Introduction: Women may have higher prevalence of musculoskeletal chronic pain than men. Some studies suggest that biomechanical changes during pregnancy are related to elevated chronic pain prevalence. Objectives: The objective of this study is to conduct a review of studies involving strategies in multidisciplinary rehabilitation for musculoskeletal pain management during the pregnancy and the postpartum period. Methodology: The elaboration of the scientific question considered pregnant patients (population), rehabilitation with multidisciplinary team (intervention), without any comparatives, and pain management in any region of the body (outcome). The research was conducted in the databases: Medline (via PubMed) - www.pubmed.com and EMBASE - www.embase.com. Results: A total of 972 articles were found. Only two articles were related to rehabilitation with a multidisciplinary team for the management of pain in pregnant women. These articles were selected based on their relevance and data update. Conclusion: Although the literature has well established the cost-effectiveness of using multidisciplinary strategies for chronic pain control and intervention in its factors, there are no well-defined protocols for the application of these strategies in pregnant women, as shown by the scarcity of studies found on the subject in the bibliographic survey to perform this review. This reinforces the need for further studies with objective assessment parameters that analyze the effectiveness of multidisciplinary approach to musculoskeletal pain control and prevention of chronicity in pregnant women.
{"title":"Multidisciplinary management of musculoskeletal pain during pregnancy: A review of literature","authors":"Valeska B. Ferreira, L. Iuamoto, W. Hsing","doi":"10.4103/JISPRM-000099","DOIUrl":"https://doi.org/10.4103/JISPRM-000099","url":null,"abstract":"Introduction: Women may have higher prevalence of musculoskeletal chronic pain than men. Some studies suggest that biomechanical changes during pregnancy are related to elevated chronic pain prevalence. Objectives: The objective of this study is to conduct a review of studies involving strategies in multidisciplinary rehabilitation for musculoskeletal pain management during the pregnancy and the postpartum period. Methodology: The elaboration of the scientific question considered pregnant patients (population), rehabilitation with multidisciplinary team (intervention), without any comparatives, and pain management in any region of the body (outcome). The research was conducted in the databases: Medline (via PubMed) - www.pubmed.com and EMBASE - www.embase.com. Results: A total of 972 articles were found. Only two articles were related to rehabilitation with a multidisciplinary team for the management of pain in pregnant women. These articles were selected based on their relevance and data update. Conclusion: Although the literature has well established the cost-effectiveness of using multidisciplinary strategies for chronic pain control and intervention in its factors, there are no well-defined protocols for the application of these strategies in pregnant women, as shown by the scarcity of studies found on the subject in the bibliographic survey to perform this review. This reinforces the need for further studies with objective assessment parameters that analyze the effectiveness of multidisciplinary approach to musculoskeletal pain control and prevention of chronicity in pregnant women.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"63 - 69"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47403632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The World Health Organization declared coronavirus disease-19 (COVID-19) as a pandemic on March 11, 2020. The impact of COVID-19 on physical and rehabilitation medicine (PRM) services is unknown. In Morocco, the spread of the COVID-19 pandemic has worried the entire healthcare system. The present study intended to assess the global impact of COVID-19 on PRM patient care and training across Morocco. Setting: We conducted a web-based anonymous survey from April 15, 2020, to May 15, 2020. A 9-item questionnaire was developed to investigate the impact of COVID-19 PRM services. Participants: Practicing PRM physicians and PRM trainees. Results: About 57.5% of PRM physicians consented to participate in the survey. They are mostly based in Casablanca and Rabat. The type of activity indicates that 36% of the respondents are associated with a public institution, 43% with private institutions, 12% with a university hospital, 3% with the military hospital, and 3% with Foundations and Associations. The impact of COVID-19 over activities and the results indicate that a majority of the activities are reduced (79%) because of the prevailing pandemic, 29% is devoted toward participating in COVID-19 patient care, 25% converted to COVID-19 department. The measures undertaken for the continuity of training indicates that several ways were used to carry on training sessions of the staff. Conclusion: Considering beyond the pandemic, rehabilitation and physical medicine should be at the forefront of discussions, carriers to infrastructure, financing as well as implementing care through telehealth along with other approaches needs to end.
