Issue 2-20, 2020

https://doi.org/10.38025/2078-1962-2020-96-2-7-12

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

View article (Download PDF file)



Download XML file

1 Builova T.V., 2,3 Bolotov D.D.

1 National Research Nizhny Novgorod State University named after N.I. Lobachevsky, Nizhny Novgorod, Russian Federation
2 Federal Bureau of medico-social examination, Moscow, Russian Federation
3 Russian Medical Academy of Postgraduate Education, Moscow, Russian Federation


ABSTRACT

The article describes modern approaches to the organization of rehabilitation in patients with limb amputations and exarticulations: it highlights technology of using the International Classifi cation of Functioning, Disability and Health, asa 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 ofrehabilitation 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 fi rst to subsequentrehabilitation stages. The presented approach allows to optimize the rehabilitation process and to achieve designed results.


KEYWORDS: аmputations, limbs exarticulation, rehabilitation medicine, rehabilitation diagnosis, routing, multidisciplinary approach, prosthetics

FOR CITATION: Builova T.V., Bolotov D.D. Organization of rehabilitation process in patients after limb amputations from the position of physical and rehabilitation medicine modern concept. Bulletin of rehabilitation medicine. 2020; 96(2): 7-12. https://doi.org/10.38025/2078-1962-2020-96-2-7-12


References:

