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Definition Of Rehabilitation

Rehabilitation is the process of reducing or removing as far as possible, the factors that limit the activity and participation of a person with disability, so that he/she can maintain and attain the highest possible level of independence and quality of life: physically, mentally, socially and vocationally.

A rehabilitation physician (also called physiatrist [fizz ee at’ trist]) or is a medical doctor who has completed training in the medical specialty of physical medicine and rehab-bilitation.

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To become a rehabilitation physician, individuals must successfully complete four years of graduate medical education/school and five additional years of postdoctoral residency training.

Many rehab-bilitation physicians choose to complete additional one-or-two-year fellowship training in specific areas of the specialty such as Pain Medicine, Occupational Rehabi-litation, Sports Medicine, Musculoskeletal rehab-bilitation, Spinal Cord Injury, Stroke etc.

There are 79 accredited residency programs in Physical Medicine and rehab-bilitation in the United States and 9 residency programs in Canada.

Some More Detail of Rehabilitation physician or Psychiatrist

It is the branch of medicine emphasizing the prevention, diagnosis and treatment of disorders – particularly those of the musculoskeletal and neurological systems. Within medicine, most areas are divided into medical and surgical specialties. Examples are Cardiology (medicine) and Cardio-surgery (surgery), Neurology (medicine) and Neurosurgery (surgery). PM&Rehabi-litation (medicine) has a similar relationship to Orthopedics (surgery). The specialty focuses on evaluation of impairments, disability and work capacity of patients with musculoskeletal and neurological disorders. Main goal of the specialty is the restoration of function.

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Scope of Practice Rehabilitation physician or Psychiatrist

PM&R specialists beyond their basic qualifications as licensed physicians are specially trained to prescribe therapeutic exercise, orthotic, prosthetic and other PM&R equipment and modalities. They are experts in the performance and interpretation of electrodiagnostic studies including electromyography, nerve conduction studies, and evoked potentials. PM&R specialists use routine laboratory and imaging studies, but they are also trained in the interpretation of more sophisticated diagnostic studies that evaluate musculoskeletal and neuromuscular systems such as CT, myelography, bone scan, bone density, MRI, and musculoskeletal ultrasound. All RB physician or Psychiatrist physicians are trained to perform injection techniques such as peripheral nerve blockade, trigger point injections, soft tissue and joint injections, and the injection of neurolytic agents and botulinum toxin.

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PM&R specialists who have completed a PM&R residency have adequate training to practice in the following areas:

1. Inpatient and outpatient musculoskeletal and neuromuscular diagnosis and RB.

2. Electrodiagnostic medicine.

3. Acute and chronic pain management.

4. Injury prevention, conditioning, fitness and wellness.

5. Non-surgical spine medicine.

6. Occupational and sports medicine

7. Therapeutic and diagnostic injection techniques

8. Assessments of function, disability and impairment.

9. Rehabilitative care of amputations for both congenital and acquired conditions

10. Rehabilitative care of brain and spinal cord disorders.

11. Post fracture and joint arthroplasty rehabilitative care.

12. Tissue disorders such as burns, ulcers, and wound care.

13. Rehabilitative care of pulmonary, cardiac, and oncological conditions.

14. Rehabilitation of poly disease and general debilitation

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This post is written by Abdul Wahab Hanif.

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