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Ramps not steps: a study of accessibility preferences.


Ever since Stefan Farffler invented the wheelchair sometime in the middle of the 17th century, people using his invention have been fighting barriers interfering with its use. Rough terrain, curbs, and steps have been blocking the way for some 350 years (Pezenik, Itoh, and Lee, 1984; McNair, 1990). Inaccessible housing, public buildings, buses, job sites, motels, polling places and recreation facilities have restricted the freedom and impeded the pursuit of happiness of citizens who use wheelchairs. Because of these barriers, many of these citizens may have been denied the right to travel to work and access to a job. Some may have been denied an education, the right to vote, a trip to the courthouse and post office, a room in an inn, a meal in a restaurant, or a visit to the homes of friends and relatives. Shopping, attendance at sports events, movies, concerts, and plays may be prohibited and use of public recreation facilities denied. Restrooms, telephones, water fountains, and elevator buttons may be out of reach. Architectural barriers architectural barrier Public health Any structure or design feature that makes a building inaccessible to a person with a disability–eg, lack of ramps, narrow elevator doors. See Americans with Disabilities Act, Service dog.  have indeed taken their toll on the lives of those who use wheelchairs and those with other mobility impairments (Romano, 1987; Weiss, 1988).

During the past quarter century, however, progress has been noted. Laws have been passed mandating and encouraging accessibility. Public awareness campaigns have been launched and tax incentives offered. The Architectural Barriers Act of 1968 required accessibility in buildings constructed with federal funds Federal Funds

Funds deposited to regional Federal Reserve Banks by commercial banks, including funds in excess of reserve requirements.

Notes:
These non-interest bearing deposits are lent out at the Fed funds rate to other banks unable to meet overnight reserve
. The Rehabilitation rehabilitation: see physical therapy.  Act of 1973 mandated accessible college programs, further enhanced access to public buildings for those who have physical disabilities and called for affirmative action affirmative action, in the United States, programs to overcome the effects of past societal discrimination by allocating jobs and resources to members of specific groups, such as minorities and women.  on the part of government contractors A government contractor is a private company that produces goods or services under contract for the government. Often the terms of the contract specify cost plus – i.e., the contractor gets paid for its costs, plus a specified profit margin. . In addition, section 502 of the Rehabilitation Act of 1973 created the Architectural and Transportation Barriers Compliance Board (1988). Then, in 1975 Public Law 94-142 assured children who are disabled the right to free and appropriate public education; access to school was inherent in that right. Many states had passed similar laws requiring that state funded public buildings meet accessibility standards accessibility standards (akses´abil´itē),
n.pl the requirements designed by the Americans with Disabilities Act (ADA), by which public places must provide disabled individuals with barrier-free access to
. Raffa (1985) described the legislative history of federal accessibility laws and Hopf and Raeber (1984) cataloged the barrier free regulations of all of the states. The Americans with Disabilities Act Americans with Disabilities Act, U.S. civil-rights law, enacted 1990, that forbids discrimination of various sorts against persons with physical or mental handicaps.  was passed and signed into law by President George Bush in 1990. Its passage promoted an even more accessible nation (Leung, 1990).

To facilitate compliance with these laws and to assure that facilities meet requirements, a host of organizations and groups have offered standards and guidelines for making environments accessible. The American National Standards Institute See ANSI.

(body, standard) American National Standards Institute - (ANSI) The private, non-profit organisation (501(c)3) responsible for approving US standards in many areas, including computers and communications. ANSI is a member of ISO.
 (ANSI-1986) provides the most comprehensive and exacting standards for full accessibility. The General Services Administration The General Services Administration (GSA) was established by section 101 of the Federal Property and Administrative Services Act of 1949 (40 U.S.C.A. § 751). The GSA sets policy for and manages government property and records.  (1985) offers the Uniform Federal Accessibility Standards; the Architectural and transportation Barriers Compliance Board (1981) has a publication entitled, Guidebook to the Minimum Federal Guidelines and Requirements for Accessible Design; and the National Center for a Barrier Free Environment (Fuller, 1981) has spelled out standards for those who may be designing outdoor areas for parking, passenger loading zones Noun 1. loading zone - a stop where carriers can be loaded and unloaded
loading area

