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Introduction and progress of Rehabilitation. Department of rehabilitation medicine of the 6 th hospital affiliated jiaotong university,shanghai. Basic Concepts Of Rehabilitation Physiatrics Historical overview Purposes Of Rehabilitation - PowerPoint PPT Presentation
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Introduction and progress of Rehabilitation
Department of rehabilitation medicine of the 6th hospital affiliated jiaotong university,shanghai
Basic Concepts Of Rehabilitation
Physiatrics Historical overview
Purposes Of Rehabilitation
Rehabilitation and medicine related
Classification of disability
Basic concepts of rehabilitation
Z The Source Of “Rehabilitation”
Z To Include In Rehabilitation
Z Definitions Of Rehabilitation
Z Rehabilitation PrinciplesRehabilitation Principles
Z Rehabilitation service modalityRehabilitation service modality
??
The Source Of “Rehabilitation”
康复医学的英文表达以物理为词根 Physiatrics ,PhPhysiatrics ,Ph
ysiatry( Americanysiatry( American ,, Canada)Canada)
Physical Medicine ( BrithishPhysical Medicine ( Brithish ,, South And NortSouth And Nort
h America )h America )
Physical medicine and rehabilitation (AmericaPhysical medicine and rehabilitation (America
n n ,, Australian etc)Australian etc)
rehabilitationrehabilitation (( JapaneseJapanese ))
To Include In RehabilitationTo Include In Rehabilitation
RehabilitationRehabilitation
Engineer Engineer
Comprehensive Rehabilitation
Social Social
RehabilitationRehabilitation
Medical Medical
RehabilitationRehabilitation
VocationalVocational
RehabilitationRehabilitation
Educational Educational
RehabilitationRehabilitation
Rehabilitation is dedicated to Rehabilitation is dedicated to optimizing patients functioning optimizing patients functioning and health and to prevent or and health and to prevent or minimize disabilityminimize disability
Definitions Of Definitions Of RehabilitationRehabilitation
Rehabilitation GoalRehabilitation Goal
Rehabilitation goals include :
reestablishing emotional well-being,
preserving residual function ,preventing
disabling complications ,and developing
compensatory functional capacities
needed for carrying out daily activities.
Rehabilitation service Rehabilitation service modalitymodality IBR (Institution-based rehabilitation)
康复机构康复 ORS (Out-reaching rehabilitation
service) 上门康复服务 CBR (community-based rehabilitation)
社区康复
Rehabilitation service Rehabilitation service modalitymodality
IBRIBR
ORSORS
CBRCBR
Physiatrics Historical Physiatrics Historical OverviewOverview
L Prehistoric Period ( before 1910s )
L Form Period ( 1910 - 1946s )
L Definition Period ( 1947 - 1970s )
L Development Period ( after 1970s )
Prehistoric Prehistoric PeriodPeriod (( before1910sbefore1910s )) This period to utilized physical therapy ,per This period to utilized physical therapy ,per exemplum massageexemplum massage 、 、 athletic trainersathletic trainers 、、 light light therapytherapy 、、 infrared therapyinfrared therapy 、、 ultraviolet therapy ultraviolet therapy etc.etc.
infrared therapyinfrared therapyinfrared therapyinfrared therapy
Form PeriodForm Period (( 19101910 -- 1946s1946s ) ) This period was after World This period was after World ⅠⅠ.during this period .during this period ,,
wounded and infantile paralysis fashion modalitwounded and infantile paralysis fashion modality could be increase disability. y could be increase disability.
Definition PeriodDefinition Period (( 19471947 -- 19701970ss )) This period was from World to early 1970s.duriⅡThis period was from World to early 1970s.duriⅡng this period ng this period ,, rehabiliatation pioneer Howard Rurehabiliatation pioneer Howard Rusk(1901-1989) was one of the first to recognize the sk(1901-1989) was one of the first to recognize the contribution of the team approach for individuals wcontribution of the team approach for individuals who were disabled and needed to access multidisciplho were disabled and needed to access multidisciplinary expertise to meet their medical and rehabilitatinary expertise to meet their medical and rehabilitation needs. For example, physical therapyion needs. For example, physical therapy 、、 psychopsychological therapylogical therapy 、、 occupational therapyoccupational therapy 、 、 speech tspeech therapyherapy 、、 prosthet and orthoses.prosthet and orthoses.
