{"id":19175,"date":"2026-10-13T10:07:04","date_gmt":"2026-10-13T08:07:04","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=19175"},"modified":"2026-10-13T10:07:04","modified_gmt":"2026-10-13T08:07:04","slug":"reabilitarea-medicala","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/reabilitarea-medicala\/","title":{"rendered":"Reabilitarea medical\u0103 \u00een Rom\u00e2nia: noi direc\u021bii, provoc\u0103ri \u0219i perspective"},"content":{"rendered":"

Prof. Univ. Dr. M\u0103d\u0103lina-Gabriela Iliescu, Pre\u0219edinte Societatea Rom\u00e2n\u0103 de Reabilitare Medical\u0103<\/strong><\/p>\n

\u00centr-un sistem medical aflat \u00eentr-o continu\u0103 transformare, Medicina Fizic\u0103 \u0219i de Reabilitare \u00ee\u0219i consolideaz\u0103 rolul \u00een parcursul pacientului, de la prevenirea dizabilit\u0103\u021bii \u0219i interven\u021bia precoce p\u00e2n\u0103 la reintegrarea social\u0103 \u0219i profesional\u0103. Doamna <\/em>Prof. Univ. Dr. M\u0103d\u0103lina-Gabriela Iliescu, Pre\u0219edinte Societatea Rom\u00e2n\u0103 de Reabilitare Medical\u0103 ne-a oferit mai multe informa\u021bii d<\/em>espre direc\u021biile de dezvoltare ale specialit\u0103\u021bii, importan\u021ba reabilit\u0103rii oncologice, schimbarea paradigmei asupra dizabilit\u0103\u021bii, provoc\u0103rile sistemului medical rom\u00e2nesc \u0219i proiectele Societ\u0103\u021bii Rom\u00e2ne de Reabilitare Medical\u0103. \u00cen centrul discu\u021biei se afl\u0103 \u0219i cel de-al 49-lea Congres Na\u021bional Anual de Medicin\u0103 Fizic\u0103 \u0219i de Reabilitare, programat pentru octombrie 2026, precum \u0219i campania \u201eDirijorul\u201d, prin care SRRM atrage aten\u021bia asupra rolului medicului specialist \u00een coordonarea procesului complex de reabilitare.<\/em><\/p>\n

\u00a0<\/strong>Doamn\u0103 Profesor, privind spre perioada urm\u0103toare, ce proiecte \u0219i direc\u021bii noi de dezvoltare preg\u0103te\u0219te Societatea Rom\u00e2n\u0103 de Reabilitare Medical\u0103? Care sunt priorit\u0103\u021bile dumneavoastr\u0103 pentru consolidarea societ\u0103\u021bii, sprijinirea medicilor membri \u0219i dezvoltarea specialit\u0103\u021bii \u00een Rom\u00e2nia?<\/strong><\/p>\n

\u00cen perioada urm\u0103toare, ne propunem s\u0103 consolid\u0103m rolul Societ\u0103\u021bii Rom\u00e2ne de Reabilitare Medical\u0103 (SRRM) at\u00e2t ca platform\u0103 \u0219tiin\u021bific\u0103, c\u00e2t \u0219i ca voce profesional\u0103 a medicilor de specialitate. Una dintre priorit\u0103\u021bi este educa\u021bia medical\u0103 continu\u0103, prin congrese, cursuri \u0219i webinarii axate pe teme actuale \u0219i pe aplicabilitatea practic\u0103: tehnologii avansate \u0219i robotic\u0103, reabilitare oncologic\u0103, managementul durerii, neuroreabilitare, patologie musculo-scheletal\u0103 \u0219i interven\u021bii ghidate ecografic.<\/p>\n

Dorim, de asemenea, s\u0103 sprijinim elaborarea \u0219i actualizarea unor recomand\u0103ri de bun\u0103 practic\u0103, s\u0103 dezvolt\u0103m colabor\u0103rile cu societ\u0103\u021bi medicale din \u021bar\u0103 \u0219i din str\u0103in\u0103tate \u0219i s\u0103 \u00eencuraj\u0103m cercetarea multicentric\u0103. Un obiectiv important este implicarea mai activ\u0103 a medicilor reziden\u021bi \u0219i a tinerilor speciali\u0219ti, prin programe educa\u021bionale, mentorat \u0219i acces la comunitatea \u0219tiin\u021bific\u0103 interna\u021bional\u0103.<\/p>\n

