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Down's syndrome females generally have non‐standard body features. A database of dimensions is established for 200 Down's syndrome females in Hong Kong aged 15 years and over; the effect of mental retardation upon their ability to dress/undress and deal successfully with a range of fastenings is investigated; studies of posture and ergonomic factors were undertaken. From the information collected it has been possible to establish mannequins and size tables. Important outer garment types have been identified and pattern construction rules developed for five major garment categories: skirt; culottes; slacks; blouses and casual jackets. Recommendations for future development work are made.

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