Orthotics for the fighting force

Autor: Steven E Braverman
Rok vydání: 2002
Předmět:
Zdroj: Physical medicine and rehabilitation clinics of North America. 13(1)
ISSN: 1047-9651
Popis: US military medical personnel perform a dual role. Their primary mission is to keep the active-duty soldiers fit to maintain the fighting force. The military healthcare system is also responsible for providing care to other military beneficiaries, including active-duty soldiers’ family members and military retirees and their family members. During peacetime, the military physiatrist spends as much or more time treating retirees and family members than treating active-duty soldiers. In that instance, there is little difference between the scope of care offered by a military physiatrist versus that offered by a civilian physiatrist. In a wartime scenario or in a military training or deployment environment, however, that scope of care is different. Physiatrists use everything within their means to return the soldier to duty. The rehabilitation and medical treatment beyond the acute and subacute setting are limited to those conditions in which the potential for return to duty is high. Long-term rehabilitation for fitness limiting conditions becomes a mission of the Veterans Administration (VA) healthcare system rather than the military physiatrist. This scope of care distinction becomes important in discussing the use of orthotics in a military healthcare environment. During peacetime, the military physiatrist uses orthotics in the same way as the civilian physiatrist. When conflicts arise and the scope of care shifts to maintaining the fighting force, however, the use of orthotics becomes more limited. Rather than prescribing a wrist-hand tenodesis orthosis for the C6 quadriplegic who will rehabilitate in a VA or civilian hospital, the
Databáze: OpenAIRE