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KMID : 0378019750180070907
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New Medical Journal
1975 Volume.18 No. 7 p.907 ~ p.920
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Socio-Medical Study of Physically Handicapped School Children in Seoul
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Abstract
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Over two-year period from 1973 to 1974, a socio-medical survey of 4,048 physically handicapped school children in Seoul City was conducted. The sample included 1,320 primary, 1,675 middle and 1,053 high school students. The distribution of the sample by sex showed 2.717 male and 1,331 female students, the age range was 11 to 21 years.
The results of the study were:
1. The average case rate was 629 per 103,000 students in the study population in 1973 and 621 per 100,000 in 1974.
2. Inquiry into the cause of crippling showed that the highest proportion, 77.3%, was a result of the sequele of poliomyelitis. Joint diseases accounted for 4%, 3. 1% were affected by cerebral palsy, 2.8% were affected by vertebral diseases, and 2.4% were caused by fractures or amputation of limbs.
3. The average age of occurrence or onset of clinical symptoms was 1.9 years for poliomyelitis, 2.5 years for cerebral palsy, 6.1 years for vertebral disease, 6.4 years for joint disease, and 8.0 years for fracture or amputation.
4. A limitation of movement of the lower limb (s) alone was 84. 3% of cases studied, 6. 0% had only upper limb(s) disability, and 3.7% reported limitation of movement of both upper and lower limbs.
5. The relationship of birth history to disease pattern . showed that the proportion of difficult deliveries was higher in children with congenital diseases than those with acquired diseases, however no significant relationship was found to be associated with pregnancy order, place of delivery or delivery attendant.
6. 94.1% of the handicapped children reported that they had been or have currently being treated for their disability; 72.6% were under treatment at modern medical clinics and 20.7% at herbmedicine clinics.
7. The social attitude toward handicapped children was felt to be satisfactory by 39.2% of the chidren, `bearable´ by 42.1%. ´difficult to bear´ by 10.3% and `highly discriminatory´ by 6.5%.
8. The most difficult and uncomfortable problem in school life for those handicapped was in making friends with Eiher students (30.6%), difficulty in attending Scfibbl (26.6%); acid difficulty in participating in physical education classes. At the primary school levels, difficulties centered around physical activities and exercise, while middle and high school students encountered more problems in facing and accepting their handicap and in social relationships.
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