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

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

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

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

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

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

Assistive Utensils

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

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

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

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

Diathermy

Hydrotherapy

Canes

Walkers

Orthotics

Prosthetics

TENS