Physical disability due to musculoskeletal conditions

Department of Physical Medicine and Rehabilitation, Ludwig-Maximilian-University, Munich, Germany, and Hospital Geral de Santo António, Porto, Portugal.
Bailli&egrave re s Best Practice and Research in Clinical Rheumatology (Impact Factor: 2.6). 03/2007; 21(1):167-90. DOI: 10.1016/j.berh.2006.10.006
Source: PubMed


Musculoskeletal conditions (MSC) are common throughout the world and their impact on individuals is diverse and manifold. Knowledge of the determinants for disability and of strategies for prevention and rehabilitation management according to the scientific evidence is critical for reducing the burden of MSC. The first section of this chapter reviews the evidence for common determinants of functioning and disability in patients with MSC. We have focussed on environmental factors (EF) and personal factors (PF) and have structured them according to the International Classification of Functioning, Disability and Health (ICF) framework. The second section discusses prevention strategies. Generally, prevention needs to address those EF and PF that were presented in the first section. The final section describes modern principles of rehabilitation and reviews the evidence for specific rehabilitation interventions.

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