Email this article Assessment of functioning indicators of people with disability and impaired neuromuscular, skeletal, and movement-related functions based on the International Classification of Functioning, Disability, and Health considering environmental barriers
- Authors: Povorinskii A.A.1, Vladimirova O.N.1, Shoshmin A.V.2, Kulinich T.S.3
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Affiliations:
- St. Petersburg Institute of advanced training of doctors-experts
- Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht
- Main Bureau of Medical and Social Expertise in the Leningrad Region
- Issue: Vol 26, No 2 (2023)
- Pages: 101-110
- Section: Original study articles
- URL: https://rjmseer.com/1560-9537/article/view/321191
- DOI: https://doi.org/10.17816/MSER321191
- ID: 321191
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Abstract
BACKGROUND: The need and realization of the rights to rehabilitation of people with disability is a key guideline in building a system of rehabilitation and habilitation in the Russian Federation. The need for comprehensive rehabilitation for disorders of neuromuscular, skeletal, and movement-related functions (NSMFs) has not yet been fully studied.
AIM: To assess functioning indicators of persons with disability and impaired NSMFs based on the International Classification of Functioning, Disability, and Health (ICF) considering environmental barriers.
MATERIALS AND METHODS: A continuous controlled medical and social study was conducted. The study enrolled 257 respondents recognized as having a disability, which were divided into two groups. The target group (n=137) consisted of patients with NSMFs receiving rehabilitation services at a rehabilitation center, and the control group included 120 respondents with NSMFs who passed the initial examination at the Bureau of Medical and Social Expertise.
RESULTS: Despite the high need for comprehensive rehabilitation measures for people with disability and NSMFs of all age groups, patients with milder disease receive the preferential right to rehabilitation.
CONCLUSIONS: The results show that the use of ICF determinants in the description of functional and structural disorders and the main barriers at the stages of medical and social examination allows the identification of existing barriers in people with disability and more accurately and objectively determine the need for rehabilitation measures.
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About the authors
Anton A. Povorinskii
St. Petersburg Institute of advanced training of doctors-experts
Author for correspondence.
Email: povan@mail.ru
ORCID iD: 0000-0002-5059-2177
Russian Federation, St. Petersburg
Oksana N. Vladimirova
St. Petersburg Institute of advanced training of doctors-experts
Email: vladox1204@yandex.ru
ORCID iD: 0000-0001-6692-2882
md, dr. sci. (med.), assistant professor
Russian Federation, St. PetersburgAleksander V. Shoshmin
Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht
Email: shoshminav@mail.ru
ORCID iD: 0000-0003-1928-275X
cand. sci. (biol.)
Russian Federation, St. PetersburgTatyana S. Kulinich
Main Bureau of Medical and Social Expertise in the Leningrad Region
Email: kulinich.ts@lomse.ru
ORCID iD: 0000-0003-4887-4404
Russian Federation, St. Petersburg
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