• Journal of The Korean Society of Integrative Medicine
• /
• v.12 no.1
• /
• pp.183-190
• /
• 2024

Purpose : This study aims to conduct a comprehensive comparison and analysis of intervention strategies utilized for school-aged children facing difficulties in writing, focusing on evaluating the effectiveness of various intervention approaches both domestically and internationally. The primary focus is on assessing the efficacy of each intervention approach and identifying gaps in the existing literature. Methods : Data for this study were gathered from the domestic database RISS from January 2013 to March 2020, and international databases Pubmed and Google Scholar were utilized. The keywords for domestic literature search included 'occupational therapy', 'handwriting', and 'school-aged', while for international literature search, the keywords were 'occupational therapy', 'handwriting', and 'children'. A total of 4 international and 2 domestic articles were selected for review based on predetermined inclusion and exclusion criteria. Results : The study findings present a thorough comparative analysis of intervention strategies, categorizing them into task-oriented intervention, sensory-motor intervention, and integrated intervention. All intervention methods demonstrated notable improvements in the legibility of handwriting. Comparison between domestic and international literature revealed a predominant use of task-oriented intervention in domestic studies, while international studies showcased a diverse range of intervention methods. Conclusion : Interventions were categorized into computer-based, task-oriented, sensory-motor, and integrated interventions. Task-oriented interventions were the most common in both domestic and international studies, while integrated interventions were the most effective. Based on these findings, it is necessary to increase awareness of the need for handwriting intervention research among occupational therapists in Korea. Additionally, there is a need for well-supported handwriting intervention research with larger sample sizes in both domestic and international occupational therapy. Finally, future research should actively investigate the application of tailored integrated interventions for school-aged children with handwriting difficulties.

• The Journal of Korean Physical Therapy
• /
• v.16 no.2
• /
• pp.54-62
• /
• 2004

The propose of this study was to evaluate the effect of body weight support treadmill training on the patients with chronic stroke. Body weight support(BWS) treadmill training has recently been shown to be effective for gait training following stroke, and few researchers have measured the usefulness of this intervention in enhancing function, and there are reports in which BWS overground ambulation was studied. This study were 1) to report the feasibility and patient tolerance for using a BWS system for treadmill ambulation, 2) to measure the function of patients with chronic stroke prior to and following BWS treadmill and overground ambulation training, and 3) to describe a protocol used for patient treatment progression using BWS treadmill training.

• The Journal of Korean society of community based occupational therapy
• /
• v.3 no.1
• /
• pp.55-66
• /
• 2013

Objective : The purpose of present study was to determine effects of task oriented action observation training on dexterity of upper limb function after stroke. Training was progressed to imitation and intensive training after observation to required action in ADL. Method : 15 stroke patients were selected and one group pretest-posttest design was applied. Targets observed performance actions of task orientated task through a video and limitated action repeatedly, Training was performed 3 times a week and 20~30 minutes for each round for 3 weeks. Manual function test and 10-second test and Box and block test were performed for a dexterity of upper extremity motor function, Modified Barthel index and Motor activity log were performed for ADL. Result : After the training, a dexterity of affected upper extremity motor function of the target showed significant difference between before and after intervention, ADL showed significant improvement between before and after intervention. Conclusion : Task orientated Action observation lead a positive effect of recovering a dexterity of upper extremity motor function and ADL. Therefore, this study suggest a action observation training as one strategy of an intervention type of th e occupational therapy.

• Journal of Digital Convergence
• /
• v.11 no.8
• /
• pp.235-242
• /
• 2013

This study aimed to evaluate the effectiveness of imagery training on upper limb function and activities of daily living in subacute stroke patients. This study included 16 voluntary participants with subacute stroke. Subjects were randomly assigned to either experimental or control group, with 8 in each group. Imagery training group performed imagery training during 30 minutes and then task-oriented training 30 minutes a day, 5 times a week for 4 weeks. Control group performed task-oriented training during 30 minutes during a day, 5 times a week for 4 weeks. Assessments were made using the Wolf Motor Function Test (WMFT) and Fugl-Meyer motor function assessment (FMA) to evaluate the changes of upper function. And modified Barthel Index (MBI) was measured to evaluate the activities of daily living. The results showed that imagery training group was more significant increase than control group in WMFT, FMA, and MBI (p<.05). Small to huge effect sizes of 1.59, 2.02, 0.37 were observed for WMFT, FMA, and MBI, respectively. This study indicated that imagery training may be helpful in improving the upper limb function and activities of daily living for subacute stroke patients, and support the clinical feasibility of the imagery training.

• Therapeutic Science for Rehabilitation
• /
• v.1 no.1
• /
• pp.17-28
• /
• 2012

Objective : The purpose of this study is to assess effects of task oriented programme on balance and upper extremity function in stroke patient. Methods : The subject is right hemiplegia with stroke and participated for 6 weeks. The design of study ABA designed of single subject research. The baseline phase consisted of 5 sessions. The intervention phase consisted of 15 sessions and performed task oriented training. The Maintenance phase consisted of 5 sessions. An assessment of upper extremity function was made using a Manual Function Test(MFT) and balance were assessed by the Time Up and Go test(TUG), Nintendo Wii Balance Board Test. Results : Dynamic balance improved from 51.53 to 42.62. At baseline, difference between left and right of the static balance was an average of 13.8, After treatment, the static balance difference was 6.29 and It was closer to zero than baseline, so static balance has been stable feature. Also, MFT point increased from 6 to 7.6. Conclusion : Task oriented programme can useful in balance and upper extremity function in stroke patient. Further studies need to generalize these findings.