Definition PeriodDefinition Period (( 19471947 --1970s1970s ))
Published
Physiatrics Historical Physiatrics Historical OverviewOverview
Physiatrics Historical Physiatrics Historical OverviewOverview
Purposes Of RehabilitationPurposes Of Rehabilitation
Rehabilitation basis of principlesRehabilitation basis of principles
Rehabilitation evaluation and assessmentRehabilitation evaluation and assessment
purposes of rehabilitation purposes of rehabilitation
Rehabilitation Therapeutic Rehabilitation Therapeutic
Clinical rehabilitation Clinical rehabilitation
Rehabilitation basis of Rehabilitation basis of PrinciplesPrinciples
Functional training Total rehabilitation Integration with society Increase quality of life
Rehabilitation evaluation and Rehabilitation evaluation and assessmentassessment
Functional assessment is a method for describing a person’s abilities and limitations ,in order to measure performance of activities necessary fordaily living .its include :
Motion function evaluation Electromyography and nerve conduction studies Cardiorespiratory function and physical examinati
on Speech communication evaluationvocational assessment evaluation Social evaluation
purposes of rehabilitationpurposes of rehabilitation
Team approachTeam approach( multipurpose team ( multipurpose team
approach )approach )
RD-DPST
PT
0T RN
Psy
SW
RT
RE(P & 0)
CTMT
VC
RD :康复医师DP :残疾人PT :物理治疗师OT: 作业治疗师ST: 言语治疗师RE: 康复工程Psy : 心理学家RN: 康复护士RT: 文娱治疗师CTMT: 中医康复技师VC: 职业顾问SW: 临床社会工作者
Rehabilitation Rehabilitation TherapeuticTherapeutic
Speech Therapy
(ST)
PhysicalTherapy (PT)
RehabiliatationRehabiliatationcounselingcounseling
RecreationalRecreationaltherapytherapy
Sanatory rehabilitation
PsychotherapyPsychotherapy
RehabilitationRehabilitationEngineeringEngineering
Vocational Counseling
ProstheisProstheisAnd orthosisAnd orthosis
(Pr&o(Pr&o))
Others
RehabilitationNursing(RN)
Occupational Occupational TherapyTherapy
(OT)(OT)
Rehabilitation and medicial relatRehabilitation and medicial relateded
safety
Love/Belonging
Physiological
Esteem
actualization
Rehabilitation and medicine Rehabilitation and medicine relatedrelated
临床医学模型 康复医学模型
解决问题 疾 病 残疾、疾病
医生的作用 行动者、知情者 教师、促进者
病人的作用 被动者 主动者
治疗定向 个别进行、未形成组 协作组工作方法
治疗手段 治疗疾病及人 治疗残疾及人
Classification of disabilityClassification of disabilityWHO international classification of
impairments, Disabilities , and Handicaps (ICIDH) is widely accepted and provides a theoretical foundation for discussing rehabilitation outcome. The WHO model distinguishes and clarifies the three levels of disablement outcomes as follows:
Classification of disabilityClassification of disability
1. Impairments at the organ level
2. Disabilities at the person level
3. handicaps at societal level
Functional Limitation
(inability to type)
Pathology(e.g. Arthritis)
Impairment
(limited ROM in joint)
Transactional factors
QoL
Biology
Environ-ment
Lifestyle &
behavior
Events e.g., falls, infections
No disabling Condition
Disabling-process
Enabling-process
Health condition(disease, trauma)
Environmental factors
Personal factors
Contextual factors
Functioning
The biopsychosocial model of functioning and disability of the World Health Organization
& ParticipationActivityBody functions& structures
Activity is the execution of a task or action by an individual. It represents the individual perspective of functioning.
Activity is the execution of a task or action by an individual. It represents the individual perspective of functioning.
Participation is involvement in a life situation. It represents the societal perspective of functioning.
Impairedbody functions& structures
Limitation in activityRestriction in participation
Health condition(disease, trauma)
Environmental factors
Personal factors
Contextual factors
The biopsychosocial model of functioning and disability
ActivityBody functionand body structure
ParticipationParticipation
Impairment Impairment of of body function body function & structure& structure
LimitationLimitationin activitiesin activities
RestrictionRestriction in in participationparticipation
Environmental factors
Personal factors
Health condition(disease, trauma)
Contextual factors
DisabilityDisability
www.isprm.org 国际物理医学与康复医学学会国际物理医学与康复医学学会 (ISPRM) (ISPRM) http://www.phisiatry.org 美国康复医师学会美国康复医师学会http://www.archives-pmr.org http://www.archives-pmr.org 美国美国 PMRPMR 文献 文献 http://www.apta.org http://www.apta.org 美国物理治疗学会美国物理治疗学会http://www.aapmr.org美国物理医学与康复学会美国物理医学与康复学会http://www.capmr.org中华医学会物理医学与康复学分会中华医学会物理医学与康复学分会http://www.crrc.com.cn中国康复研究中心中国康复研究中心
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