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Assumptions and perspectives in relation Occupational Medecine-Rehabilitation Medecine. PROF. ADRIANA SARAH NICA, MD, PhD FLORINA OJOGA, MD, PhD ANDREIA MURGU, MD, PhD UNIVERSITY OF MEDICINE “CAROL DAVILA” REHABILITATION MEDICINE DEPT. PHYSICAL AND REHABILITATION MEDICINE. DEFINITION:
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Assumptions and perspectives in relation Occupational Medecine-Rehabilitation Medecine PROF. ADRIANA SARAH NICA, MD, PhD FLORINA OJOGA, MD, PhD ANDREIA MURGU, MD, PhD UNIVERSITY OF MEDICINE “CAROL DAVILA” REHABILITATION MEDICINE DEPT
PHYSICAL AND REHABILITATION MEDICINE DEFINITION: Physical and Rehabilitation Medicine (PRM) is an independent medical specialty concerned with the promotion of physical and cognitive functioning, activities (including behaviour), participation (including quality of life) and modifying personal and environmental factors. It is thus responsible for the prevention, diagnosis, treatment and rehabilitation management of people with disabling medical conditions and comorbidity across all ages.
PHYSICAL AND REHABILITATION MEDICINE IMPAIRMENT DISABILITY HANDICAP
PHYSICAL AND REHABILITATION MEDICINE TYPES OF PATHOLOGY: • NEUROLOGY • POST – TRAUMA • SPINAL CORD INJURY • ORTHOPAEDY • RHEUMATOLOGY • OCCUPATIONAL MEDICINE • RESPIRATORY PATHOLOGY • CARDIOVASCULAR PATHOLOGY • SPORTS MEDICINE
PHYSICAL AND REHABILITATION MEDICINE OBJECTIVES: • FIRST PREVENTION OF OCCUPATIONAL DISEASES • LESIONS/SEQUELAE TREATMENT • IMPROVEMENT OF FUNCTIONAL THERAPEUTIC PROGRAM IN RELATION OCCCUPATIONAL MEDICINE – REHABILITATION MEDICINE
PHYSICAL AND REHABILITATION MEDICINE THERAPEUTICAL OPPORTUNITIES: • DIET • PHYSICAL EFFORT RULES • DRUGS • PHYSICAL THERAPY • THERAPEUTICAL MASSAGE • HIDRO/KINETOTHERAPY • PSYCHOLOGICAL TREATMENT • ALTERNATIVE MEDICINE
PHYSICAL AND REHABILITATION MEDICINE OCCCUPATIONAL DISEASES THAT AFFECT BONES – JOINTS AND MUSCLES: INTRINSEC FACTORS:WEIGHT/AGE/HYPERLAXITY/METABOLIC DISORDERS/VASCULAR DISEASES ETC EXTRINSEC FACTORS:MECHANICAL STRESS/TEMPERATURE STRESS/PRESIONAL STRESS/PSYCHOLOGICAL STRESS
PHYSICAL AND REHABILITATION MEDICINE STEPS TO FLOLLOW FOR AN ACCURATE CLINICAL AND FUNCTIONAL DIAGNOSE – FOR PROPHYLAXY AND CURATIV TREATMENT 1. RISK FACTORS IDENTIFICATION 2. COMPLETE CLINICAL AND FUNCTIONAL DIAGNOSE 3. QUICK START AND APPROPRIATE REHABILITATION PROGRAM FOR EACH PATIENT 4. RECCURENCE RISK EVALUATION
PHYSICAL AND REHABILITATION MEDICINE OBJECTIVES OF THE REHABILITATION PROGRAM: • PAIN CONTROL • IDENTIFICATION AND CORECTION OF STATIC AND DINAMIC DEVIATIONS • IMPROVEMENT OF TISSUE VITALITY • IDENTIFICATION AND TREATMENT OF PSICHOLOGICAL AND RELATIONAL DISORDERS • RECCURENCE PREVENTION BY IDENTIFICATION AND CORECTION OF RISCK FACTORS
PHYSICAL AND REHABILITATION MEDICINE THERAPEUTICAL OPPORTUNITIES: • DIET • PHYSICAL EFFORT RULES • DRUGS • PHYSICAL THERAPY • THERAPEUTICAL MASSAGE • HIDRO/KINETOTHERAPY • PSYCHOLOGICAL TREATMENT • ALTERNATIVE MEDICINE
PHYSICAL AND REHABILITATION MEDICINE PATHOLOGY TYPES: • SPINE PATHOLOGY • UPPER LIMB PATHOLOGY • LOWER LIMB PATHOLOGY
PHYSICAL AND REHABILITATION MEDICINE CONCLUSIONS: • OCCUPATIONAL RISK FACTORS IDENTIFICATION • CORRECT AND COMPLETE FUNCTIONAL DIAGNOSE • APPROPRIATE REHABILITATION PROGRAM • AVOID RECCURENCES • ERGONOMY IMPROVEMENT AND DEVELOPMENT