• Journal of Digital Convergence
• /
• v.13 no.7
• /
• pp.445-452
• /
• 2015

This study examined the effects of task-oriented occupational therapy without action observation training and action observation on hemiplegic patients' upper extremity functions and activities of daily living. The stroke patients were randomly and equally assigned to an experimental group (action observation) and a control group (task-oriented occupational therapy). They received the intervention five times per week, 30 minutes per each time, for five weeks. In order to look at upper extremity functions of the paretic side before and after the intervention, Jebsen-Taylor Hand Function Test (JTHFT) and Box and Bock Test (BBT) were conducted and in order to compare activities of daily living, Korean-Version of Modified Barthel index (K-MBI) was examined. According to the results, upper extremity functions and activities of daily living in both groups increased and there was no difference between the two groups. Therefore, action observation and task-oriented occupational therapy had positive effects on stroke patients' upper extremity functions and activities of daily living.

• The Journal of the Korea institute of electronic communication sciences
• /
• v.13 no.3
• /
• pp.651-660
• /
• 2018

The purpose of this study was to investigate the effects of task-oriented circuit training(: TOCT) on upper extremity function and quality of life in chronic stroke patients. 20 stroke patients were randomized and divided into 2 groups: a preservation therapy group and TOCT group. The intervention sessions were given five times a week for four weeks. The Stroke Impact Scale(: SIS), EuroQual-5Domains(: EQ-5D), Fugl-Myer Assessment(: FMA), Motor Activity Log(: MAL), Canadian Occupational Performance Measure(: COPM) were used to measure the upper extremity function and the quality of life. In results, Two groups improved in upper extremity function after the intervention(p<.05). The EQ-5D scores of TOCT group were a significantly higher than preservation group(p<.05). The Ironing, Folding towels, Hang out towels on drying rack in COPM scores in both of performance and satisfaction have improved more than preservation group(p<.05). In conclusion, the TOCT has significant helpful effect to chronic stroke patients. These findings can be used to chronic stroke patient as an intervention for upper extremity function and quality of life.

• Journal of the Korean Society of Physical Medicine
• /
• v.11 no.1
• /
• pp.133-140
• /
• 2016

PURPOSE: This study's aim was to investigate the effects of an action observational training in subactue stroke patients with moderate impairment. METHODS: 22 participants (men=13, women=9) with hemiparesis were randomly assigned to action observation training group or task-oriented training group. Patients in both group underwent a patient-specific multidisciplinary rehabilitation program. Participants in the action observation group (mean age, $62.78{\pm}9.85$) were asked to watch the video scene, in the knowledge that they would then attempt to perform the same movement task after watching. The control group (mean age, $61.49{\pm}8.64$) practiced the same tasks, without watching the video. To evaluate upper limb function, the upper extremity part of the Fugl-Meyer Assessment upper extremity and the Box and Block Test were used. The modified Barthel index was used to assess ADLs, and the modified Ashworth scale were used to assess spasticity in the upper extremity. RESULTS: The action observational training group exhibited greater changes in the Fugl-Meyer assessment upper extremity (P<0.05; 95% CI, 0.929 - 6.403), the Box and Block test (P<0.05; 95% CI, 0.086 - 5.913), and the modified Barthel index (P<0.01; 95% CI, 2.483 - 12.627) between groups. And the modified Ashworth scale (P>0.05; 95% CI, -0.402 to 0.624) did not show significantly different between groups. CONCLUSION: These findings suggest that action observational training may be more helpful to improve upper-extremity function than physical training only in subactue patients with moderate impairment after stroke.

• Journal of Korea Entertainment Industry Association
• /
• v.13 no.7
• /
• pp.497-503
• /
• 2019

The purpose of this study was to investigate the effect of self care training program on motor function of upper limb and self-efficacy in chronic stroke patients. This study selected 20 chronic stroke patients in local community men. The subjects carried out self care training program be composed of task oriented training for 40 minutes, 4 times per week for 6 weeks. Manual function test(MFT), digital grip dynamometer, self-efficacy scale were used to evaluate motor function of upper limb and self-efficacy during pre and post intervention. In MFT and hand grip force test, the post outcome were significantly increase than the pre outcome(p<.05). In self-efficacy evaluation, the post outcome of was significantly improve than the pre outcome(p<.05). The result of this study show that the self care training program be composed of task oriented training may be appropriate for improving the motor function of upper limb and self-efficacy in chronic stroke patients. This will enable the application of self care training program in rehabilitation therapy of chronic stroke patients and it will help guide the selection of the therapist as one therapeutic basis

• Journal of The Korean Society of Integrative Medicine
• /
• v.6 no.1
• /
• pp.45-54
• /
• 2018

Purpose : The purpose of this study is to evaluate the effects of Action-observational training program on gait and balance of patients with hemiplegia. Method : The subjects of this study are patients with hemiplegia; 10 patients who agreed with this research, were picked up. Participants were divided randomly into equal groups: experimental group that applied to action-observation training for at least 30 minutes/day for 6 weeks and control group that underwent general task-oriented training. Gait and balance were measured 10 meter walk test(10MWT), gait speed, berg balance scale(BBS) and timed up and go(TUG). The intervention were compared by measuring before and after. Result : There were significant improvements in the subscales of the gait and balance test of those who practiced with the Action-observational training program, while the control group showed no significant changes. Conclusion : Therefore, Action-observational training program is effective in improvement of to improve the gait and balance in patients with hemiplegia.