P-3-13-04
INTRODUCTION OF "WHEELCHAIR SPORTS CHANBARA" - A NEW PROGRAM IN REHABILITATION-
Kyoichi Takebe (Takebe Orthopaedics and Rehabilitation Clinic, Amagasaki, Japan), Koji Ikeda, Tasuku Kaneko, (Kobe University), Seiichi Takemasa, Toru Nagao,
Abstract: The purpose of this paper is to introduce and discuss a new program in rehabilitation. In 1993, we applied "Sports Chanbara" which was originated based upon Japanese sword-play "Chanbara" to the patients with physical disabilities as "Wheelchair Sports Chanbara"(WSC). By the judge of the referee, the player who gives one valid stroke by a soft sword to his opponent wins a match. Since then more than 300 patients participated to "WSC" as a part of the rehabilitation program. Their age ranged from 10 to 90 years old. Their diagnoses were stroke, fracture, osteoarthritis, frozen shoulder and so on.
As a result, improvement of mental condition was obvious in many cases. Physical improvement was also observed in the properly selected cases. "WSC" is useful in rehabilitation for the patients with physical disabilities. It could be not only a new rehabilitation program for the patients but also a new sport event for physically handicapped people.
P-3-14-01
ON COPING RESOURCES AND LIFE SATISFACTION IN VOCATIONALLY DISABLED SWEDES
Roland Melin-1,2, AR. Fugl-Meyer-1, C. Danielsson-2 and K. Sjogren-2. (Dept. of Rehabilitation Medicine-1, Uppsala University and The Employability Institute-2, Uppsala, Sweden)
Purpose: To describe the coping resources of vocationally disabled subjects and to relate these resources to levels of life satisfaction.
Subjects and Methods: The target sample was a consecutive series of 159 vocationally disabled subjects admitted to an employability institute. Of these 75% volunteered to participate. At attendance to the program they filled in questionnaires addressing Sense of Coherence-1, (general coping resources), Locus of Control-2, (external/internal) and Life Satisfaction-3, (life as a whole and 8 different domains).
Results: The mean level of Sense of Coherence was low, implying relatively poor capacity for coping, especially for those not born in Sweden. Participants also appeared to possess low internal level of control of their own life. Levels of Life Satisfaction were also low. Significant associations between poor coping resources and low levels of (different aspects of) life satisfaction emerged.
Conclusion: The sample of vocational rehabilitees, and particularly the immigrants, were characterized by poor resources for autonomous and active coping with negative life events. Accordingly they had - in several aspects - low levels of life satisfaction. It remains, in a prospective investigation, to be seen whether psychological coping resources influence the ability to return to work.
References: 1. Antonovsky, A.: Unraveling the Mystery of Health. How People Manage Stress and Stay Well. Jossey-Bass Publishers. San Francisco 1987. 2. Eisemann, M., Perris, C., Palm, U.; Palm, A. and Perris, H.: LOC-Presentation of a Swedish Instrument for Assessing Locus of Control. In Cognitive Psychotherapy - An update, ed: C Perris and M Eisemann, Department of Psychiatry, Univ. of Umea, 1988.3. Fugl-Meyer, AR., Eklund, M. and Fugl-Meyer, KS.: Vocational Rehabilitation in Northern Sweden III. Aspects of Life Satisfaction. Scand J Rehab Med, 23:83-87, 1991.
