Recomendaciones de No hacer en rehabilitación y medicina física desde distintos ámbitos de intervención

Introduction and objective

Certain medical practices, both diagnostic and therapeutic, that have not been proven to be effective and do not add value to healthcare, are not uncommon. The aim of this document is to provide a list of «Not to do» recommendations in the medical specialty of Physical Medicine and Rehabilitation.

Material and method

For the development of this project, which is coordinated by the Vocalía de Sociedades Filiales, Sociedades Autonómicas y Grupos de Trabajo de la Sociedad Española de Rehabilitación (SERMEF), specific recommendations are requested from Grupos de Trabajo and Sociedades Filiales of each specific field of Physical Medicine and Rehabilitation, as experts in the corresponding intervention areas. A maximum of three recommendations per sub-specialty area are selected.

Results

Recommendations «Not to do» are collected from SENR/SERDACE/NRN (Sociedad Española de Neurorrehabilitación/Sociedad Española de Rehabilitación en Daño Cerebral/Grupo de Trabajo Neurorrehabilitación Norte), SORECAR (Sociedad Española de Rehabilitación Cardiorrespiratoria), ArtroReha (Grupo de Trabajo de Rehabilitación en Artrosis), GTRVEST (Grupo de Trabajo de Rehabilitación Vestibular), GTLINF (Grupo de Trabajo de Rehabilitación de Linfedema), GTRO (Grupo de Trabajo de Rehabilitación en Osteoporosis), Rehabilitación Parálisis Facial. Out of a total of 35 recommendations, supported by scientific evidence and medical experience, 18 have been selected. The selection criteria are based on the relevance, pragmatism and specificity of the recommendations. Each recommendation is accompanied by a text that clarifies and/or develops the statement.

Conclusions

This project includes a series of recommendations, by expert rehabilitation physicians, of actions not to be performed while delivering medical assistance. SERMEF offers a list of recommendations «Not to do in Rehabilitation and Physical Medicine», supported by scientific evidence and clinical experience.