Kim Hee-Chun, Kim Joon-Sung, Lee Kee-Haeng, Lee Ho Seong, Choi Eun-Seok, Yu Jay-Young
Department of Orthopaedic Surgery, National Medical Center, Seoul, Korea.
J Korean Med Sci. 2009 May;24 Suppl 2(Suppl 2):S299-306. doi: 10.3346/jkms.2009.24.S2.S299. Epub 2009 May 31.
Lower Extremities Committee of Korean Academy of Medical Sciences Guideline for Impairment Rating develops new guidelines which are based on McBride method, American Medical Association Guides, Disability evaluation by The Korean Orthopaedic Association, The Korean Neurosurgery Society, and Korean Academy of Rehabilitation Medicine. The committee analyzed and discussed to create an ideal method practical in Korea. Our committee endeavors to develop new methods which are easy to use, but are suitable for professional use and also independent from the examinee's intentions. The lower extremities are evaluated on the basis of anatomic change, functional change, and diagnosis based evaluation. Nine methods are used to assess the lower extremities. Anatomic assessment includes leg length discrepancy, ankylosis, amputation, skin loss, peripheral nerve injury, and vascular disease. In functional assessment, range of motion and muscle strength are included. Diagnosis-based assessments are used to evaluate impairment caused by specific fractures, deformities, ligament instability, meniscectomies, post-traumatic arthritis, fusion of the foot, and lower extremity joint replacements.
韩国医学科学院下肢委员会损伤评级指南制定了新的指南，该指南基于麦克布赖德方法、美国医学协会指南、韩国骨科协会、韩国神经外科学会以及韩国康复医学科学院的残疾评估方法。委员会进行了分析和讨论，以创建一种在韩国切实可行的理想方法。我们的委员会致力于开发易于使用、适合专业用途且不受受检者意图影响的新方法。下肢评估基于解剖学变化、功能变化和基于诊断的评估。使用九种方法来评估下肢。解剖学评估包括腿长差异、关节强直、截肢、皮肤缺失、周围神经损伤和血管疾病。在功能评估中，包括活动范围和肌肉力量。基于诊断的评估用于评估由特定骨折、畸形、韧带不稳定、半月板切除术、创伤后关节炎、足部融合和下肢关节置换引起的损伤。
