1st PUBLIC HEALTH CONVENTION ON THE HEALTH AND WELLNESS OF PERSONS WITH DISABILITIES
CURRENT DEVELOPMENTS IN THE PHILIPPINE REHABILITATION SERVICES
ROMIL M. MARTINEZ, M.D.PHYSIATRIST
REHABILITATION PRACTICE
❖ The practice of physical medicine and rehabilitation (PM&R), when applied has the capacity to reduce human suffering and economic burdens imposed by both acute injury and chronic disability.
REHABILITATION
❖ is the process of helping a person to reach the fullest physical, psychological, social, vocational, avocational, and educational potential consistent with his or her physiologic or anatomic impairment, environmental limitations, desires and life plans.
REHABILITATION MEDICINE
❖ branch of medicine
❖ prevention, diagnosis, treatment and rehabilitation of neuromusculoskeletal, cardiovascular, pulmonary and other
system disorders produce temporary or permanent disability
❖ performance of different diagnostic (EMG, bone densitometry, MSK ultrasound) and interventional (injections, prolotherapy) procedures
❖ rehab prescription/programs which uses physical agents, electricity, therapeutic exercise and mechanical agents
❖ pharmacologic prescriptions
REHABILITATION TEAM
❖ Neurophysiology
❖ Exercise physiology
❖ Psychology of disability
❖ Medical and Surgical problem management
❖ Functional effects of these problems and associated physical impairments
❖ Familiarity with the knowledge and skills of the various members of the rehab team
❖ Managerial skills
REHABILITATION TEAM
❖ Physician (Physiatrist)
❖ Physical Therapist
❖ Occupational Therapist
❖ Therapeutic Recreation Therapist
❖ Prosthetist-Orthotist
❖ Rehabilitation Nurse
❖ Speech-Language Pathologist
❖ Psychologist
❖ Social Worker
❖ Vocational Counselor
❖ Patient/Family
PHYSICAL MEDICINE AND REHABILITATION UNIT/FACILITY/CENTER
❖ any facility that renders services for the rehabilitation of physical disabilities, this maybe hospital based or free standing.
Philippine Academy of Rehabilitation Medicine (PARM)
❖ an organization of medical specialists and trainees in Rehabilitation that seeks to achieve excellence in Physiatric practice, education and research.
PARM MEMBERS
❖ FELLOW MEMBERS
❖ 222
❖ ASSOCIATE MEMBERS
❖ 70
❖ AFFILIATE MEMBERS
❖ 13
❖ RESIDENTS IN TRAINING
❖ 45
REGIONAL DISTRIBUTION OF PARM MEMBERS
❖ NCR❖ 186
❖ Region 1 – Ilocos Norte, Ilocosu Sur, La Union, Pangasinan)
❖ 12 ❖ Region 2 (Cagayan
Isabela, Baguio, Mt. Province)
❖ 9❖ Region 3 (Bataan,
Balanga, Bulacan, Nueva Ecija, Pampanga, Tarlac, Zambales)
❖ 28❖ Region 4-a (Batangas,
Cavite, Laguna, Quezon, Rizal, Mindoro)
❖ 35❖ Region 5 (Legaspi,
Camarines Norte and Sur)❖ 3
❖ Region 6 (Aklan, Capiz, Antique, Iloilo, Negros Occ.)
❖ 13
❖ Region 7 (Bohol, Cebu, Negors Oriental)
❖ 11
❖ Region 8 (Leyte, Samar)
❖ 4
❖ Region 9 (Zamboanga,)
❖ 3
❖ Region 10 (Bukidnon, Lanao Del Norte, Misamis Occidental and Oriental, CDO)
❖ 8
❖ Region 11 (Davao)
❖ 4
❖ Region 12 (South Cotabato)
❖ 4
❖ Region 13 (CARAGA)
❖ 1
Philippine Board of Rehabilitation Medicine (PBRM)
❖ a non-stock, non-profit corporation composed of Board Certified Rehabilitation Medicine specialists tasked with accrediting and evaluating training institutions with a specialty in Rehabilitation Medicine, and certifying graduates of these training programs.
❖ 4 training institutions
❖ UST
❖ PGH
❖ POC
❖ VMMC
PHYSIATRIC EVALUATION
❖ History
❖ Signs and Symptoms
❖ Birth
❖ Work
❖ Physical Examination
❖ Inspection
❖ Palpation
❖ Neurological
❖ Musculoskeletal
❖ MMT
❖ DTRs
❖ Sensory
❖ Special Tests
PHYSIATRIC REHABILITATION PROGRAM
❖ Physical Modalities
❖ Traction/Massage/Manipulation
❖ Electrotherapy
❖ Ultraviolet light therapy
❖ Hydrotherapy
❖ Therapeutic Exercise
❖ Orthotics/Prosthetics/Shoe
❖ Robotics
❖ Gait Analysis
PHYSIATRIC MANAGEMENT
❖ PHARMACOLOGICAL
❖ NSAIDs, Muscle Relaxants, opiods
❖ other medications
❖ INTERVENTIONAL
❖ chemodenervation
❖ prolotherapy
❖ TPI, injections
❖ DIAGNOSTIC
❖ EMG NCV
❖ Bone Densitometry
❖ MSK Ultrasound
❖ others (x-rays, blood tests, CT scan, MRI)
❖ APPROPRIATE REFERRAL TO OTHER SPECIALTIES
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