Vol 13, No 1 (2010)

In article the questions of organizing methodical and legal providing of social-environmental rehabilitation of invalids and creation of necessary terms for free access of invalids to the objects of engineering, transport and social infrastructures are raised. From the analysis of norms of home legislation the authors give determination and light up the measures of social-environmental rehabilitations, specify the intercommunication of rehabilitation with relations of necessary terms for free access of invalids to the objects of engineering, transport and social infrastructures.

The results of primary prosthetics have been studied for invalids with the postamputation defect of extremity (PAD), conditioned the vessels diseases. As compared to amputation of hip, the amputation of shin is more favorable in the plan of somatic mobilization, achievement of social adaptation, upgrading life. The important resource of increase of rehabilitation efficiency and quality of life of invalids with PAD due to vessels diseases there is optimization of surgical help for this contingent of patients, in particular, the choice of amputation level.

In the article there has been presented an analysis of primary and repeated disability due to diseases of musculoskeletal system and connective tissue in the Russian Federation in dynamics for 10 years.

The author present an analysis of disability due to dorsopathies, the gender peculiarities are exposed, there have been studied the structure of primary, repeated and general disability with more detailed analysis of age.

The study of dynamics of disability due to diseases of blood circulation system has been conducted for 2003-2008, which from year to year occupy the first grade place among reasons of disability among adult population. On the basis of analysis of statistical material, medical and expertise documents the principal tendencies and conformities to law of dynamics of disability are evaluated: predominance of persons of pensionable age is marked in the structure of primary disability; considerable increase of number of invalids in 2004-2005 years as a reaction on the changes of normative and legal base, regulating activity of medico-social expertise; diminishing of amount of persons, recognized invalids in 2007-2008 years.

In the article there has been presented an analysis of general disability due to cerebrovascular diseases in the Russian Federation in dynamics for 5 years taking into account age and group of disability.

In the article there has been presented an analysis of primary disability due to malignant neoplasms in the Bryansk area in dynamics 2004-2008 years according with age categories and severity of disease. The specific gravity of primary recognized invalids due to malignant neoplasms in the structure of primary disability has been calculated with consideration of all diseases in comparison for 5 years. The level of disability due to malignant neoplasms and rates of growth or decrease are determined.

Redaction of stability in vertical pose is one of basic problems, accompanying motive disorders of different etiology. Disturbance of stability reduces considerably the quality of gait and its speed. A selection of support facilities is adequate, when its maximally compensate the broken function of equilibrium and is comfortable for the use.

The article is devoted to the problem of development of personality psychological rehabilitation of the patients being in the state of the disease, that causes the disability; the adaptation individual-personal (psychological) and social- environmental resources, being the object of rehabilitation influence have been described. There have been shown the necessity of methodical perfection and perspective ways of its development.