• Title/Summary/Keyword: 치료적 중재

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A Systemic Review of Positive Behavior Support Intervention Studies on Problem Behaviors of Children With Autism Spectrum Disorders: Focusing on Korean Single-Subject Research Design (자폐스펙트럼장애 아동의 문제행동에 대한 긍정적 행동지원 중재 연구의 체계적 고찰: 단일대상연구 설계를 중심으로)

  • Yoo, Yung-Mee;Choi, Yoo-Im
    • Therapeutic Science for Rehabilitation
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    • v.10 no.4
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    • pp.7-24
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    • 2021
  • Objective : This study examined the characteristics of the literature involving a single-subject research design among positive behavior support intervention studies to improve problem behavior in children with autism spectrum disorders and assess the quality level. Methods : This is a literature study, and the targets of analysis were nine single-subject research papers published between 2011 and 2020. The subject papers were analyzed by dividing them into general characteristics and the qualitative levels according to the content of the research method. Results : Analysis of analyzing the contents of the study showed that the subjects were preschool and elementary school-age children at the same ratio. Furthermore, the study design involved mostly the middle and multiple baseline designs among the behaviors. All papers presented social validity, intervention fidelity, and observer reliability. Problem behaviors included self-injury and aggression behaviors, disturbing behaviors, and seat break-away behaviors, while the most dependent variables were measured through partial interval recording. As a result of confirming the intervention effect, the effect was confirmed in intervention, maintenance, and generalization. All analysis studies showed high-quality levels. Conclusion : This study confirmed the content and qualitative level of the thesis that applied the single-subject research design among positive behavior support intervention studies for problem behaviors of children with autism spectrum disorders. Positive behavior support intervention, an evidence-based intervention for children with autism spectrum disorders, was confirmed an effective intervention for autism spectrum disorders.

Effects of Audiovisual Biofeedback(RAPAEL Smart Pegboard) on Cognitive Function of Stroke Patients (시청각 바이오피드백 훈련(RAPAEL Smart Pegboard)이 뇌졸중 환자의 인지기능에 미치는 영향)

  • Kim, Min-Ho;Park, Kyu-Yong;Lee, Na-Jung
    • Therapeutic Science for Rehabilitation
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    • v.9 no.3
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    • pp.77-89
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    • 2020
  • Objective : The purpose of this study is to investigate the effects of audiovisual biofeedback training using RAPAEL Smart Pegboard on the cognitive function of stroke patients. Methods : A total of 20 participants were divided into an intervention group and a control group, with 10 patients per group K-MoCA and NCSE were used for pre and post intervention evaluation. The intervention method of the intervention group provided traditional occupational therapy and audiovisual biofeedback training, and the control group provided traditional occupational therapy and participated in self-activity programs. Results : K-MoCA revealed a significant difference in visuo-spatial and executive functions, attention, memory, and overall score in the internvention group compared to the control group (p<.05). In addition, the results of NCSE showed that there was a significant difference in attention, memory, and overall score in the intervention group compared to the control group (p<.05). Conclusion : We confirmed that the audiovisual biofeedback training had a positive effect on the cognitive function of stroke patients. Therefore, it could be useful tool for the rehabilitation of stroke patients in future occupational therapy clinical environments.

A Systematic Review on Effects of School-Based Occupational Therapy (학교기반 작업치료에 관한 체계적 고찰)

  • Jung, Nam-Hae
    • The Journal of Korean Academy of Sensory Integration
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    • v.12 no.1
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    • pp.25-38
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    • 2014
  • Objective : This study was conducted to determine effects of school-based occupational therapy through a systematic review Methods : We systematically reviewed studies published in PubMed and Ovid from 2000 to June 2014 using keyword 'school' or 'children' and 'occupational therapy'. Fourteen studies were selected. The level of evidence, participants, assessment, intervention area, method and effects were analyzed by reviewing full text. Results : The most group and age of participants were normal child with fine motor difficulties and 6~8 years old in selected studies. The most target area of intervention was handwriting, fine motor and visuo-motor integration (68.8%) and the most method was direct treatment (71.4%). The top on the assessment was Beery-Buktenica Test of Visual-Motor Integration (14.9%) and next was Bruininks-Oseretsky Test of Motor Proficiency (11.1%). Effects of school based occupational therapy were founded in the visual motor integration, learning skill, level of participation, fine motor, play and behavioral problem. Conclusion : This systematic review provides evidence concerning the participants, intervention, assessment and effects of school based occupational therapy. It should be used for basic data for the research and practice of school-based occupational therapy.