{"title":"Impact of the COVID-19 pandemic on physical and rehabilitation medicine in morocco: Results of a national survey","authors":"Y. Abdelfettah","doi":"10.4103/JISPRM-000105","DOIUrl":"https://doi.org/10.4103/JISPRM-000105","url":null,"abstract":"Background: The World Health Organization declared coronavirus disease-19 (COVID-19) as a pandemic on March 11, 2020. The impact of COVID-19 on physical and rehabilitation medicine (PRM) services is unknown. In Morocco, the spread of the COVID-19 pandemic has worried the entire healthcare system. The present study intended to assess the global impact of COVID-19 on PRM patient care and training across Morocco. Setting: We conducted a web-based anonymous survey from April 15, 2020, to May 15, 2020. A 9-item questionnaire was developed to investigate the impact of COVID-19 PRM services. Participants: Practicing PRM physicians and PRM trainees. Results: About 57.5% of PRM physicians consented to participate in the survey. They are mostly based in Casablanca and Rabat. The type of activity indicates that 36% of the respondents are associated with a public institution, 43% with private institutions, 12% with a university hospital, 3% with the military hospital, and 3% with Foundations and Associations. The impact of COVID-19 over activities and the results indicate that a majority of the activities are reduced (79%) because of the prevailing pandemic, 29% is devoted toward participating in COVID-19 patient care, 25% converted to COVID-19 department. The measures undertaken for the continuity of training indicates that several ways were used to carry on training sessions of the staff. Conclusion: Considering beyond the pandemic, rehabilitation and physical medicine should be at the forefront of discussions, carriers to infrastructure, financing as well as implementing care through telehealth along with other approaches needs to end.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"70 - 76"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49276024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Lee, S. Mansoor, B. Amatya, T. Sayed, M. Galea, F. Khan
Objective: The objective of the study is to evaluate functional outcomes and community reintegration of disaster survivors in Pakistan. Methods: This was a cross-sectional descriptive study of community-based participants at the Armed Forces Institute of Rehabilitation Medicine, Pakistan. The medical records were screened for eligibility of adults with disaster-related disability. Participants were interviewed in ambulatory clinics using validated measures: Neurological-Trauma Impairment Scale (NIS-Trauma), International Classification of Functioning, Disability, and Health-Generic Set, Community Integration Measure (CIM), Community Integration Questionnaire (CIQ), and EuroQol 5-Dimension 5-Level. Results: Participants were (n = 117, mean age = 35 years) with postdisaster injury up to 17 years; the majority had spinal cord injury (n = 62; 53%) and amputations (n = 44; 38%). At assessment, 80% were independent with mobility (with aids) and 29% with everyday living activities. They reported ongoing fatigue (54.7%), altered sensations (51.28%), and pain (50.43%), but fewer problems with mood and emotions. The impairment severity negatively impacted community activities (NIS-Trauma vs. CIQ: P < 0.001). As impairments improved with time (NIS-Trauma vs. time since injury: P = 0.003), so did community reintegration (time since injury vs. CIQ; P < 0.001) and perceived health status (time since injury vs. EuroQol; P = 0.001). Conclusion: Many participants reported various ongoing disability-related issues; however, majority were dependent with everyday living activities and well adapted in the community. Further robust studies are needed for evaluation of longer-term impact of the disability in disaster victims for the comprehensive healthcare in the community.
{"title":"Functional outcome and community reintegration of survivors following disasters: A community-based survey in pakistan","authors":"S. Lee, S. Mansoor, B. Amatya, T. Sayed, M. Galea, F. Khan","doi":"10.4103/JISPRM-000115","DOIUrl":"https://doi.org/10.4103/JISPRM-000115","url":null,"abstract":"Objective: The objective of the study is to evaluate functional outcomes and community reintegration of disaster survivors in Pakistan. Methods: This was a cross-sectional descriptive study of community-based participants at the Armed Forces Institute of Rehabilitation Medicine, Pakistan. The medical records were screened for eligibility of adults with disaster-related disability. Participants were interviewed in ambulatory clinics using validated measures: Neurological-Trauma Impairment Scale (NIS-Trauma), International Classification of Functioning, Disability, and Health-Generic Set, Community Integration Measure (CIM), Community Integration Questionnaire (CIQ), and EuroQol 5-Dimension 5-Level. Results: Participants were (n = 117, mean age = 35 years) with postdisaster injury up to 17 years; the majority had spinal cord injury (n = 62; 53%) and amputations (n = 44; 38%). At assessment, 80% were independent with mobility (with aids) and 29% with everyday living activities. They reported ongoing fatigue (54.7%), altered sensations (51.28%), and pain (50.43%), but fewer problems with mood and emotions. The impairment severity negatively impacted community activities (NIS-Trauma vs. CIQ: P < 0.001). As impairments improved with time (NIS-Trauma vs. time since injury: P = 0.003), so did community reintegration (time since injury vs. CIQ; P < 0.001) and perceived health status (time since injury vs. EuroQol; P = 0.001). Conclusion: Many participants reported various ongoing disability-related issues; however, majority were dependent with everyday living activities and well adapted in the community. Further robust studies are needed for evaluation of longer-term impact of the disability in disaster victims for the comprehensive healthcare in the community.