Catz Amiram
Department of Spinal Rehabilitation, Loewenstein Rehabilitation Medical Center, Raanana, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel E-mail:
NeuroRehabilitation. 2022;51(2):341-345. doi: 10.3233/NRE-220069.
Rehabilitation medicine has expanded the horizon of all medicine and brought about new human achievements. To facilitate continued advances in achievement, several changes are suggested in customary rehabilitation strategic goals, concepts, and practices. The main rehabilitation goals should focus on prolonged survival, contrary to the opinions of most authors on rehabilitation, and on achievement of maximum ability realization, rather than of independence or any given (including previous) level of functioning. Setting rehabilitation goals should benefit the patient, rather than the caregiver or the insurer. Training should focus on tasks that contribute to the patients' interests and desires, rather than on any task that reduces the burden of care. The main criterion for admission to a rehabilitation ward should be based on expected advantage in prolonging patient survival and maximizing ability realization.
康复医学拓展了整个医学的视野，并带来了新的人类成就。为推动成就的持续进步，现对传统康复战略目标、理念和实践提出若干变革建议。与大多数康复领域作者的观点相反，主要康复目标应聚焦于延长生存期，以及实现最大能力发挥，而非独立性或任何特定（包括先前的）功能水平。设定康复目标应使患者受益，而非照顾者或保险公司。训练应侧重于有助于患者兴趣和愿望的任务，而非减轻护理负担的任何任务。进入康复病房的主要标准应基于延长患者生存期和最大化能力发挥方面的预期益处。
