Best Practice & Research Clinical Rheumatology
Volume 21, Issue 1 , Pages 167-190, February 2007

Physical disability due to musculoskeletal conditions

  • Martin Weigl, MD, MPH (Specialist in Physical Medicine and Rehabilitation)
  • Gerold Stucki, MD, MS (Professor and Chairman)

      Affiliations

    • Corresponding Author InformationCorresponding author. Department of Physical Medicine and Rehabilitation, Ludwig-Maximilian-University, Marchioninistr. 15, D-81377 Munich, Germany. Tel.: +49 89 7095 4050; Fax: +49 89 7095 8836.

Department of Physical Medicine and Rehabilitation, Ludwig-Maximilian-University, Munich, Germany

ICF Research Branch of the WHO CC FIC (DIMDI), Institute for Health and Rehabilitation Sciences, Ludwig-Maximilian-University, Munich, Germany

Hospital Geral de Santo António, Porto, Portugal

Department of Physical Medicine and Rehabilitation, Ludwig-Maximilian-University, Marchioninistr. 15, D-81377 Munich, Germany

ICF Research Branch of the WHO CC FIC (DIMDI), Institute for Health and Rehabilitation Sciences, Ludwig-Maximilian-University, Munich, Germany

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.

Key words: MeSH, arthritis, back pain, risk factors, prevention, rehabilitation, non-MeSH, ICF

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PII: S1521-6942(06)00127-6

doi:10.1016/j.berh.2006.10.006

Best Practice & Research Clinical Rheumatology
Volume 21, Issue 1 , Pages 167-190, February 2007