\u00cen acela\u0219i timp, consider esen\u021bial\u0103 reprezentarea intereselor profesionale ale membrilor \u0219i sus\u021binerea unui dialog constant cu autorit\u0103\u021bile, astfel \u00eenc\u00e2t serviciile de reabilitare s\u0103 fie mai bine integrate \u00een traseul pacientului \u0219i finan\u021bate \u00een raport cu complexitatea lor. Ne dorim o societate profesional\u0103 mai unit\u0103, mai vizibil\u0103 \u0219i mai aproape de nevoile concrete ale membrilor s\u0103i.<\/p>\n

Care sunt patologiile sau categoriile de pacien\u021bi pentru care beneficiile reabilit\u0103rii medicale sunt \u00eenc\u0103 insuficient cunoscute sau valorificate?<\/strong><\/p>\n

Beneficiile reabilit\u0103rii sunt \u00eenc\u0103 insuficient valorificate \u00een multe patologii care nu sunt asociate, \u00een percep\u021bia public\u0103, cu ideea clasic\u0103 de \u201erecuperare\u201d. Un exemplu important este pacientul oncologic, care poate beneficia de interven\u021bii \u00eenaintea tratamentului, pe durata acestuia \u0219i dup\u0103 \u00eencheierea terapiei, pentru combaterea decondi\u021bion\u0103rii, durerii, fatigabilit\u0103\u021bii, limfedemului \u0219i limit\u0103rilor func\u021bionale.<\/p>\n

Reabilitarea este subutilizat\u0103 \u0219i \u00een bolile cardiovasculare \u0219i respiratorii, dup\u0103 spitalizarea \u00een terapie intensiv\u0103, \u00een fragilitatea v\u00e2rstnicului, \u00een obezitate \u0219i sarcopenie, \u00een afec\u021biunile plan\u0219eului pelvin, \u00een durerea cronic\u0103 \u0219i \u00een bolile rare. Exist\u0103, de asemenea, un poten\u021bial insuficient exploatat \u00een pediatrie \u0219i \u00een preg\u0103tirea pacientului \u00eenaintea unei interven\u021bii chirurgicale majore, prin a\u0219a-numita preabilitare.<\/p>\n

Mesajul esen\u021bial este c\u0103 reabilitarea nu \u00eencepe doar dup\u0103 apari\u021bia unei dizabilit\u0103\u021bi severe. Ea poate preveni pierderea func\u021biei, poate reduce complica\u021biile \u0219i poate ajuta pacientul s\u0103 \u00ee\u0219i p\u0103streze autonomia, participarea social\u0103 \u0219i calitatea vie\u021bii.<\/p>\n

Reabilitarea oncologic\u0103 ocup\u0103 un loc tot mai important \u00een medicina modern\u0103. Cum s-a schimbat perspectiva asupra pacientului oncologic \u0219i care este, ast\u0103zi, rolul reabilit\u0103rii \u00een parcursul acestuia?<\/strong><\/p>\n

Perspectiva asupra pacientului oncologic s-a schimbat fundamental. Ast\u0103zi nu mai discut\u0103m doar despre supravie\u021buire, ci \u0219i despre felul \u00een care pacientul tr\u0103ie\u0219te \u00een timpul \u0219i dup\u0103 tratamentul oncologic: c\u00e2t de independent r\u0103m\u00e2ne, dac\u0103 se poate \u00eentoarce la familie \u0219i la profesie \u0219i cum \u00eei putem reduce povara simptomelor \u0219i a sechelelor.<\/p>\n

Reabilitarea oncologic\u0103 nu mai trebuie privit\u0103 ca o contraindica\u021bie, ci ca o indica\u021bie adaptat\u0103 atent fiec\u0103rui caz. Ea poate \u00eencepe \u00eenaintea tratamentului, prin preabilitare, poate continua concomitent cu interven\u021bia chirurgical\u0103, chimioterapia sau radioterapia \u0219i se poate prelungi \u00een etapa de supravie\u021buire ori de \u00eengrijire paliativ\u0103. Obiectivele pot include men\u021binerea for\u021bei \u0219i mobilit\u0103\u021bii, reducerea fatigabilit\u0103\u021bii, durerii \u0219i limfedemului, prevenirea c\u0103derilor, ameliorarea neuropatiei periferice \u0219i rec\u00e2\u0219tigarea autonomiei.<\/p>\n

Este esen\u021bial\u0103 evaluarea individual\u0103 a riscurilor \u0219i colaborarea str\u00e2ns\u0103 cu oncologul, chirurgul, radioterapeutul \u0219i ceilal\u021bi membri ai echipei. Programul trebuie dozat \u0219i monitorizat, nu aplicat standardizat. \u00cen acest fel, reabilitarea devine o component\u0103 transversal\u0103 a parcursului oncologic \u0219i contribuie nu doar la func\u021bie, ci \u0219i la demnitate \u0219i calitatea vie\u021bii.<\/p>\n

