• Korean Journal of Occupational Therapy
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• v.26 no.4
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• pp.13-26
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• 2018

Objective : The aim of the study was to investigate the application of nonpharmacological cognitive interventions in patients with dementia. Methods : We searched published studies in KISS, PubMed, and Sciencedirect databases from January 2013 to December 2017. The main keywords used were "Dementia" AND "Cognitive stimulation OR Cognitive rehabilitation OR Cognitive training" and a total of ten studies were selected for analysis from 753 searched articles. Results : Seven of the ten selected studies showed significant improvements in cognitive function after intervention, whereas three studies showed no improvement in cognitive function; however, activation of brain waves, improvement in the relationship between care givers and patients, improvement in the quality of life of care givers, and improvements in visual motor skills were shown. Mini-Mental State Examination(MMSE) was used as the assessment tool for identifying the effects of the cognitive function improvement, and in four studies the quality of life of dementia patients was measured as an intervention effect. The main subject of the cognitive intervention is patients with mild to moderate dementia. Conclusion : The results of this study can be used as a basis for the selection of intervention methods, as well as their duration and assessment, according to the characteristics of dementia patients.

• The Journal of the Korea Contents Association
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• v.21 no.2
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• pp.667-675
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• 2021

This study conducted a systematic review of evidence-based interventions to confirm the importance of gait in dementia patients and to inform the necessity of various interventions necessary for gait. Based on PRISMA's guidelines and evidence-based intervention, a systematic review were conducted, and papers published in domestic journals for the past 10years were collected, and the dependent variables measured along with the intervention type and gait were analyzed. For data search, research papers from January 2011 to June 2020 were collected through RISS, KISS, the National Library of Korea, and the Library of Congress. The main search terms were 'dementia patient', 'walking', and 'walking ability'. Searched 57 papers on dementia patients and gait that meet the literature selection criteria. Among them, papers overlapping with papers before 2010, papers whose dependent variable is not related to gait ability were excluded, and finally, other than dementia diseases. As for the type of gait intervention, there were many programs related to exercise such as fall prevention and physical activity, and the dependent variables measured along with gait were physically and psychologically diverse. Although domestic studies for dementia patients are conducted in a variety of directions and methods, there are few studies on the improvement of function and gait of the lower extremity part of the body. Therefore, it is necessary to study the multifaceted and various intervention methods for walking in dementia patients.

• Therapeutic Science for Rehabilitation
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• v.12 no.4
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• pp.53-65
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• 2023

Objective : This study aimed to identify the experiences and practices of occupational therapists in mental health and provide interventions for improving body function in individuals with mental illness. Methods : Data were collected from mental health therapists between November 7 and November 14, 2022. A survey was distributed via email and 46 responses were analyzed using descriptive statistics and correlations. Results : The majority were female (58.7%), aged 20-30 years (84.8%), working in mental health centers (41.3%), and undergoing mental health occupational therapy training (91.3%). They had 1-3 years of mental health experience (65.2%) and were commonly involved in programs (71.1%), case management (62.2%), and administration (57.8%). Interventions for physical functioning were common (73.9%), including group interventions (41.2%), such as stretching, aerobic exercise, and walk training, and individual interventions (38.1%), such as walking, stretching, and aerobic exercise. Conclusion : Occupational therapists play a crucial role in enabling individuals with mental illness to engage in daily life activities. However, relevant studies in this field are lacking. This study emphasizes the importance of mental health occupational therapy and the need for evidence-based services for physical function improvement interventions to provide more effective treatments for mental illnesses.

