Rehabilitation Medicine

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Rehabilitation Medicine

• Patrick J. Ivory, MEd., MPAS, PA-C

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Rehabilitation Medicine

• Rehabilitation includes
• Physical
• Occupational
• Speech Therapy
• Psychological counseling
• Social Services

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Rehabilitation Medicine

• Reasons for referral to physiatrist
• Functional loss due to
• Fracture
• Amputation
• Stoke
• Neurologic disorders
• Arthritis
• Cardiac impairment
• Prolonged de-conditioning

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Rehabilitation Medicine

• Sites
• Acute care hospitals
• Short term, not very intense 1-3 hours per day
  for up to 5 days
• Rehabilitation hospitals
• Greater than 3 hours per day
• Outpatient services

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Rehabilitation Medicine

• The Referral
• Describe the diagnosis and the goal of the
  therapy
• Restoring function to pre-morbid condition
• Restoring function to be able to complete ADLs
• Grooming, bathing, dressing, feeding toileting
• Cooking
• Cleaning
• Shopping
• Managing Finances
• Use of the telephone
• Traveling

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Occupational Therapy

• Self care activities and improvement of fine
  motor coordination
• Help select and train patients with assistive
  devices
• Fit patients with devices to prevent contractures
• Help patients modify their homes from hazards

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Assistive Utensils
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Physical Therapy

• Improve joint and muscle function (ROM)
• Improve ability to stand, walk, climb stairs
• General conditioning
• Proprioceptive neuromuscular facilitation
• Transfer training

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Special Conditions

• Blindness
• Speech problems
• Cardiovascular disorders
• Stroke rehabilitation
• Leg amputation
• Head injury
• Spinal cord injury

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Therapeutic and Assistive Devices

• Orthoses
• Support for damaged joints, ligament, tendons
  muscles and bones
• Walking aids
• Canes, Crutches and walkers
• Wheelchairs
• Prostheses

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Treatment of Pain

• Heat
• Infrared heat, heat packs, paraffin baths,
  hydrotherapy
• Diatherapy
• Short wave and microwave
• Ultrasound
• Cold therapy
• Transcutaneous electrical nerve stimulation
• Cervical traction
• Massage
• Acupuncture

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Diathermy
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Hydrotherapy
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Canes
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Walkers
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Orthotics
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Prosthetics
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TENS