• Title/Summary/Keyword: Home-based occupational therapy

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Local Community and Nursing-home of the resident elderly in the Comparative Study of the Time Use for Occupational balance (작업균형에 의한 시간 사용 비교 연구: 지역 사회 거주 노인과 시설 거주 노인을 기준으로)

  • Park, Hun-Kyung;Jeon, Byoung-Jin;Lee, Jae-sin;Kim, Su-Kyoung
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.41-51
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    • 2014
  • Objective : Local Community and Nursing-home of the elderly of the general characteristics and time use compared with the Occupational balance of the two groups is to look at what is being done. Method : The study conducted by the Time Use Survey 2009 of National Statistical office, the results were statistically analyzed 246 by based on more than 65 years of age and older living in Daejeon. The Comparison subjects of this study compared the Daejeon nursing homes in two locations were selected and 146 people of use on the general characteristics and time use data were collected. Analysis using SPSS 12.0 for correlation analysis and multiple logistic regression analysis for the study were analyzed. Result : Local Community and Nursing-home of the elderly are compared. Each classified behavior correlation showed significant results in a difference in a time-use, respectively and also Nursing-home of the elderly, non-activity time in the form of the activity time was higher than the results. Conclusion : Through this research, according to the living environment for elderly people with a time use to find out that there was significant, the elderly living in Nursing-home more than the elderly living in the community and show the imbalance of the Occupational could be.

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The Home-based Program for Child with Sensory Modulation Disorder: Case Study (감각조절장애 아동에 대한 가정 프로그램의 적용 - 사례연구)

  • Lee, Ji-Young;Kim, Sung-Eun
    • The Journal of Korean Academy of Sensory Integration
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    • v.5 no.1
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    • pp.41-49
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    • 2007
  • Objective: To evaluate the effectiveness of the home-based program composed of sensory diet for child with sensory modulation disorder. Method: The subject underwent the home-based program composed of sensory diet for 8 months. Evaluation tools we used are the Developmental Screening Test II(DDSTII) for developmental screening; the Short Sensory Profile(SSP), clinical observation and the clinical history record form for sensory integrative function; the Motor-Free Visual Perception Test(MVPT) and draw a person test for visual perception. Evaluation was executed before and after the program is provided. Results: The subject has showed remarkable improvement in developmental level, sensory integrative function and visual perceptual ability after went through the home-based program. Conclusion: The home-based program composed of sensory diet is effective for children with sensory modulation disorder when it is difficult to apply classical sensory integrative approach.

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Inclusion of Home-based Rehabilitation Services in the Long-Term Care Insurance - Review on the Home-based Physical Therapy in the OECD - (노인장기요양보험제도를 통한 방문재활 서비스 도입방안 -서비스 공급주체로서 OECD국가 가정방문물리치료의 고찰-)

  • Yoon, Tae-Hyung
    • The Korean Journal of Health Service Management
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    • v.5 no.4
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    • pp.161-175
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    • 2011
  • The purpose of this study was to expand the home-based rehabilitation services in the long term care insurance. This study was reviewed on the home-based physical therapy in the OECD. The way of this study was literature search and review. This was to reviewed Proquest, Sciencedirect, SpingerLink, Pubmed. Kew word is "home-based therapy". This was collected 71 articles and final analyzed article was 49. The results were as follows; The article number is seven in Canada, fifteen in USA, five in UK, six in Australia, three in Sweden, five in New Zealand, two in Netherlands, one in Turkey, South Korea, Japan, France, Spain, Italy respectively. Randomized controlled trial is fifty, case-control study is eleven, interview is three, literature review is two, and case report, cost-analysis, cost-effectiveness, pilot study, single blinded parallel design, demonstrative study, survey is one respectively. Physical therapist played an important role in home-based rehabilitation among OECD than nurse. Therefore, we must introduce home-based physical therapy in long term care insurance in South Korea.

The Preliminary Study for Development of Occupational Therapy Model Focused on Improving Living Functions within the Community Care System (커뮤니티 케어 제도 내 생활기능 향상 중심의 작업치료 모델 개발을 위한 기초 연구)

  • Lee, Chun-Yeop;Park, Young-Ju;Park, Kand-Hyun;Ji, Seok-Yeon;Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.1-12
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    • 2018
  • Objective : This study conducted a preliminary study to develop a occupational therapy model focused on improving living functions within the community care system. Methods : From June to July, 2018, the literature on community care was researched, focusing on cases of Japan's Management Tool for Daily Life Performance (MTDLP), Sweden, United Kingdom, Germany and domestic S Elderly Care Centers and I Health Centers. Based on this information, a group of experts developed a occupational therapy model within the community care system. Results : Assessment tools such as occupation-based health promotional table, interest checklist, occupational goals for improving living functions, sheet for evaluation of living functions, survey of daily life time (weekday and weekend), and sheet for transition of living functions were developed to conduct evaluation for occupational therapy. The improving living functions program, analysis of activities based on ICF model, lifestyle redesign program, cognitive exercise therapy, the Lee Silverman Voice Treatment (LSVT), hospice, and home modification were also organized interventions already in place by occupational therapists. Conclusion : This study showed specific measures and models for the implementation of occupational therapy within community care systems. Occupational therapy is positioned as a specialized area that is essential to the client, and we look forward to the use of this model.

