Assessment of some mental functions and psychoemotional status of the patient as a stage of personalized synthesis of a modular prosthetic

Authors:

Smirnova Ludmila Mikhailovna — Grand PhD in Engineering sciences (Dr. Eng. Sci.), leading researcher of the Department of biomechanical research of the musculoskeletal system of Institute of Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 Saint Petersburg, Russian Federation; Professor of Department of Biomedical Engineering, Saint Petersburg Electrotechnical University, 5 Professora Popova Street, 197376 Saint Petersburg, Russian Federation; e-mail: info@diaserv.ru; https://orcid.org/0000-0003-4373-9342.

Belyanin Oleg Leonidovich — leading researcher of the Department of biomechanical research of the musculoskeletal system of Institute of Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 Saint Petersburg, Russian Federation; e-mail: belynin.oleg41@bk.ru; https://orcid.org/0000-0001-6019-8053.

Gordievskaya Elena Olegovna — PhD in Pedagogical Sciences (Cand. Ped. Sci.), Senior Researcher at the Department of Social and Vocational Rehabilitation and Habilitation of the Disabled of the Institute of Rehabilitation and Habilitation for Disabled, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 Saint Petersburg, Russian Federation; e-mail: elena.gord@bk.ru; https://orcid.org/0000-0002-7617-298X.

Suslyaev Vadim Gennadievich — PhD in Medical Science (Cand. Med. Sci.), leading researcher of Department of innovative technology for technical means of rehabilitation of Institute of Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 Saint Petersburg, Russian Federation; e-mail: vadims1964@yandex.ru; https://orcid.org/0000-0003-0651-5497.

Annotation:

Introduction. The article analyzes the current and insufficiently discussed problem of assessing some specific mental functions and psychological qualities and properties of patients to determine the requirements for the functional units of modular prostheses of the lower extremities.
Aim. The purpose of the work is to substantiate the consideration of the state of psycho-emotional status and mental functions when choosing components for a modular lower limb prosthesis.
Materials and methods. The research methods used were a theoretical method, including analysis, synthesis and analogy, and an expert survey of leading specialists. When describing the structural and functional state of the prosthetic’s body, the terminology and definitions of impairments adopted in the International Classification of Functioning, Disability and Health were used.
Results. A list of psychodiagnostic parameters is presented, taking into account the modern international classification, the assessment of which is of high importance in terms of the effectiveness and efficiency of the final prosthetics. A system of indicators and methods for assessing mental functions is proposed when determining the requirements for the functional properties and performance characteristics of a lower limb prosthesis at the stage of selecting component models.
Discussion. When choosing components for a lower limb prosthesis, it is advisable to assess extraversion and mental stability to identify limitations in the ability to effectively control the modules of a lower limb prosthesis, and to assess volitional regulation and motivation to clarify the class of the patient’s functional state. Assessment of attention and memory functions is necessary to determine potential learning to use a prosthesis and consolidation of these skills, and psychomotor functions and neurodynamics — to identify limitations in the ability to effectively control the functional modules of the prosthesis. Assessing the functions of emotions helps to identify the need to correct attitudes towards the prospects of prosthetics and attitudes towards the characteristics of the prosthesis.
Conclusion. The use of the parameters and methods for assessing the condition of a disabled person substantiated in the article allows us to optimize the process of selecting models of prosthetic units that best suit the individual characteristics of a disabled person, with an emphasis on the mastering the skills of using a prosthesis , ensuring the effectiveness and safety of rehabilitation service (prosthetics). The proposed system of indicators and methods should be considered as part of a structured and standardized description of the condition of a disabled person, necessary for the personalized selection of prosthetic components. It may also be useful in ensuring continuity between the agencies and administrative bodies involved. during the rehabilitation of a disabled person.

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