Objective : This study intends to suggest an effective clinical intervention method for stroke patients by applying a trunk stabilization training program to a single stroke patient and investigating and analyzing the effects of the program on postural control and activities of daily living. Methods : The subject of this study was a 75 year-old female stroke patient hospitalized in C Hospital located in Gyeongju, Gyeongsangbuk-do. As for the research design, A-B-A reversal design was used with a single subject design; and the research period was a total of five weeks from April 21, 2014 to May 23, 2014. As for the research process, a total of 15 sessions were carried out including three sessions of baseline(A), nine sessions of an intervention period(B), and three sessions of maintenance(A'); and the trunk stabilization program was applied during the intervention period. To evaluate the participant’s postural control and activities of living life, the Postural Assessment Scale for Stroke(PASS) and the modified Barthel Index(MBI) were used. Visual analysis was used in which collected data were plotted on a graph, using Microsoft Office Excel 2013. Results : In the postural control test, the mean scores improved from 11.7 in the baseline phase to 14.8 in the intervention phase and 15.3 in the maintenance phase. In the evaluation of activities of daily living, the score improved from 66(medium dependence) during the baseline period to 80(low dependence) after intervention and at the maintenance phase. Conclusion : It was found that the trunk stabilization training program showed effects on the stroke patient’s postural control or alignment, and furthermore a beneficial improvement in the patient’s performing the activities of daily living, as well.

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Objective : In this study, we tried to know what kind of exercise was more effective in sleep disorder by comparing melatonin in blood after applying low, median, with high intensity exercise in sleep disorder. Methods : We divided 90 into 3 groups and performed low, moderate, and high intensity exercise, respectively for 8 weeks in K city. Results : As a result, first, there was a significant change of global PSQI score in moderate intensity exercise comparing with before and after exercise. Second, there was a significant change of global PSQI score in moderate intensity exercise comparing with low and high intensity exercise. Third, there was a significant change of melatonin in blood in moderate intensity exercise comparing with before and after exercise. Forth, there was a significant change of melatonin in blood in moderate intensity exercise comparing with low and high intensity exercise. Conclusion : In this study, we observed change of EEG and melatonin in blood to know how did continued exercise according to intensity of exercise have effect on sleep disorder. In conclusion, it was more effect to apply moderate exercise. It can help progress of life of quality through improvement of sleep disorder and they stay healthy during the rest of time.

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Objective : The objective of this study is to present basic data to find health care plans for the elderly by comparing time-management ability and ADL and identifying the relationships between groups with subjects of elderly people living alone and living with family in Daejeon Metropolitan City. Method : A total of 80 elders who lived alone or with family that were aged 65 or older were selected with MMSE-K, 40 people were selected as subjects for each group. For time-management ability, a questionnaire was used. ADL were assessed by using FIM. The study period was May to June 2013. Result : Comparison of scores for time-management ability and FIM of the elderly who live alone or living with family did not show any statistically significant difference. In comparison of detailed scores between groups, there were statistically significant differences between the two groups being social interaction, problem solving and memory in social cognition items among detailed items. Conclusion : Through this study, we understood that social cognitive function of the aged living alone who had less opportunity of interaction compared to that of the aged living with family was lowered. Based on this, development and study on various programs should be made with consideration of sociodemographic characteristics of the elderly within community-based occupational therapy in the future.

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Objective : The purpose of this study is to evaluate the effect of task-oriented mirror therapy involve visual illusion on upper extremity functions in stroke patients. Method : We divided into two groups that task-oriented mirror therapeutic exercise program include visual illusion and not include. In order to determine the change in upper extremity function, Box & Block Test and Line-bisection Test was evaluated each time period. Result : The result of this study that we found out that all participation’s upper extremity function had been improved during the intervention and sustained during baseline regression. Applying mirror therapy program include visual illusion group more improved trend line during the intervention, visual illusion group, it had been shown there are higher difference between visual illusion group and non-visual illusion group in upper extremity functions. Conclusion : It is thoughtful that task-oriented mirror therapy could help for stroke. It might be more effectiveness to apply who have exercise program include visual illusion.

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Objective : The purpose of this study was to investigate the effect of the ankle movement and the balance when the elderly conducted self-exercise with ankle movement control device through visual feedback. Method : This case-study included pre-test and post-test. The elderly women aged 80 did self-exercise for 20 minutes both morning and afternoon every day. The pre-test and post-test was conducted tracking test for evaluating ankle control movement and running time measurement of standing on one foot and Timed up-And-Go test for balance. Result : The subject improved the ankle control movement on tracking test and improved the balance in running time measurement of standing on one foot. But, Timed up-And-Go test was no change. Conclusion : The self-exercise with device of ankle movement control through visual feedback improved the ankle control movement and the balance for elderly.

