The purpose of this study is to help the severely handicapped persons who are in the state of quadriplegia due to high cervical spinal cord injury, head injury, myopathy, etc. by developing pneumatically-operated Environmental Control System (ECS) for operating an interphone, a TV, a radio, a ceiling lamp, a table lamp, a fan, an electric curtain and an electric bed.

The ECS used in this study were designed in cooperation with Department of Rehabilitation Medicine and Department of Physics, Catholic University Medical College (1986. 3-1987. 8.).

The authors used an ECS which performed 10 different functions in a case of C5 quadriplegic patient who is 60 years old.

From August 1987 to May 1988, the authors studied for the efficacy of the ECS.

After the use of the ECS (1988.3.14-5.13), via the adaptational period for about 20 weeks, the quadriplegic patient had many psychological benefits such as a heightened sense of independency, a reduction of frustration and practically the numbers of help demands was reduced, compared with before the use of the ECS (1987. 8. 21-10.20), from 87.1 times a day to 42.0 times a day (48.2%).

1980년 한국보건개발연구원의 보고에 의하면 우리나라 18세 미만의 장애아동수는 208,000명으로 추정되고 있다. 지체장애, 시각 및 청력장애 그리고 정신박약아 등을 포함한 장애아동의 재활은, 조기진단에 따른 적절한 조기치료 및 조기교육이 통합되어 이루어져야 하며, 가정의 이해와 사랑, 그리고 재활을 위한 적극적 참여가 반드시 요구된다. 의사는 이들 장애아동의 치료 및 재활문제에 관한 자문에 응하고 지도해야 할 중책을 가진다.

금번 저자는 우리나라 장애아동의 재활써-비스의 현황을 파악하고 그 문제점을 연구할 목적으로 우리나라 아동재활을 위한 의료재활시설, 수용시설 및 특수교육의 실상을 조사연구하여 보고하는 바이다.

112 cases of nerve injury due to glass were evaluated retrospectively for both neural and extremity involvement and age and sex distribution.

1. The most commonly involved nerves were the median and the ulnar.

2. With few exceptions most injuries were in the upper extremity.

3. Right upper extremity injury was more common.

4. Ages ranged from 5 to 52 but the majority of patients were in the second or third decade. The average was 26.5 years.

5. The male:famale ratio was 93.8:6.2.

The possible causes and prevention of glass injury are discussed.

In the past, criteria used in gait training of disabled individuals were based primarily on cosmetic patterns, with a tendency toward doing away with assistive devices. However, experimental studies of energy demands indicate the need for determining which devices are the most economical from the viewpoint of energy expenditure.

Since rehabilitation requires effort on the part of the patient, we are concerned with how to increase the amount of work the patient can do with the residual functional parts of his body; how to minimize the amount of work normal persons do in the course of daily activities; how much these work requirements increase for the disabled individual and how much this increase can be lessened by ambulation training and assistive deivces.

Energy expenditure in normal and abnormal ambulaton has been reviewed along with related articles which have been introduced in the past couple of decades.

Every human being carries some defective genes and there is no way of making sure that his or her parther is not accidentally heterozygous for the same allele. Therefore, the genetic counselor must make every effort to banish all false guilt or responsibility considerations from the discussion It must be made absolutely clear that the purpose is simply to prevent the misery imposed on the individual as well as his family through the birth of defective children.

In this paper, to prevent the birth defect and mental redadation, the methods of antenatal diagnosis by techniques for antenal diagnosis and recurrence risk figures(probability), and mode of genetic inheritance are described.

It is well known among physicians, employees and members of the Compensation Committee that there are many cloudy areas in the evaluation of persons who have sustained back injuries.

The physician's report can seldom be relied on wholly when it is mainly based on employee's statement regarding his injury.

The existing Table of Grades of Disability presently used by Labour Office is so simple and ambiguous, relative to back injury, that different opinions frequently occur, even though examining members attempt to be scientific and impartial.

This paper illustratrates a practical way of applying the Table of Grades of Disability as well as dimension of grades in relationship to the initial injury.