Transcript current developments in the philippine rehabilitation services

1st PUBLIC HEALTH CONVENTION ON THE
HEALTH AND WELLNESS OF PERSONS WITH
DISABILITIES
CURRENT DEVELOPMENTS IN THE PHILIPPINE REHABILITATION
SERVICES
ROMIL M. MARTINEZ, M.D.
PHYSIATRIST
REHABILITATION PRACTICE

The practice of physical
medicine and rehabilitation
(PM&R), when applied has the
capacity to reduce human
suffering and economic burdens
imposed by both acute injury
and chronic disability.
REHABILITATION

is the process of helping a
person to reach the fullest
physical, psychological, social,
vocational, avocational, and
educational potential consistent
with his or her physiologic or
anatomic impairment,
environmental limitations,
desires and life plans.
REHABILITATION MEDICINE

branch of medicine

prevention, diagnosis, treatment and
rehabilitation of neuromusculoskeletal,
cardiovascular, pulmonary and other
system disorders produce temporary or
permanent disability

performance of different diagnostic
(EMG, bone densitometry, MSK
ultrasound) and interventional (injections,
prolotherapy) procedures

rehab prescription/programs which uses
physical agents, electricity, therapeutic
exercise and mechanical agents

pharmacologic prescriptions
REHABILITATION TEAM

Neurophysiology

Exercise physiology

Psychology of disability

Medical and Surgical problem
management

Functional effects of these problems
and associated physical impairments

Familiarity with the knowledge and
skills of the various members of the
rehab team

Managerial skills
REHABILITATION TEAM

Physician (Physiatrist)

Physical Therapist

Occupational Therapist

Therapeutic Recreation Therapist

Prosthetist-Orthotist

Rehabilitation Nurse

Speech-Language Pathologist

Psychologist

Social Worker

Vocational Counselor

Patient/Family
PHYSICAL MEDICINE AND REHABILITATION UNIT/FACILITY/CENTER

any facility that renders services
for the rehabilitation of physical
disabilities, this maybe hospital
based or free standing.
DOH CLASSIFICATION
WHAT LEVEL REHAB MEDICINE IS
CATEGORISED?
RATIONALE
Philippine Academy of Rehabilitation Medicine (PARM)

an organization of medical
specialists and trainees in
Rehabilitation that seeks to
achieve excellence in Physiatric
practice, education and
research.
PARM MEMBERS

FELLOW MEMBERS


ASSOCIATE MEMBERS


70
AFFILIATE MEMBERS


222
13
RESIDENTS IN TRAINING

45
REGIONAL DISTRIBUTION OF PARM MEMBERS

NCR







3
Region 6 (Aklan, Capiz,
Antique, Iloilo, Negros Occ.)


13
3
Region 10 (Bukidnon, Lanao
Del Norte, Misamis
Occidental and Oriental,
CDO)


4
Region 9 (Zamboanga,)

35
Region 5 (Legaspi,
Camarines Norte and Sur)


11
Region 8 (Leyte, Samar)

28
Region 4-a (Batangas,
Cavite, Laguna, Quezon,
Rizal, Mindoro)


9
Region 3 (Bataan, Balanga,
Bulacan, Nueva Ecija,
Pampanga, Tarlac,
Zambales)
Region 7 (Bohol, Cebu,
Negors Oriental)

12
Region 2 (Cagayan Isabela,
Baguio, Mt. Province)


186
Region 1 – Ilocos Norte,
Ilocosu Sur, La Union,
Pangasinan)

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8
Region 11 (Davao)
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4
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Region 12 (South Cotabato)
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4
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Region 13 (CARAGA)

1
Philippine Board of Rehabilitation Medicine (PBRM)

a non-stock, non-profit corporation
composed of Board Certified
Rehabilitation Medicine specialists
tasked with accrediting and evaluating
training institutions with a specialty in
Rehabilitation Medicine, and certifying
graduates of these training programs.

4 training institutions

UST

PGH

POC

VMMC
PHYSIATRIC EVALUATION


History

Signs and Symptoms

Birth

Work
Physical Examination

Inspection

Palpation

Neurological

Musculoskeletal

MMT

DTRs

Sensory

Special Tests
PHYSIATRIC REHABILITATION PROGRAM

Physical Modalities

Traction/Massage/Manipulation

Electrotherapy

Ultraviolet light therapy

Hydrotherapy

Therapeutic Exercise

Orthotics/Prosthetics/Shoe

Robotics

Gait Analysis
PHYSIATRIC MANAGEMENT




PHARMACOLOGICAL

NSAIDs, Muscle Relaxants, opiods

other medications
INTERVENTIONAL

chemodenervation

prolotherapy

TPI, injections
DIAGNOSTIC

EMG NCV

Bone Densitometry

MSK Ultrasound

others (x-rays, blood tests, CT scan, MRI)
APPROPRIATE REFERRAL TO OTHER
SPECIALTIES
THANK YOU