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</div><div><span>Physical medicine and rehabilitation</span></div></div>
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</a><h1 class="with-also" itemprop="name">Physical medicine and rehabilitation</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Physical medicine and rehabilitation is a medical specialty that helps people regain body functions they lost due to medical conditions or injury. This term is often used to describe the whole medical team, not just the doctors.</p><p>Rehabilitation can help many body functions, including bowel and bladder problems, chewing and swallowing, problems thinking or reasoning, movement or mobility, speech, and language.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Information</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Many injuries or medical conditions can affect your ability to function, including:</p><ul><li>Brain disorders, such as <a test="test" href="./000726.htm">stroke</a>, <a test="test" href="./000737.htm">multiple sclerosis</a>, or <a test="test" href="./000716.htm">cerebral palsy</a></li><li>Long-term (chronic) pain, including <a test="test" href="./007422.htm">back</a> and <a test="test" href="./003025.htm">neck pain</a></li><li>Major bone or joint surgery, severe <a test="test" href="./000030.htm">burns</a>, or limb <a test="test" href="./007365.htm">amputation</a></li><li>Severe <a test="test" href="./001243.htm">arthritis</a> becoming worse over time</li><li>Severe weakness after recovering from a serious illness (such as infection, <a test="test" href="./000158.htm">heart failure</a> or <a test="test" href="./000092.htm">respiratory failure</a>)</li><li><a test="test" href="./001066.htm">Spinal cord injury</a> or brain injury
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</li></ul><p>Children may need rehabilitation services for:</p><ul><li><a test="test" href="./000997.htm">Down syndrome</a> or other <a test="test" href="./002048.htm">genetic</a> disorders</li><li><a test="test" href="./001523.htm">Intellectual disability</a></li><li><a test="test" href="./001190.htm">Muscular dystrophy</a> or other neuromuscular disorders</li><li>Sensory deprivation disorder, <a test="test" href="./001526.htm">autism spectrum disorder</a> or developmental disorders</li><li><a test="test" href="./001430.htm">Speech disorders</a> and language problems </li><li>Spinal disorders or deformities due to cerebral palsy</li></ul><p>Physical medicine and rehabilitation services also include sports medicine and injury prevention.</p><p>WHERE REHABILITATION IS DONE</p><p>People can have rehabilitation in many settings. It will often begin while they are still in the hospital, recovering from an illness or injury. Sometimes it begins before someone has planned surgery.</p><p>After the person leaves the hospital, treatment may continue at a special inpatient rehabilitation center. A person may be transferred to this type of center if they have significant orthopedic problems, burns, a spinal cord injury or severe brain injury from stroke or trauma.</p><p>Rehabilitation often also takes place in a <a test="test" href="../patientinstructions/000435.htm">skilled nursing facility</a> or rehabilitation center outside of a hospital.</p><p>Many people who are recovering eventually go home. Therapy may then be continued at your health care provider's office or in another setting, if needed. You may visit the office of your physical medicine physician and other health professionals. Sometimes, a therapist will make home visits. Family members or other caregivers must also be available to help.</p><p>WHAT REHABILITATION DOES</p><p>The goal of rehabilitation therapy is to teach people how to take care of themselves as much as possible. The focus is often on daily tasks such as eating, bathing, using the bathroom and moving from a wheelchair to a bed.</p><p>Sometimes, the goal is more challenging, such as restoring full function to one or more parts of the body.</p><p>Rehabilitation experts use many tests to evaluate a person's problems and monitor their recovery.</p><p>A full rehabilitation program and treatment plan may be needed to help with medical, physical, social, emotional, and work-related problems, including: </p><ul><li>Therapy for specific medical problems</li><li>Advice about setting up their home to maximize their function and safety</li><li>Help with wheelchairs, splints and other medical equipment</li><li>Help with financial and social issues </li></ul><p>Family and caregivers may also need help adjusting to their loved one's condition and knowing where to find resources in the community.</p><p>THE REHABILITATION TEAM</p><p>Physical medicine and rehabilitation uses a team approach. Team members are doctors, other health professionals, you, and your family or caregivers.</p><p>Physical medicine and rehabilitation doctors receive 4 or more extra years of training in this type of care after they have finished medical school. They are also called physiatrists.</p><p>Other types of doctors that may be members of a rehabilitation team include neurologists, orthopedic surgeons, psychiatrists and primary care doctors.</p><p>Other health professionals include occupational therapists, physical therapists, speech and language therapists, social workers, vocational counselors, nurses, psychologists, and dietitians (nutritionists).</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Rehabilitation; Physical rehab; Physiatry</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>David AM. Cardiac rehabilitation. In: Frontera WR, Silver JK, Rizzo TD Jr, eds. <em>Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation</em>. 4th ed. Philadelphia, PA: Elsevier; 2019:chap 123.</p><p>Rondinelli RD, Ranavaya MI. Practical aspects of impairment rating and disability determination. In: Cifu DX, ed. <em>Braddom's Physical Medicine and Rehabilitation</em>. 6th ed. Philadelphia, PA: Elsevier; 2021:chap 5.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 10/15/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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