51. White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 6. Knowledge and skills of PRM physicians.
- Author
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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, Negrini, S, Cantista, P, Ceravolo, Mg, Christodoulou, N, Delarque, A, Gutenbrunner, C, Kiekens, C, Moslavac, S, Varela-Donoso, E, Ward, Ab, Zampolini, M, Basaglia, N, Didier, Jp, Frontera, W, Haig, Aj, Laxe, S, Li, J, Li, L, Michel, C, Padua, L, Paysant, J, Pérennou, D, Rode, G, Rossetti, Y, Tederko, P., Padua L (ORCID:0000-0003-2570-9326), 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, Negrini, S, Cantista, P, Ceravolo, Mg, Christodoulou, N, Delarque, A, Gutenbrunner, C, Kiekens, C, Moslavac, S, Varela-Donoso, E, Ward, Ab, Zampolini, M, Basaglia, N, Didier, Jp, Frontera, W, Haig, Aj, Laxe, S, Li, J, Li, L, Michel, C, Padua, L, Paysant, J, Pérennou, D, Rode, G, Rossetti, Y, Tederko, P., and Padua L (ORCID:0000-0003-2570-9326)
- Abstract
In the context of the White Book of Physical and Rehabilitation Medicine (PRM) in Europe, this paper deals with the fundamentals of PRM from a physiological perspective, looking at the human mechanisms both physical and behavioral which are at the base of PRM physicians' work. After a discussion on the development and evolution of PRM that leads to its unique and specific approach, the mechanisms considered include: - repairing processes (and potential of recovery evaluation): repairing processes are mainly related to the quantity and natural history of diseases and impairments, while potential of recovery is also linked to the individual and environmental factors; PRM physicians work on impairments to favor healing or recovery, and propose rehabilitation if there is a potential of recovery: this is related to the prognostic role of PRM physicians; - learning processes: PRM is the specialty of teaching new physical ways and behavioral approaches to make patients participate at best through improvement of impairments and modification of activities; in this perspective, during repair and rehabilitation processes, PRM physicians and the rehabilitation team are teachers of new motor and behavioral strategies; - compensatory processes (adaptation/habilitation/rehabilitation): PRM physicians teach patients how to adapt to the new (acquired) health condition using compensatory mechanisms based on other body structures/functions, behavioral changes and/or assistive devices (or technical aids) (prosthesis and orthosis); during growth PRM physicians aim at allowing a complete (and compensatory) development of the intact function, not to be impaired by the original disease; compensatory processes are related to activities; - management skills: PRM physicians are managers of people and resources; they manage patients and their caregivers, to teach and allow them to reach the best possible participation, also focusing on maintenance; they lead the team, with the aim to make it f
- Published
- 2018