Physical Rehabilitation Needs in the BRICS Nations from 1990 to 2017: Cross-National Analyses Using Data from the Global Burden of Disease Study

Jesus, Tiago S., Landry, Michel D., Hoenig, Helen, Zeng, Yi, Kamalakannan, Sureshkumar, Britto, Raquel R., Pogosova, Nana, Sokolova, Olga, Grimmer, Karen and Louw, Quinette A. (2020) Physical Rehabilitation Needs in the BRICS Nations from 1990 to 2017: Cross-National Analyses Using Data from the Global Burden of Disease Study. International Journal of Environmental Research and Public Health, 17 (11). p. 4139. ISSN 1660-4601

ijerph-17-04139-v2.pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (601kB) | Preview
Official URL:


Background: This study analyzes the current and evolving physical rehabilitation needs of BRICS nations (Brazil, Russian Federation, India, China, South Africa), a coalition of large emergent economies increasingly important for global health. Methods: Secondary, cross-national analyses of data on Years Lived with Disability (YLDs) were extracted from the Global Burden of Disease Study 2017. Total physical rehabilitation needs, and those stratified per major condition groups are analyzed for the year 2017 (current needs), and for every year since 1990 (evolution over time). ANOVAs are used to detect significant yearly changes. Results: Total physical rehabilitation needs have increased significantly from 1990 to 2017 in each of the BRICS nations, in every metric analyzed (YLD Counts, YLDs per 100,000 people, and percentage of YLDs relevant to physical rehabilitation; all p < 0.01). Musculoskeletal & pain conditions were leading cause of physical rehabilitation needs across the BRICS nations but to varying degrees: from 36% in South Africa to 60% in Brazil. Country-specific trends include: 25% of South African needs were from HIV-related conditions (no other BRICS nation had more than 1%); India had both absolute and relative growths of pediatric rehabilitation needs (p < 0.01); China had an exponential growth in the per-capita needs from neurological and neoplastic conditions (p < 0.01; r2 = 0.97); Brazil had a both absolute and relative growth of needs coming from musculoskeletal & pain conditions (p < 0.01); and the Russian Federation had the highest neurological rehabilitation needs per capita in 2017 (over than three times those of India, South Africa or Brazil). Conclusions: total physical rehabilitation needs have been increasing in each of the BRICS nations, both in absolute and relative values. Apart from the common growing trend, each of the BRICS nations had own patterns for the amount, typology, and evolution of their physical rehabilitation needs, which must be taken into account while planning for health and physical rehabilitation programs, policies and resources.

Item Type: Article
Additional Information: Funding information: Raquel R. Britto is funded by CNPq: [Conselho Nacional de Desenvolvimento Científico e Tecnológico], Brazil. Yi Zeng’s research is funded by the National Key R&D Program of China (2018YFC2000400), National Natural Sciences Foundation of China (71490732), the U.S. National Institute of Aging of National Institute of Health (P01AG031719).
Uncontrolled Keywords: global burden of disease, global health, health services needs and demand, BRICS, rehabilitation
Subjects: A300 Clinical Medicine
B100 Anatomy, Physiology and Pathology
B800 Medical Technology
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Rachel Branson
Date Deposited: 25 Feb 2022 11:10
Last Modified: 25 Feb 2022 11:15

Actions (login required)

View Item View Item


Downloads per month over past year

View more statistics