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Objective : The purpose of this research is to discuss on comparative assessments between virtual reality and task-oriented programs of balance for elderly. Method : 12 healthy elderly for each program are received twice a week for 6 week period. Changes in balance ability were assessed using Berg Balance Scale (BBS), Timed Up and Go(TUG), One-Legged Stance Test(OLST) and 5 - Repetition Sit-To-Stand test(5R-STS test). Result : All groups were not statistically meaningful differences between pre- and post-program. However, comparative outcomes among three groups were statistically significant in opening the eyes of One-Legged Stance Test(OLST) from the left and right side, and Berg Balance Scale(BBS). In post hoc, shows a statistically significant in both programs with opening the eyes of One-Legged Stance Test(OLST) from left side. Conclusion : Task-oriented programs is more useful and effective clinical methodology for balance excise programs for elderly. In addition, this clinical trial may be easily implemented by elder care facilities.

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Objective : The objective of this study was understanding the procedure of self-care training in occupational therapy and exploring experienced occupational therapists’ perspectives in self-care training Method : A phenomenological study design was used to collect information regarding use of self-care training among occupational therapists working in a different settings. The data collection process was conducted by using a structured interview and survey. Result : The self-care training strategies used by occupational therapists were summarized to four main themes; 1. Different strategies for different age group, 2. Design therapeutic strategy rely on client’s natural environment, 3. Use of theoretical background: occupation-based or client-centered, or both. 4. Use of self-awareness stragety; using different method to reflect self-awareness. Conclusion : The self-care training is not just simply conduct ADL training but understanding client’s age, environment, theoretical background, and self-awareness of the client. Through eatablishing understandable self-care training strategy according to client’s age and environment, the more effective self-care training would be possible.

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Objective : The purpose of this study was to identify the effect and difference of abdominal muscle strengthening exercise, back muscle stretching and multi-training on the lumbar flexibility of 20s adults. Method : The abdominal muscle strengthening exercise, back muscle stretching and multi-training were conducted 9 times targeting 21 subjects who attended K University from 2013 May 29 to June 14. Sit and Reach Tests were conducted 2 times(before and after exercise program) for flexibility test and measured data were processed with SPSS program WIN 12.0K. By the Wilcoxon signed rank test, the effectiveness of exercises are verified. By the Kruskal-Wallis test and Mann-Whitney test, the difference of effectiveness among the exercise groups are verified. Result : The results of this study were summerized below 1. Before and after exercise, in abdominal muscle strengthening exercise group, back muscle stretching group and multi-training group are showed statistically significant differences(p<.05), 2. There were statistically significant difference in the improvement of the flexibility between each group(p>.05). Conclusion : These data suggests that all of the 3 exercise programs are brought positive influences on the improvement of flexibility, and abdominal muscle strengthening exercises and flexibility multi-training are effective on the flexibility more than, back muscle stretching in 20s adults.

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Objective : The purpose of this study is to investigate the relation between sociodemographic characteristics and attitude of job for occupational therapist. Method : Among 125 occupational therapists who voluntarily responded on structured survey final subject of study is total 123 persons except two occupational therapists who did not respond completely. Result : Attitude of Job was significantly different according to employment status and hospital types, and job stress was significantly different according to employment status and job directivity was significantly different according to hosipital types. Also, for correlation of job attitude, job satisfaction was high as higher job stability, lower job stress, and higher job directivity. Conclusion : To improve attitude of job, employment status should be regularized and the education and improvement of labor conditions are necessary to improve attitude of job and job directivity.

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Objective : This study was aimed to survey the influence of the experience of undergraduates volunteering activities on awareness toward the disabled. Method : 259 students were chosen and structured interview was carried out using by a questionnaire. Result : The followings are the results of this study. First, students with experience of volunteering activities in institutions related to disabled have positive awareness of disabled. Second, they have positive awareness of disabled in some cases such as volunteering activity in university, interesting in new events, volunteering activity for more over a year, and assisting activities. But they have negative awareness of disabled in some cases such as no experience of volunteering activities, interesting in social relationship, and participating administration service. Conclusion : The results of this study would contribute to better volunteering activity system for the awareness toward the disabled.

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