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"90 - 99"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44326062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cost of Rehabilitation in Critically Ill COVID-19 Survivors: A Little Goes a Long Way","authors":"P. Ong, M. Tay, S. Tham","doi":"10.4103/JISPRM-000129","DOIUrl":"https://doi.org/10.4103/JISPRM-000129","url":null,"abstract":"","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"104 - 106"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45669942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.4103/jisprm.jisprm_26_20
I. Matias, M. Riberto, C. Caldas, R. Menezes-Reis, R. Liporaci, M. Santos, Luiza Silva Lopes, H. Machado
Background: Hemispherotomy is the treatment of choice for children with refractory epilepsy. Although hemiplegia, sensory and motor impairments result from this surgical procedure, seizure control is effective as well as anticonvulsant dose reduction. Description of functional gains after rehabilitation of these children are still incomplete. Aims: To evaluate the effects of an early intensive rehabilitation program in the gross motor function of lower limbs after 30, 90, 180 and 360 days of surgery for the treatment of epilepsy (hemispherotomy), and compare to historic controls. Materials and Methods: prospective and longitudinal case series, with historic controls. Fourteen out of sixteen children who underwent hemispherotomy from January 2012 to February 2013 received an early rehabilitation protocol (ERP). Functional assessment included the Berg Balance Scale (BBS), Fugl-Meyer Scale (FMS) lower limb subscale, and Gross Motor Function System of Classification (GMFCS), as well as the need of wheelchairs and walking aids. A historical group of 13 children who received a conventional rehabilitation protocol (CRP) was used as control. Results: FMS and BBS improved in ERP subjects until 6 months after surgery and reached a plateau. One year after hemispherotomy, all children in the ERP group could walk independently and had mild limitations to mobility whereas, among those in the CRP subjects, there was a higher prevalence of musculoskeletal deformities and severe gait restrictions. Conclusions: ERP promotes rapid functional recovery during one-year follow-up and, as compared to the CRP group, the average functional capacity of the ERP group was considerably higher. These data support the beneficial effects of a specific, individualized and early rehabilitation approach for such patients.
{"title":"Early intensive inpatient rehabilitation for children undergoing hemispherotomy","authors":"I. Matias, M. Riberto, C. Caldas, R. Menezes-Reis, R. Liporaci, M. Santos, Luiza Silva Lopes, H. Machado","doi":"10.4103/jisprm.jisprm_26_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_26_20","url":null,"abstract":"Background: Hemispherotomy is the treatment of choice for children with refractory epilepsy. Although hemiplegia, sensory and motor impairments result from this surgical procedure, seizure control is effective as well as anticonvulsant dose reduction. Description of functional gains after rehabilitation of these children are still incomplete. Aims: To evaluate the effects of an early intensive rehabilitation program in the gross motor function of lower limbs after 30, 90, 180 and 360 days of surgery for the treatment of epilepsy (hemispherotomy), and compare to historic controls. Materials and Methods: prospective and longitudinal case series, with historic controls. Fourteen out of sixteen children who underwent hemispherotomy from January 2012 to February 2013 received an early rehabilitation protocol (ERP). Functional assessment included the Berg Balance Scale (BBS), Fugl-Meyer Scale (FMS) lower limb subscale, and Gross Motor Function System of Classification (GMFCS), as well as the need of wheelchairs and walking aids. A historical group of 13 children who received a conventional rehabilitation protocol (CRP) was used as control. Results: FMS and BBS improved in ERP subjects until 6 months after surgery and reached a plateau. One year after hemispherotomy, all children in the ERP group could walk independently and had mild limitations to mobility whereas, among those in the CRP subjects, there was a higher prevalence of musculoskeletal deformities and severe gait restrictions. Conclusions: ERP promotes rapid functional recovery during one-year follow-up and, as compared to the CRP group, the average functional capacity of the ERP group was considerably higher. These data support the beneficial effects of a specific, individualized and early rehabilitation approach for such patients.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"22 - 29"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48067841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.4103/jisprm.jisprm_59_21
