• Title/Summary/Keyword: 근거 기반 치료

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The Effect of Combination Intervention of Occupation - Based Intervention and Computerized Cognitive Rehabilitation on Depression in Stroke Patients for Wellness (작업기반 중재와 전산화인지재활치료의 결합 중재가 뇌졸중 환자의 웰니스를 위한 우울감에 미치는 영향)

  • Kim, Sun-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.1
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    • pp.229-236
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    • 2021
  • The purpose of this study is to investigate how the combined intervention of occupation-based intervention and computerized cognitive rehabilitation treatment affects the psychosocial function, cognitive function, and depression of stroke patients. 23 stroke patients were divided into experimental group(n=11) and a control group(n=12), and the experimental group and the control group received CoTras for 4 weeks and 30 minutes each, and additionally the experimental group received task-based intervention for 30 minutes before the start of CoTras. It was conducted 20 times for a total of 4 weeks. Self-efficacy scale, stress scale, depression scale, neurobehavioral cognitive status examination were used. As a result of the study, the experimental group showed significant improvement in improvement of self-efficacy, stress, and depression than the control group, and the experimental group showed a small effect difference in magnitude of effect from the control group in cognitive function. Based on this study, it is possible to utilize the simultaneous task-based intervention with CoTras to improve psychosocial function, depression and cognitive function in stroke patients.

Occupational Therapy for Activity and Participation of Children and Adolescents With Developmental Disability: A Systematic Review (국내 발달장애 아동·청소년의 작업치료 목표에 대한 체계적 고찰: ICF-CY 모델의 활동과 참여를 중심으로)

  • Park, Jihoon;Choi, Jeong-sil;Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.2
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    • pp.56-68
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    • 2019
  • Objective : The purpose of this study is to provide evidence for a systematic analysis of occupational therapy interventions for the activity and participation of children and adolescents with developmental disabilities. Methods : The articles used in this study were collected from the RISS, KISS, and DBpia databases. The key words used were "children and occupational therapy" "children and sensory integration," "adolescent and occupational therapy," "adolescent and sensory integration," "developmental disorder and occupational therapy," and "developmental disorder and sensory integration." The research period was limited to January 2008 to August 2018. Seven articles in total were selected for systematic analysis. Results : Most of the included works were single-case studies, and most subjects dealt with the autism spectrum disorder. The majority of the interventions used involved sensory integration. Occupational therapy interventions were self-care (33%), major life area (33%), learning and application (11%), communication (11%), and mobility (11%). Conclusion : This study will help with understanding the current state of occupational therapy interventions for the activity and participation. On the basis of this understanding, various studies on this subject are expected to be conducted in the future.

The Effects of Telerehabilitation Based Occupational Therapy on Executive Function, Activities of Daily Living, and Occupation Performance of People With Stroke (원격재활 기반 작업치료가 뇌졸중 환자의 실행기능, 일상생활수행, 작업수행에 미치는 영향)

  • Park, Seong-Sun;Kim, Su-kyung;Yoo, Doo-Han;Kim, Hee
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.115-127
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    • 2021
  • Objective : The purpose of this study was to investigate the effect of telerehabilitation on executive function, activities of daily living, instrumental activities of daily living, and occupational performance in stroke patients. Methods : The participants of this study were 30 outpatients with stroke residing in community. Both groups underwent the intervention 3 times a week for a total of 18 sessions. For the experimental group telerehabilitation was administered at home to only fifteen participants in the experimental group schedule, and it was supervised by the caregiver. Fifteen people in the control group underwent only the traditional occupational therapy. Executive function and instrumental activities of daily living were evaluated using the Korean version of the Executive Function Performance Test (EFPT-K). The basic daily activities of living were assessed using the Modified Barthel Index (MBI). The Canadian Occupational Performance Measure (COPM) was used to evaluate the client-centered occupational performance. Results : After the intervention, the experimental and control groups showed improvements in executive function, instrumental activities of daily living and occupational performance. Occupational performance improved more significantly in the experimental group than in the control group. Conclusion : Telerehabilitation and occupational therapy positively affect executive function, instrumental activities of daily living and occupational performance of patients with stroke. We suggest that telerehabilitation combined with occupational therapy is more effective in improving the occupational performance of stroke patients.