• 한국노년학
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• v.37 no.2
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• pp.445-459
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• 2017

The purpose of this study is to provide a systematic review of the nonpharmacological interventions of ADL improvement for dementia published in foreign journals for the past 10 years, and to provide general information on nonpharmacological interventions and effective intervention methods to dementia expert in clinical practice. We searched published studies in the Medline Complete, PubMed Central, and Scopus databases from January 2007 to November 2016. The main keywords used "Dementia AND (ADL OR Activities of daily living) AND Nonpharmacological interventions" and total of 9 studies were selected for analysis from 974 searched articles. The level of evidence were belonged to 3 each studies in I~III level. The mostly provided nonpharmacological interventions were exercise, the study field was variety of areas including rehabilitation(occupational therapy, physical therapy), nursing, and psychology. The Barthel Index(BI) was most frequently used assessment tools to evaluate basic activities of daily living, Cognition was most dependent variables measured with the ADL. Through this study, we provided evidence for the understanding of nonpharmacological interventions of ADL improvement for dementia. In the future, based on this study, helpful intervention needed for ADL training.

• Therapeutic Science for Rehabilitation
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• v.5 no.2
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• pp.81-92
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• 2016

Objective: This study aim is to identify whether 30minutes optokinetic stimulation(OKS) with smooth pursuit eye movement can alleviate chronic hemispatial neglect. Methods: We applied optokinetic stimulation with smooth pursuit eye movement to 2 chronic hemispatial neglect patients. experimental duration was total 4weeks - 1week baseline, 2weeks OKS intervention, 1week 2nd. baseline. The intervention was 10 OKS sessions (30min each, 1session daily, from Monday to Friday) over a period of 2weeks. The neglect test carried out 3 times a week every other day. The OKS was provided on the screen when patient sat in front of the screen(13.5 inch). The OKS video that the 24 yellow squares moving coherently from the right to the left side. Patients were instructed to perform smooth pursuit eye movement without head and neck movement. Results: As a result of the OKS for 2weeks, the degree of neglect trends to decrease on both 2 cases compared to baseline A. The degree of the neglect of subject 1 tended to increase the at the baseline A. In contrast, the subject 2 showed that tendency that the degree of the neglect declined additionally at the baseline A. Conclusions: We identified that 30 minutes optokinetic stimulation with sooth pursuit eye movement is effective intervention method for chronic hemispatial neglect.

• The Journal of Korean Academy of Sensory Integration
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• v.15 no.2
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• pp.35-45
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• 2017

Objective : The purpose of this study is to investigate the effect of modified Interactive Metronome (IM) program which is applicable to clinical practice based on the IM protocol on the behavioral symptoms, timing and motor function of children with Attention Deficit Hyperactivity Disorder (ADHD). Method : This study used one-group pretest-posttest research design. 13 ADHD children aged 7-12 years in Busan were participated in this study. The participants were underwent 24 sessions of 30 minutes intervention, 3 times a week. Evaluations were performed before- and after the intervention. Measurements used in this study were Korean-ADHD Rating Scale for behavior symptom, Long Form Assessment (LFA) for the timing, and second version of Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) for the motor function. Results : There was a significant improvement in hyperactivity / impulsivity among the behavioral symptoms, and there was a statistically significant improvement in timing, hand coordination, and body coordination. Conclusion : Modified IM program for clinical application has significant effect on improving behavioral symptoms, timing and motor function of children with ADHD.

• The Journal of Korean Academy of Sensory Integration
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• v.15 no.2
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• pp.46-65
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• 2017

Objective : The purpose of this research is to find clinical effects of application of weighted vest during task-oriented training focused on gross motor performance and balance abilities of children with spastic diplegia. Methods : 34 subjects were divided by simple random sampling into two groups; experimental group (male : 9, female : 8, average age : 8.12) and placebo group (male : 9, female : 9, average age : 7.53). Both two groups underwent to 40 minute intervention, twice a week for 12 weeks. The intervention was task-oriented training focused on facilitating closed kinematic chain and multi-joint functional movement pattern. During the training, the experimental group received loaded-resistance weighted vest and placebo group also received weighted vest but without loaded-resistance. Participants in both groups underwent 8 to 10 reps of the task-oriented training and there were 3 minutes break time between tasks. There were pre-test of gross motor performance and balance abilities, and two times of post-tests were performed upon 6 weeks and 12 weeks after the intervention completed. And in final, an additional follow-up test was performed 12 weeks after the evaluation was finished in order to find any difference between the two groups over time. Results : There was significant difference in Gross Motor Performance Measure (GMPM) between two groups. It is found that average score of the experimental group increased more than the placebo group after 6 weeks and 12 weeks intervention (p<.05). There was significant difference in Pediatric Berg's Balance Scale (PBS) between two groups. It is found that average score of the experimental group increased more than the placebo group after 6 weeks and 12 weeks intervention (p<.05). Conclusion : Based on the results in this study, it is proposed that application of weighted vest into task-oriented training to facilitating closed kinematic chain and multi-joint movement can improve gross motor performance and balance abilities of children with cerebral palsy.

