Effects of Horticultural Occupational Therapy on the Physical and Psychological Rehabilitation of Patients with Hemiplegia after Stroke

반신마비 뇌졸중 환자의 심리와 정서적 재활에 대한 원예작업치료 효과

  • Kim, Mi-Young (Department of Occupational Therapy, Seoul Metropolitan Eunpyeong Hospital) ;
  • Kim, Gui-Soon (Department of Environmental Horticulture, University of Seoul) ;
  • Mattson, Neil S. (Department of Horticulture, Cornell University) ;
  • Kim, Wan-Soon (Department of Environmental Horticulture, University of Seoul)
  • 김미영 (서울시립은평병원) ;
  • 김귀순 (서울시립대학교 환경원예학과) ;
  • ;
  • 김완순 (서울시립대학교 환경원예학과)
  • Received : 2010.07.23
  • Accepted : 2010.08.16
  • Published : 2010.10.31

Abstract

To examine the effects of horticultural occupational therapy (HOT) on the physical and psychological rehabilitation of stroke patients with paralysis on one side of the body, a horticultural therapy (HT) program was implemented along with occupational therapy (OT) in 20 patients with hemiplegia after stroke (treatment group). In the control group, another 20 patients with hemiplegia after stroke received OT but no HT. The HOT program consisted of various indoor horticultural activities that proceeded stepwise on a weekly basis over the course of four weeks. The selected horticultural occupations were organized into four-phases: motivation, adaptation, sociality, and interpersonal relationships and communication. The grooved pegboard test (GPT), geriatric depression scale (GDS), and functional independent measure (FIM) were tested to the patients in this study. Unlike control group, the treatment group showed statistically significant differences in GPT, GDS, and FIM ($p$<0.001). In addition, communication, social cognition, and self-care scores as FIM subordinate factors were improved significantly by HOT program which motivated patients to engage in rehabilitation therapy. This finding suggests that HOT has the potential to be used as an OT program for stroke patients with hemiplegia.

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