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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)
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):230-60

DOI: 10.23736/S1973-9087.18.05151-1

Copyright © 2018 AUTHORS

lingua: Inglese

White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 7. The clinical field of competence: PRM in practice

European Physical and Rehabilitation Medicine Bodies Alliance 


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In the context of the White Book on Physical and Rehabilitation Medicine (PRM) in Europe this paper deals with the scope and competencies of PRM starting from its definition as the “medicine of functioning.” PRM uses the rehabilitative health strategy as its core strategy together with the curative strategy. According to the complexity of disabling health conditions, PRM also refers to prevention and maintenance and provides information to the patients and other caregivers. The rehabilitation process according to the so-called rehabilitation cycle including an assessment and definition of the (individual) rehabilitation goals, assignment to the rehabilitation program evaluation of individual outcomes. PRM physicians treat a wide spectrum of diseases and take a transversal across most of the medical specialties. They also focus on many functional problems such as immobilization, spasticity, pain syndromes, communication disorders, and others. The diagnosis in PRM is the interaction between the medical diagnosis and a PRM-specific functional assessment. The latter is based on the ICF conceptual framework, and obtained through functional evaluations and scales: these are classified according to their main focus on impairments, activity limitations or participation restrictions; environmental and personal factors are included as barriers or facilitators. Interventions in PRM are either provided directly by PRM physicians or within the PRM team. They include a wide range of treatments, including medicines, physical therapies, exercises, education and many others. Standardized PRM programs are available for many diseases and functional problems. In most cases rehabilitation is performed in multi-professional teams working in a collaborative way, as well as with other disciplines under the leadership of a PRM physician and it is a patient-centered approach. Outcomes of PRM interventions and programs, showed reduction of impairments in body functions, activity limitations, and impacting on participation restrictions, and also reduction in costs as well as decrease in mortality for certain groups of patients.


KEY WORDS: Physical and rehabilitation medicine - Field of competence - PRM diagnosis - PRM assessments - PRM treatments - Rehabilitation process - PRM team

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Issue published online: March 22, 2018

Per citare questo articolo

European Physical and Rehabilitation Medicine Bodies Alliance. White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 7. The clinical field of competence: PRM in practice. Eur J Phys Rehabil Med 2018;54:230-60. DOI: 10.23736/S1973-9087.18.05151-1

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: Christoph GUTENBRUNNER; Pedro CANTISTA; Maria G. CERAVOLO; Nicolas CHRISTODOULOU; Alain DELARQUE; Carlotte KIEKENS; Saša MOSLAVAC; Enrique VARELA-DONOSO; Anthony B. WARD; Mauro ZAMPOLINI; Stefano NEGRINI. Contributors: Catarina AGUIAR BRANCO; Filipe ANTUNES; Mark DELARGY; Gabor FAZEKAS; Francesca GIMIGLIANO; Alessandro GIUSTINI; Jean-Jacques GLAESENER; Klemen GRABLJEVEC; Karol HORNÁČEK; Slavica Dj. JANDRIĆ; Wim G.M. JANSSEN; Ayşe A. KÜÇÜKDEVECI; Jolanta KUJAWA; Vera NEUMANN; Renato NUNES; Aydan ORAL; Tatjana PATERNOSTRO-SLUGA; Othmar SCHUHFRIED; Rajiv K. SINGH; Peter TAKÁČ; Luigi TESIO; Aivars VETRA; Tonko VLAK; Jiri VOTAVA; Alain YELNIK

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