stop - a spot where something halts or pauses; "his next stop is Atlanta"
, and bus stops. Sorensen (1979) devoted a book to the subject of design for those with disability and Scott (1985) edited one focusing on accessibility in remodeling remodeling /re·mod·el·ing/ (re-mod´el-ing) reorganization or renovation of an old structure.

bone remodeling
 and renovations.

Others offer accessibility guides, checklists and "how to do it" procedures for specific purposes and places. Desmond (1982) devised a checklist for employers who might want to make their workplace accessible. The National Rehabilitation Association (Mosley, 1989) concentrated on a checklist to assure that hotels/motels and conference facilities were in compliance with accessibility standards. Sovik (1980) and the United Methodist Church United Methodist Church, in the United States, religious body formed by the union in 1968 of the Evangelical United Brethren Church and the Methodist Church (see Methodism).  (1981) have developed checklists and accessibility procedural manuals for churches; Bugenske (1979) for trade shops; and Doyle (1983) for multifamily housing. Clark and Koltstoe (1990) included accessibility for persons who are sensory impaired in their checklist. Special attention has been paid to making homes accessible (Okamoto, 1984; Rigger, 1989). Both the Paralyzed Veterans of America The Paralyzed Veterans of America (PVA) is a congressionally-chartered veterans' service organization in the United States of America, founded in 1946. It describes itself as having "developed a unique expertise on a wide variety of issues involving the special needs of our members  and the University of Wisconsin-Stout University of Wisconsin-Stout is a comprehensive, career-focused polytechnic university where students, faculty and staff use applied learning, scientific theory and research to solve real-world problems, grow the state’s economy and serve society.  (no dates) designed accessible bathrooms while Wheeler (no date) at New York University New York University, mainly in New York City; coeducational; chartered 1831, opened 1832 as the Univ. of the City of New York, renamed 1896. It comprises 13 schools and colleges, maintaining 4 main centers (including the Medical Center) in the city, as well as the  proffered accessible kitchen designs.

Accessibility assistance did not end with these resources. In addition to laws promoting accessibility and guidelines spelling out how to design buildings for those with physical disabilities there are many coping mechanisms coping mechanism Psychiatry Any conscious or unconscious mechanism of adjusting to environmental stress without altering personal goals or purposes  available and useful while those with disabilities await a barrier free environment. Factor (1989) reported on the Turtle, an all terrain wheelchair that plows through snow, grass, and sand and Beachmaster (1989) boasts of its new aquatic chair which can be used in pools and at the beach. There is also a miniature bulldozer type vehicle with tracks which permit wheelchair users to climb stairs and White, Szeto, and Hogan (1980) designed a trough-shaped ramp with telescoping articulating control rods Noun 1. control rod - a steel or aluminum rod that can be moved up or down to control the rate of the nuclear reaction
nuclear reactor, reactor - (physics) any of several kinds of apparatus that maintain and control a nuclear reaction for the production of energy
 which allows wheelchair users to climb curbs and other single steps up to eight inches high. Hugh Von Holten developed the Freedom I, a rough terrain, all hydraulic three-wheel chair that features both battery and gasoline power (McNair, 1990).

