• Physical Therapy Rehabilitation Science
• /
• 제6권4호
• /
• pp.202-207
• /
• 2017

Objective: The self-decisions of the client regarding the meaningful work as a therapeutic approach of client-orientation. The Cognitive Orientation to daily Occupational Performance (CO-OP) is an occupation-oriented problem-solving approach. The purpose of this study was to describe the goals and intervention protocols of CO-OP in those affected by stroke. Design: A systematic review. Methods: Using EBSCOhost, PubMed, and ProQuest databases, we searched studies published in the past decade that utilized the CO-OP intervention. An initial search revealed 71,171 potential articles. After applying our search criteria to screen the titles, abstracts, and full-text, we included 7 articles that met our inclusion and exclusion criteria. In this study, we used the patient, intervention(s), comparison, outcome method to analyze the 7 selected studies. We analyzed the frequency of goals and intervention protocols. Results: Seven articles met our selection criteria; these studies included participants with an almost normal cognitive function from inpatient and outpatient rehabilitation facilities. CO-OP was used for 237 goals; the most used goal was the instrumental activities of daily living. The training procedure used 3 types of self-selecting goals in the activities. One of the goals was not trained, but was only evaluated to determine the generation effect. The most common outcome measurements included the Canadian Occupational Performance Measure and the Performance Quality Rating Scale. Conclusions: This research provided information about the effectiveness of CO-OP and selecting the correct evaluation tool to assess the efficiency of the intervention. This study suggests that treatment with CO-OP in occupational therapy is effective and that it outlines common protocols.

• The Journal of Korean Physical Therapy
• /
• 제9권1호
• /
• pp.19-35
• /
• 1997

Korea will soon experience a high demand for medical rehabilitation specialists, if it tries to deliver advanced health welfare service. In order to medical rehabilitation manpower policies, this study attempts to analyse, estimate and plan a long-term supply for physiatrists, physical therapists, and occupational therapists. The study analysed both national and foreign statistical data of manpower supply for medical rehabilitation specialists. Based on the above data, the demand of and supply for each specialists were estimated for long term up to the year 2030. Based on the comparative analysis results of the future demand and supply. the author intended to develop a new supply plan for the three specialist categories. The major finding of the supply plan are as follows : First, as for the supply plan for physiatrists, the author recommends to adopt the demand estimation 1 as the most suitable. In order to prevent an oversupply of physiatrists, the supply plan 1 is recommended which annual enrollment of specialists will maintain with the quota of fixed number of 63 from the year of 1999. Second, it is estimated that there was already an oversupply of physical therapists in Korea. This oversupply is expected to continue even though there would be an increase in rehabilitation hospital beds, rehabilitation facilities for the elderly, and nursing homes, Thus, it would be desirable to cut down the number of students admitted to physical therapy schools each year. Third, there will be a high demand for occupational therapists in the near future as people become more aware of the usefulness of this therapy. Thus, it is urgent to establish a supply plan to meet the demand. Given the close relationship between physical therapy and occupational therapy, the study recommends that the universities already having the the department of physical therapy open the department of occupational therapy as well.

• 대한인간공학회지
• /
• 제34권2호
• /
• pp.151-165
• /
• 2015

Objective: This study aims to develop and scientifically investigate the efficacy of the Spine S-curve Reactive Backrest that responds to the spine curvature of the user when seated, and maintains and enhances the natural S-curve of the lower back, thereby helping to relieve fatigue, correct posture and prevent spine deformities. Background: The focus of current development, design guidelines and/or standards for office chairs is mainly placed on the chair's dimensions, incline angle, adjusting features and lumbar support. Research and development was called for developing a chair backrest that maintains and improves the S-curve of the full spine. Method: The Spine S-curve Reactive Backrest was ergonomically designed to maintain correct posture and enhance user comfort. When leaned on, the backrest responds to the user's spine line and the whole lower back sits closely against the backrest, thereby aligning the user's lower back and backrest as one to maintain and improve the natural S-curve formation of the spine. In order to evaluate the efficacy of the newly designed chair (new design) and the comparison target (chair), five male college students of standard body type with normal spine curvature were selected as test subjects, and a motion analyzer and electromyography were utilized to measure S-curve and erector spinae muscle activity when seated. Results: The spine S-curve was better maintained and improved when sitting in the new design than in the comparison chair. Particularly notable was the greater displacement gap of the thoracic spine than the cervical spine, and also that of the lumbar more than the thoracic spine, with the increase of the backrest tilting angle. Furthermore, the electromyogram results showed the new design caused a lower fatigue level of the erector spinae muscles compared to the comparison chair, and also earned a higher preference in the subjective opinion results. Conclusion: The newly designed chair in this study responds to the user's spine curvature and maintains and enhances the lower back's natural S-curve, and thereby relieves fatigue, promotes better posture, and helps to prevent spine deformities better than existing office chairs. There is a need to widely introduce and supply this new design. Application: The new design is applicable to office and student chairs, and is expected to improve concentration and work efficiency.