Home Based Dysphagia Rehabilitation for Stroke Patients Using Information and Communication Technology

  • Kim, Heejeong;Kown, Yonghwa;Choi, Heesu
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.1
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    • pp.2267-2271
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    • 2021
  • Background: Recently, a new home-based dysphagia rehabilitation method using information and communications technology (ICT) has been reported, but clinical evidence is still lacking. Objectives: To investigate the effects of home-based dysphagia rehabilitation using ICT on tongue muscle strength and volume in patients with developed dysphagia after stroke. Design: Randomized controlled trial design. Methods: Twenty patients who developed dysphagia after stroke were enrolled. The experimental group received dysphagia rehabilitation in the form of ICT-based home care. In contrast, the control group received traditional rehabilitation based on swallowing under the supervision of occupational therapists. All interventions were conducted five times a week for four weeks. Results: Both groups showed statistically significant increases in tongue muscle strength and volume after the intervention (P<.05, both). However, there were no significant differences in tongue strength or volume between the two groups after the intervention (P>.05, both). Conclusion: Home-based dysphagia rehabilitation using ICT showed effects similar to those of conventional swallowing rehabilitation in patients who developed dysphagia after stroke. These findings suggest that dysphagia rehabilitation can be conducted at home without the help of a therapist.

Evaluation of a Community-Based Rehabilitation Program in Wonju City (원주시 지역사회중심 재활사업 평가)

  • Yi, Chung-Hwi;Lee, Hyun-Ju
    • Physical Therapy Korea
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    • v.10 no.1
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    • pp.139-158
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    • 2003
  • This study evaluated the community-based rehabilitation services provided by the Wonju Public Health Center from Jan. 2000 to Dec. 2002. Ninety-four persons with disabilities dwelling in the community participated and the surveys were completed in an interview during home visits. The respondents' demographic, socio-economic, and medical characteristics, rehabilitation service received, willingness to receive home-visit rehabilitation services, and satisfaction with the rehabilitation services were analyzed by frequency and percentage. A Likert scoring system consisting of five agreement-disagreement categories was applied to each item, consisting of Very Satisfied, Satisfied, So-So, Poorly Satisfied, and Very Poorly Satisfied. The major findings were as follows: 1) The rehabilitation services used included medical rehabilitation (26.9%), followed by social assistance (23.5%), diagnosis by a physician at home (17.3%), medical examination (12.3%), housekeeping services (6.2%), and vocational and educational rehabilitation (3.5%). 2) Of the medical services, the respondents desired physical therapy at home and free rental of rehabilitation equipment, such as wheelchairs, canes, walkers, the most, followed by home visit occupational therapy, nursing services, and oriental medicine service in descending order. 3) Some of the respondents expressed so-so satisfaction (50.0%) or dissatisfaction (16.9%) with the rehabilitation services provided by the Wonju Public Health Center. These findings should prove useful when planning or extending community-based rehabilitation programs for the homebound disabled in the community.

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Effectiveness of Community-Based Rehabilitation After Traumatic Brain Injury : A Systematic Review (지역사회 재활이 외상성 뇌손상 환자에게 미치는 효과: 체계적 고찰)

  • Park, Young-Ju;Chang, Moon-Young;Kim, Kyeoung-Mi
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.13-23
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    • 2012
  • Objective : The purpose of this study was to provide evidence for effectiveness of community-based rehabilitation methods and results after traumatic brain injury through systematic review. Methods : The materials of the research were collected by retrieving research items in the areas of "community-based rehabilitation" and "traumatic brain injury" from the data base of Ovid and PubMed. Among the collected materials, 7 research results are suggested concerning the effectiveness of rehabilitation in community-based after traumatic brain injury in terms of subjects, measurement tools, cure methods and results. Results : Characteristics of subjects were diverse in numbers of subject, age, level of impairment and duration of disease. Research designs were all experimental studies and the most outcome parameters of community-based rehabilitation was occupational performance(27.7%). Cure methods were used occupational therapy programs concerning rehabilitation programs, cognitive therapy, cognitive behavioral therapy and home based occupational therapy. Conclusion : The results implied that community-based rehabilitation is effective on occupational performance, participation, prevention, and occupational justice, partially effective on adaptation, health and wellness, and non effective on the role competence. It is suggested the future research need to be done to develop intervention programs and studies in every types.

