Physical therapy and of readjustment
Physical therapy and readjustment or it research of autonomy.
History and definition
The physical therapy draws its name from the average physiques (electric…) that it used and was easily reduced there. It was also called Physiothérapie, not to confuse with the " physiotherapy" Anglo-Saxon, which is a discipline with whole but nonmedical share. Currently, one could define it as the discipline which treats diagnoses and treatments (preserving) of pathologies of the Système neurolocomotor.
The physical therapy and of readjustment is implied in various centers and programs in particular in academic world: center of fight against the pain (CLCD) and consultation of the chronic pain (CDC), center of reference of the diseases neuromusculaires, center of reference in fatigue chronic, center of Médecine of the sport, multi-field consultation of the diabetic foot, school of the back…
Why and how
The first role of the specialist physician in physical therapy and readjustment is to conceive and supervise the programs of Rééducation and Réadaptation of the patients victims of accidents or serious pathologies which require a multidisciplinary assumption of responsibility. Various disciplines get busy there in team: ergothérapeute, Kinesitherapist, adapted Physical-activities, (neuro) psychological, logopède (Speech therapist), Nurse S, Social worker, Orthoprothésiste… These teams collaborates with many of other medical disciplines: General medicine, Neurology, Orthopedy - Traumatology, Internal medicine… the role of the specialist in physical therapy is also to manage the internistic complications of in-patients.
The goal of this speciality is to minimize the effects of the accident or the disease, as well on the functional plan and physics as psychological and Social, in order to give the patient to the place which is appropriate to him best in the company and/or to preserve its place to him. The physical therapy is practiced into private and/or hospital, consultation ambulatory and/or hospitalization of day or complete.
As a private cabinet, the doctor of rehabilitation treats in majority the common pains of the locomotor apparatus, in particular on the level of the rachis; often titular of a DIU of Medicine manual-osteopathy, it frequently treats by vertebral Manipulation, but contrary with the osteopaths not-doctors or with the chiropractors, his competence of doctor gives him access to all the therapeutic ones adapted (drugs, belts or corsets, infiltrations, establishment of an occupational program for the kinesitherapist, psychosocial follow-up in partnership with the company doctor or the medical officer).
Projects of rehabilitation
They could be summarized by the rule of 3 R:
- the rehabilitation hears recovery AD integrum function;
- the revalidation hears Séquelle S but one witnesses a recovery of the function by means of orthèses and technical assistances;
- the readjustment hears major after-effects, without possible recovery. It requires an adaptation of the function even another function.
General policy in hospitalization
Entry, anamnèse and clinical examination, plan of treatment, assessments (physical, functional, medical…), anamnèse social systematic, Rehabilitation and/or medicamentous, preserving or invasive treatment, multi-field meeting, meeting of family, visit at therapeutic residence, day and/or weekend, exit.
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