[Recommendations Not to do in rehabilitation and physical medicine: a compilation from different fields of intervention]. / Recomendaciones de No hacer en rehabilitación y medicina física desde distintos ámbitos de intervención.

INTRODUCTION AND OBJECTIVE: Certain medical practices, both diagnostic and therapeutic, that have not been proven to be effective and do not add value to healthcare, are not uncommon. The aim of this document is to provide a list of «Not to do¼ recommendations in the medical specialty of Physical Medicine and Rehabilitation. MATERIAL AND METHOD: For the development of this project, which is coordinated by the Vocalía de Sociedades Filiales, Sociedades Autonómicas y Grupos de Trabajo de la Sociedad Española de Rehabilitación (SERMEF), specific recommendations are requested from Grupos de Trabajo and Sociedades Filiales of each specific field of Physical Medicine and Rehabilitation, as experts in the corresponding intervention areas. A maximum of three recommendations per sub-specialty area are selected. RESULTS: Recommendations «Not to do¼ are collected from SENR/SERDACE/NRN (Sociedad Española de Neurorrehabilitación/Sociedad Española de Rehabilitación en Daño Cerebral/Grupo de Trabajo Neurorrehabilitación Norte), SORECAR (Sociedad Española de Rehabilitación Cardiorrespiratoria), ArtroReha (Grupo de Trabajo de Rehabilitación en Artrosis), GTRVEST (Grupo de Trabajo de Rehabilitación Vestibular), GTLINF (Grupo de Trabajo de Rehabilitación de Linfedema), GTRO (Grupo de Trabajo de Rehabilitación en Osteoporosis), Rehabilitación Parálisis Facial. Out of a total of 35 recommendations, supported by scientific evidence and medical experience, 18 have been selected. The selection criteria are based on the relevance, pragmatism and specificity of the recommendations. Each recommendation is accompanied by a text that clarifies and/or develops the statement. CONCLUSIONS: This project includes a series of recommendations, by expert rehabilitation physicians, of actions not to be performed while delivering medical assistance. SERMEF offers a list of recommendations «Not to do in Rehabilitation and Physical Medicine¼, supported by scientific evidence and clinical experience.

[Patient with cervical spinal cord injury and benign paroxysmal positional vertigo treated with particle repositioning maneuvers]. / Paciente con lesión medular cervical y vértigo posicional paroxístico benigno tratado con maniobras de reposición de partículas.

Benign paroxysmal positional vertigo (BPPV) is characterized by short, sudden episodes of vertigo when the head moves in specific positions. The treatment is particle repositioning maneuvers. BPPV usually is underdiagnosed, unreported and therefore not adequately treated. We present the case of a patient with spinal cord injury and BPPV. A 72-year-old patient who suffered a C5 fracture with spinal cord injury C5 AIS C that required surgical fixation. In the spinal cord injury unit BPPV of the left lateral semicircular canal was documented and treated using specific repositioning maneuvers, the patient progressively improved and was able to complete the rehabilitation treatment. The spinal cord injury unit with access to vestibular rehabilitation units can carry out the diagnosis and specific treatment of BPPV, minimizing the risks for the patient.