• 대한작업치료학회지
• /
• 제26권4호
• /
• pp.27-41
• /
• 2018

목적 : 본 연구는 신경발달 장애 아동들에게 작업기반(occupation-based) 중재를 그룹 프로그램으로 적용하여 작업 수행의 질, 수행도 및 만족도, 프로그램에 대한 만족도의 효과를 알아보고자 하였다. 연구방법 : 신경발달 장애 아동 10명을 대상으로, ADOC-S(Aid for Decision making in Occupation Choice-School) 및 COPM(Canadian Occupational Performance Measure)을 사용하여, 모든 클라이언트에게 의미 있고 공통된 작업 목표를 수립 하였다. '지하철 이용' 작업수행 분석한 후에 PQRS(Performance Quality Rating Scale)를 사용하여 작업수행의 질 변화를 조사하였다. 작업기반 중재는 가장 자연스럽고 실제생활과 비슷한 상황에서 의미 있는 작업을 직접 수행하며 진행되었다. 실험은 사전 평가 1회기, 중재기는 주 1회, 회기당 100분, 8주간, 총 8회기 진행되었고 사후 평가 1회기 실시되었다. 결과 : 작업수행의 질인 PQRS에서는 중재 전에 비해 중재 후 38.10의 증가를 보였다. 유지, 보상 및 적응접근을 적용하여 초기 회기(1~4회기)에 큰 증가율이 나타났다. COPM의 수행도는 중재 전에 비해 5.80, 만족도는 7.00의 증가가 나타났다. 또한 보호자 인터뷰를 통한 프로그램 만족도에서 높은 점수가 나타났다. 결론 : 작업기반 중재는 신경발달장애 아동의 작업수행을 향상시킬 수 있는 중재방법이며, 수행도 및 만족도, 프로그램 만족도에 긍정적인 결과를 도출할 수 있었다.

• 한국산학기술학회논문지
• /
• 제19권10호
• /
• pp.483-489
• /
• 2018

고령운전자의 운전행동은 신체적 및 인지적 기능의 저하로 돌발 상황이나 시내주행에서 안전운전에 취약하다고 보고되고 있다. 본 연구는 성인 자가운전자를 대상으로 연령대에 따라서 운전행동양상에 차이가 있는지 알아보고 정상적인 노화로 인하여 발생하는 운전에 관한 신체적 기능변화를 제언하기 위함이었다. 연구 참여자는 운전면허를 소지하고 실제로 자가운전을 하는 75명(20세-39세 21명, 40-64세 40명, 65세 14명)을 대상으로 하였다. 연구 참여자는 자기-기입 설문지를 통하여 성별, 우세 손, 약물복용 여부, 운동 여부, 연령 및 운전 기간을 응답하였다. 또한 조용한 운전능력 실험실에서 운전운동평가 기기를 통하여 조향, 가속 및 제어 등의 운전운동평가를 실시하였다. 연구결과, 파워검사는 연령대에 따라서 유의한 차이가 없었으나, 타이머검사 및 응급제어검사의 총 시간은 연령에 따라 유의미하게 차이가 있으며, 20세~39세에서 가장 빠르고, 65세 이상의 노인에서 가장 느리게 나타났다. 본 연구결과를 바탕으로 정상적인 노화는 고령 운전자의 운전행동양상과 연관된 지각-인지과정에 영향을 미친다고 제언하는 바이다.

• PNF and Movement
• /
• 제18권3호
• /
• pp.445-452
• /
• 2020

Purpose: The purpose of this study was to evaluate the analysis of the association between upper extremity function and the Wolf Motor Function Test (WMFT) for chronic hemiparetic stroke patients and investigate the evidence of the WMFT as a clinical tool of upper extremity function in individuals with chronic hemiparetic stroke. Methods: This study applied an observational, cross-sectional design in outpatients at three local rehabilitation units in Seoul. Forty-nine individuals who had a diagnosis of first stroke participated in this study. All participants were analyzed for four clinical measures, including the Box and Block Test (BBT), the WMFT, grip strength, and the Canadian Occupational Performance Measure (COPM). Results: Upon analysis, a significant relationship was found between the WMFT scores and BBT scores as well as the grip strength. The WMFT score was statistically and positively associated with the COPM satisfaction score; however, it was not related to the COPM performance score. Conclusion: The results of this study suggest that the WMFT is positively related to simple tasks, such as hand muscle strength and manual dexterity. However, the WMFT does not have a relationship with complex tasks, which are measured by COPM performance abilities.