The Effect of Leisure Activity, Based on the Model of Human Occupation, on Leisure Satisfaction, Activities of Daily Living and Rehabilitation Motivation in Elderly Patients: Implications for occupational therapy (여가활동을 통한 작업치료가 노인 환자의 여가 만족도, 일상생활활동 수행 능력, 재활 동기에 미치는 영향)

  • Baik, Jisoo;Yang, Yeong-Ae;Shin, Yong-Il
    • 한국노년학
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    • v.39 no.2
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    • pp.285-304
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    • 2019
  • The purpose of this study was to investigate the effects of leisure-based occupational therapy on leisure satisfaction, activities of daily living, and rehabilitation motivation in elderly patients with chronic diseases. In the study, Subjects were assigned to either the control or experimental group. The experimental group consisted of 10 and the control group of 14 patients. The experimental group receive a Leisure-based occupational therapy intervention, and the control group receive a conventional occupational therapy intervention. Leisure satisfaction, activities of daily living, and rehabilitation motivation were measured to Canadian occupational performance measure(COPM), Korean Activities of Daily Living(K-ADL·K-IADL), and Patient Questionnaire of Rehabilitation Motivation(PAREMO). Evaluation scores were compared before and after intervention to determine whether or not there were differences over time. And we examined the correlation between the variables. The results of this study were as follows: 1) The leisure-based occupational therapy has a significant effect on leisure satisfaction and rehabilitation motivation(p<.01). 2) The conventional occupational therapy has a significant effect on activities of daily living(p<.01). 3) There was a significant correlation between ADL and IADL(p<.01). 4) There was a significant correlation between leisure satisfaction and Rehabilitation Motivation(p<.01). Implications for occupational therapy include that we must offer appropriate approach with considering the interests and value of patients to them. And proposing studies to demonstrate the efficacy of occupational therapy approaches.

A Systematic Review of the Application Nonpharmacological Cognitive Interventions in Patients With Dementia (치매 환자에게 적용된 비약물적 인지중재방법에 대한 체계적 고찰)

  • Kwak, Ho-Soung;Park, Ji-Hyuk
    • 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.

On writing discourse intervention for developmentally disabled people Survey of perceptions and needs of Speech-Language Pathologists (발달장애 대상 쓰기담화 중재에 대한 언어재활사의 인식 및 요구 조사)

  • So-Ra Son;Wha-Soo Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.4
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    • pp.201-207
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    • 2024
  • In this study, we investigated the current status of written discourse mediation in a more general and in-depth manner, including the training completion experience and knowledge of written discourse mediation among Speech-Language Pathologists in Korea, and the Speech-Language Pathologists' perceptions of written discourse mediation. We wanted to look into the requirements. Research results were derived through a questionnaire answered by 110 Speech-Language Pathologists. As a result, although most Speech-Language Pathologists learned about written discourse intervention in the curriculum, their application of written discourse intervention in clinical settings is insufficient and they have difficulty with written discourse intervention due to lack of systematic and professional knowledge of this intervention. I could tell that I was feeling it. Looking at the status of written discourse intervention, only 46.4% of the Speech-Language Pathologists who responded in clinical settings showed that they had experience with written discourse intervention. In other words, it was analyzed that 53.6% of respondents had no experience with writing discourse mediation. As a result of Speech-Language Pathologists' perception and demand for written discourse intervention, 76.4% of SpeechLanguage Pathologists responded that they thought written discourse intervention was an important area of speech therapy. In addition, 62.8% of respondents responded that a curriculum for discourse mediation is necessary, more than 90% said that continuous research on written discourse mediation is necessary, and 89.1% thought that the development of textbooks and teaching aids was necessary.This study is significant in that it investigated the experiences and perceptions of Speech-Language Pathologists in written discourse intervention and analyzed the results in that it provided direction on how education and various processes related to written discourse intervention should be conducted.