• Therapeutic Science for Rehabilitation
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• v.5 no.2
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• pp.49-55
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• 2016

Objective: The purpose of this study was to look at a systematic review on the relationships of saccadic eye movements and cognition. Through this comprehensive study, we have to compare the studies. Methods: We systematically examined papers published in journal from 1995 to 2015, using KERIS. Main words to examine are saccadic eye movements, cognitive function, cognition, relationship, saccade program, etc. Results: 6 studies were selected, All of them were saccadic eye movements. Eye movements and cognitive function have correlation. Age from 5 to 65 years from the studies, they found the relationships between cognition and saccade(p<.05). However, the results demonstrated some limitations. First, there were variation in large of age spectrum. Second, the populations were small. Therefore, in the future study, saccadic eye movements study apply to variety of interventions to separate experimental group and control group as cohort study, and majority of patients is needed on occupational therapy. Conclusions: In the future study, the use of eye movements apply to a variety of interventions and majority of patients is needed for the effect of cognitive function improvements. If occupational therapists can obtain knowledge and make a protocol for cognitive program.

• The Journal of Korean Academy of Sensory Integration
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• v.13 no.2
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• pp.53-61
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• 2015

Objective : The purpose of this study was to investigate the effects on sensory integration interventions for korean children which focused on vestibular - proprioceptive system. Methods : Authors systematically searched published studies in DBpia, KISS and RISS databases from August to September 2015. Key words in the search were 'sensory integration intervention', 'sensory integration therapy' and 'vestibular-proprioceptive'. By using the inclusion and exclusion criteria, we selected seven studies for further analyses examining level of evidence and methodological qualities. Information for the analyses were on study designs, participants, interventions, outcome measures and results. Results : Grade IV rated evidence was found from five studies, and Grade III and Grade V rated evidence was found from one for each study. The methodological levels of the quantitative studies were 'fair' (2) and 'poor' (5). Subjects for the studies were developmental delay (5), Asperger Syndrome (1), and not specific diagnosis (2). Single-subject design was most frequently used and motor area were most frequently evaluated. The interventions used the studies showed positive effects on outcome measures. Conclusion : This study presented the summary of sensory integration intervention based on vestibular-proprioceptive system for Korean children. More studies with high level of evidence and various study designs need to be followed.

• Journal of Korea Entertainment Industry Association
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• v.13 no.7
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• pp.461-468
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• 2019

The purpose of this study was to investigate effect of upper cervical stabilization exercise on Temporomandibular Disorder(TMD) and pressure pain threshold. 36 subjects were divided into two groups: upper cervical stabilization exercise group(UCSEG) and control on three times a week for a total of four weeks. The upper cervical stabilization group showed more significant effect than the control group (p <.01, 95% CI: 8.074, 16.899). (p <.01, 95% CI: .826, 3.243). In the change of pressure pain threshold, the upper cervical stabilization group showed significant improvement in both the masticatory muscle(p <.01, 95% CI: .251, 1.382) and masticatory muscle(p <.01, 95% CI: .462, 1.826).The results of this study showed that the upper cervical stabilization exercise was effective that TMD. It will be able to provide more effective interventions for patients suffering from TMD, and to suggest new approaches for TMD patients.