• The Journal of Korean society of community based occupational therapy
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• v.7 no.1
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• pp.59-70
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• 2017

Objective : The purpose of this study was to examine the effect of virtual reality-based remote rehabilitation on stroke patients systematically and to look for its effect and how to apply it domestically. Methods : In order to search data, EMBASE and CINAHL database were used. Relevant research used those terms of virtual reality, telerehabilitation, and stroke. A total of 10 studies satisfying the selection criteria was analyzed according to their qualitative level, general characteristics, and PICO method. Results : Based on the selected 10 studies, virtual reality-based telerehabilitation system was applied. Sensory and motor feedback was provided with inputting visual and auditory senses through a video in the home environment, and it stimulated changes in the client's nervous system. Tools to measure the results were upper extremity function, balance and gait, activities of daily living, etc. Those virtual reality-based telerehabilitation method had an effect on upper extremity function and ability of sense of balance in all studies, and on the activities of daily living partially. Telerehabilitation service to make up environmental specificity improved satisfaction of client. That meaned the effect of the intervention to maintain the function. Conclusion : The virtual reality-based telerehabilitation system was applied to upper extremity function, sense of balance, and activities of daily living largely, and it showed that it helped to improve functions through intervention, supervision, and training of therapist in the home environment as well. This study suggests the basis and possibility of clinical application on virtual-reality based telerehabilitation. Additional research is needed to diverse virtual reality intervention methods and the effect of telerehabilitation in the future.

• 재활복지
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• v.21 no.4
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• pp.119-147
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• 2017

The purpose of this study is to analyze the awareness and needs for community based Telerehabilitation(TR) service by carrying out a online survey targeting individual with disabilities. By using the survey, we attempt to utilize the results as the basis for the health promotion and effective rehabilitation service to the disabilities in the community. Survey was conducted on the 162 target users, who use center for independent living, are registered as disabled. There are 34 questions in total. The results of the study are as follows. First, 74.7% of respondents said 'they had never heard of TR service'. 68.3% of the respondents said that 'they want to use the service' and 78% are positive about the service. Second, 84% of them said 'they have an intend to participate the service', 87.1% of the respondents answered that they needed 'very necessary' and 'necessary' in the question of necessity. Third, as a results of searching the requirements for TR service, it was found that there are requirements such as service system and construction considering the characteristics of the disabled, service provision of rehabilitation experts, and various program composition. Based on the results of this study, we suggest the development of a differentiated TR system program to improve the quality of rehabilitation for individuals with disabilities by considering the reality of rehabilitation treatment of community disabled people and considering the knowledge and needs of TR system.

• 한국노년학
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• v.40 no.4
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• pp.747-760
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• 2020

The purpose of this study is to prepare basic data necessary for the development of services or systems that can enhance the accessibility of health and medical services or enhance the efficiency of health and medical use of senior citizens by identifying factors for predicting health and medical use behavior of senior citizens in Incheon Metropolitan City through the Korea health panel data(version 1.5). Through the structural equation model established through the SPSS and AMOS, it was confirmed that the predisposing factors, health behaviors and needs factors had significant direct and indirect effects on the use of health care services. Since the imbalance in demand and supply of health and medical services is more severe than in other regions, the results of this study can be used as basic data when checking whether the current health and medical system in Incheon Metropolitan City can operate effectively in an aged society and discussing how to provide health and medical services to the elderly in Incheon.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.1
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• pp.312-320
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• 2013

This study was to examine usefulness of MoCA-K by comparing the correlation between LOTCA-G, MMSE-K and MoCA-K, regarding detecting elderly people's mild cognitive function in local community. The experiments in which the three different evaluation methods were employed, of this study were conducted on 50 elderly people. While the score of MoCA-K and MMSE-K was $22.72{\pm}5.85$ out of 30 and $25.08{\pm}3.78$ out of 30 respectively, the result of LOTCA-G was $96.28{\pm}6.82$ out of 104. Observing each result of the three cognitive function assessment tools towards general characteristics showed no significant differences in gender. However, they were at considerable variance with age and education level of the example group. As all the three results of the assessment methods showed high correlation, it is reasonable to believe that MoCA-K is an appropriate evaluation tool to assess the cognitive function of old people.

• Journal of the Korea Convergence Society
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• v.13 no.2
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• pp.39-46
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• 2022

The purpose of this study is to determine the effect of a convergence approach, which applies both home environment modification applied with assistive technology and task-oriented intervention using a fall safety checklist, on the fall efficacy and activity level of stroke patients. 41 persons with stroke(21 experimental groups and 20 control groups) were divided into experimental and control groups. The experimental group was applied environmental modification and the task-oriented intervention using the fall safety checklist for 4 weeks. The control group was provided only the environmental modification. Before and after the intervention, the Korean Activity Card Sort (KACS) and the Korean Falls Efficacy Scale-Korean version (FES-K) were used for evaluation. There was no significant difference in fall efficacy and activity level change between the experimental group and the control group. Both the experimental group and the control group significantly improved the fall efficacy and activity level after the intervention. By applying the results of this study to the clinical field, it will be possible to support stroke patients to live safely and actively participate in the community.

