Citations
To clarify how participation in leisure activities and exercise by chronic stroke survivors differs before and after a stroke.
Sixty chronic stroke survivors receiving community-based rehabilitation services from a health center in Seongnam City were recruited. They completed a questionnaire survey regarding their demographic characteristics and accompanying diseases, and on the status of their leisure activities and exercise. In addition, their level of function (Korean version of Modified Barthel Index score), risk of depression (Beck Depression Inventory), and quality of life (SF-8) were measured.
After their stroke, most of the respondents had not returned to their pre-stroke levels of leisure activity participation. The reported number of leisure activities declined from a mean of 3.9 activities before stroke to 1.9 activities post-stroke. In addition, many participants became home-bound, sedentary, and non-social after their stroke. The most common barriers to participation in leisure activities were weakness and poor balance, lack of transportation, and cost. The respondents reported a mean daily time spent on exercise of 2.6±1.3 hours. Pain was the most common barrier to exercise participation.
Chronic stroke survivors need information on leisure activities and appropriate pain management.
Citations
To identify the 'physiatry' in a single word is difficult. This may be due that physiatry originated from two different fields, physical medicine and rehabilitation and focuses on assisting the general improvement of functional recovery in disabled patients. In addition, physiatry has new markets to develop; health and welfare. Therefore, the identity of physiatry will change depending on how physiatrists act in these fields. We attempt to define the physiatry from several aspects.
Citations
The goal of the Plan-II is social integration. People with disabilities should be able to join other members of society in a number of activities including, but not limited to, economic ones. Under this goal, the Plan-II sets forth the following five objectives. First, age-specific welfare services should be developed. Second, students with disabilities should have equal opportunities for education in the same setting as other students. Third, the disabled should enjoy job security through the balanced development of welfare and economy. Fourth, the disabled should have an equitable access to IT (information technology)-enabled services. And fifth, safe and convenient transportation system should be put in place for the disabled.
The Plan-II also contains the budget and the means of financing, previously excluded in the Plan-I. An estimated KRW 7 trillion and 472.6 billion is needed to finance the above-mentioned programs between 2003 and 2007. (J Korean Acad Rehab Med 2003; 27: 463-470)
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