Disabled Persons/rehabilitation* ; Humans ; International Classification of Diseases ; International Classification of Functioning, Disability and Health

The purpose of this study was to investigate the oral health care conditions of patients who have Leprous disease, which is an infectious disease fixed for the third-class by law, to understand oral health care methods and effects of infectious disease patient, and to analyse those methods and effects in order to apply them to the national oral health occupation baseline data for utilizing continuous oral health occupation and to the treatment for handicapped person. he objects for this study were 7,491 patients(male:4,511, female:2,980) treated in the oral health center among Leprous disease patients, residents in the Sorokdo from 1995, May 1st to 1999, April 30th. We divided them into the first, second, third preventive care group according to the year by preventive classification of oral disease, analysed oral health statistics, classification according to the sex, age, practice, and each consultation hours. The subdivided results carrying out continuous oral health care system for four years were as follows: 1. The distribution for the age indicated that the number of 70-79 year-old patients group was the most, 2,169 and that of 60-69 year-old patients group was the second, 2,406. 2. All the number of consultation hours was 13,454. The consultation hours of first preventive care group were 1,359, 10.1% of them (male:812 female:547), the second group 3,942, 29.3%(male:2,103 female:1,839), the third 8,153, 60.6%(male:5,524 female:2,629) 3. The results of oral health care conditions indicated that DMF rate was 99.2% of them, DMFT rate 59.2%, DMF index 18.9, DT rate 2.6%, FT rate 7.4%, MT rate 49.1%, CPITN0 5%, CPITN10%, CPITN2 24%, CPITN3 71%. 4. It was analysed that the number of patients treated with continuous bridgework was 60 and that the number of patients wearing complete denture and partial denture was 290.
Classification ; Communicable Diseases ; Denture, Complete ; Denture, Partial ; Disabled Persons ; DMF Index ; Humans ; Jurisprudence ; Occupations ; Oral Health

Rehabilitation medicine is the medical specialty that integrates rehabilitation as its core therapeutic modality in disability management. More than a billion people worldwide are disabled, and the World Health Organization has developed the International Classification of Functioning, Disability and Health as a framework through which disability is addressed. Herein, we explore paradigm shifts in neurorehabilitation, with a focus on restoration, and provide overviews on developments in neuropharmacology, rehabilitation robotics, virtual reality, constraint-induced therapy and brain stimulation. We also discuss important issues in rehabilitation systems of care, including integrated care pathways, very early rehabilitation, early supported discharge and telerehabilitation. Finally, we highlight major new fields of rehabilitation such as spasticity management, frailty and geriatric rehabilitation, intensive care and cancer rehabilitation.
Disability Evaluation ; Disabled Persons ; classification ; rehabilitation ; Humans ; Practice Guidelines as Topic ; Rehabilitation ; methods ; standards ; trends ; World Health Organization

PURPOSE: This study examined the residential environment and accessibility of rehabilitation for cerebral palsy (CP) to identify the problems with residential laws pertaining to the disabled and provide basic data on the health legislation for the rights of the disabled. MATERIALS AND METHODS: The literature was searched using three keywords: residence, rehabilitation, and accessibility. Two items were selected: residential environment and rehabilitation accessibility. The questionnaire included 51 items; 24 were scored using a Likert scale and 27 were in the form of multiple-choice questions. RESULTS: This study included 100 subjects, of which 93 lived at home and seven lived in a facility. Of these 93 subjects, 65% were living in apartments, usually two or more floors above ground, and 40% of them were living without elevators. According to the Gross Motor Function Classification System, subjects with I to III belonged to the ambulatory group and IV, V were in the non-ambulatory group. Subjects from both groups who lived at home found it most difficult to visit the rehabilitation center by themselves. In contrast, among those who lived at the facility, the ambulatory group found it most difficult to leave the facility alone, while the non-ambulatory group found it most difficult to use the toilet alone. Moreover, 83% of respondents thought that rehabilitation was necessary for CP. On the other hand, 33% are receiving rehabilitation services. Rehabilitation was performed for an average of 3.6 sessions per week, 39 minutes per session. CONCLUSION: There is no law that ensures secure and convenient access of CP to higher levels. Laws on access routes to enter rooms are insufficient. The disabled people's law and the disabled person's health law will be implemented in December 2017. It is necessary to enact laws that actually reflect the difficulties of people with disabilities. Based on the results of this study, an investigation of the housing and rehabilitation of patients with CP through a large-scale questionnaire will necessary.
Cerebral Palsy ; Classification ; Disabled Persons ; Elevators and Escalators ; Hand ; Housing ; Humans ; Jurisprudence ; Legislation as Topic ; Rehabilitation Centers ; Rehabilitation ; Surveys and Questionnaires

