An analysis of the need for medical and social rehabilitation measures for people with disabilities resulting from strokes

Authors:

Aliskhanov Akhmed Magomedovich – physician for medical and social expertise, Federal Bureau of Medical and Social Expertise of the Ministry of Labour of Russia, 3 Ivan Susanin Street, 127486 Moscow, Russian Federation; e-mail: aahhmmaa1960@gmail.com; https://orcid.org/0009-0000-1624-1587.

Annotation:

Introduction. Accessibility and high-quality rehabilitation measures are essential for effective medical and social rehabilitation of people with stroke disabilities. At a medical and social assessment facility, a citizen recognized as disabled due to stroke is required to undergo comprehensive rehabilitation and habilitation, and an individualized rehabilitation and habilitation program is developed.

Aim. Analysis of the need for medical and social rehabilitation measures for people newly recognized as disabled due to strokes in the Republic of Ingushetia.

Materials and methods. Object of the study: a group of people with disabilities due to stroke, newly recognized as having disabilities of groups I, II, and III. Study size: 54 people aged 33-84.
Research sources: state statistical reporting form of the Medical and Social Expertise institutions 7-sobes of the Federal State Budgetary Institution Main Bureau of Medical and Social Expertise in the Republic of Ingushetia of the Ministry of Labour of Russia, medical and social examination protocols; medical and social examination reports; individual rehabilitation and habilitation programs for people with disabilities.
Methods: data extraction, statistical and analytical. Sample study. Inclusion criteria: newly recognized as disabled due to stroke, with movement disorders, aged 18 years and older; diagnosis meets ICD-10 diagnostic criteria (I60-I64); informed consent. Exclusion criteria: newly recognized as disabled due to other pathologies. The study period is 2022.

Results. The analysis showed that 100.0 % (54 people) of disabled people needed medical rehabilitation, 77.8 % (42 people) needed social rehabilitation, and 13.0 % (7 people) needed vocational rehabilitation. 74.1 % (40 people) needed technical rehabilitation equipment, and 13.0 % (7 people) needed physical education and sports.

Discussion. An analysis of recommendations for medical and social rehabilitation measures for those newly recognized as disabled due to stroke revealed a high need for medical (100.0 %), social (77.78 %), and technical rehabilitation measures (74.1 %). A low need was found for vocational rehabilitation measures (13.0 %) and physical education, fitness, and sports (13.0 %).

Conclusion. The obtained data determine the relevance of further study of the system of medical and social rehabilitation of people with disabilities due to strokes in the Republic of Ingushetia with the need for scientific substantiation of the measures of a personalized system of medical and social rehabilitation of people with disabilities due to strokes based on the analysis of social-hygienic, clinical-functional and biopsychosocial factors.

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