Physical and rehabilitation medicine (PRM) care pathways: “Spinal cord injury”

Albert, T.; Blanquart, F. Beuret; Chapelain, L. Le; Fattal, Charles; Goossens, D.; Rome, Jeffrey D.; Yelnik, A.; Verbe, B. Perrouin

doi:10.1016/j.rehab.2012.04.004

Cited by 16 publications

(6 citation statements)

References 5 publications

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“…This process requires some material assistance such as medical devices and technical aids, aids to rehabilitation, human helps, adaptations of the environment in the private or public domain [23,24]. That is what we did with our patient when we gave the mother a certificate to get him an adapted chair and table for school for example.…”

Section: Discussionmentioning

confidence: 89%

Rehabilitation of a Case of Post-Operative Paraplegia in Arthrogryposis Congenita Complex

Dziri¹,

Mouhli²,

Miri³

et al. 2017

J Nov Physiother

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Arthrogryposis is an orthopedic condition characterized by greater or lesser stiffness at the four members and less frequently of the spine. Treatment is with certain orthopedic surgical indications in functional aim. The purpose of this work is to present a complex case of arthrogryposis multiplex congenita with partially reversible neurological complications following spinal surgery.Presentation of the case of a ten year old boy, who had previous surgeries in the lower limbs, addressed in the department of Physical and Rehabilitation Medicine of the National Orthopaedic Institute Mohamed Taieb Kassab, twenty one days after a kyphosis and lumbar dorsal scoliosis surgery complicated by paraplegia justifying the removal of material. The clinical examination at the admission found a paraplegia ASIA C D4 with neurogenic bladder. The multidisciplinary care was provided in the department of Physical and Rehabilitation Medicine in two hospitalizations with progressive goals (analgesia, joint gain, standing up, walk, urinary autonomy and rehabilitation).Six months after the second hospitalization, the child had regained the standing position, walking with adapted equipment, and bladder balance.Arthrogryposis manifests by stiff joints, interesting the four members, with skin abnormalities and occurs in children with normal intelligence. Treatment is based on assiduous care with physiotherapy care, occupational therapy and early orthopedic continued throughout growth. Surgical treatments deformations there are delicate, with poorer results than in idiopathic etiology.The management in physical medicine were based on multidisciplinary cares, enabling the patient to walk, to have a better autonomy and urinary balance, allowing to hope for a good family and social insertion, particularly the resumption of his schooling.

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Section: Discussionmentioning

confidence: 89%

Rehabilitation of a Case of Post-Operative Paraplegia in Arthrogryposis Congenita Complex

Dziri¹,

Mouhli²,

Miri³

et al. 2017

J Nov Physiother

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“…There were 58 articles that remained, of which there were 45 that had not followed an identifiable vetting process required to produce a quality clinical guideline. Thirteen articles [20][21][22][23][24][25][26][27][28][29][30][31][32] met criteria for inclusion and had been properly vetted (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…Data from each of the reviewed articles that met all inclusion criteria are presented in Table 2. [20][21][22][23][24][25][26][27][28][29][30][31][32][33] The variables of interest that pertain to these articles include the following: title of the article, reference citation, the supporting organization for the guideline, the setting in which the guideline applies, confirmation of its having been vetted, confirmation that the guideline addresses rehabilitation and/or functional outcomes, and a summary of recommendations. There were eight guidelines in Table 2 that had been performed in acute care settings [23][24][25][26][27][31][32][33] and 10 in postacute and/or community settings.…”

Section: Resultsmentioning

confidence: 99%

“…[20][21][22][23][24][25][26][27][28][29][30][31][32][33] The variables of interest that pertain to these articles include the following: title of the article, reference citation, the supporting organization for the guideline, the setting in which the guideline applies, confirmation of its having been vetted, confirmation that the guideline addresses rehabilitation and/or functional outcomes, and a summary of recommendations. There were eight guidelines in Table 2 that had been performed in acute care settings [23][24][25][26][27][31][32][33] and 10 in postacute and/or community settings. [20][21][22][23][28][29][30][31]33 When examining the types of studies done and the kinds of outcomes measured, seven studies offered CPGs that addressed a comprehensive approach to rehabilitation and one included pharmacological and nonpharmacological interventions.…”

