Features of legal regulation of physical rehabilitation. Determining the limits

Authors:

Didur Mikhail Dimitrievitch – Grand PhD in Medical sciences (Dr. Med. Sci.), Professor, Director of the N. P. Bekhtereva Institute of the Human Brain of the Russian Academy of Sciences, 9 Akademika Pavlova Street, 197376 St. Petersburg, Russian Federation; e-mail: Didour@mail.ru; https://orcid.org/0000-0003-4086-5992.

Kournikova Maria Vladimirovna – Grand PhD in Social sciences (Dr. Soc. Sci.), Associate Professor, Head of the Department of Adaptive Physical Education of the Institute of Clinical Medicine of the National Research Lobachevsky State University of Nizhny Novgorod, 23 Gagarina Ave, 603950 Nizhny Novgorod, Russian Federation; e-mail: mkurnikova@yandex.ru; https://orcid.org/0000-0002-0381-2587.

Sokurov Andrey Vladimirovich – Grand PhD in Medical Sciences (Dr. Med. Sci.), Associate Professor, Director of the Institute of Additional Professional Education, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: ansokurov@yandex.ru; https://orcid.org/0000-0002-3736-2895.

Annotation:

Introduction. In recent years, active work has been launched in the Russian Federation to effectively provide legislative and regulatory support for adaptive physical education and physical rehabilitation. On May 28, 2025, a meeting of the Presidential Council for the Development of Physical Culture and Sports was held on the topic “On the Development of Adaptive Physical Culture and Adaptive Sports”, within the framework of which primary attention was paid, among other things, to issues of legal support for physical rehabilitation.

Aim. To analyze the current legal regulation of the field of physical rehabilitation.

Materials and methods. The current and developing regulatory legal acts of the federal level were studied and analyzed. The methodological basis of the work was a number of approaches and techniques for studying various types of social relations: organizational and legal, organizational and methodological, complex, systemic.

Results. The state of legal support at the level of federal and industry legislation of the main issues of physical rehabilitation activities is shown. Almost all aspects of physical rehabilitation activities are regulated by legal documents of the Ministry of Sports and the Ministry of Labour of Russia. The need for harmonization of legal support for physical rehabilitation is noted, taking into account the latest changes in federal and industry legislation.

Discussion. An analysis of the current period of active reformation of the regulatory framework in the field of integrated rehabilitation has shown that, for the next decade, priority areas and resource support mechanisms for the integrated rehabilitation system based on interdepartmental interaction have been legislatively and normatively fixed. The legal conditions for the implementation of physical rehabilitation programs have been determined. Legally coordinated measures of a legal, economic, financial, managerial, informational, personnel and infrastructural nature are designed to ensure an increase in the effectiveness of comprehensive rehabilitation.

Conclusion. Systematic work is required on comprehensive interdepartmental interaction aimed at consolidating the efforts of all participants in the rehabilitation process and improving the unified organizational, legal and scientific-methodological base to improve the quality of personnel training and rehabilitation assistance provided.

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