Physiatry: Introduction, General Concepts and Evaluation in Rehabilitation

Physical Medicine and Rehabilitation · Clinical Specialties

How it begins

A comprehensive compendium of Physical Medicine and Rehabilitation (PM&R). From the theoretical models of the International Classification of Functioning (ICF) and the neurophysiology of synaptic plasticity, to advanced biomechanical evaluation, instrumental gait analysis and interdisciplinary therapeutic strategies.

What it covers

1. Physiatry and Comprehensive Evaluation
2. History, Epistemology and Evolution of Physical Medicine and Rehabilitation
3. · Historical Genesis: From Physical Agents to Postwar Rehabilitation
4. · Epistemology of the Specialty: The Third Axis of Medicine
5. The Conceptual Operating Model: From the ICIDH to the ICF
6. · Historical Evolution of WHO Classifications
7. · ICF Coding and Structure Taxonomy
8. Concepts of Deficiency, Activity Limitation and Participation Restriction
9. · Detailed Analysis of the Dimensions
10. · Clinical Examples of Multidimensional Application of the ICF
11. Physiology Applied to Movement and Immobility: Physical Deconditioning Syndrome
12. · Physiological Effects of Immobility by Systems
13. · Cellular Mechanics of Disuse Atrophy
14. · Maximum Oxygen Consumption Equation ($VO_2$ max)
15. Physiology of Neuronal Plasticity and Functional Recovery Mechanisms
16. · Molecular Mechanisms of Synaptic Plasticity
17. · Mechanisms of Brain Recovery After Structural Damage
18. Comprehensive Physiatric Evaluation: Structure of the Clinical History in Rehabilitation
19. · Structure and Components of the Physiatric History
20. Detailed Musculoskeletal Physical Examination: Arcs of Mobility and Strength
21. · Precision Goniometry: Planes, Axes and End-Feel
22. · Normal Values of the Mobility Arcs (ROM) Key
23. · The Modified Daniels Scale (MRC) for Evaluation of Muscle Strength
24. Evaluation of Spasticity and Muscle Tone
25. · Pathophysiology of Muscle Tone and Spasticity
26. · Evaluation of Spasticity using the Modified Ashworth Scale (MAS)
27. · The Tardieu Scale: Angles R1 and R2
28. Evaluation of Motor Control, Reflexes and Sensation
29. · Motor Control Systems and Theories
30. · Evaluation of Osteotendinous Reflexes (Deep)
31. · Sensitive Evaluation: Double Way of Driving
32. Clinical Analysis of Human Gait
33. · Systematic Breakdown of the Phases of the Gait Cycle
34. · Classic Pathological Gait Patterns
35. Evaluation of Posture, Balance and Transfers
36. · Sensitive Integrating Systems of Balance
37. · Clinical Balance and Mobility Assessment Scales
38. Measurement of Functional Independence
39. · Comparison of Functional Measurement Scales: Barthel versus FIM
40. · Functional Independence Measure (FIM) Scoring Scale
41. Technical Aid, Orthotics and Prosthetics
42. · Biomechanical Principles of Orthosis Prescription
43. · Biomechanics of Lower Limb Prostheses: Socket and Suspension
44. The Interdisciplinary Rehabilitation and Therapeutic Planning Team
45. · Teamwork Models in Rehabilitation
46. · The SMART Rule for Goal Planning
47. · Prevention of Secondary Complications in Patients with Severe Disabilities