Clinical Effectiveness of Upper Extremity Performances on Mirror Therapy for Adult with Post Stroke Hemiplegia: A Systematic Review (뇌졸중으로 인한 편마비 환자의 상지기능 향상을 위한 거울치료의 임상적 효과에 대한 체계적 고찰)

  • Baek, Sun-Woong;Kim, Jong-Bae
    • Therapeutic Science for Rehabilitation
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    • v.5 no.2
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    • pp.71-80
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    • 2016
  • Objective: To illustrate effects and application potential of Mirror Therapy (MT) for patients with post-stroke hemiplegia. Method: With reference to 9 journals (published Jan.2005-Jan.2016) on Pubmed, selected based on in/exclusion standards. Result: Simple wrist/hand movements and task-based MT were used as intervention methods to examine the effects. Tools used to assess intervention effects included upper limb functioning, Activities of Daily Living (ADL), physical condition and quality of life. Upper limb functioning turned out to have significance for ADL with higher effectiveness at the distal than the proximal region. Yet the quality of life disparity between the experiment group and the control was not found to be significant. Conclusion: We believe that research can aid clinical therapists in applying MT accordingly to individual patient characteristics. Despite prolonged difficulty in confirming efficient application due to varied protocols, development of systemized treatment protocols for maximization of MT's effectiveness remains necessary.

Effects of Therapeutic Interventions on Upper Extremity Function Among Children With Cerebral Palsy in Domestic: A Systematic Review (국내 뇌성마비 아동의 상지기능 향상을 위한 중재효과에 대한 고찰)

  • Park, Young-Ju
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.2
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    • pp.64-74
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    • 2018
  • Objective : The purpose of this study is to examine the effects of therapeutic interventions on upper extremity function of children with cerebral palsy using systematic review methods and to suggest intervention trends in Korea. Methods : The subjects of the study were the researches published in the Korean Journal since 2008. Total 12 studies were selected through Korean research database engine such as DBpia, Scholar, KSDC, KISS and RISS for the systematic review. Key words were 'cerebral palsy', 'upper extremity function' and 'hand function'. The results of this study were analyzed by qualitative level and methodological quality level of evidence, and the results of each study were analyzed according to the PICO approach, that is Patient, Intervention, Comparison and Outcome. Results : For the level of evidence, Grade IV and V were most frequent. In terms of methodological quality, majority of the studies showed 'Fair' level. The subjects were the children with hemiplegia, and Single-subjects designs and case studies were frequent experimental design. Constraint-induced movement therapy (CIMT) was most frequently conducted among the intervention studies, and Jebsen-Taylor Hand Function Test was most frequently used evaluation tool. Eleven studies showed that the upper limb functions were significantly improved or were positively effective. Conclusion : Various intervention methods have been implemented to improve the upper limb functions of children with cerebral palsy. In the future, studies on intervention methods based on the type of paralysis and studies with high quality of evidence should be conducted in Korea.

Effects of Computer Based Virtual Reality Program on Clinical Rehabilitation in Korea: A Meta-analysis (컴퓨터 기반 가상현실 프로그램의 국내 임상재활 적용 효과: 메타분석)

  • Kwon, Jae-Sung
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.293-304
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    • 2015
  • Meta-analysis was conducted to examine effects of computer based virtual reality on clinical rehabilitation in Korea. The data were analyzed as the ICF categorizations. The papers used in this study were located through domestic data search engines. The fifteen studies were selected among the studies published between 1995 and 2014. The PEDro score was used for qualitative assessment. The sample size and the average and standard deviations of pre and post tests were analyzed through a meta-analysis. The PEDro scores of the selected studies were 6 points higher and 338 participants were involved. The effect size of combined data was 1.030, activities and participation 1.120, sensory function 1.199 as indicated by a "large effect size" and the effect size of mental function was 0.557 as indicated by a "medium effect size." As a result, virtual reality program as a adjunctive therapeutic methods has proven the effect. In particular, the effects were demonstrated in activities and participation, sensory function. However there was no evidence of the effectiveness of mental function.

Review of Intention-to-Treat Analysis in Randomized Controlled Trials (무작위 대조군 실험 연구에서 치료의향분석 (Intention-to-treat analysis)에 대한 고찰)

  • Kim, Junghun Aj
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.27-38
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    • 2020
  • Introduction : This review aims to introduce an intention-to-treat analysis(ITT) method and demonstrate the importance of rigorous utilization of this method to researchers in Korea. Discussion : ITT analysis includes all data as results in randomized control trials (RCT). Thereby the result of RCT is high validated to adapt in the real-world so that the result should be expected at clinical practice. Therefore, many RCT quality assessment tools include the question of the utilization of ITT analysis in individual trials. However, many researchers omit to report ITT, not utilize ITT or use ITT incorrectly. Conclusion : Through this review, more Korean researchers may understand and utilize ITT which is expected to enhance the quality of RCT papers.