Many communities have developed and published lists of accessible facilities for their cities: Thomas and Thomas (1986) offer a directory of college facilities and services for students with disabilities. In one review of research and demonstration projects on accessibility, the Interagency in·ter·a·gen·cy  
adj.
Involving or representing two or more agencies, especially government agencies.
 Committee of Handicapped Research found four cabinet level federal departments funding research on accessibility and similar disability topics (Wehrli, 1987). ABLEDATA offers toll free information on adaptive devices (1-800-344-5405) and Britell and McFarland (1988) reviewed adaptive systems An adaptive system is a system that is able to adapt its behavior according to changes in its environment or in parts of the system itself. A human being, for instance, is certainly an adaptive system; so are organizations and families.  and devices. Barry and Priestley (1980) focused on coping in their publication, Coping With The Coping With series of books is a series of books aimed at 11-16 year olds, written by Peter Corey and published by Scholastic Hippo. The first book, Coping with Parents, was released in 1989, and the series continued until the last book, Coping with Cash  Inaccessibility: Assisting the Wheelchair User.

Despite the laws, the progress and the coping mechanisms much of American remains remote to those who use wheelchairs or have other temporary/permanent mobility impairments. In many other countries of the world, the situation is even worse for there are no accessibility laws, guidebooks, nor checklists (Couch, Baud, & Goetz, in press). Even though progress has been made there is a continued lack of awareness and sensitivity to accessibility throughout the world a lack of understanding and accommodation. As one group explained, "...architectural barriers are little recognized by the general public, exist on a large scale, and may be eliminated in the private sector only by a voluntary effort..." (Nelson, Jones, & Salkind, 1986, p. 133).

In their study of accessibility in privately owned businesses, Nelson and his colleagues (1986) discovered that 90 percent of 2000 public use settings surveyed in Kansas City Kansas City, two adjacent cities of the same name, one (1990 pop. 149,767), seat of Wyandotte co., NE Kansas (inc. 1859), the other (1990 pop. 435,146), Clay, Jackson, and Platte counties, NW Mo. (inc. 1850).  presented substantial barriers and more than half were totally inaccessible. When a sample of 300 of these establishments meeting a partial accessibility criterion were sent accessibility packets and offered free consultation on making their businesses more accessible only 15 percent of the businesses responded to the initial contact. Nelson et al. (1986) noted that there were almost no incentives for businesses to make their establishments accessible. Some states still offer tax credits, but Section 190 of the Internal Revenue Code The Internal Revenue Code is the body of law that codifies all federal tax laws, including income, estate, gift, excise, alcohol, tobacco, and employment taxes. These laws constitute title 26 of the U.S. Code (26 U.S.C.A. § 1 et seq.  permitting a limited federal tax credit of up to 50 percent for expenses incurred in making businesses accessible lapsed LEGACY, LAPSED. A legacy is said to be lapsed or extinguished, when the legatee dies before the testator, or before the condition upon which the legacy is given has been performed, or before the time at which it is directed to vest in interest has arrived. Bac. Ab. Legacy, E; Com. Dig.  in 1983.

Public laws prompt accessibility for public buildings but incentives must be found for the private sector if accessibility is to be fully achieved. Nelson et at. (1986) reviewed behavioral community research and suggested three intervention strategies which might prompt change in the prevailing posture of private businesses. Informational prompts that tell the story of accessibility, feedback on a particular building's accessibility, and incentives. Incentives such as tax credits, improved community image, and more customers may prompt the most response because they could lead to increased profits.

This study may relate to incentives. The purpose of the study was to investigate preferences of means for changing elevations specifically whether people preferred steps or ramps. The results could be linked to consumer satisfaction which is certainly an incentive for all businesses. If consumers prefer steps, give them steps. If they prefer ramps, give them ramps. The research question was: given a choice, would patrons at an urban shopping mall prefer ramps or steps as a means to ascent/descent a five foot three inch height at a department store. Although the University of Minnesota (body, education) University of Minnesota - The home of Gopher.

http://umn.edu/.

Address: Minneapolis, Minnesota, USA.
 (Matross, 1981) surveyed both students with foot three inch height at a department store. study showing general satisfaction with wheelchair accessible buses, no recent study of general population with wheelchair accessible or ramps was found in the literature.

