• Title/Summary/Keyword: Neurological Occupational therapist

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Current Trends and Future-Oriented View of Clinical Measurement Used by Neurological Occupational Therapist (신경계 작업치료사의 평가도구 사용 현황 및 향후 방향)

  • Song, Chiang-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5229-5237
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    • 2012
  • Occupational therapist is required for patient-centered approaches to actively seek the perspectives of patients and their families in clinical settings. The purpose of this study was to investigate the current trends and to suggest future-oriented view of examination and assessment used by neurological occupational therapist in clinical settings. Sixty-six occupational therapists who work in persons with neurological disorders participated in this study. The survey was measured from Seoul and GyeongGi by means of E-mail about commonly used assessment tools and selecting considerations. The participants were 66 neurological occupational therapists. The number of patients by one day was from 10 to 14 persons, and the length of time for initial evaluation was 20-40 minutes per one patient, and reexamination periods was every 1 month or as functional changes were detected. The using tool was not limited only neurological tools, and choice consideration was the reliability and validity of clinical measures. The most frequently used tools for adults were: JHFT for motor function in upper extremity, MMSE-K for cognitive perceptual assessment, MBI for daily activity assessment, and COPM for occupational performance. The most frequently used tools for child were: MVPT for cognitive perceptual assessment and Wee-FIM for daily activity assessment. The results of this study suggest that it is necessary to integrate and associate patient-report, care-giver report, and results of performance-based assessment for estimating plan of care more quality.

A Study on Korean Occupational Therapist's Perception and Current Conditions About Bilateral Upper Extremity Training for Patients With Stroke (국내작업치료사들을 대상으로 한 뇌졸중 환자의 양측 상지훈련 현황 및 인식도 조사)

  • Lee, Joo Hyun
    • Therapeutic Science for Rehabilitation
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    • v.6 no.1
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    • pp.25-33
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    • 2017
  • Objective : The purpose of this study were to investigate perception of occupational therapist and the current conditions about bilateral upper extremity training for patients with stroke. Methods : A survey was conducted on 10 occupational therapists for a month from June, 2016. The questionnaire was consisted total 17 items including 5 area related to characteristics of occupational therapist and patient, bilateral activities with difficulty to perform, bilateral activities used in bilateral training, and bilateral activities which are wanted for therapist to apply in bilateral training. Results : Drive a nail was bilateral activity with difficulty to perform for stroke patient, and unscrew lid of jar was bilateral activity used in bilateral training by occupational therapists. Also, wash one's face was bilateral activity wanted for therapists to use for bilateral training. Conclusions : This study will be used as basic data to select the bilateral upper extremity activities for bilateral upper extremity training.

Effects of Occupational Therapist's Experiences of Verbal Violence on Job Stress and Job Intention (작업치료사의 언어폭력 경험이 직무 스트레스와 이직 의도에 미치는 영향)

  • Han, Dae-Sung;Jeong, Eun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.123-135
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    • 2021
  • Objective : The purpose of this study was to understand the degree of verbal violence experienced by occupational therapist's and its effects on job stress and turnover intention. Methods : The data analyzed in this study were collected using a mobile device. We collected 316 responses to a questionnaire. Occupational therapists responded to the study. We analyzed their experiences of verbal violence from patients, and caregivers, job stress, and turnover intentions. Results : The results showed that occupational therapists experienced greater' verbal violence from patients than caregivers. The average job stress level was 2.79 (±1.15). The turnover intention was 3.41 (±1.19), which was higher than normal. The degree of verbal violence, job stress, and turnover intention were positively correlated for all variables. Conclusion : A correlation was found between the degree of verbal violence experienced by occupational therapists, job stress, and turnover intention. Further investigations with a wider sample population are required to verify the results.

