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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)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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PRACTICE OF PHYSICAL AND REHABILITATION MEDICINE IN EUROPE  WHITE BOOK ON PHYSICAL AND REHABILITATION MEDICINE IN EUROPEFREEfree


European Journal of Physical and Rehabilitation Medicine 2018 April;54(2):214-29

DOI: 10.23736/S1973-9087.18.05150-X

Copyright © 2018 AUTHORS

language: English

White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 6. Knowledge and skills of PRM physicians

European Physical and Rehabilitation Medicine Bodies Alliance 


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In the context of the White Book of Physical and Rehabilitation Medicine (PRM) in Europe, this paper deals with the fundamentals of PRM from a physiological perspective, looking at the human mechanisms both physical and behavioral which are at the base of PRM physicians’ work. After a discussion on the development and evolution of PRM that leads to its unique and specific approach, the mechanisms considered include:
- repairing processes (and potential of recovery evaluation): repairing processes are mainly related to the quantity and natural history of diseases and impairments, while potential of recovery is also linked to the individual and environmental factors; PRM physicians work on impairments to favor healing or recovery, and propose rehabilitation if there is a potential of recovery: this is related to the prognostic role of PRM physicians;
- learning processes: PRM is the specialty of teaching new physical ways and behavioral approaches to make patients participate at best through improvement of impairments and modification of activities; in this perspective, during repair and rehabilitation processes, PRM physicians and the rehabilitation team are teachers of new motor and behavioral strategies;
- compensatory processes (adaptation/habilitation/rehabilitation): PRM physicians teach patients how to adapt to the new (acquired) health condition using compensatory mechanisms based on other body structures/functions, behavioral changes and/or assistive devices (or technical aids) (prosthesis and orthosis); during growth PRM physicians aim at allowing a complete (and compensatory) development of the intact function, not to be impaired by the original disease; compensatory processes are related to activities;
- management skills: PRM physicians are managers of people and resources; they manage patients and their caregivers, to teach and allow them to reach the best possible participation, also focusing on maintenance; they lead the team, with the aim to make it function at best for the sake of the patient; finally, they manage resource allocation for the functioning of patients and team;
- communication skills: PRM physicians need to develop very good communication skills, so to teach, inform and educate patients and their caregivers: this will allow the proper behavioural changes and also the correct physical compensations.


KEY WORDS: Physical and rehabilitation medicine - Europe - Learning - Recovery of function - Case management - Communication

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Issue published online: March 22, 2018

Cite this article as

European Physical and Rehabilitation Medicine Bodies Alliance. White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 6. Knowledge and skills of PRM physicians. Eur J Phys Rehabil Med 2018;54:214-29. DOI: 10.23736/S1973-9087.18.05150-X

European Physical and Rehabilitation Medicine Bodies Alliance

European Academy of Rehabilitation Medicine (EARM); European Society of Physical and Rehabilitation Medicine (ESPRM); European Union of Medical Specialists PRM section (UEMS-PRM section); European College of Physical and Rehabilitation Medicine (ECPRM) - served by the UEMS-PRM Board. Editors: Stefano NEGRINI; Pedro CANTISTA; Maria G. CERAVOLO; Nicolas CHRISTODOULOU; Alain DELARQUE; Christoph GUTENBRUNNER; Carlotte KIEKENS; Saša MOSLAVAC; Enrique VARELA-DONOSO; Anthony B. WARD; Mauro ZAMPOLINI. Contributors: Nino BASAGLIA; Jean-Pierre DIDIER; Walter FRONTERA; Andrew J. HAIG; Sara LAXE; Jianan LI; Leonard LI; Carine MICHEL; Luca PADUA; Jean PAYSANT; Dominic PÉRENNOU; Gilles RODE; Yves ROSSETTI; Piotr TEDERKO

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