Organization of rehabilitation process in patients after limb amputations from the position of physical and rehabilitation medicine modern concept

2020 ◽  
Vol 96 (2) ◽  
pp. 7-12
Author(s):  
T.V. Builova ◽  
D.D. Bolotov

The article describes modern approaches to the organization of rehabilitation in patients with limb amputations and exarticulations: it highlights technology of using the International Classification of Functioning, Disability and Health, as a tool allowing to form rehabilitation diagnosis, rehabilitation prognosis, assess rehabilitation potential, determine the purpose and plan of rehabilitation, as such as to give recommendations at end of rehabilitation course in the process of rehabilitation in patients with amputations. Taking in to account the limitations of mobility and self-service opportunities assessed by the rehabilitation routing scale, we propose a tactics for patients’ transfer from the first to subsequent rehabilitation stages. The presented approach allows to optimize the rehabilitation process and to achieve designed results.

2012 ◽  
Vol 153 (49) ◽  
pp. 1937-1947
Author(s):  
Lajos Kullmann

The author interprets disability on the basis of the “International Classification of Functioning, Disability and Health (ICF)”. In this review the applied method is a purpose oriented, restricted survey of continuously increasing articles published during the last two decades. Definition and interpretation of secondary conditions are based on the cited international classification. It is noted that secondary conditions frequently develop during acute care and usually require rehabilitation. Significance of secondary conditions in rehabilitation is highlighted by selected examples of traumatic spinal cord injury, stroke, lower limb amputation and intellectual disabilities. The author states that there is an insufficiency of presently available knowledge and raises the need for the use of the International Classification of Functioning, Disability and Health as foundation of future research. Orv. Hetil., 2012, 153, 1937–1947.


2021 ◽  
Vol 7 (2) ◽  
pp. 122-129
Author(s):  
L. Kachybekova ◽  
S. Mamazhusupova

The Kyrgyz Republic holds one of the first positions in the world in terms of mortality and morbidity of brain stroke. Open sources provide data from the Kyrgyz Republic on the analysis of morbidity and mortality, and medication treatment of patients with various forms of brain stroke, but there are almost no studies on primary disablement and subsequent rehabilitation measures, which are based on setting a rehabilitation diagnosis and defining the goals of rehabilitation. The purpose of this study is to analyze problems in making a rehabilitation diagnosis for persons with disabilities with the consequences of brain stroke, based on the examination of the records of 3 medical and social expert commissions (MSEC) of the Kyrgyz Republic, out of 27 existing commissions. The authors present the results of a 2018–2019 study of the medical and rehabilitation documents of 328 persons with primary disablement in order to determine the rehabilitation diagnosis in these documents as a basic tool for the formation of a clinical rehabilitation route. Despite the availability of regulatory documents, clinical guidelines on the management of stroke patients, there is no evidence of a rehabilitation diagnosis in the documents reviewed, which affects the effectiveness of rehabilitation of persons with disabilities with the consequences of brain strokes. The authors recommend a set of measures to eliminate the barrier revealed and to develop rehabilitation services. Such rehabilitation services could be triggered by introducing the International Classification of Functioning, Disability and Health into the field of rehabilitation.


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