• Therapeutic Science for Rehabilitation
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• v.7 no.2
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• pp.29-40
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• 2018

Objective : The purpose of this study was establishing clinical norms of TEMPA Korean version for Korean adult population in addition to identifying characteristics of hand function by age and gender based on the collected data. Methods : A total of 138 healthy adults between ages 20 and 59 were recruited by continuous sampling. All subjects had been employed TEMPA Korean version and Jarmar dynamometer and pinch gauge to evaluate hand function and strength. Results : The results showed that there were no statistically significant difference in overall hand function among the age groups and between genders. Also, while there were no significant differences in overall speed and qualitative movement, age groups of 40s and 50s showed a declining tendency in speed in some of the tasks. Also, hand strength increases up to 40s and start declining from the 50s, but most results did not show significant differences among the age groups. Conclusion : Normative data of TEMPA Korean version for Korean adult population was established, therefore, it can be used in clinical setting and research as evidence based. Furthermore, occupational therapists need to consider about the signs of decline in hand function and strength in middle-aged adults and to provide education programs to maintain their hand function.

• Therapeutic Science for Rehabilitation
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• v.8 no.4
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• pp.65-76
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• 2019

Objective : This study aimed to verify the validity and reliability of the Upper Extremity Performance Test for the Elderly (TEMPA) by modifying its items to exhibit cultural differences. Methods : This study included 171 healthy adults and older adults and 41 individuals with impaired upper extremity function. Content validity, discriminant validity, test-retest reliability, and inter-rater reliability were analyzed. Results : The following items, exhibiting cultural differences, were modified: "open a lock and take the top off a pillbox" and "write and affix a postage stamp." The discriminant validity results indicated that participants with normal upper extremity function performed better than those with impaired in the upper extremity function (p<.001). The test-retest reliability of the execution speed (intraclass correlation coefficient; ICC) was .71-.94, functional rating (kappa) was 1.0, and task analysis (ICC) was 1.0. The inter-rater reliability of the speed of execution was 1.0, functional rating was .79-1.0, and task analysis was .94-1.0. Conclusion : TEMPA has moderate to high level of reliability and is an assessment tool that can clearly distinguish individuals with upper extremity impairment from those without impairment.

• Therapeutic Science for Rehabilitation
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• v.8 no.2
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• pp.43-53
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• 2019

Objective : This study aimed to identify the characteristics of hand function according to age and sex in older adults. Methods : This study included 103 healthy adults aged ${\geq}60$ years. The Korean version of TEMPA was used to assess hand function and a Jamar dynamometer and pinch gauge were used to assess hand and pinch strength in all participants. Results : The results of hand function assessment showed that speed of task execution (mean = 121.32 s, SD = 18.07 s in subjects aged 60-69; mean = 144.97 s, SD = 28.43 s in subjects aged 70-79; and mean = 160.93 s, SD = 38.33 s in subjects aged ${\geq}80$, p < .001) and fine movement (mean score = -.14, SD = .40 in subjects aged 60-69; mean score = -.63, SD = 1.07 in subjects aged 70-79; and mean score = -.57, SD = .65 in subjects aged ${\geq}80$, p = .01) decreased significantly with age. The male group showed better speed of task execution (mean = 133.54, SD = 22.83 in males vs. mean = 150.55, SD = 39.89 in females, p < .01) and fine movement (mean score = -.16, SD = .37 in males vs. mean score = -.46, SD = .58 in females, p < .01) than the female group. Hand strength also decreased significantly with age (p < .05, to p < .001). Conclusion : Occupational therapists should be aware of the decline in hand function (especially speed of task execution and fine movement) and strength in older adults, as well as the need to provide interventions to treat this decline.

• Therapeutic Science for Rehabilitation
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• v.4 no.2
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• pp.84-91
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• 2015

The purpose of this study was introduce peer mentoring which is well used in various rehabilitation areas in overseas country to Korea academically and clinically and help psychological and physical recovery for stroke survivor. It was two group experimental design study, this protocol is designed for stroke survivor, 3-6 months after the onset. Peermentors were consisted of outpatients who is stroke survivor in different recovery levels, at least 2 year after the onset. Peermentors received education about how to support and mentor participants of the program emotionally, appraisally, and informationally and how to run the program. Geriatric Depression Scale Short Form-Korea Version(GDSSF-K) is used to measure psychological factor, Stroke Impact Scale(SIS) is used to measure recovery level of patient, and for physical factor Upper Extremity Function Test for the Elderly(TEMPA) was used. A researcher who is interested in the peer mentor program needs to find more effective applying method based on be offered method in this study for helping recovery after stroke.