OBJECTIVE: To evaluate the utility of using the Personal Assistance Services classification system (PAS-CS) that examines individuals with disabilities for services and government funding. To this end, this study also tests for significant differences in PAS-CS scores across disability grades and disability types. METHODS: A retrospective analysis was conducted using the 2014 National Survey on People with Disabilities (NSPD) data set. We selected patients with three types of disabilities (physical disabilities, brain lesions, and visual impairments). We compared the average PAS-CS scores of patients with different disability types and grades using general linear models with multiple comparisons. RESULTS: A total of 4,810 patients were included in the analysis. Patients with brain lesions had the highest average PAS-CS scores in activities of daily living (ADL) and instrumental activities of daily living (IADL) domains. Patients with visual impairments had the highest average scores in ‘Disease-specific disability’ and ‘Social-environment’ domains. For patients with physical disabilities and visual impairments, no PAS-CS domains were significantly different between patients with disability grade III and those with disability grade IV (p>0.05). CONCLUSION: The PAS-CS scores of disability grades were not equivalent among individuals with different disability types. The Korean Ministry of Health and Welfare currently only considers certain disability grades for PAS preeligibility, as a result disregarding the characteristics of different disability types. Thus, the current PAS-CS requires modifications.
Activities of Daily Living ; Brain ; Classification* ; Dataset ; Disability Evaluation ; Disabled Persons ; Financial Management ; Humans ; Linear Models ; Public Assistance ; Republic of Korea ; Retrospective Studies ; Social Welfare ; Vision Disorders

The following results were abatined based on the research of the occlusal patterns among 1074 handicapped persons (cerebral palsy : 46, mental subonrmality : 619, deafumte : 285, blind : 111, childish autism : 8, cleft lip and cleft palate : 3, polimyelitis : 2) of the age between 6 and 23 in Chollanamdo, Korea, in comparison with a normal group of 1048 children of the age between 6 and 15 selected at random in J primary school in Gwang-ju City. 1. According to Angle's malocclusion classification, all the handicapped groups, except the cerebral palsy and the blind, showed a higher prevalence of malocclusion than that of the normal. Especially the prevalence of Class II, devision 1 malocclusion in the cerebral palsy was the highest, and the prevalence of Class III malocclusion in all the handieapped groups was higher than that of the normal group. Among these groups the highest prevalence of Class III malocclusion was in the Down's syndrome group. 2. On the the abnormal pattern of the anterior region, there was no significant difference(P< or =0.05) between the normal and the cerebral palsy, the deafmute, and the blind. The open bite (7.27 +/- 1.04%) and the cross-bite (34.7 +/- 6.33%) of the Down's syndrome were higher than that of the normal, and the forward position of the mandible could be recognized in the Down's syndrome group. 3. On the midline position of the dentition, all the handicapped showed the same percentage of deviation, but the degree of mandibular shift to the right (20.00 +/- 5.39%) or left (10.91 +/- 4.20%) was higher than of the normal only the Down's syndrome group. 4. On the abnormal pattern of the posterior region, the cross-bite of the Down's sydrome was higher than that of the normal by 20.00 +/- 5.39% the cross-bite of the cerebral palsy and the cross-bite and the open bite mental subnormality were slightly higher than that of the normal. The other handicapped groups showed no significant difference (P< or =0.05) to the normal.
Autistic Disorder ; Cerebral Palsy ; Child ; Classification ; Cleft Lip ; Cleft Palate ; Dentition ; Disabled Persons* ; Down Syndrome ; Gwangju ; Humans ; Jeollanam-do ; Korea ; Malocclusion ; Mandible ; Open Bite ; Paralysis ; Prevalence

The number of physically disabled in Korea and their biodemographic characteristics are estimated through a national sample survey of about 100,000 population or 22,134 households. The results showed that 7.98 persons per 1,000 population were found to be physically disabled including inconvenience to body or limb, as well as being mute, deaf or blind. Males had a higher prevalence ratio of disability compared to females, particularly in rural areas, among the less educated, divorced or widowed males.
Adolescent ; Adult ; Age Factors ; Aged ; Child ; Child, Preschool ; Disabled Persons*/classification ; Female ; Human ; Infant ; Infant, Newborn ; Korea ; Male ; Middle Age ; Rural Population ; Sex Factors ; Socioeconomic Factors