METHOD

Patrons of an urban shopping mall in a small southern city were observed ascending or descending a height of approximately five feet leading to or away from a large department store serving as one of the mall's anchor stores anchor store
n.
A large store, such as a department store or supermarket, that is prominently located in a shopping mall to attract customers who are then expected to patronize the other shops in the mall.
. A total of 3554 observations were recorded. Patrons had three options in accessing the department store and one small dress shop on the mall's upper level. There were two sets of steps, one on each side of the mall's concourse. Each set featured nine, seven inch high steps. In the middle of the concourse was the lower entrance to a 90 foot ramp that curved upward to the top level. At the department store's (upper) level a large permanent display separated the wide, open entrance. In circumventing this display, patrons exiting the department store were funneled to the sides of the mall so the stairs were a convenient as the ramp at the upper level.

There were six observation periods scattered over three months, on several different days (4), and at different time periods. In the absence of a randomly selected sample, this procedure provided a cross section of patron traffic ranging from a calm weekday opening hour, to an after-school rush to a bustling bus·tle 1  
intr. & tr.v. bus·tled, bus·tling, bus·tles
To move or cause to move energetically and busily.

n.
Excited and often noisy activity; a stir.
 weekend evening. The first observation was for a period of 30 minutes. All of the others were 90 minutes in length. At each observation the patron's choice of options in ascending to or descending from the department store was recorded. Patrons who entered and/or exited the same entryway were counted each time they used the steps or ramp. So, the same person could have been counted more than once. The department store had two other entrances which faced the mall's parking lots outside so the number of entries and exits did not match.

Frequency and percentage distributions were used to illustrate the preferences of the two groups for either ramps or steps. The nonparametric chi square chi square (kī),
n a nonparametric statistic used with discrete data in the form of frequency count (nominal data) or percentages or proportions that can be reduced to frequencies.
 procedure was used to test the significance of the observed difference in the data generated in the study (Cozby, 1085). An .05 level of confidence was selected as criterion for accepting any obtained statistical differences. A second, verification study was conducted on a sample of 100 patrons at a second mall site which featured a similar configuration of steps and a ramp at another anchor department store. The qualitative research Qualitative research

Traditional analysis of firm-specific prospects for future earnings. It may be based on data collected by the analysts, there is no formal quantitative framework used to generate projections.
 technique of participant-observation (Goetz & Lecompte, 1984) was also employed to collect certain non-quantitative data relating to relating to relate prepconcernant

relating to relate prepbezüglich +gen, mit Bezug auf +acc 
 use of ramps and steps. Anecdotal notes relating to patron behaviors and comments were taken at each observation period by a participant-observer patron. The study was limited by a number of factors. The shopping mall observed represents only one setting and patron preferences may not generalize generalize /gen·er·al·ize/ (-iz)
1. to spread throughout the body, as when local disease becomes systemic.

2. to form a general principle; to reason inductively.
 to other settings, other businesses, other environments (i.e. outside), or other malls. The configuration of the steps and ramp may have provided a convenience factor that could have influenced patrons more than personal preferences. Various demographic characteristics of patrons which were not controlled for might also have influenced preferences for ramps or steps. Finally, during several of the observation periods a number of individuals were discovered using the steps, and on rare occasions the ramp, as exercise enhancers. This too could have affected the results. However, the large number of observations probably compensated for this and other factors which could have possibly biased the results.

RESULTS

Asizeable majority (65.5%) of the 3554 patrons observed chose ramps as their preferred means of ascending/descending a height of approximately five feet leading to/from a mall department store. In every one of the six observations periods the majority of all patrons chose ramps over steps with percentages ranging from a low of 57 percent to a high of 73 percent. On one occasion, a greater number of patrons did chose steps over ramps in ascending to the store (57%) but when patron descents were added to the total for that period, a majority favored ramps. Fewer people using the ramp chose it for ascending to the store (59%) than for descending to the lower level concourse of the mall (72%). Table 1 depicts the frequencies and percentages for each of the observation periods and for the observation of preferences for the total observation of [TABULAR DATA ONE OMITTED]

The obtained chi square value was significant, X2 (5, N = 3554) = 28.21. A chi square value greater than 20.517 was necessary to achieve this degree of confidence. This level of significance indicated that observed differences in group frequencies were not likely due to chance.