C\u00e2t de important\u0103 este schimbarea modului \u00een care privim dizabilitatea? Ce presupune, concret, aceast\u0103 schimbare de paradigm\u0103 pentru medic, pentru sistemul de s\u0103n\u0103tate \u0219i pentru societate?<\/strong><\/p>\n

Schimbarea modului \u00een care privim dizabilitatea este esen\u021bial\u0103. Dizabilitatea nu trebuie redus\u0103 la un diagnostic sau la o deficien\u021b\u0103 a unei persoane. Ea rezult\u0103 din interac\u021biunea dintre starea de s\u0103n\u0103tate, capacit\u0103\u021bile individului \u0219i barierele mediului fizic, social \u0219i profesional. De aceea, \u00eentrebarea corect\u0103 nu este doar \u201ece boal\u0103 are pacientul?\u201d, ci \u0219i \u201ece poate face, ce \u00ee\u0219i dore\u0219te s\u0103 fac\u0103 \u0219i ce \u00eel \u00eempiedic\u0103?\u201d.<\/p>\n

Pentru medic, aceast\u0103 paradigm\u0103 presupune o evaluare func\u021bional\u0103 complet\u0103, obiective stabilite \u00eempreun\u0103 cu pacientul \u0219i rezultate m\u0103surate prin autonomie, activitate \u0219i participare, nu exclusiv prin parametri biologici. Pentru sistemul de s\u0103n\u0103tate, \u00eenseamn\u0103 continuitate \u00eentre faza acut\u0103 \u0219i reabilitare, echipe multidisciplinare, acces la tehnologii asistive \u0219i servicii comunitare. Pentru societate, \u00eenseamn\u0103 accesibilitate, educa\u021bie, combaterea stigmatiz\u0103rii \u0219i oportunit\u0103\u021bi reale de integrare \u0219colar\u0103 \u0219i profesional\u0103.<\/p>\n

\u00cen fond, nu vorbim despre a adapta persoana la un sistem rigid, ci despre a construi un sistem care \u00eei permite fiec\u0103rei persoane s\u0103 participe c\u00e2t mai deplin la via\u021ba comunit\u0103\u021bii.<\/p>\n

\u00cen contextul celui de-al 49-lea Congres Na\u021bional Anual de Medicin\u0103 Fizic\u0103 \u0219i de Reabilitare, programat pentru octombrie 2026, ce nout\u0103\u021bi preg\u0103ti\u021bi pentru participan\u021bii din acest an?<\/strong><\/p>\n

Al 49-lea Congres Na\u021bional Anual de Medicin\u0103 Fizic\u0103 \u0219i de Reabilitare se va desf\u0103\u0219ura \u00een perioada 7\u201310 octombrie 2026, \u00een format hibrid, cu participare fizic\u0103 la Centrul Cultural \u201eIon Besoiu\u201d din Sibiu \u0219i cu posibilitatea urm\u0103ririi online. Dorim ca aceast\u0103 edi\u021bie s\u0103 combine rigoarea \u0219tiin\u021bific\u0103, componenta practic\u0103 \u0219i dialogul interdisciplinar.<\/p>\n

Preg\u0103tim un program care s\u0103 reflecte direc\u021biile majore ale specialit\u0103\u021bii: tehnologii avansate, evaluare func\u021bional\u0103 modern\u0103, neuroreabilitare, patologie musculo-scheletal\u0103, reabilitare oncologic\u0103, geriatric\u0103 \u0219i metabolic\u0103, precum \u0219i managementul dizabilit\u0103\u021bii. Ne propunem s\u0103 avem lectori valoro\u0219i din \u021bar\u0103 \u0219i din str\u0103in\u0103tate, sesiuni interactive, cursuri de perfec\u021bionare, work-shopuri, mese rotunde, prezent\u0103ri de cazuri \u0219i activit\u0103\u021bi cu aplicabilitate direct\u0103 \u00een practica medical\u0103.<\/p>\n

O aten\u021bie special\u0103 va fi acordat\u0103 medicilor reziden\u021bi \u0219i tinerilor speciali\u0219ti, pe care dorim s\u0103 \u00eei implic\u0103m mai mult \u00een sesiunile \u0219tiin\u021bifice \u0219i \u00een via\u021ba Societ\u0103\u021bii. Programul complet este \u00een curs de definitivare, \u00eens\u0103 obiectivul nostru este ca fiecare participant s\u0103 plece de la congres nu doar cu informa\u021bii noi, ci \u0219i cu solu\u021bii pe care le poate utiliza \u00een \u00eengrijirea pacien\u021bilor.<\/p>\n

