Aspects of providing disabled people with technical means of rehabilitation

Authors:

Mikhailishin Viktor Valerievich – PhD in Medical Sciences (Cand. Med. Sci.), Head of the Department of Digital Technologies in Rehabilitation of Institute of Rehabilitation and Habilitation of Disabled, Albrecht Federal Scientific and Educational Centre for Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya St., 195067 St. Petersburg, Russian Federation; e-mail: mikhailishin_v@mail.ru; https://orcid.org/0000-0002-9518-1945.

Sufelfa Alisa Rodionovna – PhD in Technical Sciences (Cand. Tech. Sci.), Head of the Department of Digital Technologies in Prosthetics of Institute of Prosthtics and Orthotics, Albrecht Federal Scientific and Educational Centre for Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya St., 195067 St. Petersburg, Russian Federation; e-mail: sufelfa.ar@yandex.ru; https://orcid.org/0000-0001-5672-7290.

Smirnova Ludmila Mikhailovna – Grand PhD in Technical Sciences (Dr. Tech. Sci.), Professor of the Department of Biotechnical Systems, St. Petersburg State Electrotechnical University “LETI”, 5 Professora Popova St., St. Petersburg, 197022, Russian Federation; Leading Researcher at the Department of Biomechanical Studies of the Musculoskeletal System of Institute of Prosthtics and Orthotics, Albrecht Federal Scientific and Educational Centre for Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya St., 195067 St. Petersburg, Russian Federation; e-mail: info@diaserv.ru; https://orcid.org/0000-0003-4373-9342.

Annotation:

Introduction. Providing disabled people with technical means of rehabilitation is one of the main areas of comprehensive rehabilitation and habilitation for disabled people. A specialist determines the type, number, and appropriateness of technical means of rehabilitation based on a list of indications and contraindications. The assignment of technical means of rehabilitation is a process that requires an interdisciplinary approach and a comprehensive understanding of the patient’s individual needs. The use of digital decision-making technologies helps to solve this problem.

Aim – analysis of digital technologies for determining the need of disabled people for technical rehabilitation aids.

Materials and methods. The study used databases from the PubMed, GoogleScholar, Elibrary, and CyberLeninka search engines, as well as methods of system and statistical analysis. A questionnaire was conducted among employees of the Medical and Social Expertise Bureau to identify their needs for digital technological solutions in the appointment of technical means of rehabilitation.

Results. It was revealed that the ratio of experts who pointed out the need to improve the regulatory legal framework (characteristics of technical means of rehabilitation, the order of appointment, the specification of prostheses and orthoses, indications and contraindications for the appointment of technical means of rehabilitation) and those who believe that this is not necessary was 51% and 49%, respectively. Among the difficulties of working with the state digital information system in the social sphere, the lack of development of the technical means of rehabilitation reference database was noted. The main errors in the appointment of technical means of rehabilitation are expressed in the absence of certain types of technical means of rehabilitation in the Individual Rehabilitation and Adaptation Program for Persons with Disabilities, the incorrect number of assigned technical means of rehabilitation. The following difficulties have been identified: the absence or incomplete specification of technical means of rehabilitation characteristics in regulatory documents, and the inconsistency between Form N 088/u and the reference books of the state information system.

Discussion. Modern decision support systems are capable of selecting technical means of rehabilitation with high objectivity.

Conclusion. The most promising areas for further digitalization in the field of technical means of rehabilitation provision are the automation of assessing indications and contraindications for providing technical means of rehabilitation to a disabled person, the formation and monitoring of individual rehabilitation and habilitation programs, and the monitoring of their effectiveness.

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