BACKGROUND: Due to the increase in average life expectancy, the number of elderly people in the population has also increased and it is argued that this has led to a rise in chronic regression type diseases or dementia and related psychoneurological diseases, together with the growing occurrence of cognitive function disorders. However, it can be said that research in Korea towards systematic general function assessment or machinery for diagnosis is insufficient. Accordingly, the authors of this paper, investigated elderly people, both institutionalized and shill living in the community for their cognitive functions and their ability to carry out daily life skills. Afterwards, the early diagnosis of mental illness and rehabilitation management for elderly patients was put into operation for this research. METHODS: During October of 1997 a certain retirement home in Kyonggi-do and a public health centre in Seoul were visited and forty patients from the home, and forty-five patients from the health centre, all over 65 years of age, were the objects of tests for cognition functions using the mini-mental status examination -Korea(MMSE-K), Their ability to carry out activity of daily living was tested through the modified Ballhel index for measurement, comparison and analysis. RESULTS: The group from the institution had an average MMSE-K of 24.05 with no significant difference between gender, age and degree of education. The health centre group's MMSE-K of 26.16 was a higher ,score(p<0.05), by men and by at least elementary ,school education. If we look at different classifications, the institutionalized group included 13 people(32.5%) ar a normal level, 18 people (45.0%) with mildly impairments, 9 people(17.5%) had moderately impairments and no severly handicapped patients. Looking at the community elderly, 23 people(51.1%) were at a normal level, 19 people (42.2%) had middle impairments, 3 people(6.7%) had moderately impairments and there were no severly impairments. With the MBI, the institutionalized group had an average of 95.9 and the community group had an average of 98.62 so both ,scored highly(p<0.05). If the MBI of the two group's dependency is compared, 17 people(42.5%) of the institution's elderly were independent in activity of daily living, 17 people(42.5%) were minimal dependent and the remaining 6 people(15.%) were mild dependent. 30(66.7%) of the community elderly were independent in daily living activity, 14 people (31.1%) were mild dependent and 1 people(2.2%) war mild dependent. Even the elderly with normal cognitive functions had disorders with their daily living activity Therefore a sample of the patients have above average damaged cognitive functions and severe living activity disorders are being seen in both groups. CONCLUSION: Both the community and institutionalized elderly had resonable cognition and the institutionalized groups had especially high levels. It is now believed that there is a relation between this and the lack of suitable evaluation in Korea. Even if the daily living activity disorders were not severe, they were observed in both groups, so henceforth, if cognitive function tests were made with consideration given to age and gender, and activity of daily living tests were implemented efficiently, the overall health and well-being of the elderly, and therefore demands for medical treatment and social services, could be decided and put into operation.
Activities of Daily Living ; Aged* ; Classification ; Cognition ; Dementia ; Diagnosis ; Disabled Persons ; Early Diagnosis ; Education ; Gyeonggi-do ; Humans ; Korea ; Life Expectancy ; Male ; Nursing Homes* ; Nursing* ; Public Health ; Rehabilitation ; Retirement ; Seoul ; Social Work

The authors studie 111 cases of congenital anomalies and/or mental retardation. 56cases of congenital anomalies and/or mental retardations were cared and admitted at pediatric department in Han Yang University hospital. 55 cases were in institution for the mentally retarded. The authors studied chromosome analysis about 111 cases with congenital anomalies and/or mental retardation. The results obtained were as follows: A) Mentally retarded children in institution 1. Age distribution was among 5-20 years of age. 2. I.Q. distribution was revealed highest below 35 (in 25 cases) 3. Incidence of chromosomal anomalies was 16.3% in total studied cases. 4. The most common chromosomal anomaly was Down syndrome(12.7%). Other chromosomal anomalies were Poly X female and Edward syndrome 5. I.Q. distribution of Down syndrome patients was revealed most below 35 (over 86% of total cases). B) Congenital anomaly and/or mental retarded patients in admitted or cared in pediatric department 1. Age distribution was highest among 1 month-1year of age in 23 cases. 12 cases were 1 month after birth. 2. Incidence of chromosomal anomalies was 41% in total studied cases. There was no significanl difference in sex ratio. 3. In distribution of chromosomal anomalies, 18 cases were revealed numerical chromosomal anomalies and 5 cases were revealed structural chromosomal anomalies. 4. The most common numerical chromosomal anomaly was down syndrome(30.3%), other 1 case of them was D/D translocation. 5. Structural chromosomal anomalies were 46, XX,5p-,46,XX,t(15p:21q)/46,XX,46,XX/46,XY,46,XY and long Y,46,XY,del(14p) in karyotypes. 6. Classification of diagnosis in congenital anomalies and/or mental retardation was Down syndrome(19 cases), congenital heart disease(14 cases), cleft lip and cleft palate (8 cases), multiple anomalies, hermaphroditism, cerebral palsy, polydactyly, hypospadia, imperforated anus, giant baby, in this order.
Age Distribution ; Anal Canal ; Cerebral Palsy ; Child* ; Classification ; Cleft Lip ; Cleft Palate ; Diagnosis ; Disorders of Sex Development ; Down Syndrome ; Female ; Heart ; Humans ; Hypospadias ; Incidence ; Intellectual Disability* ; Karyotype ; Male ; Mentally Disabled Persons ; Parturition ; Polydactyly ; Sex Ratio

To examine the current state and social ramifications of disability evaluation in Japan, public data from Annual Reports on Health and Welfare 1998-1999 were investigated. All data were analyzed based on the classification of disabilities and the effects of age-appropriate welfare services, which have been developed through a half-century of legislative efforts to support disability evaluation. These data suggest that disability evaluation, while essentially affected by age and impairment factors at a minimum, was impacted more by the assistive environment for disabilities. The assistive environment was found to be closely linked with the welfare support system related to a global assessment in the field of community-based rehabilitation.
Adolescent ; Adult ; Age Factors ; Aged ; Child ; Child, Preschool ; Community Health Services/economics ; *Disability Evaluation ; Disabled Persons/classification/rehabilitation ; Female ; Humans ; Infant ; Infant, Newborn ; Japan ; Male ; Middle Aged ; Social Support ; Social Welfare