• Journal of Korea Entertainment Industry Association
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• v.13 no.8
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• pp.619-626
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• 2019

This study was conducted to investigate the effects of a participatory rehabilitation program on sit-rise and rise-to-walk test performances, and perception and motor skills in adults with medically vulnerable individuals and, adults with developmental disabilities in particular. Seventeen adults with developmental disabilities participated in a participatory rehabilitation program using resistance bands and exercise balls, for 60 minutes once weekly over 13 weeks. Their performances were measured before and immediately after the intervention, and 12 weeks after. The findings were as follows. In the sit-rise test, the number of times rising from sitting posture increased after the intervention versus before, but the difference was not statistically significant. In the rise-to-walk test, the performance showed statistically significant difference over time, and the post-hoc test showed a significant effect after the intervention versus before. There was no significant difference in perception and motor skills. In sum, the participatory rehabilitation program positively influenced dynamic balancing related to functional activities but had no significant effect on perception and motor skills, which is related to motor control and motor learning. It is suggested that to increase the participation in community activities, reduce fall risk, and improve dynamic balancing abilities in adults with developmental disabilities, participatory rehabilitation programs should be utilized to promote the physical wellbeing.

• Journal of the Korea Convergence Society
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• v.12 no.12
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• pp.427-434
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• 2021

This study was conducted to investigate the job-performance of manual wheelchair post-management and to find out the relationship between job-performance and vocational ability of people with developmental disabilities. In this study, situational evaluation and vocational evaluation were conducted for 9 subjects participated in the vocational training program about manual wheelchair post-management. The data was analyzed by non-parametric statistical processing. As a result, the job-performance was an average of 80.87%. The job-performance had a positive correlations with visual closure, kinesthetic integration, and basic concepts(p<.05). The relationship between job-performance and vocational abilities can be used as basic data for vocational training program and job assignment. It is expected to be useful of spreading the post-management job for assistive technology devices in the local community activated through the convergence of assistive technology and vocational rehabilitation.

• Journal of Convergence for Information Technology
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• v.9 no.6
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• pp.175-182
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• 2019

This study was conducted to test the assessment validity and examine the cut-off scores for driving risk as a part of the Self-report Assessment Forecasting Elderly Driving Risk (SAFE-DR) development project. The 132 senior drivers were categorized as either risky of 58 or safe of 74 drivers through the Drivers 65 Plus. Based on this initial assessment, we analyzed the risk prediction cut-offs. Furthermore, we tested the construct, content, and predictive validity. The cut-off score for the prediction of driving risk was found to be 74.5 points. The positive predictive value was 88.6%, and the negative predictive value was 86.3% about the cut-off score, signifying an excellent level of discrimination. Convergent validity, nomological validity, and content validity were found to be appropriate. Therefore, this study confirms that SAFE-DR is an appropriate assessment that can be used to screen dangerous elderly drivers.

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.4
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• pp.1-9
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• 2021

Purpose : The purpose of this study was to investigate functional disability for the elderly in rural Korea and to identify influencing factors of functional disability. Methods : The data were collected for 76 community-dwelling elderly in rural area and above 65 years. We assessed cognitive function, functional disability, depression using LACLS, WHODAS 2.0, SGDS-K. Data were analyzed using descriptive statistics for general characteristics of subjects, Spearman's correlation among LACLS, SGDS-K, WHODAS 2.0, age, educational levels. And multiple regression was used to find influencing factors of functional disability. Results : As a result of this study, we identified that WHODAS 2.0 total score was 50.59, summary score was 9.94 and functional disability of the elderly in rural area is in the 70^th percentile. The highest level of disability occurred in areas related to 'life activities (household)', 'participation in society' and the lowest level of disability occured in areas of 'self-care', 'getting along with people'. Functional disability was significantly correlated with age (r=.398), cognitive function (r=-.547), depression (r=-.563) but not educational levels (r=-.215). Finally, we confirmed that depression (𝛽=.371), cognitive function (𝛽=-.263), widowed status (𝛽=.303), age (𝛽=.272), non-participation of community program (𝛽=.165) was significantly influencing factors of functional disability and the explanatory power of these factors was 52.80 %. Conclusion : This study revealed important factors of functional disability. Therefore, we need to consider these factors when we developed program related to health for the elderly (aged > 65 years) in rural Korea. Further, we need to standardize WHODAS 2.0 in order to enhance its applicability in clinical practices.

• The Journal of Korean society of community based occupational therapy
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• v.6 no.1
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• pp.13-23
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• 2016

Objective : The aim of the present study was to investigate the effect of aloud reading on handwriting legibility in low-level elementary school children. Methods : The subject of the present study consisted of 45 elementary school 2nd graders who were normally developed checked by the Developmental Test of Visual Perception. Experimental period was conducted total six times that Pre-evaluation once, four times intervention, and Post-evaluation once from November 2 to November 25, 2015. When Pre-evaluation and Post-evaluation was measured the handwriting legibility and speed using Handwriting Skill Test. When intervention divided and implemented to experimental group who handwriting with aloud reading, control group1 who only handwriting, and control group2 who nothing. Pre-evaluation and Post-evaluation identified change the handwriting legibility using Handwriting Skill Test. Result : After intervention, handwriting legibility improve female than male. At word card1, control group1 improve significantly handwriting legibility within group and control group2 come out significant difference but handwriting legibility decrease. At word card2, experimental group and control group1 improve significantly handwriting legibility within group. Experimental group and control group1, control group1 and control group2 come out significant difference between group. Conclusion : The present study demonstrates that handwriting training improve handwriting legibility to elementary school 2nd graders.