Data generated from participant-observation indicated that a sizeable number of individuals (81) would have had difficulty accessing the department store without the ramp some could not have accessed it at all. This group represented two percent of all observations. Among these, the largest number were parents with babies in carriages or strollers. They numbered 51. Mothers had other concerns. On Several occasions, pre-school youngsters were observed running ahead of their mothers obviously headed for the steps only to have their mothers prompt them to use the ramps instead so they would not fall. These mothers evidently thought ramps were safer. The second largest category in the group needing ramps were those with disabilities. A total of 5 patrons used wheelchairs and another 19 had evident permanent or temporary physical disabilities. Finally, on five occasions, workmen were seen using dollies to move equipment and supplies up/down the ramp. The only specific qualitative observations in which steps were obviously preferred was when individuals were engaged in exercises. Steps appeared to offer more physical exertion exertion,
n vigorous action, a great effort, a strong influence.
. A few who choose steps were not exercising yet comments overheard by these individuals indicated that they probably agreed that the steps were physically demanding. Typical of these was an elderly woman who said to her companion as she reached the top of the steps, "I can't hardly get up these damn chairs!"

DISCUSSION

Given a clear choice, a majority of patrons at an urban shopping mall appeared to prefer ramps to steps (65.5%-34.5%). This majority preference was consistent over six observation periods, at various hours and on four different days of the week. The observed differences were significantly different at a .001 level of confidence. Somewhat surprising was the fact that the ramp proved far more popular for descending from the department store than for ascending to it. It is more physically demanding to climb stairs that to go down them. The configuration of the two sets of stairs and the ramp suggested that the ramp approach at the lower level would be far more convinient than the ramp approach at the top. This result may have mitigated the convenience factor as one of the study's limitation. The second, verification study also indicated that a majority of patrons preferred ramps over steps although not to the degree of the primary study. At the second site, one used the ramp or steps to descend to a department store on a lower level; the entrances at both the top and bottom were located differently and the proximity of other stores also differed. The preference for ramps to steps in the verification study (56%-44%) was slightly less than the lowest percentage recorded for any of the observation periods at the primary site.

Qualitative data provided additional evidence favoring ramps. Ramps make businesses accessible to parents with babies in strollers, to those who have temporary or permanent disabilities, and to the elderly. Increased traffic provided by these additional customers could result in higher profits. Further, if most consumers prefer ramps to steps then ramps should lead to greater consumer satisfaction and to higher profits associated with consumer satisfaction. For some patrons ramps may be safer. Ramps also facilitate the movement of equipment, fixtures, merchandise, and supplies by workers and by suppliers making deliveries to business establishments. Thus, there are incentives to using ramps even financial ones.

This study should be replicated in other settings, at other sites, and with different businesses. Possible patron demographic influences should also be studied and controls for the convenient factor employed. If such studies consistently verify that people prefer ramps to steps, then the implications for improved accessibility are obvious. Planners, architects, developers, contractors, and government officials would take note that a majority of all people preferred ramps. Both public and private policy that would recognize the preferences of the majority. Ramps might replace steps as the preferred means for pedestrians to change elevation levels at, near, or in buildings. Constructing ramps for people might become as habitual Regular or customary; usual.

A habitual drunkard, for example, is an individual who regularly becomes intoxicated as opposed to a person who drinks infrequently.
 as constructing them for automobiles in driveways and the drive-in businesses, and for shopping carts at supermarkets and discount stores.

Whenever anyone discusses ramps the subject of cost in inevitably raised. The cost of ramps, say the detractors, is prohibitively expensive. But is it? Preliminary efforts to explore this often repeated reason to avoid constructing ramps indicated that there may be no appreciable ap·pre·cia·ble  
adj.
Possible to estimate, measure, or perceive: appreciable changes in temperature. See Synonyms at perceptible.
 differences in costs of ramps and steps. Research regarding cost factors should also be conducted.

