METHOD FOR DETERMINING THE DEGREE OF ADAPTATION OF A PATIENT WITH HEREDITARY SYSTEMIC DISEASES OF THE SKELETON Russian patent published in 2022 - IPC A61B5/00 A61B5/103 A61B5/107 A61B5/11 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, functional diagnostics and can be used in assessing the condition of patients with severe hereditary systemic diseases of the skeleton in the process of medical rehabilitation. The degree of adaptation in adult patients is determined by assessing the patient's physical skills, in points, according to the maximum possible skill for the patient to perform: the level of functional mobility (FM) is assessed by conducting certain motor tests for each of the three groups: performance of activities related to support ability (from 1 to 5 points), associated with movement (from 0 to 5 points), associated with manipulations (from 0 to 5 points). Next, the degree of functional compensation (FCD) of the level of functional mobility of the patient is determined, in points, according to the nature of the maximum possible activity for the patient to perform from the following three groups: functional independence of the patient during movement (from 1 to 5 points), functionality during verticalization (from 1 to 5 points), functional capabilities of the patient during motor manipulations of the upper limbs (from 1 to 5 points). Next, the FM and FCD scores obtained by the patient are separately summarized, their arithmetic mean values ​​(sFM and sFCD) are calculated, and the correspondence of the FM to one or another FCD is determined using the adaptation coefficient (AR), which is calculated as the ratio of sFCD to sFM: AR = sFCD/sFM. If AR is greater than or equal to 1, then there is a complete adaptation of the patient to the corresponding FM. For AR above 0.9 to 0.99 there is a relative adaptation to the respective FM. When AR is less than or equal to 0.9, disadaptation between FM and FCD is noted. The method provides the universality and objectivity of the assessment of the state, the degree of adaptation, by evaluating the compliance of the patient's functional capabilities (PFC).

EFFECT: improvement of method for assessing the condition of patients with severe hereditary systemic diseases of the skeleton in the process of medical rehabilitation.

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