Rehabilitation Registrar Sudanese Medical Specialization Board (SMSB) Jeddah, Makkah, Saudi Arabia
Objectives : Rehabilitation services are often fragmented or absent in low-resource and conflict settings due to workforce shortage, lack of multidisciplinary teams, and weak referral systems, despite high and ongoing patients needs. The objectives of this study is to present a pragmatic-cross-specialty rehabilitation approach based on real-world clinical experience, and to highlight systemic gaps in rehabilitation service delivery.
Design: This is a descriptive, practice-based observational report drawing on field experience of a rehabilitation physician delivering care across neurology and orthopedic conditions in low-resource and conflict settings. In the absence of comprehensive rehabilitation teams, interventions were based on functional assessment, individualized goal-oriented rehabilitation plans, intensive caregiver and family education, community-based strategies, and selective use of physiotherapy sessions when available.
Results: The anticipated results include demonstration of the feasibility of pragmatic rehabilitation interventions across multiple specialities, functional improvements in patients, prevention of secondary complications, and improved continuity of care through task-sharing with families and caregivers. The study also identifies significant systemic barriers, including workforce shortages, inconsistent service availability, and lack of integrated rehabilitation pathways.
Conclusion: This study demonstrate that adaptable, pragmatic rehabilitation models can support meaningful functional outcomes in low-resource and conflict settings even in the absence of multidisciplinary teams.
