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European Journal of Physical and Rehabilitation Medicine 2018 August;54(4):634-43

DOI: 10.23736/S1973-9087.18.05310-8

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice for people with cardiovascular conditions. The European PRM position (UEMS PRM Section)

Alvydas JUOCEVICIUS 1, Aydan ORAL 2 , Aet LUKMANN 3, Peter TAKÁČ 4, Piotr TEDERKO 5, Ilze HĀZNERE 6, Catarina AGUIAR-BRANCO 7, Milica LAZOVIC 8, Stefano NEGRINI 9, 10, Enrique VARELA DONOSO 11, Nicolas CHRISTODOULOU 12

1 Department of Rehabilitation, Physical and Sports Medicine, Faculty of Medicine, Vilnius Santariskiu Klinikos University Hospital, Vilnius, Lithuania; 2 Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; 3 Department of Sports Medicine and Rehabilitation, University of Tartu, Tartu, Estonia; 4 L. Pasteur University Hospital, Kosice Faculty of Medicine, Pavol Jozef Safarik University, Kosice, Slovak Republic; 5 Department of Rehabilitation, Medical University of Warsaw, Warsaw, Poland; 6 Department of Physical and Rehabilitation Medicine, Pauls Stradins Clinical University Hospital, Riga, Latvia; 7 Department of Physical and Rehabilitation Medicine, Hospital of Entre o Douro e Vouga E.P.E, Porto, Portugal; 8 Institute for Rehabilitation, Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 9 Department Clinical and Experimental Sciences, University of Brescia, Brescia, Italy; 10 Don Gnocchi Foundation and Institute for Research and Care, Milan, Italy; 11 Department of Physical and Rehabilitation Medicine, Complutense University School of Medicine, Madrid, Spain; 12 Medical School, European University Cyprus, Nicosia, Cyprus



Cardiovascular conditions are significant causes of mortality and morbidity leading to substantial disability. The aim of the paper is to improve Physical and Rehabilitation Medicine (PRM) physicians’ professional practice for people with cardiovascular conditions in order to promote their functioning and to reduce activity limitations and/or participation restrictions. A systematic review of the literature and a Consensus procedure by means of a Delphi process have been performed involving the delegates of all European countries represented in the UEMS PRM Section. The systematic literature review is reported together with thirty recommendations resulting from the Delphi procedure. The professional role of PRM physicians having expertise in the rehabilitation of cardiovascular conditions is to lead cardiac rehabilitation programs in multiprofessional teams, working in collaboration with other disciplines in a variety of settings to improve functioning of people with cardiovascular conditions. This evidence-based position paper represents the official position of the European Union through the UEMS PRM Section and designates the professional role of PRM physicians in persons with cardiovascular conditions.


KEY WORDS: Cardiovascular diseases - Rehabilitation - Physical and rehabilitation medicine - Practice guideline

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