Transcript Rehabilitation Medicine - Lock Haven University of

Rehabilitation Medicine
Patrick J. Ivory, MEd., MPAS, PA-C
Rehabilitation Medicine
 Rehabilitation includes
– Physical
– Occupational
– Speech Therapy
– Psychological counseling
– Social Services
Rehabilitation Medicine
 Reasons for referral to physiatrist
– Functional loss due to
 Fracture
 Amputation
 Stoke
 Neurologic disorders
 Arthritis
 Cardiac impairment
 Prolonged de-conditioning
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
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 ADL’s
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Grooming, bathing, dressing, feeding & toileting
Cooking
Cleaning
Shopping
Managing Finances
Use of the telephone
Traveling
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
Assistive Utensils
Physical Therapy
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Improve joint and muscle function (ROM)
Improve ability to stand, walk, climb stairs
General conditioning
Proprioceptive neuromuscular facilitation
Transfer training
Special Conditions
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Blindness
Speech problems
Cardiovascular disorders
Stroke rehabilitation
Leg amputation
Head injury
Spinal cord injury
Therapeutic and Assistive Devices
 Orthoses
– Support for damaged joints, ligament, tendons
muscles and bones
 Walking aids
– Canes, Crutches and walkers
 Wheelchairs
 Prostheses
Treatment of Pain
 Heat
– Infrared heat, heat packs, paraffin baths, hydrotherapy
 Diatherapy
– Short wave and microwave
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Ultrasound
Cold therapy
Transcutaneous electrical nerve stimulation
Cervical traction
Massage
Acupuncture
Diathermy
Hydrotherapy
Canes
Walkers
Orthotics
Prosthetics
TENS