Rehabilitation lexically means acquiring new habits and adapting to a new situation. Rehabilitation is divided into two groups; medical rehabilitation and social rehabilitation. Medical rehabilitation is performed by healthcare professionals. Social rehabilitation is performed by social workers. 20. The wars that erupted sequentially in the twentieth century have led to many wounded and injured, while the rehabilitation medicine has emerged along with the ideas of personal liberty and independence. Rehabilitation medicine has become a separate discipline of medicine alongside the preventive and therapeutic medicine.
General Frank B. Granger has laid the foundations of rehabilitation medicine at 53 hospitals in the United States and developed the rehabilitation stages (I-IV). When the U.S. President Franklin D. Roosevelt was caught by polio, many institutes were established that worked on this issue. The Warm Springs Institute that was established in 1927 started using in-water therapies and other groundbreaking methods, especially for patients who were paralyzed due to polio. In 1938, foundations of the first scientific journal in the field of rehabilitation were laid. In the Second World War, a separate committee, named Baruch Committee, was established for the rehabilitation of the wounded soldiers.
In our country, Darülaceze, the pioneering social rehabilitation institution, was established in 1896 and the homeless people, who need care, were taken under protection. Efforts of Osman Cevdet Çubukçu, M.D., have resulted in establishment of a clinic in school of Medicine, Istanbul University, and Physical Medicine and Rehabilitation is regarded as a medical discipline. The interest to this discipline has increased in subsequent years and recently, it is a well-established medical specialty that serves people by approximately 1500 physiatrists.
The World Health Organization (WHO) adopted following principles in the Disability Prevention and Rehabilitation Report:
- Rehabilitation includes all measures that aim reducing the effect of impairments and the disabilities and that improve social integration for those with impairments and disabilities.
- Rehabilitation does not only aim to educate people with impairments and disabilities to adapt to the environment, but it also aims to make adjustments in the environment and the society for social integration.
- Families of the persons with impairments and disabilities and their communities should take part in the planning and execution of rehabilitation services.
Some of the physical medicine procedures used in our clinic includes:
- Transcutaneous electrical nerve stimulation (TENS),
- Ultrasound (US)
- Neuromuscular Electrical Stimulation
- ESWT (Extracorporeal shock wave therapy)
- Pneumatic Compression and Negative Pressure Devices