METHOD OF ESTIMATING EFFICIENCY OF COMPLEX REHABILITATION OF PEOPLE WITH DIASABILITY Russian patent published in 2010 - IPC A61B5/16 

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine and social work, namely to rehabilitology, balneology, medical and social expertise, neurology, health care organisation, social psychology and is intended for rehabilitation of people with disability over 18 in rehabilitation departments of institutions of health care and social services. Measurements are carried out at the beginning and end of rehabilitation course, taking into account three groups of indices, characterising state of organism functions on 5 parametres: cognitive functions, muscle tone and strength, pain expressiveness, excretion functions; activity on 5 parametres: abilities of hand, physical abilities, mobility, level of self-servicing, productivity in home conditions; participation on 4 parametres: communication skills, leisure, socialisation, professional aptitude, additionally estimated are evidence of vital activity limitation (EVAL), which is calculated by formula: EVAL=100-(RP₁/MRP*100) (%), where EVAL is coefficient of evidence of vital ectivity limitation, measured in %, RP₁ is sum of points by results of measurements before rehabilitation, MRP is maximal rehabilitation potential, maximal number of points in estimation of functions, activity and participation. If EVAL coefficient value is 10-24% slight degree of evidence of vital activity limitation is determined. If EVAL coefficient value is 25-49% - moderately evident degree. If EVAL coefficient value is 50-74% - evident degree. If EVAL coefficient value is 75-100% - considerably evident degree. After that rehabilitation efficiency is calculated by formula: RE = (RP₂ - RP₁)/MRP* 100(%), where RE is rehabilitation efficiency, RP₁ is sum of points before rehabilitation, RP₂ is sum of points after rehabilitation, MRP is maximal rehabilitation potential, maximal number of points in estimation of functions, activity and participation. Then obtained result is evaluated in per cent taking into account EVAL coefficient, where in case of EVAL value 10-24% rehabilitation efficiency 15-25% is estimated as very good, 10-14% - as good, 5-9% as satisfactory, 0-4% - as absence of dynamics. In case of EVAL value 25-49% rehabilitation efficiency 25-50% is estimated as very good, 15-24% as good, 5-14% - as satisfactory, 0-4% - absence of dynamics. In case of EVAL value 50-74% rehabilitation efficiency 20-35% is estimated as very good, 10-19% as good, 5-14% - as satisfactory, 0-4% - absence of dynamics. In case of EVAL value 75-100% rehabilitation efficiency 10-15% is estimated as very good, 5-9% as good, 1-4% - as satisfactory, 0-0.09% - absence of dynamics.

EFFECT: method allows to increase method objectivisation, unification of approaches to estimation of rehabilitation indices in accordance with generally accepted international standards.

6 tbl, 4 ex