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European Journal of Physical and Rehabilitation Medicine 2018 October;54(5):797-807

DOI: 10.23736/S1973-9087.18.05374-1

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice for persons with spinal cord injury. The European PRM position (UEMS PRM Section)

Christina-Anastasia RAPIDI 1 , Piotr TEDERKO 2, Sasa MOSLAVAC 3, Daiana POPA 4, Catarina A. BRANCO 5, Carlotte KIEKENS 6, Enrique VARELA DONOSO 7, Nicolas CHRISTODOULOU 8, 9, on behalf of the Professional Practice Committee of the UEMS-PRM Section

1 Department of Physical and Rehabilitation Medicine, General Hospital “G.Gennimatas”, Athens, Greece; 2 Department of Rehabilitation, Medical University of Warsaw, Warsaw, Poland; 3 Department of Physical and Rehabilitation Medicine, Special Hospital for Medical Rehabilitation, Varaždinske Toplice, Croatia; 4 Clinical Rehabilitation Hospital Felix-Spa Bihor County, Oradea, Romania; 5 Department of Physical and Rehabilitation Medicine, Centro Hospitalar de Entre o Douro e Vouga E.P.E, Porto, Portugal; 6 Department of Physical and Rehabilitation Medicine, University Hospitals Leuven, Leuven, Belgium; 7 Physical and Rehabilitation Medicine Department, Complutense University School of Medicine, Madrid, Spain; 8 Medical School, European University Cyprus, Nicosia, Cyprus; 9 UEMS PRM Section, Brussels, Belgium



INTRODUCTION: Spinal cord injury (SCI) is a devastating condition and a challenge for every health system and every society. This EBPP represents the official position of the European Union through the UEMS PRM Section and designates the professional role of PRM physicians for people with SCI. The aim of the paper was to improve Physical and Rehabilitation Medicine (PRM) physicians’ professional practice for persons with SCI in order to improve their functionality, social and community reintegration, and to overcome activity limitations and/or participation restrictions.
EVIDENCE ACQUISITION: 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.
EVIDENCE SYNTHESIS: The systematic literature review is reported together with thirty-eight recommendations resulting from the Delphi procedure.
CONCLUSIONS: The professional role of PRM physicians who have expertise in the rehabilitation of SCI is to run rehabilitation programmes in multi-professional teams, working in an interdisciplinary way in a variety of settings to improve the functioning of people with SCI.


KEY WORDS: Spinal cord injuries - Spinal cord compression - Physical and rehabilitation medicine - Paraplegia

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