Rehabilitation aims to utilize a person's existing capacities through coordinated medical, social, educational and vocational measures to maximize their functional ability. It makes life more meaningful and productive. Rehabilitation is the third phase of medical care after prevention and cure, and should start as early as possible for best results. It involves minimizing the consequences of injury or disease through measures like turning patients regularly to prevent pressure sores.

1. REHABILITATION
Dr. Tarpan Shah. MPT (CPD&ICU care)
Lecturer
Shree Swaminarayan Physiotherapy
college

2. INTRODUCTION
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Rehabilitation
Epidemiology of rehabilitation
Health
Levels of Prevention
Impairment
Disability
Handicap
Community Based Rehabilitation

3. Rehabilitation
• Rehabilitation is the Utilization of the
existing capacities of the handicapped
person,
by the Combined and Co-ordinated
use of Medical, Social , Educational
and Vocational measures to the
optimum level of his functional
ability.

4. • It makes life more Meaningful more
productive.
• Third phase of medical care after
preventive and curative
• Should be started as early as possible
for best results
• In conjunction with specific medical
and surgical treatment

5. Epidemiology of rehabilitation
• Derived from Greek word epidemos
meaning “Among the people”
• 20th century C.O Stallybross defined
epidemiology as’ The science which
considers infectious disease-their
course, propagation and prevention.
• W H Welch defined as ‘The study of
natural history of disease’

6. Health
• WHO “ a state of complete Physical,
Mental and Social well being and not
merely the absence of Disease or
Infirmity.
• Fundamental goal of medical science
is to maintain optimal health as long
as possible
• ADD LIFE TO YEARS

7. Levels of Prevention
Disease risk
Asymptomatic Disease
Symptomatic Disease
Complication

8. Primary prevention
 Measure taken prior to the onset of
any disease,
e.g Immunization against childhood
infections or chlorination of drinking
water
 It is designed to promote general
health and improve quality of life
 First phase of medicine ,i.e.
preventive medicine

9. Secondary prevention
 Measure taken to arrest the Development
of a disease while it is still in the early
asymptomatic stage of the disease.
 Involves early diagnosis and immediate
treatment ,e.g. Ergonomic Intervention to
prevent clinical symptoms in a patient with
spondylosis.
 Second phase or curative aspects of
medicine

10. Tertiary prevention
 Measure taken to minimize consequences of
the disease or injury once it is clinically
manifested,
prevention of pressure sores by turning the
patient regularly .
 It is also included as rehabilitation medicine

11. Impairment
 According to WHO’S INTERNATIONAL
CLASIFICATION OF IMPAIRMENT,
DISABILITIES AND HANDICAPS (ICIDH
1980)
 Define as any loss or abnormality of
psychological, physiological, or anatomical
structure or function.

12.  E.g. loss of a finger ,loss of conduction of
impulses in the heart
 Not all impairment lead to disability
for e.g. loss of pinna of ear would not lead
loss of hearing but merely results in
cosmetic deficiency.

13. Disability
 Any restriction or lack of ability to perform
an activity in the manner or within the
range considered normal for a human being
resulting from an impairment .
 E.g. Difficulty in Walking after after Lower
limb Amputation.

14.  To be considered disabled a person should
not be able to perform day to day
activities considered normal for his age,
sex or physique.

15. Handicap
 WHO has identified 6 types of
handicaps
 Locomotor
 Visual
 Speech and hearing
 Cardiopulmonary
 Intellectually chalanged
 Emotionally disturbed

16.  Locomotor disability are largest in
number 60-70%
 Many patient exhibits multiple
handicap
 ex.child with CP would probably have
in addition to delayed mile stone and
motor problem ,damage to part of the
brain responsible for sight and
hearing.

17.  In addition they may have mental
abnormality

18. SOCIOVOCATIONAL
REHABILITATION
 Team effort
 Which aims to provide disabled a
vocation and reducing handicap
 Its not another employment agency
 Based on concept of “RIGHT TO
WORK”
 Make individual to stand on his leg

19.  Social worker – tries to provide
emotional support to patient as well
as to his family member also creates
awareness about disability and its
limitation in community
 Vocational evaluator-findout skills
that patient posses identifies areas of
work for him and plan out training in
specific skill.

20.  Americans with Disabilities Act (ADA)
in 1991 was landmark in life of
disabled in that country
 In India Act passed is the
PWD(people with Disabilities) Act
1995.

21.  Catchword today is EMPATHY AND
NOT SYMPATHY
 Please accept us as we are

22.  Helen kellar was visual and hearing
impaired

23. Community Based Rehabilitation
 Is a strategy within community
development for the rehabilitation
,equalization of opportunity and social
integration of all the people with
disabilities.
 Is implimented through the combined
efforts of the disabled people
themselves,their family,community

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Criteria
Aspects
Members
Opinion makers
Models of CBR