Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of task-oriented activities on hand functions in patients with hand injuries

과제 지향적 활동이 수부손상환자의 손 기능에 미치는 효과

  • Noh, Dong-Hee (Dept. of Health Science and Technology, Graduate School of Inje University) ;
  • Han, Seung-Hyup (Dept. of Rehabilitation Science, Graduate School of Inje University) ;
  • Jo, Eun-Ju (Dept. of Occupational Therapy, Graduate School of Inje University) ;
  • Ahn, Sung-Ho (Dept. of Occupational Therapy, Graduate School of Inje University) ;
  • Kim, Hun-Ju (Dept. of Health Science and Technology, Graduate School of Inje University) ;
  • Kam, Kyung-Yoon (Dept. of Occupational Therapy, Graduate School of Inje University)
  • 노동희 (인제대학교 일반대학원 융합의과학협동과정) ;
  • 한승협 (인제대학교 일반대학원 재활과학협동과정) ;
  • 조은주 (인제대학교 일반대학원 작업치료학과) ;
  • 안성호 (인제대학교 일반대학원 작업치료학과) ;
  • 김훈주 (인제대학교 일반대학원 융합의과학협동과정) ;
  • 감경윤 (인제대학교 일반대학원 작업치료학과)
  • Received : 2014.10.14
  • Accepted : 2015.02.12
  • Published : 2015.02.28
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Abstract

The purpose of this study is to investigate the effects of task-oriented activities on hand functions in patients with hand injuries. From December 2011 to October 2012, sixteen patients with hand injuries at C Hospital in Changwon, Gyeongsangnam-do, Korea were randomly divided into two groups. One group was subjected to task-oriented activity and the other to general exercise. Two groups performed each activity once a day, three times a week, for four weeks. The group with the task-oriented activities was provided with the tasks according to subject-preference based on the result of Canadian Occupational Performance Measure (COPM). To verify the effect of intervention, the following hand function measures were used: grip strength, pinch strength, and the range of opposition and abduction, Purdue pegboard test and Disabilities of the Arm, Shoulder and Hand (DASH). Both groups showed significant increase in all of the hand function measures after 4-week activities(p<.05). The task-oriented activity group was significantly different from the control group in powers for tip pinch, lateral pinch and three-jaw chuck pinch, Purdue pegboard test and DASH(p<.05) except in grip strength and the range of opposition and abduction suggesting better improvement in hand functions. This study shows that task-oriented activities improve the hand functions more effectively in patients with hand injuries.

본 연구는 수부손상환자를 대상으로 과제 지향적 활동이 손 기능에 미치는 효과를 알아보고자 하였다. 2011년 12월부터 2012년 10월까지 경남 창원에 위치하는 C병원에 내원한 16명의 수부손상환자를 두 그룹으로 무작위 할당한 후 실험군에 과제 지향적 활동을 1일 1회, 주 3회, 4주 동안 적용하고 그룹 간 비교를 실시하였다. 과제 지향적 활동군은 캐나다 작업수행측정(Canadian Occupational Performance Measure; COPM)을 통해 대상자가 선호하는 일상생활활동영역에 대한 과제를 제공하였다. 이때 중재의 효과를 검증하기 위해 손 기능 평가로 장악력 검사, 파악력 검사, 엄지의 맞섬, 손가락의 벌림 범위와, Purdue pegboard test, Disabilities of the Arm, Shoulder, and Hand(DASH)를 사용하였다. 중재 전후 비교에서 과제 지향적활동군은 모든 손 기능 평가에 유의하게 향상되었고(p<.05), 대조군의 손 기능도 유의하게 향상되었다(p<.05). 그룹 간 비교에서 과제 지향적 활동군은 손끝집기, 측면집기, 세점집기, Purdue pegboard test, DASH에서 대조군과 유의한 차이가 있었으나(p<.05), 장악력 검사와 엄지의 맞섬 및 손가락의 벌림 범위는 그룹 간 유의한 차이가 없었다. 본 연구의 결과를 통해 과제지향적 활동이 수부손상환자의 손 기능 향상에 더 효과적임을 알 수 있었다.