SUMMARY

Shopping mall patrons were observed entering and leaving a department store in a small southern city. Their preference for means of ascending and descending Ascending and Descending is a lithograph print by the Dutch artist M. C. Escher which was first printed in March 1960.

The original print measures 14" x 11 1/4”. The lithograph depicts a large building roofed by a never-ending staircase.
 a five foot elevation was observed, recorded and compared. The research question asked: given a choice, do patrons prefer ramps or steps? Patrons had the choice of three options. Either one of the two sets of stairs or a 90 foot ramp. Results showed that 65.5 percent of patrons preferred ramps. The observed differences between ramp and step users was found to be statistically significant. Among those choosing ramps, a larger percentage (72%) appeared to prefer ramps for descending from than for ascending (59%) to the department store. Qualitative research data gleaned from participant-observation offered other evidence supporting ramps as some two percent of the observations made were of those who needed ramps for baby strollers, work dollies, wheelchairs, or other mobility impairments. Cost factors considered suggested that ramps were not, as has been often claimed, necessarily more expensive than steps. Although replication is recommended, results tentatively suggest that increased business and greater customer satisfaction could be possible incentives for builders to consider ramps in their construction plans.

In summary, this study did appear to support the sentiment of an old bumper sticker bumper sticker
n.
A sticker bearing a printed message for display on a vehicle's bumper.

bumper sticker nAufkleber m 
 distributed by one Governor's Committee on Employment of People With Disabilities which proclaimed, RAMPS NOT STEPS!

References

American National Standards Institute. (1986). American national standard (standard) American National Standard - (ANS) A common prefix for ANSI documents or standards, e.g.: "ANS Forth", or "American National Standard X3.215-1994".  for building and facilities: Providing accessibility and usability for physically handicapped people, (rev. ed rev.
abbr.
1. revenue

2. reverse

3. reversed

4. review

5. revision

6. revolution


rev.
1. revise(d)

2.
.). New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
: Author, (ANSI (American National Standards Institute, New York, www.ansi.org) A membership organization founded in 1918 that coordinates the development of U.S. voluntary national standards in both the private and public sectors. It is the U.S. member body to ISO and IEC.  publication #A117.1-1986). Architectural and Transportation Barriers Compliance Board. (1981). Guidebook to the minimum federal guidelines and requirements for accessible design. Washington: Government Printing Office. Architectural and Transportation Barriers Compliance Board. (1988). Laws concerning the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area.  architectural and transportation compliance board. Washington: author. Barry, A. M. O., & Priestley, L. B.. (1980). Coping with inaccessibility: Assisting the wheelchair user. Washington: George Washington University George Washington University, at Washington, D.C.; coeducational; chartered 1821 as Columbian College (one of the first nonsectarian colleges), opened 1822, became a university in 1873, renamed 1904.  Medical Rehabilitation Research and Training Center. Beachmaster. (1989). Beachmaster aquatic wheelchair. Palastra, 6 (June), 63. Britell, C. W., & McFarland, S. R. (1988). Adaptive systems and devices for the disabled. In J. A. DeLisa (Ed.), Rehabilitation medicine rehabilitation medicine Physiatry, physiotherapy A field of therapeutics that bridges the gap between conventional and nonconventional medicine; rehabilitation physicians may adminsiter or prescribe mechanical–eg, massage, manipulation, exercise, movement, : Principles and practice (pp. 372-387). Philadelphia: Lippincott. Bugenske, M. (1979). Handicapped accessibility manual for the trade shops (2nd ed.). Washington: George Washington University Physical Plant Department. Clark, M. C., & Kolstoe, O.P. (1990). Career development and transition education for adolescents with disabilities. Boston: Allyn and Bacon. Couch, R., Baud, H., & Goetz, J. (In Press). Living with disability in Guatemala. Journal of Rehabilitation, 56. Cozby, P. (1985). Methods in behavioral research (3rd ed.). Palo Alto Palo Alto, city, California
Palo Alto (păl`ō ăl`tō), city (1990 pop. 55,900), Santa Clara co., W Calif.; inc. 1894. Although primarily residential, Palo Alto has aerospace, electronics, and advanced research industries.
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continuing education
 or adult education

