We investigated the clinical course of re-entrance to school after inpatient rehabilitation for acquired brain injury in 31 children. We defined the clinical pass for children with acquired brain injury in 2001, and started to use it from 2002. We compared the clinical course before and after the use of the clinical pass. After starting to use it, the approach to re-entrance to schools was systematized and the period of inpatient rehabilitation was shortened. Also problems encountered after returning to school were decreased.

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Many studies have recently shown that aquatic exercise is greatly beneficial to the cardiorespiratory system and that it prevents an abrupt increase in heart rate while at the same time requiring greater oxygen consumption than exercises performed on land. Water walking as an exercise is thought to offer many advantages over walking on land, especially for people suffering from arthritis or various orthopedic disorders of the lower limb joints, since the impact forces against the lower limb joints can be readily reduced by changing the combination of submersion level and walking speed. In this review we describe the recent advances made in our understanding of the conflicting effects of water resistance and buoyancy onto the kinematics and kinetics of water walking. We show the quantitative differences in ground reaction force, joint angle, joint moment, and electromyogram of the lower limb between land walking and water walking. Knowledge of how these biomechanical characteristics change between walking in water and on land, and of how they change in relation to the walking speed, will be useful for clinicians in prescribing safer and more effective aquatic exercise programs.

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The Establishment of Rehabilitation Medicine on Acute Hospital…Masaki ISE 99

Counseling Center for the Rehabilitation of People with Physical Disabilities : The Role of Physiatrists and I…Junko KOIKE 105

Come at Clinic Working Rehabilitation Medical Specialist being able to do and are not…Hirofumi ABE 109

Rehabilitation Medicine is very Important as a Primary Care in General Hospital…Eiji MOTONAGA 115

I want General Doctors Diagnosing from the Viewpoint of Rehabilitation Medicine…Junko FUJITANI 119

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