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Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017

Author

Listed:
  • Tiago S. Jesus

    (Global Health and Tropical Medicine & WHO Collaborating Center on Health Workforce Policy and Planning, Institute of Hygiene and Tropical Medicine-NOVA University of Lisbon, Rua da Junqueira 100, 1349-008 Lisbon, Portugal)

  • Michel D. Landry

    (Physical Therapy Division, Department of Orthopeadic Surgery, School of Medicine, Duke University, Durham, NC 27705, USA
    Duke Global Health Institute (DGHI), Duke University, Durham, NC 27710, USA)

  • Helen Hoenig

    (Physical Medicine and Rehabilitation Service, Durham Veterans Administration Medical Center, Durham, NC 27705, USA
    Division of Geriatrics, Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA)

Abstract

Background : To inform global health policies and resources planning, this paper analyzes evolving trends in physical rehabilitation needs, using data on Years Lived with Disability (YLDs) from the Global Burden of Disease Study (GBD) 2017. Methods : Secondary analysis of how YLDs from conditions likely benefiting from physical rehabilitation have evolved from 1990 to 2017, for the world and across countries of varying income levels. Linear regression analyses were used. Results : A 66.2% growth was found in estimated YLD Counts germane to physical rehabilitation: a significant and linear growth of more than 5.1 billion YLDs per year (99% CI: 4.8–5.4; r 2 = 0.99). Low-income countries more than doubled (111.5% growth) their YLD Counts likely benefiting from physical rehabilitation since 1990. YLD Rates per 100,000 people and the percentage of YLDs likley benefiting from physical rehabilitation also grew significantly over time, across locations (all p > 0.05). Finally, only in high-income countries did Age-standardized YLD Rates significantly decrease ( p < 0.01; r 2 = 0.86). Conclusions : Physical rehabilitation needs have been growing significantly in absolute, per-capita and in percentage of total YLDs. This growth was found globally and across countries of varying income level. In absolute terms, growths were higher in lower income countries, wherein rehabilitation is under-resourced, thereby highlighting important unmet needs.

Suggested Citation

  • Tiago S. Jesus & Michel D. Landry & Helen Hoenig, 2019. "Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017," IJERPH, MDPI, vol. 16(6), pages 1-19, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:6:p:980-:d:215090
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    References listed on IDEAS

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    1. Jean-François Trani & Ganesh Muneshwar Babulal & Parul Bakhshi, 2015. "Development and Validation of the 34-Item Disability Screening Questionnaire (DSQ-34) for Use in Low and Middle Income Countries Epidemiological and Development Surveys," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-14, December.
    2. Tess Bright & Sarah Wallace & Hannah Kuper, 2018. "A Systematic Review of Access to Rehabilitation for People with Disabilities in Low- and Middle-Income Countries," IJERPH, MDPI, vol. 15(10), pages 1-34, October.
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