Results of the study of medical and social consequences of hearing impairment in children with disabilities from the position of the international classification of functioning

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Abstract

Background. Hearing impairment in children has not only medical, but also social significance, since it significantly affects the communication processes and the development of the child’s speech and can lead to social maladjustment to one degree or another. Aim: to study the functions and life of disabled children with hearing impairment from the perspective of the International Classification of Functioning, Disabilities and Health (ICF). Rehabilitation expert diagnostics and questioning of 181 children were carried out according to a specially developed methodology taking into account ICF domains and the WHO DASH questionnaire of the World Health Organization. As a result of the study, impairments of various functions of varying severity were revealed in children with disabilities, which determines the characteristics of medical and social rehabilitation of this category of patients. Conclusion. A detailed description of the factors affecting the disability of children with hearing impairments makes it possible to develop algorithms for rehabilitation and expert diagnostics and targeted medical and social rehabilitation for the development of a comprehensive rehabilitation system in the constituent entities of the Russian Federation, as well as standard rehabilitation programs in institutions that are direct executors of individual rehabilitation programs and habilitation of disabled children with hearing impairments.

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About the authors

Igor V. Goryainov

Main Bureau of Medical and Social Expertise in St. Petersburg

Author for correspondence.
Email: igoryaynov1983@gmail.com
ORCID iD: 0000-0001-8470-124X
SPIN-code: 5908-6058

Head of the Expert Team No. 3 of the Main Bureau of Medical and Social Expertise in St. Petersburg, Ministry of Labor of the Russian Federation

Russian Federation, 191014, St. Petersburg, Liteiny prospect, 58, letter A

Oksana N. Vladimirova

Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht

Email: vladox1204@yandex.ru
ORCID iD: 0000-0001-6692-2882

MD

Russian Federation, 191014, St. Petersburg, Liteiny prospect, 58, letter A

Sergey A. Bondarev

The State Education Institution of Higher Professional Training The First Sechenov Moscow State Medical University under Ministry of Health of the Russian Federation

Email: igoryaynov1983@gmail.com

MD, PhD

Russian Federation, Moscow

Marina V. Goryainova

Federal state budgetary educational institution of additional professional education St. Petersburg Institute of advanced training of doctors-experts

Email: igoryaynov1983@gmail.com
ORCID iD: 0000-0001-8904-8614
Russian Federation, 191014, St. Petersburg, Liteiny prospect, 58, letter A

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1. Fig. The main factors determining disability in children with hearing impairmenThe main factors determining disability in children with hearing impairment

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