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EUROPEAN 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)
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REVIEWS  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 August;49(4):565-77

Copyright © 2013 EDIZIONI MINERVA MEDICA

lingua: Inglese

Osteoporosis. 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

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

1 Member, Board Committee, UEMS Board of PRM, Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey;
2 Member, Professional Practice Committee, UEMS Section of PRM, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ankara University, Ankara, Turkey;
3 Member, Professional Practice Committee, UEMS Section of PRM, Departamento de Medicina Física y Rehabilitación, Facultad de Medicina UCM, Ciudad Universitaria, Madrid, Spain;
4 Member, Professional Practice Committee, UEMS Section of PRM, Department of Physical and Rehabilitation Medicine, Faculty Medical University of Plovdiv, Plovdiv, Bulgaria;
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 PRM interventions. A wide range of health conditions treated by PRM specialists carries the risk of osteoporosis (OP). The consequences of OP may be associated with significant disability. The aim of this paper is: to define the role of PRM physicians in the prevention and management of OP, to describe the needs of people with OP in relation to rehabilitation strategy, and to highlight why and how PRM physicians should be involved in the diagnosis and management of OP. PRM physicians may intervene in the prevention of and risk factor assessment for OP, falls and fractures along with other assessments of functioning and of quality of life. In addition, they are involved in diagnosis and in both pharmacological and nonpharmacological treatment of OP. From a specific PRM perspective based on the International Classification of Functioning, Disability and Health (ICF), there is an important role in optimizing functioning and promoting “activities and participation”, including interventions associated with environmental factors for people with OP or osteoporotic fractures. Evidence suggests that a large number of interventions within the scope of PRM that range from preventive strategies (including education and self management and most importantly exercise) to pain management strategies and spinal orthoses or hip protectors may be effective in the prevention and/or management of OP and its sequelae. Competencies and aptitudes of PRM specialists, focusing especially on functioning while providing care over the whole course of a health condition from the hospital to the community, may well place them in the management of OP. Evidence-based effective PRM interventions further warrant the role of PRM physicians in the management of OP.

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