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    Introduction of Physical Medicine

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    DrMd Nurul Hoque Miah
    The document discusses the history and development of the specialty of physical medicine and rehabilitation (PM&R), also known as physiatry. It began in the 1930s to address musculoskeletal and neurological problems, and was recognized as a medical specialty in the United States in 1947. A physiatrist leads a rehabilitation team that may include other doctors, physical therapists, occupational therapists, and other professionals. The goal of PM&R is to prevent, diagnose, treat and rehabilitate disorders related to nerves, muscles and bones through a comprehensive approach. This involves restoring function lost to injury or illness and enabling patients to achieve optimal independence through a combination of physical therapies, exercises, medications and adaptive equipment.

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    Introduction of Physical Medicine

    Uploaded by

    DrMd Nurul Hoque Miah
    105 views39 pages
    The document discusses the history and development of the specialty of physical medicine and rehabilitation (PM&R), also known as physiatry. It began in the 1930s to address musculoskeletal and neurological problems, and was recognized as a medical specialty in the United States in 1947. A physiatrist leads a rehabilitation team that may include other doctors, physical therapists, occupational therapists, and other professionals. The goal of PM&R is to prevent, diagnose, treat and rehabilitate disorders related to nerves, muscles and bones through a comprehensive approach. This involves restoring function lost to injury or illness and enabling patients to achieve optimal independence through a combination of physical therapies, exercises, medications and adaptive equipment.

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    to understanding what is physical medicine? this presentation may helpful.

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    introduction of physical medicine

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    The document discusses the history and development of the specialty of physical medicine and rehabilitation (PM&R), also known as physiatry. It began in the 1930s to address musculoskeletal and neurological problems, and was recognized as a medical specialty in the United States in 1947. A physiatrist leads a rehabilitation team that may include other doctors, physical therapists, occupational therapists, and other professionals. The goal of PM&R is to prevent, diagnose, treat and rehabilitate disorders related to nerves, muscles and bones through a comprehensive approach. This involves restoring function lost to injury or illness and enabling patients to achieve optimal independence through a combination of physical therapies, exercises, medications and adaptive equipment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    105 views39 pages

    Introduction of Physical Medicine

    Uploaded by

    DrMd Nurul Hoque Miah
    The document discusses the history and development of the specialty of physical medicine and rehabilitation (PM&R), also known as physiatry. It began in the 1930s to address musculoskeletal and neurological problems, and was recognized as a medical specialty in the United States in 1947. A physiatrist leads a rehabilitation team that may include other doctors, physical therapists, occupational therapists, and other professionals. The goal of PM&R is to prevent, diagnose, treat and rehabilitate disorders related to nerves, muscles and bones through a comprehensive approach. This involves restoring function lost to injury or illness and enabling patients to achieve optimal independence through a combination of physical therapies, exercises, medications and adaptive equipment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 39

    Dr. Md.

    Nurul Hoque Miah


    Registrar
    Dept. of PM&R, CMCH
    1
    ST
    DAY CLASS-MORNING

    1. Introduction of PM & R, What is PM&R (American board).
    2. History of PM&R & definitions (Impairment, Disability,
    Handicap & Rehabilitation )
    3. Rehabilitation team & role of physiatrist
    4. What is Physiatrist & physiotherapist
    5. Scopes, Sub-specialty & spectrum of diseases in PM & R.
    6. History taking of MSK problem in physiatric approach
    7. Role of physical agents in PMR. What physical & mechanical
    agents are use in PMR dept of CMCH
    How did the specialty develop?
    The field PM&R began in the 1930s to address MSK
    and neurological problems

    Broadened after World War II with the
    concepts of Frank H. Krusen, Howard A. Rusk.

    The American Board of Medical Specialties granted
    PM&R its approval as a speciality of medicine in
    1947.

    How did the specialty develop contd..?

    PM&R (Physiatry) is one of 24 medical specialties IN
    USA
    Total no. of physiatrists : 8815 (2010) In USA

    History of PM & R in Bangladesh:
    # 1972-Deptt of PM IPGMR
    # 1989- FCPS in BCPS
    # 1994- 1st Physiatrist: Prof. (Dr.) Aminuddin A Khan
    # December 2013- Total Physiatrist 60 (1/3 Ctg.)
    Physical Medicine (physiatry)
    It is the branch of medical science
    Deals with diagnosis and treatment of diseases
    by:
    physical agents, such as light, heat, cold,
    electricity, magnetism.
    therapeutic exercises,
    massages,
    manipulation
    in conjunction with drugs.
    What is physiatry (AAPMR) ?
    Physical medicine and rehabilitation (PM &R),
    also called physiatry,is the branch of medicine
    emphasizing the-
    # Prevention
    # Diagnosis
    # Treatment &
    # Rehabilitation of disorders
    particularly related to the nerves, muscles &
    bones- that may produce temporary or
    permanent impairment.
    Rehabilitation (WHO)
    Rehabilitation means To make fit again.
    The use of all means
    aimed at reducing the impact of disabling
    and handicapping conditions
    and at enabling people with disabilities
    to achieve optimal social integration
    Rehabilitation
    Is a complex process
    Of integraded application of many
    procedures
    To achieve restoration
    Of an individual
    At home and in the community
    Of his/her optimum potential
    By utilizing all his residual assets.