Susana Rosa, M. Freitas, Afonso Pegado, Diogo Martins, Mário Moura
{"title":"Rehabilitation after forearm/hand replantation","authors":"Susana Rosa, M. Freitas, Afonso Pegado, Diogo Martins, Mário Moura","doi":"10.4103/jisprm.jisprm_59_21","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_59_21","url":null,"abstract":"","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70798937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Negrini, Calogero Malfitano, M. Bertoni, E. Facchi, G. Ferriero, S. Galeri, F. Molteni, S. Respizzi, A. Tomba, G. Beretta, A. Majnardi
Italy has been one of the first-hit and most affected countries worldwide by the coronavirus disease 2019 (COVID-19) outbreak, and Lombardy accounts for almost half of all Italian cases. Vulnerable population is the one suffering the most from the current epidemic, without guaranteed access to basic needs. This aspect becomes critical for people experiencing disability, either due or not to COVID-19. To face the pandemic, all the regional health system services, rehabilitation ones included, were forced to radically adapt their operating paradigm and even sometimes to leave their intrinsic mission. The Italian Society of Physical and Rehabilitation Medicine (SIMFER) since the beginning of the outbreak was profoundly involved in the clinical and organizational response to COVID-19. The Lombardy regional group cooperated strictly and continuously with the national group to coordinate rehabilitation processes region wide. The paper presents a brief report of our field experience describing the phases faced since the beginning of the pandemic and suggesting the organizational strategies that could be useful in rehabilitation services for both inpatients and outpatients. Springing from literature and the experience of the Lombardy section of SIMFER, this paper should help clinicians to respond to the need of the disabled patient facing the new COVID-19 outbreak.
{"title":"The impact of COVID-19 on rehabilitation and proposal for a new organization: A report from Lombardy, Italy","authors":"F. Negrini, Calogero Malfitano, M. Bertoni, E. Facchi, G. Ferriero, S. Galeri, F. Molteni, S. Respizzi, A. Tomba, G. Beretta, A. Majnardi","doi":"10.4103/JISPRM-000108","DOIUrl":"https://doi.org/10.4103/JISPRM-000108","url":null,"abstract":"Italy has been one of the first-hit and most affected countries worldwide by the coronavirus disease 2019 (COVID-19) outbreak, and Lombardy accounts for almost half of all Italian cases. Vulnerable population is the one suffering the most from the current epidemic, without guaranteed access to basic needs. This aspect becomes critical for people experiencing disability, either due or not to COVID-19. To face the pandemic, all the regional health system services, rehabilitation ones included, were forced to radically adapt their operating paradigm and even sometimes to leave their intrinsic mission. The Italian Society of Physical and Rehabilitation Medicine (SIMFER) since the beginning of the outbreak was profoundly involved in the clinical and organizational response to COVID-19. The Lombardy regional group cooperated strictly and continuously with the national group to coordinate rehabilitation processes region wide. The paper presents a brief report of our field experience describing the phases faced since the beginning of the pandemic and suggesting the organizational strategies that could be useful in rehabilitation services for both inpatients and outpatients. Springing from literature and the experience of the Lombardy section of SIMFER, this paper should help clinicians to respond to the need of the disabled patient facing the new COVID-19 outbreak.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41383629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Tuakli‐Wosornu, Rachel Esparza, Catherine Stratton, James Joseph, J. Balikuddembe, Mark Peterson, A. Hajjioui, R. Cooper, B. Hong, Uma Pandiyan, LauraPaulina Muñoz-Velalsco, A. Krassioukov, D. Tripathi, K. Nyhan
{"title":"Global stakeholder perspectives on barriers and facilitators to community-based physical activity in adults living with disabilities: A systematic review protocol","authors":"Y. Tuakli‐Wosornu, Rachel Esparza, Catherine Stratton, James Joseph, J. Balikuddembe, Mark Peterson, A. Hajjioui, R. Cooper, B. Hong, Uma Pandiyan, LauraPaulina Muñoz-Velalsco, A. Krassioukov, D. Tripathi, K. Nyhan","doi":"10.4103/jisprm-000109","DOIUrl":"https://doi.org/10.4103/jisprm-000109","url":null,"abstract":"","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70799018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.4103/jisprm.jisprm_30_20
Melina Longoni Di Giusto, P. Grover, C. Castillo, I. Jiménez, J. García, R. Tijerina, D. Ramos-Usuga, J. Arango-Lasprilla
