02636nas a2200169   4500000000100000008004100001260002300042653001900065100001300084700002400097700002500121700001400146245015800160300000900318520211400327022002502441       2021                            d  bInforma UK Limited10aRehabilitation1 aJesus TS1 aArango-Lasprilla JC1 aKumar Kamalakannan S1 aLandry MD00aGrowing physical rehabilitation needs in resource-poor world regions: secondary, cross-regional analysis with data from the global burden of disease 2017  a1-113 aPurpose<br>
This paper aims to analyze the levels and trajectories of physical rehabilitation needs across five resource-poor world regions, against global and key country-specific benchmarks.<br>

<br>Materials and methods<br>
This comparative, secondary cross-region analysis uses data from the Global Burden of Diseases study 2017 [1990–2017], specifically varied metrics of the Years Lived with Disability (YLD) measure from the health conditions likely benefiting from physical rehabilitation.<br>

<br>Results<br>
All the resource-poor world regions had significant increases (p < 0.01) in the absolute, relative, and percentage of physical rehabilitation needs [1990–2017]. Nonetheless, The Asia-Pacific region stood out with the greatest YLD Rates (i.e., per population size) in 2017, the greatest growth in YLD Rates since 1990 (38%), and an exponential growth in the rehabilitation-sensitive YLD Rates. The Asia-Pacific region also had the greatest portion of their YLDs coming from rehabilitation-sensitive conditions (72% in 2017), closely followed by the Latin America & Caribbean (67%). Nonetheless, in South Asia and Sub-Saharan Africa, we observed the greatest percent increases in the portion of physical rehabilitation needs among all YLDs, out of lower initial values.<br>

<br>Conclusions<br>
An overall growth but differential patterns were observed in the evolution of physical rehabilitation needs across the resource-poor world regions.<br>

<br>IMPLICATIONS FOR REHABILITATION<br>
Asia-Pacific and Latin America & Caribbean regions had over than two-thirds of their non-fatal health loss arising from conditions sensitive to physical rehabilitation, and important growths in rehabilitation need indicators have been observed also for South Asia and Sub-Saharan Africa.<br>

<br>The scale-up and strengthening of rehabilitation services and resources should be informed by needs-based data.<br>
<br>
The needs-based data from this study can inform trans-national developments and the planning of rehabilitation resources, inclusively at the world-region level.  a0963-8288, 1464-5165