199070 Integrated musculoskeletal rehabilitation care at a comprehensive combat and complex casualty care program

Monday, November 9, 2009: 1:30 PM

Bart Green, MSEd, DC , Physical Therapy and Occupational Therapy Department, Naval Medical Center San Diego, San Diego, CA
CAPT Kathy Goldberg, PT, MA , Physical Therapy and Occupational Therapy Department, Naval Medical Center San Diego, San Diego, CA
Jacqueline Moore, MPT , Physical Therapy and Occupational Therapy Department, Naval Medical Center San Diego, San Diego, CA
MAJ Brian Belnap, DO , Comprehensive Combat Casualty Care Center, Naval Medical Center San Diego, San Diego, CA
Marilynn Wyatt, MA, PT , Physical Therapy and Occupational Therapy Department, Naval Medical Center San Diego, San Diego, CA
David Donaldson , Naval Medical Center San Diego, San Diego, CA
Lynn Boulanger, MS, OTR , Physical Therapy and Occupational Therapy Department, Naval Medical Center San Diego, San Diego, CA
Peter Harsch, MA , Physical Therapy and Occupational Therapy Department, Naval Medical Center San Diego, San Diego, CA
This presentation describes the integration of musculoskeletal rehabilitation services as part of Naval Medical Center San Diego's Comprehensive Combat and Complex Casualty Care (C5) program. Active duty service members with severe injuries or illnesses are medically evacuated or admitted to inpatient care and then transferred to outpatient rehabilitation with eventual return to active duty or transition from the military. Because of the complexity of these cases, C5 musculoskeletal rehabilitation services are multidisciplinary, including: physical medicine, physical therapy, occupational therapy, gait retraining, prosthetic services, recreational therapy, and chiropractic care. A primary care manager and team of case managers coordinate consultations for each patient. Providers in each discipline work to deliver integrated care for service members who are recovering from severe injuries, such as amputations, blast injuries, traumatic brain injury, and multiple orthopedic injuries. Services are offered in a medically advanced 30,000 ft2 facility containing a modern physical therapy gym, fully functional training apartment, gait lab with 3-D motion analyzers, high-tech prosthetic laboratory, therapeutic pool, and numerous treatment areas. An outdoor 3500 ft2 courtyard contains a 30 ft climbing wall, various terrains, and obstacles for training agility, gait, problem solving, and strengthening. C5 facility has provided musculoskeletal rehabilitation services since 2006 to approximately 500 patients returning from the operational theater, VA, other military facilities, and local trauma centers. The views expressed in this presentation are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government.

Learning Objectives:
At the end of this presentation attendees should be able to define the term 'polytrauma'.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as a practitioner in this setting and authored the abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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