Keywords

References

  1. T. M. Meyer, "Psychological aspects of mutilating hand injuries", Hand Clinics, Vol. 19, No. 1, pp.41-49, 2003. DOI: http://dx.doi.org/10.1016/S0749-0712(02)00056-2
  2. S. D. Hannah, "Psychosocial Issues after a Traumatic Hand Injury: Facilitating Adjustment", Journal of Hand Therapy, Vol. 24, No. 2, pp.95-103, 2011. DOI: http://dx.doi.org/10.1016/j.jht.2010.11.001
  3. K. Schoneveld, H. Wittink, & T. Takken, "Clinimetric evaluation of measurement tools used in hand therapy to assess activity and participation", Journal of Hand Therapy, Vol. 22, No. 3, pp.221-35, 2009. DOI: http://dx.doi.org/10.1016/j.jht.2008.11.005
  4. U. Guzelkucuk, I. Duman, M. A. Taskaynatan, & K. Dincer, "Comparison of therapeutic activities with therapeutic exercise in the rehabilitation of young adult patients with hand injuries", Journal of Hand Surgery, Vol. 32, No. 9, pp.1429-1435, 2007. DOI: http://dx.doi.org/10.1016/j.jhsa.2007.08.008
  5. Statistics Korea. (2012). Korean Classification of Disease. Daejeon, Korea: Statistics Korea.
  6. J. H. Carr, & R. B. Shepherd, Stroke rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill. Butterworth-Helenemann, 2003.
  7. J. W. Kim, S. M. Kim, & R. J. Park, "The Effects of Task-Oriented Functional Training on Standing Balance in Stroke Patients", The Journal of Korean Society of Physical Therapy, Vol. 15, No. 4, pp.65-81, 2003. https://doi.org/10.1589/jpts.15.65
  8. V. Mathiowetz, Task-oriented approach to stroke rehabilitation. In G. Gillen & A. Burkhardt (Eds.), Stroke rehabilitation: A function-based approach, p.59-74, Mosby, 2004.
  9. K. Preissner, "Use of the occupational therapy task-oriented approach to optimize the motor performance of a client with cognitive limitations", American Journal of Occupational Therapy, Vol. 64, No. 5, pp.727-734, 2010. DOI: http://dx.doi.org/10.5014/ajot.2010.08026
  10. M. J. Park, I. J. Yoon, & J. I. Jung, "A Comparison of Effects on Repetitive Singular Exercise and Task Oriented Exercise on Upper Extremity Function in Patients With Stroke", Journal of Korean Society of Occupational Therapy, Vol. 19, No. 4, pp.1-13, 2011.
  11. J. Case-Smith, "Outcomes in hand rehabilitation using occupational therapy services", American Journal of Occupational Therapy, Vol. 57, No. 5, pp.499-506, 2003. DOI: http://dx.doi.org/10.5014/ajot.57.5.499
  12. S. Flinn, & C. Jones, "The Use of motivational interviewing to manage behavioral changes in hand injured clients", Journal of Hand Therapy, Vol. 24, No. 2, pp.140-146, 2011. DOI: http://dx.doi.org/10.1016/j.jht.2010.08.008
  13. J. R. Siegert, & J. W. Taylor, "Theoretical aspects of goal-setting and motivation in rehabilitation", Disability and Rehabilitation, Vol. 26, No. 1, pp.1-8, 2004. DOI: http://dx.doi.org/10.1080/09638280410001644932
  14. H. S. Lee, K. Y. Chang, M. Y. Jung, I. S. Ku, & H. S. Woo, "Job Analysis of Occupational Therapists for 2013", The Journal of Korean Society of Occupational Therapy, Vol. 22, No. 2, pp.89-112, 2014. DOI: http://dx.doi.org/10.14519/jksot.2014.22.2.07
