Sports Medicine and Rehabilitation Bradenton FL & Parrish FL - Sports Medicine physician Florida USA

Bradenton FL 941.755.8819

 Sports Medicine & Rehabilitation


 Sports Medicine Home
About Dr. Kochno
Clinical Articles
Patient Info
Contact Us
Referral Process
Professional Staff
Press Release

Sports Events

Sports Medicine Overview
 Sports Performance
 Assessments in Sports
 Athletic Assessment
 Athletic Performance

 Baseball Pitchers and Hitting

Baseball Pitching Velocities

 Rehabilitation in Boxing
 Concept of an Executive Medical Boxing Board

Golf Facts
Golf Conditioning

Swing Mechanics
 Faults & Resulting Injuries
Shoulder in Sports
 Age and Injury
Muscle Memory
Science And Golf
 Golfer’s Spine
Spine Mechanics
Motor & Muscle Memory
Biomechanics Of Golf
Golf Mechanics - Questions

 Knee Capsule Strain
 Psoas Minor Strain

Basic Anatomical Review

Elbow Joint
Radial - Ulnar Joint
Wrist Joint, Fingers and Hands
 Hip Joint and Pelvis
 Ankle & Knee

Musculoskeletal Disorders
 Cervical Pain
Low Back Pain
Joint Mobilization of the Wrist
Upper Ankle Sprains
Lower Ankle Sprains

Alternative Health
Composition of the Human Body
Mattes Method®
Energy Medicine

Health Care Reform Issues
 Post-Acute Reimbursement System

Motor Vehicle Accidents
Overview of Motor Vehicle Accidents

Understanding Stress
Athletic Anxiety

 Role Of Physiatry
 Case Management in Subacute Settings
 The Road To Recovery Following A Stroke
 Viewpoint of Subacute Care
 MindDrive Study


Postural Muscle Pain

Posture And Gait:  Kinesiology Application To Motion

Posture Assessment

Chronic Forward Cervical - Head Posture 

Biking Biomechanics and Injuries

Frequently Asked Questions

Drug Lookup

Sarasota Memorial Nursing Home Facility

New Patient Forms

  Patient Information

Automobile Accident/Injury Form


The Role Of Physiatry In Various Rehabilitation Settings


The field of Physical Medicine and Rehabilitation (PM&R) began in the 1930's to address musculoskeletal and neurological problems, but broadened its scope considerably after World War II.  The Advisory Board of Medical Specialties granted PM&R its approval as
a specialty in 1947.

Today, physiatry is a diverse specialty. Physiatrists practice in major rehabilitation centers, in acute care hospitals, rehabilitation hospitals, skilled nursing facilities, subacute settings, day treatment and outpatient settings.

The role of a physiatrist in these rehabilitation centers is that of a primary physician who is responsible for not only rehabilitation services rendered to patients treated therein, but also for ongoing care of all medical problems the patients may have upon admission to the rehabilitation service and all medical problems which may occur while the patient is hospitalized on the rehabilitation service.


Subsequent to admission to a rehab center, the patients are examined by the physiatrist or clinical rehabilitation specialist.


A comprehensive history and physical examination is performed. Not only are medical orders written for the patient, but in addition, a rehabilitation program is established. Orders are written for specific modalities of treatment in physical therapy, occupational therapy, speech
therapy, recreational therapy and other clinical services as needed.


Subsequent to this time, there is a team meeting in which initial goals and an interdisciplinary care plan or program is established. The admission procedure, thus, is much more comprehensive than that of the traditional acute hospital admission.


Staff meetings are subsequently held every week or every two weeks in order to assess and reassess each patient's treatment program; again to establish new goals.


These goals are integrated into the clinical protocols so that a transdisciplinary approach can effectively predict a viable outcome and discharge plan. When these goals are attained, a smooth transition form the rehabilitation center to home can be achieved.


The patients in the rehabilitation centers are traditionally seen and examined by the physiatrist either five or six days a week with the availability on the seventh day. This frequency is necessitated by the fact that patients are prone to a large array of medical
problems such as pulmonary, cardiovascular, endocrine problems (ie. diabetes), and control of anticoagulation.


Additionally. the physiatrist monitors, on a daily basis, the patient's cognitive status, strength, sensation, perceptual ability and functional  status.


These changes are then translated into potential function and the patient's capability of engaging in functional activity is based on this examination.


Most of the patients typically in a rehabilitation setting are of marginal medical stability having just had a significant neurological event, surgical procedure or significant trauma superimposed upon other chronic medical problems.


Without physiatric medical supervision of these patients on a daily basis, medical safety would be severely compromised.


The physician must also monitor the patient's functional status in a therapy environment on a daily basis to determine how these neurophysiological changes are being translated into functional activity.


This is the basis of the physiatrist's ongoing management of the patient's rehabilitation progress. On a daily basis, the physiatrist manages the rehabilitative care and integrated medical components of patient care.


Frequently the physiatrist requires the assistance of other medical specialists in the care of these complex patients. When other medical specialists are necessary for the care of a patient, it is the physiatrist who integrates their efforts as the primary physician.


If acute medical problems develop and interfere with the patient's ability to participate in rehabilitation, the physiatrist then must make a decision to refer the patient back to an acute hospital or unit where more appropriate comprehensive care can be provided.


Unlike many acute care hospitals where physical therapy functions with superficial medical supervision, in the rehabilitation units or centers, physiatry optimizes the resources in maximizing functional potential in the shortest and most cost effective time frame.


This specialized intervention results in a higher functional status at the time of discharge, shorter length of hospitalization and greater percentage of individuals to return home.




Should you have any further questions regarding this article, please direct your questions or comments to "Ask the Doctor" section.


Copyright © 2004 - 2012Taras V. Kochno, M.D.  All Rights Reserved
Board Certified in Physical Medicine and Rehabilitation







Sports Medicine Home | About Dr. Kochno | Sports Medicine: Clinical Articles | Physiatrist | Services | Kinesiology | Patient Info | Contact | Referral Process  | Press Release | Site Map | Search | Privacy Policy | Blog

 Copyright © 2004 - 2013 Sports Medicine And Rehabilitation, Bradenton FL