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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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  MUSCULOSKELETAL DISORDERS MANAGEMENT AND THE ROLE OF PHYSICAL AND REHABILITATION MEDICINE PHYSICIANS. THE EUROPEAN PERSPECTIVE BASED ON THE BEST EVIDENCE


European Journal of Physical and Rehabilitation Medicine 2013 October;49(5):753-9

language: English

Musculoskeletal perioperative problems. The role of physical and rehabilitation medicine physicians. The European perspective based on the best evidence. A paper by the UEMS-PRM Section Professional Practice Committee

Varela E. 1, Oral A. 2, Ilieva E. M. 3, Küçükdeveci A. A. 4, Valero R. 5, Berteanu M. 6, Christodoulou N. 7

1 Member, Professional Practice Committee, UEMS Section of PRM, Departamento de Medicina Física y Rehabilitación, Facultad de Medicina UCM, Ciudad Universitaria, Madrid, Spain;
2 Member, Board Committee, UEMS Board of PRM, Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey;
3 Member, Professional Practice Committee, UEMS Section of PRM, Department of Physical and Rehabilitation Medicine, Medical Faculty, Medical University of Plovdiv, Plovdiv, Bulgaria;
4 Member, Professional Practice Committee, UEMS Section of PRM, Department of Physical Medicine and Rehabilitation Faculty of Medicine, Ankara University, Ankara, Turkey;
5 Member, Board Committee, UEMS Board of PRM, Departamento de Medicina Física y Rehabilitacion, Facultad de Medicina UCM, Ciudad Universitaria, Madrid, Spain;
6 Chairman, Professional Practice Committee, UEMS Section of PRM, Department of Physical and Rehabilitation Medicine University Hospital Elias, Bucharest, Romania;
7 President, UEMS Section of PRM, Department of Health Sciences, School of Sciences European University Cyprus, Nicosia, Cyprus


FULL TEXT  


One of the objectives of the Professional Practice Committee (PPC) of the Physical and Rehabilitation Medicine (PRM) Section of the Union of European Medical Specialists (UEMS) is the development of the field of competence of PRM physicians in Europe. To achieve this objective, UEMS PRM Section PPC has adopted a systematic action plan of preparing a series of papers describing the role of PRM physicians in a number of disabling health conditions, based on the evidence of effectiveness of the physical and rehabilitation medicine interventions. According to the UEMS-PRM section, the role of PRM physician in musculoskeletal perioperative settings has to be situated inside general pain management. Musculoskeletal surgery (MSS) represents a frequent medical situation among patients suffering from musculoskeletal disorders (MSDs), in which PRM physicians need to be involved. A wide number of MSDs have to be operated in order to diminish disability and relieve symptoms, thus improving the patient´s functioning and social participation: Joint replacements, spine decompressions, vertebroplasties, internal fixation of unstable fractures, arthroscopies for tendon and joint repairs, and others. This paper describes the role of the PRM physician during the perioperative period. A well-coordinated rehabilitation programme followed by a good home rehabilitation programme results in pain reduction, faster recovery with better patient participation and increased cost effectiveness. PRM physicians have to identify patients at risk of continuing activity limitation and participation restriction who will benefit from an early rehabilitation process and formulate a PRM programme of care taking into account each patient’s environmental factors.

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evarelah@ucm.es