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Thursday October 08th, 2015
11:00 - 11:45    Pasteur Auditorium - Niv. 0/1

Plenary - W.FRONTERA

The core values of the specialty of PRM have evolved but not changed dramatically in the last century. On the other hand our conceptual framework has been significantly adapted to the challenges of modern health care systems. PRM is a medical specialty with a defined body of knowledge and associated skills and methods, supported by scientific evidence, and characterized by a team approach to the care of persons with disabilities. During the first few decades of the specialty there was an emphasis on early mobilization, use of physical modalities (electricity, heat, etc.), and vocational training were core interventions. Although some of these approaches have been maintained, at present, the practice of PRM includes many of the elements of mainstream medicine such as pharmacological agents, injections, and the use of new devices and technologies. A key element of the present and future of PRM is research. Many of the dramatic scientific discoveries of the last few decades (for example, advances in tissue engineering) are being applied to medical rehabilitation. Further, the utilization of rigorous scientific standards to research in rehabilitation has significantly advanced the field. Randomized clinical trials in PRM are no longer a rarity. PRM is well positioned to help society address several important near future challenges including (but not limited to): 1) the aging of the population that will result in a higher demand for function-oriented health services, 2) the evolution of health care systems that require delivery of services in different settings; 3) the utilization of dramatic advances in technology with better materials and based on a better understanding of human movement; and 4) the application of interventions designed for the person and not for the group, the equivalent of personalized medicine.