Category Archives: Rehabilitation

Defining Future Scope of Physical Medicine and Rehabilitation

To identify the ‘physiatry’ in a single word is tough. This may be due that physiatry originated from two different fields, physical medicine and rehabilitation and emphases on assisting the general improvement of functional recovery in disabled patients. In addition, physiatry has new fields to develop; health and welfare. Therefore, the individuality of physiatry will change depending on how physiatrists act in these fields.

To endorse the progress of physiatry, physiatrists should apply their efforts in several directions. First, physiatrists must make efforts to treat the impairment itself in addition to use classical compensatory methods. Earlier, it was thought that the adult central nervous system was fixed and could not be repaired. Recently, growth of functional imaging techniques revealed that the adult central nervous system can get well from injury through neuroplasticity, and that this recovery can bring functional improvement. Because this recovery through neuroplasticity requires more period than compensatory techniques including one hand activity daily living, this method is difficult to adjust in clinical situations due to economic issues such as early discharge. Moreover, inadequate scientific evidence due to the difficulty in recruiting control groups is another reason for not regularly using this technique in the clinics. But, seeing the high prevalence of central nervous system injuries and developments in medical technologies, methods based on neuroplasticity will increase.

physiatrists must join in the development of future technologies. Recent trends toward the fusion of medicine and technology is related with many innovative therapies in rehabilitation fields. These include robotic therapies for hemiplegia, intelligent prosthesis for amputees, and stem cell therapies for treating cerebral palsies.

3The individuality of physiatry is not easy to define. As mentioned in the introduction, physiatry originated from two different fields, physical medicine and rehabilitation and now these are musculoskeletal pain medicine and neurorehabilitation. Now, musculoskeletal pain medicine attracts physiatrists’ attention, but this area also opens to orthopedic surgeons, anesthesiologists, and family medicine physicians. So, physiatrists must strengthen their competitive power as having a deep knowledge of this area. In addition, physiatry has new markets to grow; health and welfare. These innovative areas will give physiatrists new chances in the future. Therefore, the individuality of physiatry will change depending on how physiatrists act in these fields.

Recent Advances in Rehabilitation

3In Many countries 13-14% of the population have some degree of disability. The demand for rehabilitation services will rise as evidence accrues for their usefulness and as more people survive longer with substantial disability. Recent evidence strongly supports the provision of well organized, coordinated, multidisciplinary rehabilitation services based on a problem-oriented method. In future, specific interventions will be more evidence based, leading to more appropriate use of interventions and more appropriate referrals to professional facilities.

 Rehabilitation has recently seen many practical inventions and new evidence for specific interventions, but the major advances in rehabilitation are theoretical rather than practical. Firstly, the approach to patients has moved from a mainly medical one to one in which psychological and sociocultural aspects are equally important. Secondly, the need for organized professional rehabilitation services—for example, for neurological disabilities—is being recognized.

Recent advances

  • The World Health Organization has developed a coherent model of illness that aids to explain the origins and effects of ill health and the nature of rehabilitation
  • Specialist, coordinated, multi professional disability services have now been shown to be operative and well-organized
  • Rehabilitation has started to develop an evidence-based specialty

Many people, those with a disability, are concerned about the “medicalization” of disability. One important significance of adopting the revised model is that these worries are acknowledged. The model emphasizes the relation between disease and disability and sets the rehabilitation agenda clearly in a social context while still recognizing that disease has an important influence on patients’ levels of physical activity and social participation and on the process of rehabilitation.

The model displays that services and agencies must work together for rehabilitation to be effective. It also extends the limits of rehabilitation—from the few conditions where recovery is expected to any condition in which someone experiences disability or handicap secondary to (or as part of) illness. For example, people with multiple sclerosis, motor neuron disease, or rheumatoid arthritis are all potential customers of rehabilitation services.

