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ULTIMO FASCICOLOEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


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)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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European Journal of Physical and Rehabilitation Medicine 2013 August;49(4):551-64

MUSCULOSKELETAL DISORDERS MANAGEMENT AND THE ROLE OF PHYSICAL AND REHABILITATION MEDICINE PHYSICIANS. THE EUROPEAN PERSPECTIVE BASED ON THE BEST EVIDENCE 

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Inflammatory arthritis. 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

Küçükdeveci A. A. 1, Oral A. 2, Ilıeva E. M. 3, Varela E. 4, Valero R. 4, Berteanu M. 5, Chrıstodoulou N. 6

1 Member of Professional Practice Committee, UEMS Section of PRM, Department of Physical Medicine and Rehabilitation Faculty of Medicine, Ankara University, Ankara, Turkey;
2 Member of the Board Committee, UEMS Board of PRM, Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey;
3 Member of Professional Practice Committe, UEMS Section of PRM, Department of Physical and Rehabilitation Medicine Plovdiv Medical University, Medical Faculty, Plovdiv, Bulgaria;
4 Member of Professional Practice Committee, UEMS Section of PRM, Complutense University Department of Physical Medicine and Rehabilitation School of Medicine, Madrid, Spain;
5 Chairman of Professional Practice Committee, UEMS Section of PRM, Department of Physical and Rehabilitation Medicine University Hospital ELIAS, Bucharest, Romania;
6 President of UEMS Section of PRM, Department of Health Science, School of Sciences European University Cyprus, Cyprus

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. Inflammatory arthritis is a major cause of disability with an important economic burden in society. The goals in the management of inflammatory arthritis are to control pain and disease activity, prevent joint damage, protect and enhance function and improve quality of life. This paper aims to define the role of PRM physicians in people with inflammatory arthritis. PRM interventions imply non-pharmacological treatments which include patient education for joint protection, energy conservation and self-management techniques, exercise therapy, physical modalities, orthoses/assistive devices and balneotherapy. Therapeutic patient education and exercises are the cornerstones of therapy with strong evidence of their effectiveness to improve function. Physical modalities are primarily used to decrease pain and stiffness whereas orthoses/assistive devices are usually prescribed to enhance activities and participation. PRM physicians have distinct roles in the management of people with inflammatory arthritis such that they effectively organise and supervise the PRM program in the context of interdisciplinary team work. Their role starts with a comprehensive assessment of patient’s functioning based on the International Classification of Functioning Disability and Health (ICF) as the framework. In the light of this assessment, appropriate PRM interventions individualised for the patient are administered. Future research and actions regarding the role of PRM in inflammatory arthritis should target access to care, updates on the use and effectiveness of physical modalities, orthoses/assistive devices, and standardization of therapeutic patient education programs.

lingua: Inglese


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