Highlights
- •Precision rehabilitation delivers targeted interventions that optimize function.
- •Heterogeneous study designs and databases are critical to precision rehabilitation.
- •Standardized and accurate measures of function advance precision rehabilitation.
- •System and team science are critical to the success of precision rehabilitation.
- •Deliberate action by researchers, professional organizations, and funders is needed.
Abstract
Precision medicine efforts are underway in many medical disciplines; however, the
power of precision rehabilitation has not yet been explored. Precision medicine aims
to deliver the right intervention, at the right time, in the right setting, for the
right person, ultimately bolstering the value of the care that we provide. To date,
precision medicine efforts have rarely focused on function at the level of a person,
but precision rehabilitation is poised to change this and bring the focus on function
to the broader precision medicine enterprise. To do this, subgroups of individuals
must be identified based on their level of function via precise measurement of their
abilities in the physical, cognitive, and psychosocial domains. Adoption of electronic
health records, advances in data storage and analytics, and improved measurement technology
make this shift possible. Here we detail critical components of the precision rehabilitation
framework, including (1) the synergistic use of various study designs, (2) the need
for standardized functional measurements, (3) the importance of precise and longitudinal
measures of function, (4) the utility of comprehensive databases, (5) the importance
of predictive analyses, and (6) the need for system and team science. Precision rehabilitation
has the potential to revolutionize clinical care, optimize function for all individuals,
and magnify the value of rehabilitation in health care; however, to reap the benefits
of precision rehabilitation, the rehabilitation community must actively pursue this
shift.
Keywords
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Article info
Publication history
Published online: February 15, 2022
Accepted:
January 31,
2022
Received in revised form:
January 7,
2022
Received:
July 26,
2021
Footnotes
Disclosure: none.
The Johns Hopkins Precision Rehabilitation Group
Identification
Copyright
© 2022 by the American Congress of Rehabilitation Medicine.
