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Start Over Author "Hornáček K" Topic physical and rehabilitation medicine
2 results on '"Hornáček K"'

1. Evidence-based position paper on the professional practice of Physical and Rehabilitation Medicine for persons with cerebral palsy. The European PRM position (UEMS PRM section).

Author

Hornáček K, Kujawa J, Varela Donoso E, Dincer F, Ilieva E, Takáč P, Petronic Markovic I, Votava J, Vetra A, Nikolic D, Christodoulou N, Zampolini M, and Kiekens C

Subjects
Europe, Humans, Professional Practice, Cerebral Palsy, Physical and Rehabilitation Medicine
Abstract

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. The aim of this study was to improve physicians' professional practice of Physical and Rehabilitation Medicine for persons with cerebral palsy in order to improve their functionality, social and community integration, and to reduce activity limitations and/or participation restrictions. A systematic review of the literature including an 18-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. As the result of a Consensus Delphi procedure, 74 recommendations are presented together with the systematic literature review. 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 program 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. This evidence-based position paper is representing the official position of The European Union through the UEMS PRM Section and designates the professional role of PRM physicians in persons with cerebral palsy.

Published
2021
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2. White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 7. The clinical field of competence: PRM in practice

Author

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, Gutenbrunner, C, Cantista, P, Ceravolo, Mg, Christodoulou, N, Delarque, A, Kiekens, C, Moslavac, S, Varela-Donoso, E, Ward, Ab, Zampolini, M, Negrini, S, Aguiar Branco, C, Antunes, F, Delargy, M, Fazekas, G, Gimigliano, F, Giustini, A, Glaesener, Jj, Grabljevec, K, Hornáček, K, Jandrić, Sd, Janssen, Wg, Küçükdeveci, Aa, Kujawa, J, Neumann, V, Nunes, R, Oral, A, Paternostro-Sluga, T, Schuhfried, O, Singh, Rk, Takáč, P, Tesio, L, Vetra, A, Vlak, T, Votava, J, and Yelnik, A.

Subjects
030506 rehabilitation, Medical education, business.industry, viruses, Books, Physical and rehabilitation medicine - Field of competence - PRM diagnosis - PRM assessments - PRM treatments - Rehabilitation process - PRM team, Rehabilitation, virus diseases, Professional Practice, Physical Therapy, Sports Therapy and Rehabilitation, Physical and Rehabilitation Medicine, humanities, Exercise Therapy, Europe, 03 medical and health sciences, 0302 clinical medicine, Humans, Medicine, Clinical Competence, Clinical competence, 0305 other medical science, business, Competence (human resources), 030217 neurology & neurosurgery
Abstract

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.

Published
2018

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