Tomeh Abdulhameed, Yusof Khan Abdul Hanif Khan, Abu Zaid Zalina, Ling King-Hwa, Inche Mat Liyana Najwa, Basri Hamidon, Md Pauzi Ahmad Luqman, Romli Muhammad Hibatullah, Wan Sulaiman Wan Aliaa
Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Laboratory of Medical Gerontology and Gerontechnology, Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Medicine (Baltimore). 2025 Mar 21;104(12):e41947. doi: 10.1097/MD.0000000000041947.
Collaboration among health and non-health professionals is growing exponentially as we approach the personalized medicine era, where the intervention plan is tailored according to the patient's needs. This collaboration aims to develop highly efficient, patient-centered, holistic approaches, rather than singular interventions. Interdisciplinary rehabilitation is a rising theme to coordinate the efforts of various professionals, with the ultimate goal of increasing rehabilitants' satisfaction and improving their overall quality of life. A typical rehabilitation team may comprise a rehabilitation physician, rehabilitation nurse, occupational therapist, physiotherapist, speech and language therapist, clinical psychologist, social worker, prosthetist, orthotist, rehabilitation engineer, and dietician. The need for inclusion of additional professions in the rehabilitation team is dynamic and varies depending on the population and health condition. Recently, various countries have begun incorporating interdisciplinary rehabilitation models into their healthcare frameworks. For example, the U.S. Veterans Affairs Polytrauma Rehabilitation Centers have set a precedent for integrating interdisciplinary approaches into neurological rehabilitation, while European nations such as Germany and Sweden have successfully implemented stroke and pain rehabilitation programs. Although interdisciplinary rehabilitation has demonstrated effectiveness in improving patient outcomes, further research is required to explore its long-term benefits, cost-effectiveness, and adaptability in resource-limited settings. In this mini-review, we summarize the current evidence on employing interdisciplinary rehabilitation in patients with neurological disorders and highlight the implications for future research and clinical practice.
随着我们迈向个性化医疗时代，健康专业人员与非健康专业人员之间的合作正呈指数级增长，在这个时代，干预计划是根据患者的需求量身定制的。这种合作旨在开发高效、以患者为中心的整体方法，而不是单一的干预措施。跨学科康复是一个日益兴起的主题，旨在协调各专业人员的工作，最终目标是提高康复者的满意度并改善他们的整体生活质量。一个典型的康复团队可能包括康复医师、康复护士、职业治疗师、物理治疗师、言语和语言治疗师、临床心理学家、社会工作者、假肢矫形师、康复工程师和营养师。在康复团队中纳入其他专业人员的需求是动态的，并且因人群和健康状况而异。最近，各国已开始将跨学科康复模式纳入其医疗保健框架。例如，美国退伍军人事务部多创伤康复中心为将跨学科方法整合到神经康复中树立了先例，而德国和瑞典等欧洲国家已成功实施了中风和疼痛康复计划。尽管跨学科康复已证明在改善患者预后方面有效，但仍需要进一步研究以探索其长期益处、成本效益以及在资源有限环境中的适应性。在本综述中，我们总结了目前关于在神经系统疾病患者中采用跨学科康复的证据，并强调了对未来研究和临床实践的启示。
