Health Policy Manag.  2018 Jun;28(2):145-150. 10.4332/KJHPA.2018.28.2.145.

Current Situation of Assistive Devices and Appliances Provision for Persons with Cerebral Palsy in Korea

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
  • 2Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Statistics, Korea University, Seoul, Korea.
  • 4Department of Physical Medicine and Rehabilitation, Inje University Ilsanpaik Hospital, Goyang, Korea. halwayskim@gmail.com
  • 5Department of Rehabilitation Medicine, Yonsei University College of Medicine Seoul, Korea.

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° 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.

Keyword

Cerebral palsy; Orthotic devices; Foot orthoses
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