  15. N. Pollock, "Client-centered assessment", American Journal of Occupational Therapy, Vol. 47, No. 4, pp.290-301, 1993. DOI: http://dx.doi.org/10.5014/ajot.47.4.298
  16. M. Law, S. Baptiste, A. Carswell, M. McColl, H. Polatajko, & N. Pollock, Canadian Occupational Performance Measure (3rd ed.), CAOT publications ACE, 1988.
  17. S. Solway, D. E. Beaton, S. McConnell, & C. Bombardier, The DASH Outcome Measure User's Manual (2nd ed.), Institute for Work & Health, 2002.
  18. J. Y. Lee, J. Y. Lim, J. H. Oh, & Y. M. Ko, "Cross-cultural adaptation and clinical evaluation of a Korean version of the disabilities of arm, shoulder, and hand outcome questionnaire(K-DASH)", The Journal of Shoulder and Elbow Surgery, Vol. 17, No. 4, pp.570-574, 2008. DOI: http://dx.doi.org/10.1016/j.jse.2007.12.005
  19. Occupational & Hand Therapy. Hand therapy and upper extremity rehabilitation go hand in hand [Internet]. : Occupational & Hand Therapy, Available From http://www.occuhand.com (accessed Dec., 20, 2013)
  20. D. Amini, "Occupational therapy interventions for work-related injuries and conditions of the forearm, wrist, and hand: A systematic review", American Journal of Occupational Therapy, Vol. 65, No. 1, pp.29-36, 2011. DOI: http://dx.doi.org/10.5014/ajot.2011.09186
  21. J. S. Kim, D. S. Jeong, & J. Choe, "A Study on the Incidence of Acute Hand Injury", Journal of the Korean Society of Plastic and Reconstructive Hand Surgery, Vol. 7, No. 1, pp.68-75, 2002.
  22. J. I. Kwak, S. S. Bae, B. G. Hwang, H. B. Kim, D. U. Han, & H. S. Lee, "A Survey on the Hand Injury Patients of Physical Therapy", The Journal of Korean Society of Physical Therapy, Vol. 13, No. 1, pp.88-99, 2001.
  23. S. S. Bae, J. I. Kwak, & G. HwangBo, "Physical Therapy at Early Stage for Return to Work in The Hand Injury", The Journal of Korean Society of Physical Therapy, Vol. 11, No. 2, pp.11-20, 1999. https://doi.org/10.1589/jpts.11.11
  24. D. L. Hart, S. Tepper, & D. Lieberman, "Changes in health status for persons with wrist and hand impairments receiving occupational therapy or physical therapy", American Journal of Occupational Therapy, Vol. 55, No. 1, pp.68-74, 2001. DOI: http://dx.doi.org/10.5014/ajot.55.1.68
  25. J. Chan, & J. Spencer, "Adaptation to hand injury: an evolving experience", American Journal of Occupational Therapy, Vol. 58, No. 2, pp.128-139, 2004. DOI: http://dx.doi.org/10.5014/ajot.58.2.128
  26. J. H. Jung. "The effect of Task-Oriented Movement Therapy on Upper Extremity, Upper Extremity Function and Activities of Daily Living for Stroke Patients", Master's thesis, Daegu University, 2009
  27. S. S. Shin, "A study on the Improvement of the Stroke Rehabilitation Services", Doctor's thesis, Sangmyung University, 2005.
  28. S. J. Park, & S. Y. Bae, "The Effects of Task-Oriented Activities on ADL Performance, Balance and Satisfaction in Chronic Stroke Patients", Journal of Korean Society of Occupational Therapy, Vol. 20, No. 2, pp.1-11, 2012.
  29. H. L. Kim, "A Study on the Physical Therapy and Rehabilitation Service to the Hand Injury Patients of Industrial Accidents", Master's thesis, Dankook University, 2002.