Background: In December 2019, China reported a severe upper respiratory failure syndrome caused by a new virus identified as coronavirus COVID-19. Aims and Objectives: The aim of this exploratory study is to outline the current state of pulmonary rehabilitation in Latin American (LA) countries during the COVID-19 pandemic. Materials and Methods: A total of 1162 rehabilitation professionals (rehabilitation medicine specialists and residents, physiotherapists, occupational therapists, and speech therapists) from 20 countries in LA answered a 34-question online survey related to the current state of pulmonary rehabilitation in LA during the COVID-19 pandemic. Results: More than half of the professionals reported the absence of pulmonary rehabilitation services in their work centers, limited or non-existent pulmonary rehabilitation materials or equipment, and little or no training by their multidisciplinary team and themselves. Regarding COVID-19, 49.2% of the respondents indicated not receiving the necessary material for the protection against COVID-19, and more than half reported limited equipment to perform interventions in patients hospitalized by this disease, and not to have clear about the recommendations to prescribe pulmonary physiotherapy in these patients. Moreover, almost all the professionals did not feel capable of treating patients with lung disease from COVID-19 and felt anxiety doing it. Conclusion: Pulmonary rehabilitation is vital for providing optimal care for respiratory impairments, and this relationship has been magnified by the COVID-19 pandemic. This manuscript highlights the limited professional training and resource availability in LA and provides recommendations to improve the current situation.
{"title":"The state of pulmonary rehabilitation in latin america during the COVID-19 pandemic","authors":"Melina Longoni Di Giusto, P. Grover, C. Castillo, I. Jiménez, J. García, R. Tijerina, D. Ramos-Usuga, J. Arango-Lasprilla","doi":"10.4103/jisprm.jisprm_30_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_30_20","url":null,"abstract":"Background: In December 2019, China reported a severe upper respiratory failure syndrome caused by a new virus identified as coronavirus COVID-19. Aims and Objectives: The aim of this exploratory study is to outline the current state of pulmonary rehabilitation in Latin American (LA) countries during the COVID-19 pandemic. Materials and Methods: A total of 1162 rehabilitation professionals (rehabilitation medicine specialists and residents, physiotherapists, occupational therapists, and speech therapists) from 20 countries in LA answered a 34-question online survey related to the current state of pulmonary rehabilitation in LA during the COVID-19 pandemic. Results: More than half of the professionals reported the absence of pulmonary rehabilitation services in their work centers, limited or non-existent pulmonary rehabilitation materials or equipment, and little or no training by their multidisciplinary team and themselves. Regarding COVID-19, 49.2% of the respondents indicated not receiving the necessary material for the protection against COVID-19, and more than half reported limited equipment to perform interventions in patients hospitalized by this disease, and not to have clear about the recommendations to prescribe pulmonary physiotherapy in these patients. Moreover, almost all the professionals did not feel capable of treating patients with lung disease from COVID-19 and felt anxiety doing it. Conclusion: Pulmonary rehabilitation is vital for providing optimal care for respiratory impairments, and this relationship has been magnified by the COVID-19 pandemic. This manuscript highlights the limited professional training and resource availability in LA and provides recommendations to improve the current situation.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"40 - 50"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42652019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.4103/jisprm.jisprm_29_20
A. Qureshi
Due to the lack of understanding of spasticity across different medical disciplines, the approach and treatment strategies vary considerably among clinicians. This is further disjointed in health systems around the world due to differences in training, resources and infrastructure. Spasticity guidelines available in the literature mainly focus on clinical or specialized aspects of care. The vast majority of patients in the community across the world do not have access to specialized treatment of spasticity. To meet these requirements, this article calls for professional organizations to take the initiative at the international level to develop guidelines by involving stakeholders across different levels of health systems.
{"title":"A call to develop standardized guidelines for treatment of spasticity","authors":"A. Qureshi","doi":"10.4103/jisprm.jisprm_29_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_29_20","url":null,"abstract":"Due to the lack of understanding of spasticity across different medical disciplines, the approach and treatment strategies vary considerably among clinicians. This is further disjointed in health systems around the world due to differences in training, resources and infrastructure. Spasticity guidelines available in the literature mainly focus on clinical or specialized aspects of care. The vast majority of patients in the community across the world do not have access to specialized treatment of spasticity. To meet these requirements, this article calls for professional organizations to take the initiative at the international level to develop guidelines by involving stakeholders across different levels of health systems.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"8 - 14"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41932158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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