Rehabilitation Using Dynamic Body Weight Support After Multiple Trauma
Traumatic injuries involving multiple body systems present unique challenges to traditional rehabilitative approaches. There is limited evidence informing effective rehabilitation strategies for patients with complex multi-system conditions. This case report describes how a dynamic body weight support (DBWS) system assisted in the rehabilitation of a 73-year-old woman with multiple trauma following a motor vehicle strike. Multiple injuries were sustained, including fractures of the upper and lower extremities, ribs and pelvis. The patient was unable to mobilize while maintaining weightbearing precautions without the assistance of 2-3 skilled therapists. Trials of DBWS allowed for safe practice of sit-to-stand, transfers, and ambulation, while maintaining all precautions. DBWS was well tolerated by the patient, and allowed for significant mobility gains during inpatient rehabilitation. This report details the first trials of DBWS in a patient with multiple trauma. Given the variability of medical considerations in patients with multiple injuries, interdisciplinary collaboration between rehabilitation therapists and orthopedic surgical teams can help inform rehabilitation strategies. In cases where patients have conflicting weightbearing precautions, the use of dynamic body weight support systems can facilitate safe mobilization while ensuring adherence to set precautions.
DOI: 10.29245/2767-5122/2025/1.1167 View / Download PdfThe Rehabilitation of Refugees Who are Victims of Torture in ASL Rome1 SAMIFO Centre
Recent evidence indicates that barriers to accessing social, health, and rehabilitation services disproportionately affect disadvantaged populations, particularly forced migrants. Within this group, refugees who have endured severe trauma—such as torture and other forms of intentional violence—experience heightened vulnerabilities.
To address these complex needs, the SaMiFo Centre (Forced Migrants Health Service) of ASL Roma 1 was established in 2006. The centre provides specialized care with a specific focus on survivors of torture and intentional violence, operating through an integrated model that brings together public health institutions and private social organizations.
Since 2017, rehabilitation services developed in accordance with national guidelines for victims of torture have strengthened both prevention and treatment strategies. Rehabilitation is conceptualized as a coordinated response to multifaceted health and social needs, ensuring continuity of care. This model also incorporates vocational training and employment support as essential components of individualized rehabilitation plans.
In 2024, the Support Network for Survivors of Torture (REEST) was launched, co-founded by SaMiFo, with the aim of fostering collaboration between specialized services and the wider social, cultural, and economic sectors—thereby promoting both recovery and social inclusion.
DOI: 10.29245/2767-5122/2025/1.1162 View / Download Pdf