel Index' (MBI) and 'Philadelphia Geriatric Center IADL' (PGC IADL), respectively used in 1 study. Regarding the qualitative level of evidence, it turned out that 4 studies were Level III (57.1%), followed by 2 studies at Level IV (28.6%) and 1 study at Level I (14.3%). Conclusion: This study suggested the kinds and frequencies of usage of the interventions and instruments of occupational therapy for the improvement of ADL in dementia patients, and the studies of evidence were presented by the PICO Method. It is judged that the results of this study can be used as preliminary data in selecting interventions and instruments to improve the ADL in dementia patients. In the future, studies should be carried out on the ADL in other areas related to dementia.

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

• Health Policy and Management
• /
• v.29 no.4
• /
• pp.382-393
• /
• 2019

The right to petition is a classical right of the people in constitutional states, and in Korea, it is a statutory right in the Constitution, the National Assembly Law, the Petition Law, and the Local Autonomy Act. The healthcare community first made a successful petition to the National Assembly when it achieved the amendment of the Government Organization Act through a petition to the National Assembly for the independence of the Ministry of Health, and this achievement served as the basis for further petitions. Since then, the healthcare community has successfully achieved the enactment and amendment of related occupational laws through National Assembly petitions, such as the amendment of Article 41, Paragraph 7 of the former Medical Insurance Act (Korean Medical Association, 14th Assembly), enactment of the Dental Health Act (Korean Dental Association, 15th Assembly), and amendment of the Health Functional Foods Act (Korea Pharmaceutical Association, 16th Assembly). Its petition accomplishment rate is higher than the total petition accomplishment rate of the Health and Welfare Committee of the National Assembly. However, along with the overall decrease in the number of National Assembly petitions, the Korean Medical Association and Korea Pharmaceutical Association have not achieved any results through petitioning since the 16th Assembly (June 2000), and the Korean Hospital Association and Korean Nurses Association have not achieved any results through petitioning since the 17th Assembly (April 2004). Furthermore, no National Assembly petitions have been made at all for 5 years (2014-2018). The Korean Medical Association and Korea Pharmaceutical Association previously showed a high petition accomplishment rate through their accumulated experience with National Assembly petitions and vigorous policy assistance from doctors/pharmacists/nurses turned lawmakers. More specifically, healthcare organizations have achieved results by actively conducting organized activities with the National Assembly, as implemented by a national assembly director and employees, and in case of petitions for legislation, each group has established infrastructure for reviewing the relevant laws by appointing a legislative director, as well as a legal advisor and advisory counsel. Although the organization that has submitted the most petitions to the National Assembly is the Korean Hospital Association, the group with the highest petition success rate is the Korean Medical Association, which may be linked to the relatively high proportion of doctors who have become lawmakers. Furthermore, the fact that other healthcare organizations were highly interested in petitioning the National Assembly has had major implications for the petition activities of healthcare organizations.

• Korean Journal of Childcare and Education
• /
• v.3 no.2
• /
• pp.22-47
• /
• 2007

The purpose of this study was to examine whether parental beliefs, value of children, and filial obligation were related. The subjects were 748 students(male 323, female 425) who were currently enrolled at university located in Seoul. The instruments used for this study were Filial Obligation Scale(Cho, 2002), Parenting Beliefs Questionnaire, and Value of Children by Arnold et al.(1975, 2001). Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlations by SPSS PC Program. The results showed that university students generally demonstrated a higher level of individual-oriented beliefs than relation-oriented beliefs on parental beliefs. With regard to parental beliefs, family relation-oriented beliefs was relatively low in comparison with independence/autonomy-oriented beliefs, happiness-oriented beliefs, and cognition/knowledge-oriented beliefs. In addition, emotional value of children was relatively high in comparison with instrumental value of children. Also, male university students possessed a higher level of filial obligation. the level of cohabitation experience with their parents played a significant role in affecting the level of filial obligation. Unsurprisingly, a higher relation-oriented parental beliefs and emotional value of children demonstrated a higher level of filial obligation. There were also positive relationships between emotional value, instrumental value, and filial obligation. Hence, this study suggests that a practical, functional training services and resources for future parents must be ensued.

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

• 재활복지
• /
• v.21 no.2
• /
• pp.63-88
• /
• 2017

This study evaluated the actual status of special needs of the hearing-impaired person for disaster response. The analysis revealed a significant level of unmet needs in disaster response for hearing-impaired person. The 5 special needs in disaster response include: 1) communication needs, which involve securing the means to make an emergency rescue request and communicating information during the rescue process; 2) transportation needs, which indicate the effective evacuation capacity and the level of training; 3) medical needs, which address the degree of preparedness for physical and mental emergency measures and the delivery of health information for rescue and first aid process; 4) maintaining functional independence needs, which refer to the level of self-preparedness to minimize damage in disaster situations, and; 5) supervision needs, which correspond to a personalized support system provided to disaster-vulnerable groups.

• Journal of the Korea Convergence Society
• /
• v.10 no.10
• /
• pp.67-74
• /
• 2019

The purpose of this study was to determine whether changes of position might effect the convergence pulmonary function of the 20s men of mild intellectual disabilities with obesity. Ten subjects of mild intellectual disabilities with obesity(fat group) and ten contrary subjects without obesity(control group) were participated in the experiment. Subjects were assessed for their pulmonary function by using Fit mate according to the position changes(supine position, 45 lean sitting position, 90 sitting position). One-way repeated ANOVA analyzed each region data of pulmonary function of both the fat group and the control group according to their position changes. The result of the experiment showed that the 20s men of mild intellectual disabilities with obesity have lower pulmonary function than the contrary subjects in the each given posture. In comparison with three experimental positions, supine position was the lowest in the pulmonary function. This study showed the 20s men of mild intellectual disabilities with obesity have lower function of pulmonary volume than the control group, and thus, it suggests that the pulmonary functional data of 20s men of mild intellectual disabilities with obesity in this experiment can be used as a basic respiratory one for the various exercise programs in the area of the physical activities.