Medical and Social Expert Evaluation and RehabilitationMedical and Social Expert Evaluation and Rehabilitation1560-95372412-2092Eco-Vector3424110.17816/MSER34241Research ArticleTelemedicine as a perspective instrument for developing mobile rehabilitation technology (on the example of FNKC RR)PryanikovaNataliya I.pryanikova1968@bk.ruhttps://orcid.org/0000-0002-4864-795XPolikarpovaOlesya S.olesiapolikarpova@gmail.comhttps://orcid.org/0000-0001-7715-9181IbragimovaKhidjran S.hidji27@mail.ruBushuevaElena V.elena.bush73@mail.ruFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology1508202023138412905202008062020Copyright © 2020, Eco-Vector2020<p>Among the innovative technologies of medical care for citizens with impaired consciousness, a special place is occupied by the technology of mobile rehabilitation service (MRS), with the help of which a wide range of patients are served at home, and their relatives and friends receive extensive counseling. The practice of the Federal State Budgetary Institution Federal Scientific and Clinical Center for Resuscitation and Rehabilitation indicates the high efficiency of mobile rehabilitation in this category of patients. Positive experience can be developed, incl. due to the use of telemedicine after completion of the main rehabilitation course. The methodology, in which online sessions and consultations are conducted using video conferencing technology, can significantly increase the territorial coverage of MRS patients, and ensure the continuity of rehabilitation. A special place is given to the interaction of a speech therapist with patients and their relatives, in the framework of which the course of medical and social rehabilitation is continuing. It is stated that the use of telemedicine contributes to the development of remote rehabilitation of handicapped patients with impaired consciousness at home. The accumulated experience allows us to recommend the extensive use of a combination of technologies of MPC and telemedicine, thereby greatly expanding the rehabilitation potential of a significant number of patients at home. It seems expedient to scale up and replicate the experience of MRS FNKC RR within the framework of medical rehabilitation institutions in the country, as well as to raise discussion about the possibilities of expanding the practice of distance counseling and receptions to other stages of mobile rehabilitation.</p>mobile rehabilitationinnovative technologiesrehabilitationpersons with impaired consciousnesspatients with severe brain damagetelemedicineremote rehabilitationмобильная реабилитацияинновационные технологииреабилитациялица с нарушением сознанияпациенты с тяжёлыми повреждениями головного мозгателемедицинадистанционная реабилитация[Chuprina SE, Nebogina OV. Reabilitatsiya postinsul’tnogo patsiyenta: rol’ vracha obshchey praktiki (vracha-terapevta). RMZh. 2017;25(9):579−584. (In Russ).][Grechko AV, Molchanov IV, Petrova MV, Pryanikov IV. Rehabilitation of patients in chronic critical states due to brain damage in conditions of resuscitation and intensive care units: the experience of the Federal Research and Clinical Center. Medical and social expert evaluation and rehabilitation. 2018;21(1-2):22−29. (In Russ). https://doi.org/10.18821/1560-9537-2018-21-1-22-29.][Kaydar NA. Analiz effektivnosti ispol’zovaniya telemeditsiny. (Conference proceedings) Innovatsionnyye tekhnologii na transporte: obrazovaniye, nauka, praktika: Materialy XLII Mezhdunarodnoy nauchno-prakticheskoy konferentsii v ramkakh realizatsii Poslaniya Prezidenta RK N. Nazarbayeva “Novyye vozmozhnosti razvitiya v usloviyakh chetvertoy promyshlennoy revolyutsii”. Ed. by B.M. Ibrayev. Almaty; 2018. Р. 61−65. (In Russ).][Lomovtseva AV, Parshukova YaD. Introduction of digital technologies in healthcare of the Russian Federation. Sb. nauch. statey “Upravleniye sotsial’nymi innovatsiyami”. Ed. by E.A. Il’ina. Cheboksary; 2019. Р. 179−183. (In Russ).][Savkova NR. Rol’ informatsionnykh tekhnologiy v meditsine. Plyusy i minusy. Sb. nauch. trudov po materialam Mezhdunarodnoy nauchno-prakticheskoy konferentsii “Aktual’nyye voprosy v nauchnoy rabote i obrazovatel’noy deyatel’nosti”. Tambov; 2015. Р. 110−113. (In Russ).][Mortara S, Uberti F, Gomez G. Telemedicine in O&G industry: our experience (Russian). SPE Russian oil and gas technical conference and exhibition. Society of Petroleum Engineers; 2008. https://doi.org/10.2118/115505-ru.]