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Journal of the Korean Academy of Rehabilitation Medicine 1997;21(5):874-879.
A Study on Handicap of Persons with Spinal Cord Injury in Korea by CHART.
Moon, Hae Won , Rah, Ueon Woo , Lee, Il Yung , Park, Sang Il , Lim, Min Jeong
Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Korea.
CHART를 이용한 척수 손상인의 Handicap 평가
문혜원, 나은우, 이일영, 박상일, 임민정
아주대학교 의과대학 재활의학교실

According to the World Health Organization(WHO), handicaps exist when individual is unable to fulfill expected social roles. The purposes of this study were to assess the handicap in spinal cord injury(SCI) outpatients, and to investigate the correlation of handicaps, impairments, disabilities and depression.

Eighty-five SCI outpatients were evaluated by the Craig Handicap Assessment and Reporting Technique(CHART), Katz scale, neurologic level and Frankel classification and Beck Depression Inventory (BDI). Seventy(82.4%) were male and 15(17.6%) were female. Average age of the subjects was 34.5 years with the age range of 18 to 63. The subjects were devided into four groups: complete quadriplegics (9), incomplete quadriplegics(12), complete paraplegics(41) and incomplete paraplegics(23). There was no significant statistical difference in total CHART scores between male and female subjects. However, male subjects had higher mobility and social integration scores than female subjects. The occupation score was low and the social integration score was high in all groups. No correlation was found between sex, severity and the level of injury, time since injury and the CHART scores. However, significant correlation was noted between the CHART scores and BDI scores.

We can carefully conclude that the CHART can be a valuable tool in the assessment of handicaps of disabled people. Futher extensive studies are recommended to identify the factors which might influence the handicaps of spinal cord injury persons.

Key Words: CHART, Handicap, CHART, Depression, Impairment, Disability


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