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KMID : 1143320200090010024
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Therapeutic Science for Neurorehabilitation
2020 Volume.9 No. 1 p.24 ~ p.44
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Development of a Occupation-Based Bilateral Upper Extremity Training Protocol in a Medical Setting for Stroke Patients
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Kim Sun-Ho
Kim Jung-Ran
Park Hae-Yean
Han A-Reum
Kim Jong-Bae
Park Ji-Hyuk
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Abstract
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Objective : To develop an occupation-based bilateral upper extremity training protocol that can be effectively applied in a medical setting
Methods : The research process using the delphi technique was carried out in 3 stages. The first stage was an open questionnaire development stage, The first draft is prepared through literature review and open questions were developed through preliminary research based on the draft. The second stage was the delphi survey. Based on the responses of the experts obtained through the open Delphi survey, the adequacy of the training protocol was shown on a Likert 5 point scale. The items were edited and deleted, reconstructed by analyzing the mean and standard deviation, stability, convergence degree, consensus, and content validity ratio through the questionnaire. The third step was the completion of the protocol. After discussions between researchers, the finalized protocol contents were reorganized to complete the occupation-based bilateral upper extremity training protocol for medical setting.
Results : The final protocol consisted of 9 items across 3 areas in the occupation-based intervention selection domain and 81 items across 4 areas in the bilateral upper extremity training domain, intervention period, and evaluation.
Conclusions : This study suggests an evidence-based method that collects the opinions of occupational therapists in order to use occupation-based activities as interventions in a situation that currently sees occupational therapy primarily performed in hospitals. It is also meaningful that the bilateral upper extremity training can be applied effectively in clinical situations by concretely presenting.
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KEYWORD
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Bilateral upper extremity training, Occupation-Based, Stroke
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