Music as a Therapeutic Intervention for Patients with Schizophrenia: Systematic Review (조현병 환자 대상 음악중재에 대한 체계적 고찰)

  • Kim, Young Shil
    • Journal of Music and Human Behavior
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    • v.12 no.2
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    • pp.37-60
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    • 2015
  • The purpose of this study was to systematically review music intervention studies for patients with schizophrenia. The researcher searched nine electronic databases for clinical trials published since 2000, using combinations of keyword related to schizophrenia and music interventions. The initial search identified 272 studies, and fifteen studies were selected by reviewing the titles, abstracts and full articles, In addition, three articles were added by examining other review articles. Thus, a total of 18 articles were analyzed in terms of their general and intervention characteristics, and the PEDro scale was used to evaluate the methodological quality of the included studies. The results demonstrated that, due to the lack of randomization and blinding, the methodological qualities of the studies with high quality music interventions were often rated low. Eight Music interventions conducted by qualified music therapists included active music-making, therapeutic relationship, and supervision systems for improving intervention quality. In conclusion, the randomization, blinding, and the therapeutic rationale of intervention are recommended in future clinical trials for patients with schizophrenia.

A Systematic Review of Sensory Integration Intervention for Children in Korea (아동을 대상으로 한 감각통합치료의 중재효과에 대한 체계적 고찰: 국내 연구를 중심으로)

  • Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.2
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    • pp.55-68
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    • 2020
  • Objective : The purpose of this study is to summarize the best-available intervention evidence for children's sensory integration therapy, drawn from studies published domestically in Korea over the last 10 years. Methods : The articles evaluated in this study were collected from the RISS and DBpia databases using the search terms "sensory integration," "sensory processing," and "Ayres Sensory Integration (ASI)". A total of 19 papers were analyzed. The selected studies were then assessed using the Population, Intervention, Outcomes, and Comparison method, the International Classification of Functioning, Disability and Health (ICF) method, and the modified Evidence Alert Traffic Light Grading System. Results : Development delay was the most commonly applied diagnosis for children's sensory integration therapy and individual sensory integration therapy was the most frequently used intervention method. The intervention effect was 91 percent in the body structure and function of ICF. The areas concentrated on were sensory modulation, sensory processing, fine and gross motor, body scheme, body-self concept, balance, basic movement, postural control and hand function, attention, and self-esteem. Conclusion : This simple overview of the efficacy of children's sensory integration therapy provides a basis for easy understanding and use by therapists, researchers and families with children.

The Effects of Task Oriented Activity and Modified Constraint Induced Movement Therapy on Quality of Life for Patients With Stroke (과제 지향적 훈련과 수정된 강제유도 운동치료가 뇌졸중 환자의 삶의 질에 미치는 영향)

  • Lee, Jong-Min;Kim, Bo-Ra
    • Therapeutic Science for Rehabilitation
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    • v.1 no.2
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    • pp.23-34
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    • 2012
  • Objective : The purpose of this study was to investigate the effect of task oriented activity and modified constraint induced movement therapy (mCIMT) on Quality of Life (QOL) for patients with stroke. Methods : Thirty stroke patients were participated voluntarily and were assigned randomly into task oriented activity and mCIMT groups. The QOL of both groups were assessed using Stroke Specific Quality of Life (SS-QOL). Results : The QOL showed a statistically meaningful difference for both groups (p<.05), but after the intervention, the both groups showed no statistically meaningful difference in terms of the QOL (p>.05). Conclusion : We found that task oriented activity and mCIMT improve the QOL of patients with stroke through increasing their affected upper extremity function and movement. It is expected that task oriented activity and mCIMT will have a positive effect on the QOL of stroke patients by applying them to clinic with occupational therapy.