The Japanese Journal of Rehabilitation Medicine

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We evaluated the personal profile, employment, factors that could affect the risk of unemployment in view of medical management, and satisfaction with daily life (SDL) of 35 employed hemophiliacs in North Kyushu Hemophilia Center. The SDL evaluation consisted of the subjective satisfaction with daily life: 1) physical function, 2) home life, 3) social life including the community and civic activities, 4) work that is interesting, rewarding and worthwhile, 5) personal development and fulfillment, 6) recreation, and 7) material well-being including income and property. It was found that most of the employed hemophiliacs were neither satisfied nor dissatisfied with their physical functions and material well-being, and were moderately satisfied with the other five factors of the SDL. Employed hemophiliacs were more satisfied with work and material well-being compared to unemployed hemophiliacs. In addition, there was no significant multiple correlation coefficient between SDL and risk factors of unemployment. Therefore, in this paper we propose that not only the treatment of impairments and disabilities but also the comprehensive approach including to enrich SDL and reduce handicaps is very important in the rehabilitation of hemophiliacs.

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A new method for the evaluation of stroke patients, designated the Stroke Impairment Assessment Set (SIAS) is presented. The SIAS primarily employs single-task assessment of various functions and rates performance on scales of 0 to 5 or 0 to 3. The items evaluated include motor function, muscle tone, sensation, range of motion, pain, trunk control, visuospatial perception, aphasia and functions on the unaffected side. Scores for each item are plotted on a radar chart, so that deficits can be identified at a glance. The inter-observer variation in SIAS scores is acceptable and assessment can be performed as part of a routine clinical examination.

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A 19-year-old below-knee male amputee using the Patellar-Tendon Bearing prosthesis was suffering from the skin erosion of his stump. We prescribed the Total Surface Bearing prosthesis in order to reduce the pressure to the skin and the up-down movement of his stump. After receiving an optimal fit of the socket, he made a quick recovery from the skin lesion. We concluded that the Total Surface Bearing prosthesis is more appropriate for below-knee amputees with skin problems of the stump than the PTB prosthesis.

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