  1. Baumgartner R, Botta P. Amputaciya i protezirovanie nizhnih konechnostej [Amputation and prosthetics of the lower extremities]. Trans. with German. Medicine. 2002: 504. (In Russ.).
  2. Bolotov D.D., Yudin V.E., Popravka S.N., Starikov S.M. Prioritetnye problemy pacientov s amputaciyami v rezul'tate travmaticheskogo otchleneniya nizhnih konechnostej [Priority problems of patients with amputations as a result of traumatic detachment of the lower extremities]. Vestnik vossta-novitelnoj mediciny, 2016: 3(73): 52 - 57. (In Russ.).
  3. Epifanov V.A., Epifanov A.V. Reabilitaciya v travmatologii i ortopedii [Rehabilitation in traumatology and orthopedics], 2nd ed., revised and additional. GEOTAR-Media. 2015: 416 p. (In Russ.).
  4. Ivanova G.E., Melnikova E.V., Belkin A.A., Belyaev A.F., Bodrova R.A., Bujlova T.V., Malceva M.N., Mishina I.E., Prokopenko S.V., Sarana A.M., Stahovskaya L.V., Hasanova D.R., Cykunov M.B., Shamalov N.A., Suvorov A.Y., Shmonin A.A. Kak organizovat' medicinskuyu reabilitaciyu? [How to organize medical rehabilitation?]. Vestnik vosstanovitelnoj mediciny, 2018: 2(84): 2 - 12. (In Russ.). Organizational and metodological foundations of rehabilitation medicine and medical rehabilitation
  5. Kaznacheev L.N., Kudryashov V.E., Ivanov A.M. Amputacii nizhnih konechnostej: eshche odna ugroza ishemicheskoj bolezni serdca [Amputations of the lower extremities: another threat of coronary heart disease]. LLC Publishing Center Fedorov. 2000: 76 p. (In Russ.).
  6. Epifanov A.V., Achkasov E.E., Epifanov V.A. Medicinskaya reabilitaciya [Medical rehabilitation]. GEOTAR-Media. 2015: 672 p. (In Russ.).
  7. Melnikova E.V., Buylova T.V., Bodrova R.A., Shmonin A.A., Maltseva M.N., Ivanova G.E. Ispol'zovanie mezhdunarodnoj klassifikacii funkcionirovaniya (MKF) v ambulatornoj i stacionarnoj medicinskoj reabilitacii: instrukciya dlya specialistov [The use of the international classification of functioning (ICF) in outpatient and inpatient medical rehabilitation: an instruction for specialists]. Vestnik vosstanovitelnoj medici, 2017: 82(6): 7 - 20. (In Russ.).
  8. Nomenclature INTERBOR. www.interbor.org.
  9. Mironov S.P., Kotelnikov G.P. Ortopediya: nacional'noe rukovodstvo [Orthopedics: national leadership], 2nd ed., revised and add. GEOTAR-Media. 2013: 944 p. (In Russ.).
  10. Rukhman L.E. Osnovy ortopedii i protezirovaniya u detej [Fundamentals of orthopedics and prosthetics in children]. Medicine. 1996: 527 p. (In Russ.).
  11. Bolotov D.D., Uspensky A.L., Starikov S.M. Primenenie protezno-ortopedicheskih izdelij i fizicheskih metodov reabilitacii v usloviyah specializirovan-nogo stacionara: uchebno-metodicheskoe posobie [The use of prosthetic and orthopedic products and physical rehabilitation methods in a specialized hospital: a teaching aid]. GBOU DPO RMAPO. 2013: 48 p. (In Russ.).
  12. Witenson A.S., Ivanov A.M., Gritsenko G.P., Petrushanskaya K.A. Reabilitaciya invalidov s kul'tej bedra posredstvom programmiruemoj elektrostimu-lyacii myshc pri hod'be [Rehabilitation of disabled people with a thigh stump through programmed electrical stimulation of muscles while walking]. Zerkalo-M. 2001: 176 p. (In Russ.).
  13. Kondrashin N.I. Rukovodstvo po protezirovaniyu [Guide to prosthetics], 2nd ed., revised and additional. Medicine. 1988: 544 p. (In Russ.).
  14. Keir A.N., Rozhkov A.V. Rukovodstvo po protezirovaniyu i ortezirovaniyu [Manual on prosthetics and orthosis]. 1990: 624 p. (In Russ.).
  15. Dymochka M.A., Sukhoverkova A.I., Spivak B.G. Rukovodstvo po protezirovaniyu i ortezirovaniyu [Manual on prosthetics and orthosis], 3rd ed., revised and additional, in 2 volumes. 2016: V.1: 607 p, V.2: 456 p. (In Russ.).
  16. Bogolyubov V.M. Tekhnika i metodiki provedeniya fizioterapevticheskih procedur. (spravochnik) [Technique and methods for conducting physiotherapeutic procedures (reference book)]. Publishing house BINOM. 2017: 464 p. (In Russ.).
  17. Tikhonov I.V., Bodrova R.A., Aukhadeev E.I. Opyt primeneniya Mezhdunarodnoj klassifikacii funkcionirovaniya v ocenke effektivnosti reabilitacii pa-cientov s posledstviyami porazheniya CNS [The experience of using the International Classification of Functioning in assessing the effectiveness of rehabilitation of patients with the consequences of central nervous system damage]. Practical medicine, 2013: 66(1): 100 - 102. (In Russ.).
  18. Kornilov N.V. Travmatologiya i ortopediya: Rukovodstvo dlya vrachej [Traumatology and orthopedics: a Guide for doctors, in 4 volumes]. Hippocrates. 2004; Kornilov N.V., Gryaznuhina E.G. Travmy i zabolevaniya nizhnej konechnosti [Volume 3: Injuries and diseases of the lower limb]. Hippocrates, 2006: 896 p. (In Russ.).
  19. Evseev S.P., Kurdybaylo S.F. Fizicheskaya reabilitaciya invalidov s porazheniem oporno-dvigatel'noj sistemy. Uchebnoe posobie [Physical rehabilitation of persons with disabilities with damage to the musculoskeletal system: textbook allowance]. Soviet Sport, 2010: 488 p. (In Russ.).
  20. Tsykunov M.B. Shkaly ocenki narushenij pri patologii oporno-dvigatel'noj sistemy s ispol'zovaniem kategorij mezhdunarodnoj klassifikacii funk-cionirovaniya (diskussiya) [Scales for assessing disorders in the pathology of the musculoskeletal system using the categories of the international classification of functioning (discussion)]. Vestnik vosstanovitelnoj mediciny, 2019: 2: 2 - 12. (In Russ.).
  21. Shmonin A.A., Maltseva M.N., Nikiforov V.V., Melnikova E.V., Ivanova G.E., Dorofeev V.I. Predvaritel'nye rezul'taty realizacii pilotnogo proekta «razvitie sistemy medicinskoj reabilitacii v rossijskoj federacii» v SANKT-PETERBURGGUZ «Gorodskaya bol'nica № 26». Ispol'zovanie programmy ICF-reader i Mezhdunarodnoj klassifikacii funkcionirovaniya [Preliminary results of the pilot project “Development of a medical rehabilitation system in the Russian Federation” at St. Petersburg State University “City Hospital No. 26”. Using the program ICF-reader and the International Classification of Functioning].Uchenye zapiski SPbGMU im. Acad. I.P. Pavlova, 2016: 23(4): 54 - 60. (In Russ.).
  22. Shmonin A.A., Malceva M.N., Melnikova E.V., Ivanova G.E. Bazovye principy medicinskoj reabilitacii, reabilitacionnyj diagnoz v kategoriyah MKF i reabilitacionnyj plan [Basic principles of medical rehabilitation, rehabilitation diagnosis in the ICF categories and rehabilitation plan]. Vestnik vossta-novitelnoj mediciny, 2017: 78(2): 16 - 22. (In Russ.).
  23. Yudin V.E., Popravka S.N., Yaroshenko V.P., Bolotov D.D. Medicinskaya reabilitaciya ranenyh s amputacionnymi defektami nizhnih konechnostej [Medical rehabilitation of the wounded with amputation defects of the lower extremities]. Military Medical Journal, 2014: V.335(8): 52 - 54. (In Russ.).
  24. White Book on Physical and Rehabilitation Medicine in Europe. Introduction, Executive Summary and Methodology. Eur J Rehabil Med., 2018: 54(2): 125 - 155.



Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©


This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.