Section: Resultsmentioning

confidence: 99%

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Narrative Review of Clinical Practice Guidelines for Rehabilitation of People With Spinal Cord Injury

Gerber¹,

Deshpande²,

Prabhakar³

et al. 2020

Am J Phys Med Rehabil

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Bed Positioning21. Use bed positioning devices and techniques that are compatible with the bed type and the individual's health status.Avoid positioning individuals directly on pressure ulcers regardless of the pressure ulcer anatomical location (trochanter, ischium, sacrum, and heel) unless such position is necessanry for performance of ADLs, such as eating or hygiene.Use pillows, cushions, and positioning aids to reduce pressure on existing pressure ulcers or vulnerable skin areas by elevating them away from the support surface.Avoid closed cutouts or donut-type cushions.Prevent contact between bony prominences.Elevate the head of the bed no higher than 30 degrees unless medically necessary.Reposition individuals in bed at least every 2 hours. Sources: Sackett, D.L. Rules of evidence and clinical recommendations on the use of antithrombotic agents. Chest 95 (2 Suppl) (1989): 25-45; and the U.S. Preventive Health Services Task Force. Guide to clinical preventive services: An assessment of the effectiveness of 169 interventions. Baltimore, MD: Williams and Wilkins, 1996.

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“…Type 1 refer to severe deficiencies: Patients after stroke (Yelnik et al, 2011), traumatic brain injury (Pradat-Diehl et al, 2012) and spinal cord injury (Albert et al, 2012). Four categories of differing severity have been proposed for stroke, three for traumatic brain injury and five for spinal cord injury.…”

Section: Developments In Francementioning

confidence: 99%

PRM programmes of care and PRM care pathways

Korvin

Yelnik

Ribinik

et al. 2013

International Journal of Rehabilitation Research

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The development of European Union of Medical Specialists (UEMS) physical and rehabilitation medicine programmes of care (PRMPC) and physical and rehabilitation medicine care pathways (PRMCP) in France is a good example of the positive interaction between European and national organizations. PRMPC were defined at the European level to offer a robust template for the description and assessment of physical and rehabilitation medicine (PRM) clinical activity in various fields and contexts. An accreditation procedure was organized as a peer review. It has started to provide very informative documents. In France, discussions on this topic began in 2000. At the end of the same decade, the European approach fostered the interest of French PRM organizations in a period of negotiating with public authorities about two crucial issues: specifications required for reimbursement of functional instrumental assessments in PRM practice and funding of PRM care in postacute facilities. The French Society of PRM (SOFMER) decided to describe the PRM scope in a systematic way, emphasizing the best balance between patient needs, rehabilitation goals, relevant means and justified funding. Nine 'PRMCP' have been published since 2010 and others are in progress. PRMPC and PRMCP share the same concern about the best response offered by PRM to patients' needs. The first approach is the description of a local organization with respect to both scientific evidence and local conditions. The latter is an outline of PRM intervention related to a multidimensional pattern of patients' situations. Both enhance the role of PRM doctors, whose expertise is necessary for making a synthesis of medical diagnosis and functional assessment, for setting up a patient-centred care strategy and for supervising the rehabilitation team's intervention.

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Physical and rehabilitation medicine (PRM) care pathways: “Spinal cord injury”

Cited by 16 publications

References 5 publications

Rehabilitation of a Case of Post-Operative Paraplegia in Arthrogryposis Congenita Complex

Rehabilitation of a Case of Post-Operative Paraplegia in Arthrogryposis Congenita Complex

Narrative Review of Clinical Practice Guidelines for Rehabilitation of People With Spinal Cord Injury

PRM programmes of care and PRM care pathways

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