Development of Occupational Therapist Competency Indicators for Occupation-Based Intervention: Delphi Study (작업기반 중재를 위한 작업치료사 역량지표 개발: 델파이연구)

  • Shin, Jae-Yong;Kim, Jung-Ran;Lee, Ji-Sun
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.37-50
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    • 2018
  • Objective : The purpose of this study was to develop a competency indicators of occupational therapists for occupation-based intervention by conducting a Delphi survey to occupation-based intervention experts. Methods : After analyzing the data related to occupational therapists indicators in korea, the results of Delphi survey were collected three times from October to December 2016. Based on the results, we developed occupational therapists competency indicators for occupation-based intervention through expert panel's opinions. Results : Based on the eight competency elements, the competency indicators were examined by 133 primary and 133 secondary competency indicators. Finally, 131 competency indicators were developed based on 8 components as occupational therapist competence indicators for occupation-based intervention. The results of the third delphi showed a high level of content validity of .95, stability of .10, convergence of 0, and consensus of 1. Conclusion : The developed occupational therapist competence indicators for occupation-based intervention could be used in various clinical decision making such as occupation-based intervention, education training, education development and evaluation.

Survey on the Discharge Planning of Occupational Therapists (국내 작업치료사의 퇴원계획 개입에 대한 실태 조사연구)

  • Hwang, Na-Kyoung;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.55-71
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    • 2020
  • Objective : The purpose of this study was to investigate the necessity of occupational therapist's involvement in patient discharge planning, the areas that should be considered for discharge screening and planning, and to provide the basic data required for the development of a discharge assessment tool. Methods : We conducted an online questionnaire survey of 60 occupational therapists who were working at medical institutions and had agreed to participate in the study. The questionnaire was composed of 36 questions regarding the general characteristics of the current discharge planning process and the necessity of discharge assessment and planning. Descriptive statistics, an independent t-test, and a one-way ANOVA were conducted using SPSS 20.0. As for the post-hoc test, Scheffe's test was used. Results : The awareness of occupational therapist's role in discharge planning and the necessity of a discharge assessment tool were high, but the occupational therapist's awareness of discharge-related knowledge was low. The difficulties in discharge planning showed high response rate in the absence of adequate fee-for-service in the patient interview and assessment and the lack of team approach and appropriate assessment tools for discharge planning. The high-needs areas for evaluation during discharge were fall risk and BADL, and the low-needs areas were well-being and functional level prior to onset. Conclusion : This study is expected to provide preliminary information necessary for the development of a discharge assessment tool for effective discharge planning.

Neurophysiological Evidence for Sensory Processing Disorder (감각처리 장애에 대한 신경생리학적 증거들)

  • Kim, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.1 no.1
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    • pp.5-16
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    • 2012
  • Sensory integration started as a theory to provide a occupational therapist with a useful frame for explaining and intervening the problems which children have. Most researches on sensory processing disorder (SPD) have been found empirical evidence to support the sensory integration theory by measuring behavioral manifestations of SPD. Recently, researchers who are interested in the diagnosis of SPD have begun to use neurophysiological methods to establish objective evidence for sensory integration. These studies reported the neurophysiological indexes reflecting the maladaptive behaviors as well as the difference between children with SPD and typically developing children in using electrodermal activity, vagal tone, EEG. Future neurophysiological studies on SPD will be expected to prove the efficacy of sensory integration intervention.

Motor Learning Concepts Applied to Occupational Therapy With Adults With Hemiplegia (뇌졸중 편마비환자의 작업치료에 적용되는 운동학습의 원칙)

  • Shim, Sun-Hwa;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.1 no.2
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    • pp.14-22
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    • 2012
  • Introduction : The purpose of scholarly paper is to review of motor learning concepts and to examine in integration of motor learning research finding in occupational therapy services for adults with hemiplegia. Body : The principles of motor learning is stage of learning, type of task, practice and feedback. Depending on stage of learning, therapist need to apply of the principles. In early stage of learning, therapists should be promote patient's awareness about therapeutic goals, task performance environment and how to perform. Whole practice, blocked practice and constant practice improve performance skill. In the latter stage of learning, therapists have to design a intervention protocol for patient to use the implicit feedback. Random practice and open task facilitates performance skills. Conclusion : When establishing the a intervention plan for adults with hemiplegia, therapists should systematically developed the principles of motor learning. Intervention program must be established by applying the principles of motor learning in accordance with the learner's level of task performance, and modified depending on the therapeutic progress.

