Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Current Situation of Assistive Devices and Appliances Provision for Persons with Cerebral Palsy in Korea

국내 뇌성마비 환자에서의 장애인보조기구 지원현황

  • Kim, Seong Woo (Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital) ;
  • Jeon, Ha Ra (Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital) ;
  • Shin, Ji Cheol (Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine) ;
  • Cha, Jun Min (Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital) ;
  • Youk, Taemi (Department of Statistics, Korea University) ;
  • Kim, Jiyong (Department of Physical Medicine and Rehabilitation, Inje University Ilsanpaik Hospital)
  • 김성우 (국민건강보험 일산병원 재활의학과) ;
  • 전하라 (국민건강보험 일산병원 재활의학과) ;
  • 신지철 (연세대학교 의과대학 재활의학과 재활의학연구소) ;
  • 차준민 (국민건강보험 일산병원 재활의학과) ;
  • 육태미 (고려대학교 통계학과) ;
  • 김지용 (인제대학교 일산백병원 재활의학과)
  • Received : 2017.11.16
  • Accepted : 2018.03.12
  • Published : 2018.06.30
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Abstract

Background: The aim of this study was to investigate the current state of the assistive devices and appliances provision system for cerebral palsy patients registered with brain disability. Methods: From 2003 to 2013, we analyzed the records of cerebral palsy patients who had assistive devices and appliances provisioned at least once in their lives based on National Health Information Database. Patients with cerebral palsy were divided into three groups: infants and toddlers, school age and adolescence, and adults. Results: Data on short leg plastic orthoses, ankle joint orthoses, and wheelchair were mainly analyzed. The types of ankle joint orthoses divided into three categories: limited, $90^{\circ}$ limited, and Klenzac. Limited ankle joint orthoses was most frequently supported of the three in all age groups. Powered wheelchair and scooter were most supported to adult patients. When the re-supply duration was evaluated, the duration was suitable to the duration on guideline of regulation of re-supplement according to the related laws in adult patients but not in infants/toddlers and school age/adolescence as the actual re-supplement duration was much shorter than the reference value. Conclusion: This study confirmed the pattern of assistive devices and appliances supply differed depending on the age of cerebral palsy patients.

Keywords

References

  1. Park MS, Kim SJ, Chung CY, Kwon DG, Choi IH, Lee KM. Prevalence and lifetime healthcare cost of cerebral palsy in South Korea. Health Policy 2011;100(2-3):234-238. DOI: https://doi.org/10.1016/j.healthpol.2010.09.010.
  2. Gajdosik CG, Cicirello N. Secondary conditions of the musculoskeletal system in adolescents and adults with cerebral palsy. Phys Occup Ther Pediatr 2001;21(4):49-68. DOI: https://doi.org/10.1300/j006v21n04_04.
  3. Andersson C, Mattsson E. Adults with cerebral palsy: a survey describing problems, needs, and resources, with special emphasis on locomotion. Dev Med Child Neurol 2001;43(2):76-82. DOI: https://doi.org/10.1111/j.1469-8749.2001.tb00719.x.
  4. McGinley JL, Dobson F, Ganeshalingam R, Shore BJ, Rutz E, Graham HK. Single-event multilevel surgery for children with cerebral palsy: a systematic review. Dev Med Child Neurol 2012;54(2):117-128. DOI: https://doi.org/10.1111/j.1469-8749.2011.04143.x.
  5. Act on Welfare of Persons with Disabilities, Act No. 14892 (Sep 19, 2017).
  6. Enforcement Rule of the National Health Insurance Act, Ordinance of the Ministry of Health and Welfare No. 550 (Jan 2, 2018).
  7. Association of Assistive Technology Act Programs. Assistive Technology Act of 1998 as amended 2004 [Internet]. Springfield (IL): Association of Assistive Technology Act Programs (ATAP) Office [cited 2018 Jan 2]. Available from: https://web.archive.org/web/20141017095950/http://ataporg.org/legislative.html.
  8. Ministry of Children and Youth Services. Assistance for children with severe disabilities [Internet]. Toronto (ON): Ministry of Children and Youth Services [cited 2018 Jan 2]. Available from: http://www.children.gov.on.ca/htdocs/English/specialneeds/disabilities.aspx.
  9. Aboutorabi A, Arazpour M, Ahmadi Bani M, Saeedi H, Head JS. Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: a systematic review. Ann Phys Rehabil Med 2017;60(6):393-402. DOI: https://doi.org/10.1016/j.rehab.2017.05.004.
  10. Dalvand H, Dehghan L, Feizi A, Hosseini SA, Amirsalari S. The impacts of hinged and solid ankle-foot orthoses on standing and walking in children with spastic diplegia. Iran J Child Neurol 2013;7(4):12-19.
  11. Bleyenheuft C, Caty G, Lejeune T, Detrembleur C. Assessment of the Chignon dynamic ankle-foot orthosis using instrumented gait analysis in hemiparetic adults. Ann Readapt Med Phys 2008;51(3):154-160. DOI: https://doi.org/10.1016/j.annrmp.2007.12.005.
  12. Yim SY, Yang CY, Park JH, Kim MY, Shin YB, Kang EY, et al. Korean database of cerebral palsy: a report on characteristics of cerebral palsy in South Korea. Ann Rehabil Med 2017;41(4):638-649. DOI: https://doi.org/10.5535/arm.2017.41.4.638.