Rehabilitation Research at the National Institutes of Health

Walter R. Frontera, Jonathan F. Bean, Diane Damiano, Linda Ehrlich-Jones, Melanie Fried-Oken, Alan Jette, Ranu Jung, Rick L. Lieber, James F. Malec, Michael J. Mueller, Kenneth J. Ottenbacher, Keith E. Tansey (+1 others)
2017 American Journal of Physical Medicine & Rehabilitation  
Health, and the Office of Disease Prevention. The main objectives of the Conference were to: 1) discuss the current NIH portfolio in rehabilitation research, 2) highlight advances in rehabilitation research supported by NIH, 3) provide an opportunity for scientists and the general public to comment on gaps in knowledge, opportunities for training, and infrastructure needs. The program included a total of 13 expert panels, 4 remarks by NIH leaders, a consumer keynote, a town hall, a poster
more » ... n, and the use of social media to disseminate information in real time. The following is a summary of the discussion and the sub-headings correspond to the title of the expert panels. The theme of this session was moving rehabilitation interventions from a traditional 'oneand-done' isolated model of care to one where rehabilitation interventions are integrated into the mainstream of health care. The speakers addressed integrated care approaches in cancer care, primary care, and pediatric rehabilitation. Barriers to integrating function-directed care into the comprehensive management of progressive diseases, particularly those with a heavy treatment burden, were identified. Cancer was used an exemplar of the simultaneously dynamic and insidious nature of disablement in chronic illness. Collaborative care approaches, including telecare, validated for pain and depression management, was considered a promising means to proactively and patient-centrically address cancer-related disablement. Current research in cancer rehabilitation suggests that challenges revolve around issues such as: patient selection and timing, when and how to intervene, limitations of linear impairment-to-disability models (with multiple mild impairments the norm), and competition with disease-modifying therapies. Although functional limitations are prevalent (seen in 65% of all cancer patients) rehabilitation intervention remains underutilized. In contrast to ischemic and traumatic Frontera et al. Innovation and advances in engineering and computing are having a ubiquitous impact on health and well-being. The purpose of this panel was to discuss challenges and opportunities Frontera et al.
doi:10.1097/phm.0000000000000700 pmid:28301426 pmcid:PMC5402894 fatcat:2qdlrrtfzjf6bn423cbfzr2z4m