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A Study on Recognition and Activation Plan of Occupational Therapists for Community Based Rehabilitation in Pusan·Ulsan·Gyeongnam Province (부산·울산·경남 작업치료사의 지역사회중심재활에 대한 인식도 조사 및 활성화 방안)

  • Kim, Sung-Rye;Han, Seung-Hyup;Kim, Ji-Young;Park, Yong-Kwang;Lim, Ae-Jin;Han, Yun-Hee;Kam, Kyung-Yoon
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.1-11
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    • 2012
  • Objective : The purpose of this study was to investigate recognition and activation plan of community-based rehabilitation(CBR) by occupational therapists(OTs) in community rehabilitation center(CRC) and hospitals/clinics(HC) in Busan, Ulsan, and Gyeongnam province. Method : Frequency analysis, independent t-test and chi-squared test were performed with the SPSS 12.0 statistics package program. Result : CRC-OTs and HC-OTs were not significantly different in recognition was not significantly different in both groups. The need for involvement of OTs in CBR was very high in both groups. The suggested field for OTs in CBR were counseling for rehabilitation & information-providing, home-visiting rehabilitation, vocational rehabilitation, assistive device rental, education for disability prevention. It is required to establish CBR networking consisting of educational institutions for rehabilitation experts, local rehabilitation hospitals and clinics, and local government agencies as well as CRC and public health centers. Conclusion : CBR is recognized well by OTs in both CRC and HC and the involvement of OTs in CBR is highly needed by them. Activation plan for occupational therapy in CBR requires systemic and legal improvements.

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The Effects of Home-Based Action Observation Training on Upper Extremity Function in Tumor-Induced Hemiparetic Patient : Single Case Study (동작관찰 훈련이 뇌종양으로 인한 편마비 환자의 상지기능과 삶의 질에 미치는 효과: 단일사례연구)

  • Jung, Jun-Sik;Park, Hae-Yean
    • Therapeutic Science for Rehabilitation
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    • v.5 no.1
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    • pp.55-65
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    • 2016
  • Objective : This study aimed to investigate the effects of home-based action observation training on upper extremity in brain tumor patient. Methods : Among the single case study design, this experiment used ABA' design. The evaluations were carried out 4 times during pre baseline period(A) and post baseline period(A') respectively. At the intervention period(B), a total of 25 times of action observation training and 10 times of evaluation were administered. Results : Study results indicate that 9-hole peg test, Box and Block Test, Manual Function Test were increased when compared to action observation intervention(B) to pre intervention baseline(A). Conclusion : Based on these results, home-based action observation training may be an effective upper extremity intervention strategy for tumor-induced hemiparetic patient.

The Effects of Occupation-Based Community Rehabilitation for Improving Occupational Performance Skills and Activity Daily Living of Stroke Home Disabled People: A Single Subject Design (작업기반 지역사회 재활이 뇌졸중 재가 장애인의 일상생활과 작업수행 기술에 미치는 효과)

  • Moon, Kwang-Tae;Park, Hae Yean;Kim, Jong-Bae
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.99-117
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    • 2020
  • Objective : The purpose of this study was to study the effects of occupation-based community rehabilitation on occupational performance skills and activities of daily living in stroke disabled persons living in the community, and to investigate the changes in occupation quality and satisfaction. Methods : In this single-subject ABA design study with follow-up evaluation, one severely disabled person diagnosed with stroke who lived in the community was recruited. The procedure consisted of a total of 25 sessions for 17 weeks. Intervention was according to occupation-based community rehabilitation, and the researcher visited the subject's home. Individualized intervention was applied according to the OTIPM. The intervention was composed of task assignment and feedback, home environment modification, information-related caregiver education, and community resource network. The evaluation of each session included the changes in the frequency of occupational performance skills, the quality of occupational performance in daily life, and the changes in occupational satisfaction, activities of daily living, quality of life, and maintenance of in the occupational performance skills during follow-up. The results were visually analyzed using a bar graph and a linear graph. Results : The results showed that the occupation-based community rehabilitation improved activities of daily living such as putting on socks, shoes slip-on, and upper body dressing garment within reach. Within the framework of the AMPS, it was confirmed that the quality of occupational performance was improved in all the subjects, and the degree of satisfaction also improved. Conclusion : This study showed that occupation-based rehabilitation can improve the occupational performance skills of stroke home disabled people positively affect the quality of occupational performance in daily life. Therefore, I think it is meaningful that useful for them.