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European Journal of Physical and Rehabilitation Medicine 2021 Apr 16

DOI: 10.23736/S1973-9087.21.06983-5

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Evidence Based Position Paper on Physical and Rehabilitation Medicine professional practice for persons with cerebral palsy

Karol HORNÁČEK 1, Jolanta KUJAWA 2, Enrique VARELA DONOSO 3, Fitnat DINCER 4, Elena ILIEVA 5, Peter TAKÁČ 6 , Ivana PETRONIC MARKOVIC 7, Jiří VOTAVA 8, Anita VETRA 9, Dejan NIKOLIC 10, Nicolas CHRISTODOULOU 11, Mauro ZAMPOLINI 12, Carlotte KIEKENS 13

1 Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Slovak Medical University, Bratislava, Slovakia; 2 Department of Physical and Rehabilitation Medicine, Medical University of Lodz, Lodz, Poland; 3 Physical and Rehabilitation Medicine Department, Complutense University of School of Medicine, Madrid, Spain; 4 Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey; 5 Department of Physical and Rehabilitation Medicine, Medical Faculty, Medical University of Plovdiv, Plovdiv, Bulgaria; 6 Department of Physical and Rehabilitation Medicine, L. Pasteur University Hospital, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak Republic; 7 Department of Physical and Rehabilitation Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 8 Faculty of Health Studies, University of J. E. Purkyně, Ústí nad Labem, Czech Republic; 9 Rehabilitation Department, Riga Stradins University, Riga, Latvia; 10 Department of Physical and Rehabilitation Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 11 Medical School, European University Cyprus, Nicosia, Cyprus; 12 Department of Rehabilitation, Foligno Hospital, USL Umbria 2, Perugia, Italy; 13 Spinal Unit, Montecatone Rehabilitation Institute, Imola Bologna, Italy



INTRODUCTION: Cerebral palsy (CP) is a group of the most common developmental disorders affecting movement and posture of the body, causing activity limitations and participation restrictions. The motor disorders of persons with CP are often accompanied by disturbances of sensation, cognition, communication and perception. The symptoms of CP are very diverse and persons with CP are usually presented with a mixed type of symptoms. The non-progressive disturbances can be attributed to disorders that were developed during pregnancy, birth and/or infant stage.
AIM: The aim of this study was to improve Physical and Rehabilitation Medicine physician´s professional practice for persons with cerebral palsy in order to improve their functionality, social and community integration, and to reduce activity limitations and/or participation restrictions.
MATERIAL AND METHODS: A systematic review of the literature including an eighteen-year period and consensus procedure by means of a Delphi process was performed and involved the delegates of all European countries represented in the Union of European Medical Specialists Physical and Rehabilitation Medicine (UEMS PRM) Section.
RESULTS: As the result of a Consensus Delphi procedure process 74 recommendations are presented together with the systematic literature review.
CONCLUSIONS: The PRM physician´s role for persons with cerebral palsy is to lead and coordinate the multiprofessional team, working in an interdisciplinary way. They should propose and manage the complex but individual PRM programme developed in conjunction with other health professionals, medical specialists and importantly in agreement with the patient, their family and care giver. This should be, according to the specific medical diagnosis to improve patients´ health, functioning, social and education status, considering all impairments, comorbidities and complications, activity limitations and participation restrictions.


KEY WORDS: Cerebral palsy; Physical and Rehabilitation Medicine; Practice guideline; Rehabilitation

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