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김수일,나은우,김덕용,배하석 한국전문물리치료학회 2003 한국전문물리치료학회지 Vol.10 No.2
The purpose of this study was to provide information on driving characteristics in persons with spinal cord injury through basic statistic analysis of the survey results. The survey was administered to 44 drivers with spinal cord injury. The subjects' general, neurologic and driving characteristics were analyzed, as well as the degree of difficulty in using their vehicles between tetraplegia and paraplegia. The results were as follows: thirty-five (79.6%) of forty-four respondents was men. The average age was 35.0 years old and the age at the time of injury was 29.0 years old. Their neurologic characteristics were tetraplegics 12 (27.3%) and paraplegics 32 (72.2%). Among complete lesions, the highest level those who could drive independently was C7. All the vehicles were equipped with special devices, including "power steering", "automatic transmission" and "hand controls". The vehicles for cervical cord injury were equipped with "grip bars" as well as for the degree of difficulty in using their vehicles, all the subjects felt that "moving the wheelchair in and out of their vehicles" was too difficult for them to do. We suggest that the driver training should be an essential part of the rehabilitation program for patients with spinal cord injuries to maximize their mobility in the community. This training seems to be essential in order to modify the standards of the Handicapped Drivers Ability Test and to aid the driver rehabilitation program in the health insurance payment system. Also, the driver rehabilitation training program should include instruction in that moving wheelchairs in and out of vehicles.
장애아동들을 위한 수원 시내 초등학교의 편의시설 실태조사
박혜정,이미영,나은우 한국전문물리치료학회 2003 한국전문물리치료학회지 Vol.10 No.2
The purposes of this study were to investigate the accomodations for the disabled children of the elementary schools in Suwon and to give helpful information to the parents and teachers for the improvement of the independence of disabled children at school. We measured the ramps, toilets, doorways and other accomodations in 64 elementary schools according to the checklists. The checklists of these facilities were based on the legal requirements of "The Act for the Benefit of the Disabled, Elderly and Pregnant Women." The data was analyzed by descriptive statistics and the χ2 test. None of the investigated schools satisfied all the legal requirements of the facilities. Fifteen elementary schools had adequate accomodations for the disabled children which allowed them to move independently from the entrance of the school to their classrooms located on the first floor. Only eight of fifteen schools had elevators to access their classrooms upstairs. The schools were divided into two groups according to their construction dates; before and after April 11th 1998, when "The Act for the Benefit of the Disabled, Elderly and Pregnant Women" took effect. There were statistically significant differences in the number of toilets, the width of the toilet entrance, and the slope of the ramps between the two groups (p<.05). We suggest that the accomodations for the disabled children need to be established on a systematic and on-going basis in the future. The teachers and administrators should be more aware of the legal requirements for appropriate accomodations for the disabled children.
BTE Work Simulator와 Jamar Dynamometer를 이용한 정상인의 악력, 측면파악력 및 삼점파악력의 측정
문혜원,나은우,이일영,구자원,김준환,오형석 아주대학교 의과학연구소 1998 아주의학 Vol.3 No.2
Recently, increased emphasis has been placed on the need for rehabilitation professionals to objectively evaluate a patient's potential for a return to normal function. But, as the medical recovery nears completion, additional questions are commonly asked by physicians regarding work function and ability to return to full active employment. In the past, therapists have attempted to reestablish the work situation using real tools, however, these machines are expensive, spaces are limited, and it is potentially dangerous as well in some cases. A BTE (Baltimore Therapeutic Equipment) Work Simulator overcomes these shortcomings. It can be used for isometric and isotonic evaluation and treatment, it also assists in providing information needed to make determinations on the progress in therapy, return-to-work status and job modifications. We planned to obtain data on normative isometric, dynamic strength and endurance of grip, lateral pinch and three point pinch using BTE Work Simulator model WS20 and to compare these data with Jamar Dynamometers set which measure only isometric strength. We also compared these data between ages and sexes. This study will be helpful in clinical applications of the BTE Work Simulator in providing more specific job-related occupational therapy and developing special vocational rehabilitation program.