ArticleDer Unfallchirurg2017
[A phase model of trauma rehabilitation : How can we avoid the "rehab-hole"?]
Article in Der Unfallchirurg, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The three stages of polytrauma rehabilitation- a recommendation and a systematic literature review on behalf of SICOT.International orthopaedics · 2025Pooled it
- Implementation of early rehabilitation for critically ill children in China: A survey and narrative review of the literature.Frontiers in pediatrics · 2022Article
- [Requirements for trauma rehabilitation centers : Post-acute rehabilitation (phase C) after severe trauma injury].Der Unfallchirurg · 2021Article
- [Rehabilitation following the amputation of an extremity].Der Orthopade · 2021Review
- [Rehabilitation after multiple traumata].Der Orthopade · 2021Review
- [Trauma reha score : How can we define the rehabilitation needs of the severely injured?]Der Unfallchirurg · 2021Article
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Authors and funding
5 authors.
Funding
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Abstract
Advances in the rescue chain and first aid of polytrauma patients, which have consequently increased their chance of survival, have led to an increase in demands for rehabilitation. However, there is still a large hole in the continuity of rehabilitation between acute patient care and in-patient rehabilitation, the so-called "rehab-hole". The consequences are untapped rehabilitation potential, loss of strength, endurance and motivation as well as impairment of function of the patient.Based on the phase model of neurological/neurosurgical rehabilitation, we propose a step model for the rehabilitation of polytrauma patients that ensures an uninterrupted chain of rehabilitation. After acute patient care (phase a) and a potentially required early patient rehabilitation (phase b), trauma rehabilitation should seamlessly continue on to phase c. The implementation of phase c after acute patient rehabilitation requires changes in the structure of "orthopaedic" rehabilitation clinics and financial support due the large consumption of resources by more complexly injured patients in this phase. The subsequent rehabilitation in phase d is well established and complies with current rehabilitation measures (AHB, BGSW). Further rehabilitation measures may be essential for social and occupational reintegration of the patient (phase e), depending on the complexity of their injuries after the accident. For patients with long-lasting results after an accident, it is crucial to implement continuous follow-ups (phase f) to ensure a better long-term outcome.In order to implement this phase model it is necessary to establish specialized facilities that meet the particular requirements needed for phase c. This tri-phased treatment model in trauma centres can therefore be used in trauma rehabilitation. In addition to the already established local and regional rehabilitation centres, nationwide trauma rehabilitation centres have adopted phase c rehabilitation.
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