Current and Future Challenges for Rehabilitation for Inflammatory Arthritis.

Autor: Moe RH; Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, P.O. Box 23, Vinderen, No-0319 Oslo, Norway., Vliet Vlieland TPM; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands.; Basalt Rehabilitation, Vrederustlaan 180, 2543 SW The Hague, The Netherlands.; Faculty of Healthcare, University of Applied Sciences, Zernikedreef 1, 2333 CK Leiden, The Netherlands.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2024 Mar 21; Vol. 13 (6). Date of Electronic Publication: 2024 Mar 21.
DOI: 10.3390/jcm13061808
Abstrakt: This narrative review discusses the importance of rehabilitation in rheumatic and musculoskeletal diseases (RMDs), ultimately aiming to reduce their impact on individuals and society. It specifically emphasizes the need for rehabilitation in inflammatory arthritis (IA), particularly in cases where medical management is insufficient. It acknowledges that the complexity of rehabilitation demands a flexible approach. Thereby, it touches on the various models of rehabilitation, which may include multidisciplinary team care, extended practice models, shared care, remote care, and work rehabilitation. It discusses the challenges in research, practice, and policy implementation. In research, the need for innovative research designs is highlighted, whereas regarding clinical practice the importance of early detection of disability and patient engagement is underlined, as well as the role of telehealth and AI in reshaping the rehabilitation landscape. Financial barriers and work force shortages are identified as challenges that hinder the effective delivery of rehabilitative care. On the policy level, this paper suggests that the allocation of healthcare resources often prioritizes acute conditions over chronic diseases, leading to disparities in care. This paper concludes by emphasizing the critical role of evidence-based rehabilitation in improving the quality of life for people with RMDs, in particular for those with IA, and promoting their healthy aging. It also calls for tailored rehabilitation models and the early identification of persons with rehabilitation needs as future challenges in this field.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje