S-2-06-05
FUNCTIONAL DETERIORATION 1N CEREBRAL PALSY IN ADULTS
Norihiko Ando (Yokohama-city University, Yokohama, Japan)
The results of a survey on the functional deterioration of adult patients with cerebral palsy are presented. The subjects of the survey were adult patients with cerebral palsy who were employed at work stations located throughout the country.
Functional deterioration was noted in 36%. The incidence of functional deterioration was higher among those with more advanced disability and of advanced ages. And the incidence of functional deterioration was higher among those reporting poor work environment, with involuntary movements of the head and neck, and abnormal movement patterns when moving. The work places of some patients were visited to examine the work environment. More than one-half were found to be associated with inadequacies in work environments. The results of the second objective examination of the changes that have taken place over the preceding 5 years are reported.
S-2-07-01
EDUCATION IN REHABILITATION MEDICINE IN JAPAN
Naoichi Chino (Dept of Rehab Med, Keio Univ Schl of Med, Tokyo, JAPAN)
Rehabilitation Medicine has gained its popularity as the population tends toward longevity and the number of disabled persons increases.
In Japan, the concept of rehabilitation in the medical field was introduce in 1920' particularly to the crippled children. The academic body of the Japanese Association of Rehabilitation Medicine was established in 1963 and the gradual increased number of rehabilitation medicine training program in medical schools and residency programs resulted in putting more specialty field of physical medicine. Also, a specialty board examination started in 1980 and the proposal of medical specialty system sponsored by the Japanese Medical Association was forecasted more physicians interested in rehabilitation medicine, and the number of members of the Association steeped to 8,694 in 1997. A 1996's survey indicated that in all Japanese medical schools rehabilitation medicine is taught to medical students but only 10 out of 80 medical schools have independent departments of rehabilitation medicine and about one third of the university hospitals have training programs for rehabilitation medicine. There are 258 training programs altogether in the university affiliate hospitals, general hospitals and rehabilitation institutions which are scattered in the country.
