Physical Medicine and Rehabilitation An Introduction PM&R Interest Group at UMDNJ-New Jersey Medical School *All images may be subjected to copyright by their original owners

njms.pbwiki.com/PMRIG Basics Physical Medicine and Rehabilitation o PM&R related terminology o physiatry / physiatrist (fizzeeATtrist) o rehabilitation medicine o interventional physiatry

njms.pbwiki.com/PMRIG What is PM&R? "Branch of medicine emphasizing prevention, diagnosis, and treatment of disorders – particularly related to nerves, muscles, and bones – that may produce temporary or permanent impairment." - American Academy of PM&R

njms.pbwiki.com/PMRIG In Other Words… "Rehabilitation physicians are nerve, muscle, and bone experts who treat injuries or illnesses that affect how you move." - American Academy of PM&R

njms.pbwiki.com/PMRIG Another Laymen’s Definition "A branch of medicine which aims to enhance and restore functional ability and quality of life to those with physical impairments or disabilities." - Wikipedia.org

njms.pbwiki.com/PMRIG Quick Clarification Impairment o anatomical or physiological dysfunction Disability o unable to perform a human activity Handicap o unable to meet a societal role

njms.pbwiki.com/PMRIG A Very Brief History established: approved as med specialty in 1947 consolidated & expanded: post-WWII defined: principles formulated during post-WWI origin: as early as heat/cold modalities used for health benefits

njms.pbwiki.com/PMRIG Common Conditions

njms.pbwiki.com/PMRIG Evaluation physical exam and imaging

njms.pbwiki.com/PMRIG Evaluation nerve conduction study electromyography

njms.pbwiki.com/PMRIG Problem List Neurogenic Bladder Malnutrition Dysphagia Ventilation Constipation Pain Skin Breakdown Heterotopic Ossification Gait Dysfunction Seizures Depression Insomnia Deep Vein Thrombosis Radiculopathy Spasticity and Contracture Permanent Impairment

njms.pbwiki.com/PMRIG Problem List Neurogenic Bladder Malnutrition Dysphagia Ventilation Constipation Pain Skin Breakdown Heterotopic Ossification Gait Dysfunction Seizures Depression Insomnia Deep Vein Thrombosis Radiculopathy Spasticity and Contracture Permanent Impairment Some Solutions Orthoses

njms.pbwiki.com/PMRIG Some Solutions Neurogenic Bladder Malnutrition Dysphagia Ventilation Constipation Pain Skin Breakdown Heterotopic Ossification Gait Dysfunction Seizures Depression Insomnia Deep Vein Thrombosis Radiculopathy Spasticity and Contracture Permanent Impairment electrical stimulation thickening mix

njms.pbwiki.com/PMRIG Some Solutions Neurogenic Bladder Malnutrition Dysphagia Ventilation Constipation Pain Skin Breakdown Heterotopic Ossification Gait Dysfunction Seizures Depression Insomnia Deep Vein Thrombosis Radiculopathy Spasticity and Contracture Permanent Impairment Gait Training

njms.pbwiki.com/PMRIG Some Solutions Neurogenic Bladder Malnutrition Dysphagia Ventilation Constipation Pain Skin Breakdown Heterotopic Ossification Gait Dysfunction Seizures Depression Insomnia Deep Vein Thrombosis Radiculopathy Spasticity and Contracture Permanent Impairment botox manual therapy baclofen pump

njms.pbwiki.com/PMRIG Some Solutions Neurogenic Bladder Malnutrition Dysphagia Ventilation Constipation Pain Skin Breakdown Heterotopic Ossification Gait Dysfunction Seizures Depression Insomnia Deep Vein Thrombosis Radiculopathy Spasticity and Contracture Permanent Impairment heat/cold transcutaneous electrical nerve stimulation water therapy

njms.pbwiki.com/PMRIG Some Solutions Neurogenic Bladder Malnutrition Dysphagia Ventilation Constipation Pain Skin Breakdown Heterotopic Ossification Gait Dysfunction Seizures Depression Insomnia Deep Vein Thrombosis Radiculopathy Spasticity and Contracture Permanent Impairment prostheses

njms.pbwiki.com/PMRIG Goal -= Overall Enhancement =- Maximize o Independence o Dignity o Quality of Life physical psychological social vocational educational

njms.pbwiki.com/PMRIG Task at Hand 1.Optimize Function 2.Pain Relief 3.Prevent & Manage Complications 4.Coordinate Care above all, 5. Educate Patients

njms.pbwiki.com/PMRIG Day in the Life of a Physiatrist…

njms.pbwiki.com/PMRIG Practice Settings Inpatient Hospital Unit Free-Standing Rehab Acute Rehab Nursing Home Outpatient Hospital Clinic Free-Standing Rehab Acute Rehab Private Office

njms.pbwiki.com/PMRIG Sample Inpatient Experience Spinal cord Traumatic Brain Stroke Polytrauma Pediatric Burn Cancer Transplant Orthopedic Pulmonary Chronic Neurology Disorder (e.g., MS) Complex Medical Disorders

njms.pbwiki.com/PMRIG Sample Outpatient Experience Amputee Wound Care Spasticity Musculoskeletal Stroke EMG & NCS Pain Ortho-Rehab Spine General Pediatric Arthritis Fibromyalgia Spina Bifida

njms.pbwiki.com/PMRIG Interdisciplinary Team Critical Care Intensive Medicine General Surgery Neurology Neurosurgery Orthopedics Psychiatry Urology Medical Professionals

njms.pbwiki.com/PMRIG Interdisciplinary Team (cont’d) Dietetic Rehabilitation Nurse Occupational Therapy Recreational Therapy Physical Therapy Prosthetics & Orthotics Psychology Respiratory Therapy Social Worker Speech & Language Therapy Vocational Counseling Allied Health Professionals

njms.pbwiki.com/PMRIG Transitional Preliminary PM&R Residency Categorical PGY-1 PGY-2 PGY-3 PGY-4 Option A Option B Option C Fellowship

njms.pbwiki.com/PMRIG Fellowships Electrodiagnostic Medicine Hospice and Palliative Medicine* Interventional Spine Neuromuscular Medicine* Pain Medicine*

njms.pbwiki.com/PMRIG Fellowships (cont’d) Pediatric Rehabilitation* Spinal Cord Injury* Sports Medicine* Traumatic Brain Injury Stroke etc… * denotes sub-specializations formally recognized by AAPMR

njms.pbwiki.com/PMRIG Lots of Work Ahead Aging Population Decreasing Injury Mortality High Healthcare Costs Innovative Technology New Applications

njms.pbwiki.com/PMRIG Additional Resources American Academy of Physical Medicine & Rehabilitation Association of Academic Physiatrists Archives of Physical Medicine and Rehabilitation American Congress of Rehabilitation Medicine