Domestic Occupational Therapist Awareness Survey for the Need to Apply Artificial Intelligence Measurement Technology for Clinical Observation Evaluation Based on Sensory Integration (감각통합에 기초한 임상 관찰 평가의 AI 측정 기술 적용 필요성을 위한 국내 작업치료사 인식 조사)

  • Cho, Sun-Young;Jung, Young-Jin;Kim, Jung-Ran
    • Therapeutic Science for Rehabilitation
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    • v.12 no.1
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    • pp.23-35
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    • 2023
  • Objective : This study is to examine the practical use of clinical observational evaluation of sensory integration therapy and the difficulty and importance of measuring results for each sub-item, and through this, to confirm the usefulness of the application of Artificial Intelligence measurement technology in clinical observational measurement and the need for application. Methods : The questionnaire consisted of the actual use of the sensory integration evaluation tool, the difficulty of measurement for each detailed item of clinical observation, the usefulness of AI measurement technology, the importance of evaluation for each detailed item, and the need for developing AI measurement technology. Results : The detailed items that were difficult to measure during clinical observation were the Finger-to-Nose Test and Postural control (71.0%), followed by Eye movement and Protective Extension Test (67.7%). 83.9% of the study subjects answered that it would be useful to apply AI measurement technology when observing images. Postural control (on the ball) (90.3%) was the highest item that answered that AI measurement technology was needed, followed by Eye movement (83.9%), and Prone Extension and Protective Extension Test (77.4%). Conclusion : The results confirmed the desire of therapists that clinical observation is an important evaluation tool in the field of child occupational therapy in Korea.

Parents' Perceptions of Cognitive Rehabilitation for Children With Developmental Disabilities: A Mixed-Method Approach of Phenomenological Methodology and Word Cloud Analysis (발달장애 아동 부모의 인지재활 경험에 대한 질적 연구: 워드 클라우드 분석과 현상학적 연구 방법 혼합설계)

  • Ju, Yu-Mi;Kim, Young-Geun;Lee, Hee-Ryoung;Hong, Seung-Pyo;Han, Dae-Sung
    • Therapeutic Science for Rehabilitation
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    • v.13 no.1
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    • pp.49-63
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    • 2024
  • Objective : The purpose of this study was to investigate parental perspectives on cognitive rehabilitation using a combination of phenomenological research methodology and word cloud analysis. Methods : Interviews were conducted with five parents of children with developmental disabilities. Word cloud analysis was conducted using Python, and five researchers analyzed the meaning units and themes using phenomenological methods. Words with high frequency were considered as a heuristic tool. Results : A total of 43 meaning units and nine components related to the phenomenon of cognitive rehabilitation were derived, and three themes were finalized. The main themes encompassed the definition of cognitive rehabilitation, challenges associated with cognitive rehabilitation, and factors influencing the selection of a cognitive rehabilitation institute. Cognitive rehabilitation emerged as a treatment focused on improving learning, daily functioning, and cognitive abilities in children with developmental disabilities. The perceived issues with cognitive rehabilitation pertained to treatment methods, therapist expertise, and associated costs. In addition, parents highlighted the importance of therapist expertise, humane personality, and affordability of cost and schedule when choosing a cognitive rehabilitation institute. Conclusion : Parents expressed expectations for substantial improvements in their children's daily functioning through cognitive rehabilitation. However, challenges were identified in clinical practices. Going forward, we expect that cognitive rehabilitation will evolve into a better therapeutic support service addressing the concerns raised by parents.

The Study of Job Market by Analysis of the Recruitment Advertisement for Occupational Therapy (채용공고 분석을 통한 작업치료사 구직 시장에 대한 연구)

  • Lim, Seung-Ju;Yang, Min-A;Han, Dae-Sung;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.39-53
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    • 2020
  • Objective : This study aims to identify the job market for occupational therapists by analyzing recruitment advertisements for occupational therapists from 2011 to 2018. Methods : A total of 15,869 job placement notices posted on the portal site(http://otbrain.com/) were collected to analyze the job market for occupational therapists based on their regions, employment types, salary levels, employment times, and recruitment fields. Results : The total number of annual recruitment advertisements for occupational therapists was 544 which was higher than the number of people who passed the national exam. According to the region, recruitments were concentrated in the Seoul and Gyeonggi Province. According to employment type, the employment rate of permanent workers was on the decline but that of temporary workers showed an increasing trend. The salary level was the highest with the annual salary ranging from 20 million won to 25 million won or less, and the recruitment fields were found to have about 4.6 times more offerings in the adult and senior fields than in the pediatric fields. Conclusion : These study results can be used as a basic data for identifying the job market for occupational therapists.