    Subspecialty of PMR (American board
    certified):

    Pain medicine
    Neuromuscular medicine
    Spinal injury medicine
    Hospice & Palliative medicine
    Pediatric rehabilitation medicine
    Sports medicine


    What is a Physiatrist (fizz-ee-at-trist) ?
    Specialist in Physical medicine & Rehab.
    Another words: Rehabilitation Physician .
    Experts at diagnosing and treating pain,
    restore medical function lost through injury,
    illness or disabling conditions
    Goal is to decrease pain and enhance
    performance without surgery.


    What is physiotherapist ?
    Physiotherapist; (medical technologist) nor
    diagnose nor treat by prescribing drugs

    They are entitled -
    # To assess muscle power
    # Mobilize and transfer the patient
    # Doing therapeutic exercise &
    giving physical therapy.
    Scope of the Physiatrists practice

    PM&R is often called the quality of life profession

    Treat any disability resulting from disease or injury
    involving any organ system.

    The focus is not on one part of the body, but instead on the
    development of a comprehensive program for putting the
    pieces of a person's life back together medically,
    socially, emotionally, and vocationally after injury
    or disease.

    Sports medicine has grown as a special interest.
    Role of Physiatrist in Rehabilitation

    Physiatrists will be the team leader and
    design rehabilitation plan.
    The multidisciplinary Medical Rehabilitation
    team include:
    1. Medical professionals such as
    neurologists, psychiatrists, orthopedists,
    neurosurgeons or urologists and
    2. Non-physician health professionals
    such as (a)physical therapists,(b)occupational
    therapists, (c) Orthotists & prosthetists,(d)
    speech pathologists,(e)Rehabilitation nurse,(f)
    vocational counselors,(g) psychologists and(h)
    social workers.
    Role of Physiatrist in Rehabilitation:
    Rehab team
    Physiatrists: team
    leader and rehab plan
    designer.

    Other medical
    professionals/Doctors:
    neurologists,
    psychiatrists,
    orthopedists,
    neurosurgeons or
    urologists

    Non-physician health
    professionals/paramedics
    and others:
    physical therapists
    occupational therapists
    orthotists & prosthetists
    speech pathologists
    Rehabilitation nurse
    vocational counselors
    psychologists and
    social workers.
    Impairment (WHO- 1980)
    Any loss or abnormality of
    psychologic,
    physiologic, or
    anatomic structure or function.


    Disability (WHO- 1980) :
    Any restriction or lack
    resulting from an impairment of the
    ability
    to perform an activity in the manner or
    within the range
    considered normal for a human Being.

    Handicap (WHO- 1980) :
    A disadvantage for a given individual,
    resulting from an impairment or a
    disability,
    that limits or prevents the fulfillment of a
    role
    that is normal (depending on age, sex,
    social and cultural factors) for that
    individual.

    Impairment, Disability & Handicap
    (WHO- 1997)
    Impairment: Any loss or abnormality of body structure or
    of a physiologic or psychologic function (essentially
    unchanged from the 1980 definition)

    Activity: The nature and extent of functioning at the
    level of the person

    Participation: The nature and extent of a persons
    involvement in life situations in relationship to
    impairments, activities, health conditions, and contextual
    factors

    PHYSICAL AGENTS
    Infrared Radiation ( IRR )
    Paraffin-wax Bath
    Microwave Diathermy (MWD)
    Ultrasound Therapy ( UST )
    Electrical Stimulation Therapy ( EST )
    Traction


    EQUIPMENTS
    Parallel Bar
    Parallel Bar
    N-K Table
    Wheel Chair
    Tread mill
    Static Cycle


    THERAPEUTIC
    EXERCISE
    EXERCISE DEMONSTRATION BY
    PHYSIOTHERAPIST
    EXERCISE DEMONSTRATION BY
    PHYSIOTHERAPIST
    Counseling Cerebral Palsy
    Group Counseling

    Key Messages
    PM&R deals with PAIN management in various conditions
    including cancer pain.

    PM&R treat the patient upto total REHABILITATION- to
    make the person FIT for the society.

    MULTI DISCIPLINARY approach for patients care.

    ADL advice, drugs, physical agents, exercises and orthoses
    are prescribed for patients management.

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