1. Rehabilitation Medicine
Patrick J. Ivory, MEd., MPAS, PA-C

2. Rehabilitation Medicine
Rehabilitation includes
Physical
Occupational
Speech Therapy
Psychological counseling
Social Services

3. Rehabilitation Medicine
Reasons for referral to physiatrist
Functional loss due to
Fracture
Amputation
Stoke
Neurologic disorders
Arthritis
Cardiac impairment
Prolonged de-conditioning

4. 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

5. 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
Grooming, bathing, dressing, feeding & toileting
Cooking
Cleaning
Shopping
Managing Finances
Use of the telephone
Traveling

6. 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

7. Assistive Utensils

8. Physical Therapy Improve joint and muscle function (ROM)
Improve ability to stand, walk, climb stairs
General conditioning
Proprioceptive neuromuscular facilitation
Transfer training

9. Special Conditions Blindness Speech problems Cardiovascular disorders
Stroke rehabilitation
Leg amputation
Head injury
Spinal cord injury

10. Therapeutic and Assistive Devices
Orthoses
Support for damaged joints, ligament, tendons muscles and bones
Walking aids
Canes, Crutches and walkers
Wheelchairs
Prostheses

11. Treatment of Pain Heat Diatherapy Ultrasound Cold therapy
Infrared heat, heat packs, paraffin baths, hydrotherapy
Diatherapy
Short wave and microwave
Ultrasound
Cold therapy
Transcutaneous electrical nerve stimulation
Cervical traction
Massage
Acupuncture

12. Diathermy

13. Hydrotherapy

14. Canes

15. Walkers

16. Orthotics

17. Prosthetics

18. TENS