Occupational Therapy Strategies for Visual Motor Skills of Children: A Systematic Review (시운동기술에 관한 아동 작업치료의 체계적 고찰)

  • Hong, Eun-Kyoung;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.8 no.1
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    • pp.61-72
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    • 2010
  • Objective : This study tried to identify evaluation tools and intervention approaches that have been used regarding visual motor skills of children, in order to suggest the best evaluation method and intervention strategy. Methods : This study employed a systemic review. Papers researched for the review were selected from the PubMed which is a web engine to search academic articles. For search, time period of publication was limited from January 2001 to Jun 2010, and key words used were "visual motor and occupational therapy", "visuomotor and occupational therapy", and "perception and motor and occupational therapy". 13 papers among total 161 findings were selected for data analysis. Results : Through literature review, followings were founded. For population targeted in studies, children with developmental disorder are majority(20.00%) and those with handwriting problems are another major group(13.33%). DTVP(33.33%) and VMI(26.67%) are most common tools used to evaluate visual motor skills. Most frequently used intervention method is developmental skill based program(58.82) and the second common method is sensory integration therapy and sensory-based intervention(23.53%). Regarding the effectiveness of occupational therapy for visual motor skill, positive evidences with statistical power take 72.73%. Conclusion : The results imply that occupational therapy is effective for visual motor skill in children. It is suggested that further studies are needed to encompass effectiveness of occupational therapy in terms of children's occupational performance.

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Studying Women's Experiences with Art Therapy Kits in the 2030s through Focus Group Interviews (포커스 그룹 인터뷰를 통한 2030대 여성의미술치료 키트 참여 경험 연구)

  • Kim, Bohyun;Park, Boram
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.275-290
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    • 2023
  • We aimed to revise and supplement the art therapy kit based on the findings of a review of women's experiences participating in the art therapy kit in the 2030s. After women in their 2030s experienced the developed art therapy kit for one month, we organized two homogeneous groups of 8 art psychotherapy majors and 5 non-majors to collect data through focus group interviews and analyzed them using grounded theory methods. In the end, 100 converted meaning units, 16 subcomponents, and 5 components were derived. There is a lack of research on the development and experience of art or art therapy-based kits in Korea, so it is important for us to provide basic data on the experience of art therapy kits. In addition, the study participants experienced insights into themselves and their emotions based on the accumulated art therapy kit outputs through immersion in emotion exploration and recognition, and these experiences led to the participants' recognition of the need and value of developing art therapy kits. The individual and unique outcomes of the art therapy kits became evidence of self-awareness, confirming the therapeutic effectiveness of art therapy kits as a tool for emotion exploration and recognition and for emotional change and resolution.

The Effect of Intervention on Improving Cognitive Function of Patients with Dementia in Korea : A Systematic Review of Randomized Controlled Trials (국내 치매환자의 인지기능 향상을 위한 중재의 효과: 무작위 대조군 실험연구의 체계적 문헌고찰)

  • Jung, Jae-Hun
    • Journal of Industrial Convergence
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    • v.19 no.5
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    • pp.91-102
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    • 2021
  • The purpose of this study was to systematically review about randomized controlled trials the characteristics and effect of cognitive function intervention for patient with dementia. We searched studies published from January 2010 to June 2021 in 5 databases. A total 1,104 studies were found and included 27 studies in final analysis. Methodological quality was assessment with the Cochrane's RoB(risk of bias) tool. Mini-Mental State Examination(MMSE) was the most used as the assessment tool for identifying the cognitive function. Cognitive function intervention were exercise, art, cognitive stimulation, reminiscence, music, multimodal cognitive rehabilitation, virtual reality, horticultural, computerized cognitive training, intentional snoezelen, beauty, cooking, korean traditional familiarity program. Most of the intervention except exercise 2, virtual reality 1, beauty 1 were effective in improving cognitive function. This study provided a clinical evidence for planning and implementing intervention for cognitive function intervention. In the future, various intervention studies suitable for the characteristics of dementia should be conducted by improving the quality of research methods.