Any form of learning provided for adults. In the U.S. the University of Wisconsin was the first academic institution to offer such programs (1904).
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ethnography

Descriptive study of a particular human society. Contemporary ethnography is based almost entirely on fieldwork.
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 or physiatry or physical therapy or rehabilitation medicine

Medical specialty treating chronic disabilities through physical means to help patients return to a comfortable, productive life despite a medical
. Philadelphia: W. B. Saunders. Paralyzed Veterans of America. (nd). Wheelchair bathrooms. Washington: author. Pezenik, D., Itoh, M., & Lee, M. (1984). Wheelchair prescription. In A. P. Ruskin (Ed.), Current therapy in psychiatry: Physical medicine and rehabilitation. Philadelphia: W. B. Saunders (pp. 475-498). Raffa, M. F. (1985). Removing architectural barriers: The architectural barriers act of 1968. Mental and Physical Disability Law Reporter, 9(4), 304-308. Rigger, R. (1989). A barrier-free house: Accomodating a wheelchair calls for careful planning inside and out. Fine Home Building, 53, 67-71. Romano, S. (1987). Barrier free in film: Getting the message across. Journal of Rehabilitation, 53(4), 5-7. Scott, B. H. (Ed.). (1985). Book of renovations. Lawrence, KS: University of Kansas The University of Kansas (often referred to as KU or just Kansas) is an institution of higher learning in Lawrence, Kansas. The main campus resides atop Mount Oread.  Research and Training Center on Independent Living. Sovik, E. (1980). Accessible church buildings. New York: Pilgrim Press. Sorensen, R. J. (1979). Design for accessibility. New York: McGraw-Hill. Thomas, C. H., & Thomas, J. L. (Eds.). (1986). Directory of college facilities and services for the disabled Services for the disabled are those government or other institutional services specifically provided to enable people who are disabled to participate on equal grounds in society. , (2nd ed.). Phoenix: Oryx oryx (ôr`ĭks), name for several small, horselike antelopes, genus Oryx, found in deserts and arid scrublands of Africa and Arabia. They feed on grasses and scrub and can go without water for long periods.  Press. United Methodist Church, General Board of Global Ministries. (1981). Accessibility audit for churches: Opening doors for persons with handicapping conditions. New York: Author, Health and Welfare Division. University of Wisconsin-Stout. (nd). Alternative bathroom facility design. Menomonie, WI: Author, Design Research Center. Wehrli, R. (1987). Interagency Committee on Handicapped Research Survey of research on accessibility: Toward an accessible environment: Effective research. Washington: author (pp. 1-104). Weiss, D. V. (1988). Work with local election officials to make polling places accessible. Journal of Rehabilitation, 54(2), 8-9. White, R. N., Szeto, A. Y. J., & Hogan, H. A. (1980). Practical curb-climbing aid for wheelchair bound paraplegic paraplegic /para·ple·gic/ (-ple´jik)
1. pertaining to or of the nature of paraplegia.

2. an individual with paraplegia.
 persons. Bulletin of Prosthetics pros·thet·ics
n.
The branch of medicine or surgery that deals with the production and application of artificial body parts.



pros
 Research, 17(2), 13-19. Wheeler, V. H. (nd). Planning kitchens for handicapped homemakers. New York: New York University Institute for Physical Medicine and Rehabilitation.
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No portion of this article can be reproduced without the express written permission from the copyright holder.
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Author:Couch, Robert H.
Publication:The Journal of Rehabilitation
Date:Jan 1, 1992
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