Provision of wheelchair in Russia: structure analysis for the period 2017-2021 (before and during epidemic limitation)

Authors:

Golovin Mikhail Andreevich, Head of the Department of Innovative Technologies of the Institute of Prosthetics and Orthotics, AlLredA Federal Scientific and Educational Centre of Medkal and Social Expertise and Rehabilitation, Bestuzhevskaya Street 50, 195067 Saint Petersburg, Russian Federation; assistant of the Peter the Great St.Petersburg Polytechnic University (SPbPU), 29 Polytechnicheskaya Street, 195251 St. Petersburg, Russian Federation; e-mail: golovin@center-albreht.ru; https://orcid.org/0000-0002-7063-1284.

Klimenko Fedor Nikolaevich, junior researcher of the Department of innovative technologies for technical means of rehabilitation of the Institute of Prosthetics and Orthotics, Albi’enit Federal Scientific and Educational Centre of Medkal and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 Saint Petersburg, Russian Federation; e-mail: reabin@center-albreht.ru; https://orcid.org/0000-0002-5076-6931.

Annotation:

Introduction. The study is a continuation of the previously presented work. The publication presents the results of the analysis of statistical information on the provision of disabled people with various technical means of rehabilitation on the territory of the Russian Federation, namely, wheelchairs.

Aim. Conduct an analysis of the provision of wheelchairs and identify trends in the dynamics of provision based on statistical data in Russia for the period 2017-2021.

Materials and methods. The paper provides an analysis of statistical data. The materials of the Ministry of Labor and Social Protection of the Russian Federation, the Federal State Statistics Service (Rosstat) are considered. The study was conducted on the basis of an analysis of statistical data from the Social insurance fund of Russia and the regions of the Russian Federation that independently provide disabled people with technical means of rehabilitation for the period from 2017 to 2021.

Results. Obtained objective quantitative indicators. An increase in the number of issued wheelchairs and an increase in the amount of funding for providing this class of technical rehabilitation equipment is shown. During the period under review, there has been an increase in the share of issued walking wheelchairs.

Discussion. In 2017-2021 there has been an increase in the provision of wheelchairs. The outdoor electric wheelchair used in a metropolitan environment requires the development and adaptation of infrastructure to improve user safety. The high costs and long timeframes for adapting the city’s infrastructure is an incentive to develop wheelchair designs in the direction of improving user safety in order to reintegrate them into society. Stabilization of the seat in the longitudinal plane allows the wheelchair operator to maintain the field of view in the horizontal and vertical planes. Analysis of the data showed that valid registration certificates were issued in Russia for at least six models of wheelchairs with electric drives for changing the angle of inclination of the seat in the longitudinal plane and adjusting the height of the seat. Such systems operate with high discreteness and low speed, which does not allow to ensure the constancy of the operator’s posture and the possibility of moving in a wheelchair on an escalator.

Conclusion. The data obtained are published for the first time. Their use will allow a more thorough organization of the market for rehabilitation devices, which will positively affect the availability of products and services for prosthetics for the disabled. A direction for the development of wheelchair designs with seat stabilization systems is proposed to improve the quality of life of people with limited mobility in a metropolis.

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