METHOD FOR ASSESSING THE DYNAMICS OF A PATIENT'S CONDITION IN HEREDITARY SYSTEMIC DISEASES OF THE SKELETON Russian patent published in 2022 - IPC A61B5/11 A61B5/103 A61B5/107 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, functional diagnostics and can be used in assessing the dynamics of 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). Further, the FM and FCD scores obtained by the patient during the initial and re-examination of the patient are separately summarized, their arithmetic mean values ​​are calculated: respectively, sFM1 and sFCD1 at the initial examination and sFM2 and sFCD2 at the second examination. Correspondence of FM to one or another FCD during the initial and re-examination is determined using adaptation coefficients (AC), which are calculated as the ratio of sFCD to sFM, respectively: kA1 = sFCD1/sFM1 at the initial examination and kA2 = sFCD2/sFM2 at the second examination of the patient. Next, the readaptation coefficient (RAC) is calculated as follows: RAC = AC2 - AR1, and provided that RAC is greater than zero, positive, readaptation is ascertained - a positive dynamics of the state, the formation of new compensatory devices in the patient. With RAC values ​​less than zero, negative, de-adaptation is ascertained - the negative dynamics of the state in which the patient's previously existing compensatory adaptations are lost, with RAC equal to zero, the absence of dynamics in the patient's condition is ascertained.

EFFECT: method provides improved accuracy of predicting the effectiveness of the forthcoming rehabilitation and a real assessment of its effectiveness after the rehabilitation course.

1 cl, 4 ex, 1 tbl