DEVELOPMENT AND PROVISION OF THE REHABILITAION ENGINEERING CLINICAL SERVICE IN YOKOIIAMA REHABILITATION CENTER
TANAKA 0samu(Yokohama Rehabilitation center. Yokohama, Japan)
One of the main roles of the rehabilitation engineering division of the Yokohama Rehabilitation Center is the rehabilitation engineering clinical service(RECS). The RECS is defined as the technical services which provide carefully selected technical aids for people with disabilities in order to support independent living and life and to improve their ADL and QOL. The majority of the RECS is conducted with the collaboration of the home-visiting service in the center. This collaboration allows the RECS to be an 'every day life-oriented' field work of rehabilitation engineering. which is performed in a client's living environment. Through the RECS clients' needs for assistive technology can be determined and is reflected in the development of new or modified technical aids to satisfy their individual needs. In this presentation the components and service delivery system of the RECS will be outlined and the specific services and outcomes will be discussed through several cases in order to clarify the role of rehabilitation engineering.
MANIPULATORS - ATYPICAL FUNCTIONAL PROSTHESES FOR BILATERAL ABOVE-ELBOW AMPUTEES
Milanowska (Institute of Orthopaedics and Rehabilitation, University of Poznafi, Poland)
Upper extremity functional prostheses now produced and applied are little useful in work and daily living activities. Particularly, we lack useful technological solutions of prostheses for persons with bilateral above-elbow amputations.
Typical kinetic prostheses with socket arm, elbow joint, forearm and endings (prosthetic hand or hook) are not very useful for work and daily living activities for the above mentioned amputees. In close cooperation with patients who fully accepted their disability and who wanted to be profesionally active and independent, the Rehabilitation Department University of Poznan - elaborated and constructed manipulators as functional prostheses. Manipulators are sockets made of plastic with various changeable endings useful in daily living activities and work.
We present 4 types of manipulators with various sets of functional endings depending on patients needs. For instance, in case of a patient-farmer with exarticulation in both arm joints the manipulators allow him for driving a tractor and performing basic jobs in a farm.
Some manipulators are designed for the amputees - clerks and different ones for those who must perform more precise activities in their work. The paper is illustrated by slides.