Care considera\u021bi c\u0103 este ast\u0103zi cea mai mare provocare pentru dezvoltarea Medicinei Fizice \u0219i de Reabilitare \u00een Rom\u00e2nia \u0219i ce solu\u021bii vede\u021bi pentru dep\u0103\u0219irea ei?<\/strong><\/p>\n

Cea mai mare provocare este, \u00een opinia mea, integrarea insuficient\u0103 \u0219i adesea tardiv\u0103 a reabilit\u0103rii \u00een traseul pacientului. \u00cen multe situa\u021bii, pacientul ajunge la medicul de Medicin\u0103 Fizic\u0103 \u0219i de Reabilitare dup\u0103 instalarea unor limit\u0103ri importante, de\u0219i interven\u021bia precoce ar putea preveni complica\u021bii, dizabilitate \u0219i dependen\u021b\u0103. La aceasta se adaug\u0103 diferen\u021bele mari de acces \u00eentre regiuni, deficitul unor profesioni\u0219ti din echipa multidisciplinar\u0103 \u0219i finan\u021barea care nu reflect\u0103 \u00eentotdeauna complexitatea actului de reabilitare.<\/p>\n

Solu\u021bia nu este una singur\u0103. Avem nevoie de trasee clinice clare, cu criterii de trimitere precoce c\u0103tre reabilitare, de dezvoltarea serviciilor ambulatorii \u0219i comunitare, de echipe multidisciplinare complete \u0219i de continuitate dup\u0103 externare. Sunt necesare investi\u021bii \u00een resursa uman\u0103, tehnologii \u0219i infrastructur\u0103, dar \u0219i indicatori func\u021bionali \u0219i registre care s\u0103 demonstreze rezultatele ob\u021binute.<\/p>\n

\u00cen acela\u0219i timp, trebuie s\u0103 explic\u0103m mai bine c\u0103 reabilitarea nu reprezint\u0103 un cost suplimentar, ci o investi\u021bie: reduce complica\u021biile \u0219i reintern\u0103rile, scurteaz\u0103 dependen\u021ba de \u00eengrijire \u0219i cre\u0219te \u0219ansa de reintegrare social\u0103 \u0219i profesional\u0103. Pentru aceasta este nevoie de colaborare \u00eentre profesioni\u0219ti, organiza\u021biile de pacien\u021bi \u0219i autorit\u0103\u021bi, precum \u0219i de o reprezentare profesional\u0103 consecvent\u0103.<\/p>\n

\u00cen acest sens am demarat o ampl\u0103 campanie de con\u0219tientizare,\u00a0 \u201eDirijorul\u201d, \u00een care SRRM aduce \u00een spa\u021biul public o idee fundamental\u0103: medicina fizic\u0103 \u0219i de reabilitare este o specialitate clinic\u0103 \u0219i reprezint\u0103 un proces interdisciplinar coordonat, \u00een care pacientul nu are nevoie de interven\u021bii disparate, ci de o echip\u0103 care lucreaz\u0103 dup\u0103 aceea\u0219i partitur\u0103. Iar atunci c\u00e2nd evaluarea, obiectivele \u0219i terapiile sunt armonizate de medicul specialist MFR, reabilitarea medical\u0103 poate s\u0103-\u0219i ating\u0103 adev\u0103ratul scop: mai mult\u0103 func\u021bionare, mai mult\u0103 autonomie \u0219i o calitate mai bun\u0103 a vie\u021bii.<\/p>\n","protected":false},"excerpt":{"rendered":"

Prof. Univ. Dr. M\u0103d\u0103lina-Gabriela Iliescu, Pre\u0219edinte Societatea Rom\u00e2n\u0103 de Reabilitare Medical\u0103 \u00centr-un sistem medical aflat \u00eentr-o continu\u0103 transformare, Medicina Fizic\u0103 \u0219i de Reabilitare \u00ee\u0219i consolideaz\u0103 rolul \u00een parcursul pacientului, de […]<\/p>\n","protected":false},"author":1,"featured_media":19176,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[276],"tags":[],"class_list":["post-19175","post","type-post","status-publish","format-standard","has-post-thumbnail","category-interviu"],"yoast_head":"\nReabilitarea medical\u0103 \u00een Rom\u00e2nia: noi direc\u021bii, provoc\u0103ri \u0219i perspective - Jurmed - Medici<\/title>\n<meta name=\"description\" content=\"Reabilitarea medical\u0103 medicina fizic\u0103 \u0219i de reabilitare este o specialitate clinic\u0103 \u0219i reprezint\u0103 un proces interdisciplinar coordonat\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/reabilitarea-medicala\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reabilitarea medical\u0103 \u00een Rom\u00e2nia: noi direc\u021bii, provoc\u0103ri \u0219i perspective - 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