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Method and organization for expert evaluating of rehabilitation services for lower limb prosthetics: problems and solutions

https://doi.org/10.20340/vmi-rvz.2023.6.OZOZ.1

Abstract

Relevance. Prosthetics of the lower limb after amputation restores the patient's ability to move and self-care. Preparation and prosthetics in the early stages after amputation, in the absence of contraindications, improves the physical, psycho-emotional state of patients, reduces the risk of complications due to forced exercise and exacerbation of concomitant somatic pathology, as well as increases exercise tolerance, restores mobility, functioning after amputation.

The aim of the work is to improve the quality of life of patients with mobility disabilities.

Materials and methods. The information base of the study was the normative legal acts of the Russian Federation, standards, clinical recommendations defining the existing system of providing rehabilitation services for prosthetics of the lower limb.

Conclusion. Unsatisfactory prosthetics of the limb after amputation negatively affects the quality of life of the patient. For this reason, the assessment of the rehabilitation service of prosthetics of the lower limb, including using the tools of the International Classification of Functioning, Disability and Health, is both relevant and necessary.

About the Authors

Yu. B. Golubeva
Federal Scientific and Educational Center for Medical and Social Expertise and Rehabilitation named after G.A. Albrecht
Russian Federation

Golubeva Yuliya Borisovna - Head of the Department of Orthopedic shoes and special clothing.

Bestuzhevskaya str., 50, St. Petersburg, 195067


Competing Interests:

The authors declare no competing interests



V. G. Suslyaev
Federal Scientific and Educational Center for Medical and Social Expertise and Rehabilitation named after G.A. Albrecht; The Main Bureau of Medical and Social expertise in St. Petersburg
Russian Federation

Suslyaev Vadim Gennad'evich - Cand. Sci. (Med.), Associate Professor, Leading Researcher of the Department of Innovation Technologies of the TSR, FSECMSER named after G.A. Albrecht; specialist doctor of the Department of Expert Rehabilitation Diagnostics, The Main Bureau of Medical and Social expertise in St. Petersburg.

Bestuzhevskaya str., 50, St. Petersburg, 195067; Liteyny ave., 58, lit. A, St. Petersburg, 191014


Competing Interests:

The authors declare no competing interests



K. K. Shcherbina
Federal Scientific and Educational Center for Medical and Social Expertise and Rehabilitation named after G.A. Albrecht
Russian Federation

Shcherbina Konstantin Konstantinovich - Dr. Sci. (Med.), Deputy Director General – Director of the Institute of Prosthetics and Orthotics.

Bestuzhevskaya str., 50, St. Petersburg, 195067


Competing Interests:

The authors declare no competing interests



L. M. Smirnova
Federal Scientific and Educational Center for Medical and Social Expertise and Rehabilitation named after G.A. Albrecht; St. Petersburg State Electrotechnical University "LETI" named after V.I. Ulyanov (Lenin)
Russian Federation

Smirnova Lyudmila Mikhaylovna - Dr. Sci. (Med.), Associate Professor, Leading Researcher of the Department of Biomechanical Research of the ODS, FSECMSER named after G.A. Albrecht; Professor of the Department of Biotechnical Systems, St. Petersburg State Electrotechnical University "LETI" named after V.I. Ulyanov (Lenin).

Bestuzhevskaya str., 50, St. Petersburg, 195067; Professor Popov str., 5, St. Petersburg, 197376


Competing Interests:

The authors declare no competing interests



V. V. Galaudina
Federal Scientific and Educational Center for Medical and Social Expertise and Rehabilitation named after G.A. Albrecht
Russian Federation

Galaudina Valentina Veniaminovna - Head of the Standardization and Metrology Department.

Bestuzhevskaya str., 50, St. Petersburg, 195067


Competing Interests:

The authors declare no competing interests



G. V. Chekushina
Federal Scientific and Educational Center for Medical and Social Expertise and Rehabilitation named after G.A. Albrecht
Russian Federation

Chekushina Galina Viktorovna - Leading engineer.

Bestuzhevskaya str., 50, St. Petersburg, 195067


Competing Interests:

The authors declare no competing interests



References

1. Increasing the effectiveness of rehabilitation of disabled people due to combat and military trauma who have undergone amputations of limbs: a method. manual / edited by doctor of medical sciences S.F. Kurdybaylo, Doctor of Medical Sciences K.K. Shcherbina; FSBI FNTsRI named after. G.A. Albrecht of Roszdrav". St. Petersburg: Man and Health, 2006. 86 p. (In Russ).

2. Smirnova L.M., Yuldashev Z.M. Methods and systems for assessing the functional effectiveness of prosthetics and orthotics for patients with pathology of the lower extremities. St. Petersburg: Publishing house of St. Petersburg Electrotechnical University "LETI", 2012. 216 p. (In Russ).

3. Abuseva G.R., Badtieva V.A., Didur M.D., Kovlen D.V., Kondrina E.F., Ponomarenko G.N. et al. Physical and rehabilitation medicine: normative and legal regulation: method. Recommended / ed. prof. G.N. Ponomarenko. 10th edition revised. and additional. St. Petersburg, 2020. 152 p. (In Russ).

4. International Classification of Functioning, Disability and Health (ICF). URL: http://who-fic.ru/icf/ (In Russ).


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For citations:


Golubeva Yu.B., Suslyaev V.G., Shcherbina K.K., Smirnova L.M., Galaudina V.V., Chekushina G.V. Method and organization for expert evaluating of rehabilitation services for lower limb prosthetics: problems and solutions. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2023;13(6):163-170. (In Russ.) https://doi.org/10.20340/vmi-rvz.2023.6.OZOZ.1

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ISSN 2226-762X (Print)
ISSN 2782-1579 (Online)