In neurological rehabilitation, evidence is emerging to support a pragmatic, functional, or task-oriented approach in contrast with a theory based, impairment-oriented approach. The first involves practicing activities such as dressing, rather than trying to reverse the underlying impairment(s); gait retraining in a suspended harness after a stroke also seems to be effective. Evidence from other fields emphasizes the need to use a psychologically based approach in all rehabilitation, not simply in neurological rehabilitation.

 

Rehabilitation for Breast cancer

The decrease in the level of estrogen during breast cancer treatments leading to decrease in bone density, thus effecting the physical functioning of the body is one of the major reasons for Oncology rehabilitation for breast cancer. Breast Cancer rehabilitation is recommended for those who have undergone lumpectomy, mastectomy, or breast reconstructive surgeries, who are undergoing or finished radiation and or systemic chemotherapy, who are dealing with after effects of treatments, who are at the end of life and their family members want to find easier ways to help care for them etc… Cancer treatments affect each individual differently, and so rehabilitation therapists individualized treatment methods to regain one’s highest level of functioning by analysing their current functional abilities.

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Rehabilitation becomes an inevitable part of treatment when it comes to breast cancer patients who had mastectomy. Swelling in the arm, Lymphedema, due to fluid filling in the lymph nodes, on the same side as the surgery had done cause pain and patients feel effected arm heavier making it more burdensome.  Studies suggest that structured strengthening exercises can help to improve this condition.

Rehabilitation can fix the pains and aches and helps to prevent and face problems with lymphedema, weakness and neuropathy and thus brings them back to their normal healthy life.

Rehabilitation Equipment Market – Global Industry Analysis

Since the sanctioning of the long haul mind protection framework in 2000, open enthusiasm for rehabilitation equipment, and subsequently the quantity of clients has expanded. This pattern additionally came about into enhancements in the capacity and outline of such hardware, which extraordinarily benefits the matured populace and physically tested to accomplish more noteworthy freedom and take part in the public arena. Rehabilitation equipment is a re-usable guide which helps the patient with their everyday exercises.1

 In the previous decade, the market for these devices has extended extensively because of government bolster and technological advancements to address the necessities of the expanding geriatric and physically challenged population in created nations with the buying power and also requirement for rehabilitation equipment. In any case, staggering expense and upkeep costs may upset the development of this market in creating and immature nations, which is generally evaluated to be noteworthy. This could be ascribed to the section of different government and private protection players who cover different assistive devices under repayment designs, making them more reasonable to customers and improving the interest for them in the market. The consolidated impact of these components is anticipated to drive the rehabilitation equipment advertise amid the estimate time frame.

 The worldwide market is sectioned based on item into the accompanying classifications: personal care aids, mobility devices, exercise equipment, respiratory & pressure care products, and other. The versatility devices portion which is required to enroll high development sooner rather than later, covers wheelchairs, scooters, and walking assistance devices. Wheelchairs are intended for physically challenged clients who confront issues with mobility. The elderly and people with leg injuries, spinal cord injuries (SCIs), multiple sclerosis (MS), hemiplegia & other types of paralysis, cerebral palsy (CP), spinal bifida, amyotrophic lateral sclerosis (ALS), lower limb amputees, and arthritis are major customers too.. There are wheelchairs uncommonly intended to perform in various infrastructural setups. Physically challenged sportspersons are additionally a noteworthy target fragment for wheelchair producers. Moreover, with progressions in innovation, wheelchairs include Bluetooth, Wi-Fi network, and brilliant contraption get to, which enable the clients to lead an advanced way of life.

 By application, the worldwide rehabilitation equipment market is isolated into two gatherings: physiotherapy and occupational therapy. The previous is foreseen to hold a noteworthy piece of the overall industry attributable to the expanding requirement for it among the maturing populace. Human future has expanded worldwide because of general wellbeing awareness and progressions in restorative science to manage deadly ailments. The aggregate total populace in 2014 was past 700 billion and is foreseen to ascend to 714 million of every 2020.