Community-based rehabilitation has a history of 22 years in China.In spite of the preliminary achievement and experiences obtained by the pioneering and trial projects,it was not until the beginning of the new century that CBR in China experienced a landmark development.This iS characterized by a number of favorable pohcy by the government for CBR;the mechanism facilitating primary health care with CBR,a new work-force system of CBR reorganized with better motivation and efficiency,99 demonstration projects of CBR bringing about benchmark promotion effect and the active involvement in CBR by social resources agents.

Orthopedic rehabilitation (OR) is defined as a subspecialty which involves the use of functional training, prosthetic and orthotic care with or without orthopaedic surgery for orthopaedic patients, with the purpose of maximizing the recovery of their physical and psychosocial functions. The rise of OR makes the orthopaedic surgeons increase the awareness of rehabilitation for disability and makes the rehabilitation physicians increase the awareness of clinical rehabilitation. It is predicted that OR will make remarkable progress during the Bone and Joint Decade (2000～ 2010), focusing on development of new assessment instruments, research on clinical biomechanical mechanism in the etiology of a number of joint disorders, development of new technology, methods of functional training and new aids, and bringing OR functional training and care to community and home base setting.

The system of integrated physical therapy(PT) and occupational therapy(OT)is shaping in China today. After analyzing strengths of Chinese traditional style PT and OT, and those of their western counterparts, the author explained exercise therapy, physical modalities, acupuncture and Tui Na (manipulation and massage), and also Chinese style OT. In terms of integrated PT, the author indicated PT at acupoints (PTA) as an example and gave a detailed description.Finally, the author summarized the strategies China is taking to promote and realize integrated PT and OT in medical rehabilitation.

Objects:To observe the effort of rehabilitation therapy after SPR.Methods:Twenty CP patients with spasticity were operated from December 1996 to October 1997.Occupational therapy was used in conjunction with Bobath method which formed the base of PT.Results:All values of muscle tone before and after operation were significantly different.Strength of many muscular groups was lower than normal level before operation and decreased further postoperatively.Sitting,kneeling and standing posture improved after operation and rehabilitation.There were 9 independent walk cases improved stride length,heel contact pattern and they had no scissors gait after rehabilitation.Conclusion:The goals of rehabilitation training focused on building muscle strength,stretching contractures and building up right posture control,inhibiting abnormal movement pattern,and gradually forming nornmal movement pattern.