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KMID : 1142620210130020057
Korea Aging Friendly Industry Association
2021 Volume.13 No. 2 p.57 ~ p.69
Effects of ICF-based Home-linked Rehabilitation Program on the Upper Extremity Function, Self-efficacy, and Participation of Chronic Stroke Patients
Kim Bo-Seong

Kim Deok-Ju
Abstract
Objective: The purpose of this study was to investigate the effect of a structured home-linked rehabilitation program on upper extremity function, self-efficacy, and participation performance in chronic stroke patients.

Methods: The subjects were 20 chronic stroke patients, and 10 patients in the experimental group and 10 in the control group were randomly divided into the study. Based on the activities related to physical function, structure, activity, and participation in the International Classification of Functioning Disability and Health (ICF), the home-linked rehabilitation program was composed of 20 in each area, and 30 per day for outpatients receiving occupational therapy. Minute, 5 times a week (2 times in the treatment room, 3 times at home), 8 weeks.

Results: As a result of the study, both the experimental group and the control group showed statistically significant improvement in the evaluation of upper extremity function and self-efficacy scale with in the group after the intervention (p<.01). The performance of participation showed a significant improvement in personal management, mobility, daily activities, social role, and participation in the experimental group only (p<.05, p<.01). Satisfaction with participation showed a significant improvement in the total score of personal management, daily activity area, community life, and participation in the experimental group (p<.05, p<.01), and in the control group, only the total score of the daily activity area showed a significant improvement (p<.05, p<.01). shown (p<.05). As a result of comparing the amount of change between the groups of the experimental group and the control group, it was found that there were significant differences in the daily activity area and total score of upper extremity function, self-efficacy, and participation performance, com munity activity, and social role area and total score of participation satisfaction (p<.05, p<.01).

Conclusion: The structured home-linked rehabilitation program implemented in this study has great sig nificance in that it provided guidelines for activities that can be performed at home to stroke patients living in the community. In addition, it is expected to be able to provide basic data to therapists who want to develop a home-linked rehabilitation program in the future.
KEYWORD
Stroke, Home-linked rehabilitation program, Upper extremity function, Self-efficacy, Participation
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