Functional assessment and musculoskeletal rehabilitation

Chapter 5

Functional assessment and musculoskeletal rehabilitation

5 topics

  1. 24Functional assessment in Physical and Rehabilitation Medicine. Assessment of functional impairment and activity limitations. Rehabilitation potential and prognosis. Formulation of short- and long-term rehabilitation goalsRehabilitation treats what a person cannot do, so it has to measure it first. This page explains the ICF model that frames the assessment, the bedside tools for impairment (somatoscopy, anthropometry, goniometry, manual muscle testing), the scales for daily activities (Barthel index, FIM and others), and how the findings become a judgement of rehabilitation potential and prognosis and a set of short- and long-term SMART goals.
  2. 25PRM interventions for fractures and traumatic conditions. Functional assessment, rehabilitation goals, physical modalities, and kinesiotherapy. Prevention of complicationsA broken bone heals by itself if it is held still enough, but the joints, muscles and person around it get worse the longer they are held still. Rehabilitation after a fracture balances the two. This page covers how fractures heal, how function is assessed, the goals of each phase, the physical modalities and exercises used, and how to prevent the complications of injury and immobilisation.
  3. 26PRM interventions for muscle, tendon, and other soft-tissue injuries. Functional assessment, therapeutic goals, and development of an individualized rehabilitation programMuscles, tendons, ligaments, fascia and bursae heal by laying down new collagen, and the load they get while healing decides whether it becomes strong, well-aligned tissue or weak scar. This page explains how soft tissue heals, the main injuries, how they are assessed, the goals, and how an individual programme is built from the first hours to return to sport and work, with the modalities and their evidence.
  4. 27PRM interventions for osteoarthritis and inflammatory arthropathies. Functional assessment, physical modalities, kinesiotherapy, patient education, and prevention of functional declineHow rehabilitation helps people with worn joints (osteoarthritis) and with inflamed joints (rheumatoid arthritis, the spondyloarthritides), from measuring what they can do to the exercise, physical modalities, education and aids that keep them moving.
  5. 28PRM interventions in total hip and knee arthroplasty. Preoperative preparation, early and subsequent postoperative rehabilitation. Functional assessment and prevention of complicationsWhat rehabilitation does before and after a total hip or knee replacement, from preparing the patient to walking on the day of surgery, the phases of recovery up to a return to sport, and how each complication is prevented.