• 한국임상보건과학회지
• /
• 제5권4호
• /
• pp.998-1008
• /
• 2017

Purpose. The effect of mentoring program on the adaptability of college students to occupational therapy freshmen. Method. Pre-post-test design was performed, and 20 experimental group were selected. Six students in the senior grade of occupational therapy, who can serve as a mentor to experimental groups, were selected from March 28, 2017 to April 26, 2017 conducted a mentoring program. They used BDI, SACQ, Interpersonal relation test. Result. The results of this study are as follows. The mentoring program was effective in improving the adaptation of college students to school life. It was found that the mentoring program was effective in major adjustment, social adjustment, personal-emotional adjustment and academic adjustment. Conclusion. The mentoring program had a significant effects on major adjustment, social adjustment, personal-emotional adjustment and academic adjustment in occupational therapy college freshman.

• 보건교육건강증진학회지
• /
• 제33권1호
• /
• pp.23-32
• /
• 2016

Objectives: The aim of this study was to examine the effects of home-based cognitive physico-occupational therapy(HBCPOT) on cognitive function, depression, and quality of life in dementia patients, using a cognitive impairment model. Methods: The data was analysed for Mini-Mental State Examination-Korean version (MMSE-KC) for assessing cognitive function, Quality of life-Alzheimer's Disease (QOL-AD) and Geriatric Depression Scale (GDS) in 31 dementia patients who received home-based cognitive physico-occupational therapy for one hour once a week for 12 weeks by a trained occupational therapist at the Dementia Prevention and Management Center of Y-city during 20111-2013. Results: Among these 31 patients, 18(58.1%) were female, and 25(80.6%) had Alzheimer's Disease. After HBCPOT, the mean scores of MMSE-KC and QOL-AD were significantly improved, but GDS score was not significantly decreased. Conclusions: It was suggested that HBCPOT was effective in improving cognitive function and quality of life.

• The Journal of Korean Physical Therapy
• /
• 제19권3호
• /
• pp.31-39
• /
• 2007

Purpose: This study was conducted to investigate the effect of distraction manipulation on the pain and. intervertebral disc angle in patients with herniated intervertebral lumbar discs. Methods: 30 patients who visited to receive the treatments of the physical therapy in W pain clinic in Daejeon. All subjects had been treated with flexion-distraction manipulation for 30 minutes per day and three times a week during 12 weeks period from June 10 to 19 August 2006. They were randomly divided into two groups: lumbar 4 and lumbar 5 group. Results: Pain of L4 and L5 group was significantly reduced after than before treatment(p<0.05). The intervertebral lumbar disc angle was significantly improved after than before treatment(p<0.05). Conclusion: These results indicated that distraction manipulation has a effectiveness in patients with herniated lumbar disc.

• Physical Therapy Rehabilitation Science
• /
• 제7권4호
• /
• pp.191-196
• /
• 2018

Objective: The purpose of this study was to investigate the effects of 5 different personalities on job stress in physical therapists. Design: Descriptive cross-sectional study. Methods: Structured self-report questionnaires consisted of demographic items, 5 types of personalities, and occupational stress. A questionnaire was distributed to 420 physical therapists working in Seoul and Incheon who had voluntarily agreed to participate in the study after the purpose of the study was explained. Of the 420 questionnaires, 405 questionnaires were collected and showed a recovery rate of 96.4%, of which 28 cases were excluded, leaving a total of 377 questionnaires being used for analyses. Pearson correlation analysis was performed to investigate the correlation of job stress and five personalities types. In addition, multiple regression analysis was performed to investigate the effect of general and occupational characteristics of physical therapist on job stress and the effect of personality type on occupational stress. All statistical significance levels were set at p<0.05. Results: The highest number of subjects, which were the physical therapists, showed the tendency to have a sincere personality, followed by affinity, openness, extroversion, and neuroticism. Physical therapists reported to be the most stressed in the order of professional role conflict, overload of work, work relation with a physician and supervisor, interpersonal relationship with patient and caregiver. The higher the level of affinity and sincerity, the lower the amount of stress received by the therapist from the interpersonal relationships between the patient and caregivers. On the other hand, the greater the level of openness and sincerity, the lower the stress levels related to professional role conflict. Conclusions: This study showed that the personality type and job stress of physiotherapists had a statistically significant effect. It is very important for physiotherapists to find their own way of coping with stress, which is satisfactory and appropriate for their job, because it is related not only to individual problems but also to the quality of patient care and medical services. Therefore, it is necessary to continue conducting research on how to relieve the stress levels of physical therapists according to their personality characteristics.