Recommendations of wheelchairs as technical means of rehabilitation, compensating for motor disorders, in individual rehabilitation or habilitation programs for the disabled in St. Petersburg in 2017-2023

Authors:

Zaslavsky Alexander Semenovich – PhD in Medical sciences (Cand. Med. Sci.), doctor of medical and social expertise of the expert staff 10, Main Bureau of Medical and Social Expertise for the city of St. Petersburg, 58 Liteyniy Ave, 191014 St. Petersburg, Russian Federation; e-mail: korkork@mail.ru.

Belavina Elena Alekseevna – PhD in Medical sciences (Cand. Med. Sci.), Head-Chief Expert of the Main Bureau of Medical and Social Expertise for the city of St. Petersburg, 58 Liteyniy Ave., 191014 St. Petersburg, Russian Federation; e-mail: e.belavina@mse78.ru.

Korneeva Svetlana Yurievna – Deputy Head-Chief Expert of the Main Bureau of Medical and Social Expertise for the city of St. Petersburg, 58 Liteyniy Ave., 191014 St. Petersburg, Russian Federation; e-mail: svetikcorneeva@mail.ru.

Strizhakov Maxim Alekseevich – Head of the expert staff N 10 ofthe Main Bureau of Medical and Social Expertise for the city of St. Petersburg, 58 Liteyniy Ave, 191014 St. Petersburg, Russian Federation; e-mail: strma@list.ru.

Goryainov IgorVladimirovich – PhD in Medical sciences (Cand. Med. Sci.), doctor of Medical and social Expertise of the Organizational and Methodological Department, Main Bureau of Medical and Social Expertise for the city of St. Petersburg, 58 Liteyniy Ave, 191014 St. Petersburg, Russian Federation; e-mail: igoryaynov1983@yandex.ru.

Gryaznov Alexander Mikhailovich – Head of the Expert staff N 2, Main Bureau of Medical and Social Expertise for the city of St. Petersburg, 58 Liteyniy Ave, 191014 St. Petersburg, Russian Federation; e-mail: gb2@mse78.ru.

Annotation:

Introduction. According to the Federal State Statistics Service of the Russian Federation, the total number of disabled people in Russia as of 12/31/2023 is slightly more than 11 million people. Wheelchairs are one of the most effective technical means of rehabilitation, compensating for motor disorders in people with disabilities, including those with lesions of the central nervous system.

Aim. To analyze the recommendations of wheelchairs in individual rehabilitation or habilitation programs for the disabled in St. Petersburg in 2017-2023.

Materials and methods. The research material is data from the state statistical reporting forms of the Main Bureau of Medical and Social Expertise for the city of St. Petersburg, data from the Federal state information system of the unified automated vertically integrated information and analytical system for conducting medical and social expertise.

Results. In total, for the period 2017-2023, 531342 examinations of citizens over the age of 18 for various purposes were conducted in the Federal State Institution Main Bureau of Medical and Social Expertise for the city of St. Petersburg, 436336 individual rehabilitation and habilitation programs of a disabled person were developed. The share of individual rehabilitation programs for a disabled person in which wheelchairs of various types are recommended in the section “Technical means of rehabilitation” was: in 2017 – 7.0%, in 2018 – 7.2%, in 2019 – 10.7%, in 2020 – 9.3%, in 2021 – 9.1%, in 2022 – 10.5%, and in 2023 increased to 16%. Among all the wheelchairs recommended in individual rehabilitation or habilitation programs, the vast majority are hand-operated indoor strollers. For 7 years, among the citizens recognized as disabled for the first time, who are recommended wheelchairs, persons with the cause of disability “general illness” and “disability since childhood” have consistently prevailed. Wheelchairs are most often recommended for patients with diseases of the cardiovascular system.

Discussion. Over the past 7 years, according to the Federal state information system of the unified automated vertically integrated information and analytical system for conducting medical and social expertise, there has been an increase in the proportion of individual rehabilitation or habilitation programs with wheelchair recommendation among all individual rehabilitation or habilitation programs, especially noticeable over the past year. Attention is drawn to the increase in 2022-2023 in the proportion of citizens with causes of disability “illness received during military service” and “military injury” among the disabled, who are recommended wheelchairs.

Conclusion. Thanks to the work being done, it is already possible to contribute to a preliminary assessment of the required number and capacity of rehabilitation centers for people with disabilities in need of wheelchair access.

List of cited literature:

1. Dannie federal’noj sluzhby gosudarstvennoj statistiki [Data from the Federal State Statistics Service]. Available at: https://rosstat.gov.ru/folder/13964. (accessed 03.01.2025). (In Russian).

2. O sotsial’noj zashchite invalidov v Rossijskoj Federatsii [On Social Protection of Disabled People in the Russian Federation]. Federal’nyj zakon ot 24.11.1995 N 181-FZ (red. ot 29.05.2024) [Federal Law N 181-FZ of November 24, 1995]. (as amended on May 29, 2024)]. Available at: https://base.garant.ru/10164504/. (accessed 03.01.2025). (In Russian).

3. O klassifikatsiyakh i kriteriyakh, ispol’zuemykh pri osushchestvlenii mediko-sotsial’noj ekspertizy grazhdan federal’nymi gosudarstvennymi uchrezhdeniyami mediko-sotsial’noj ekspertizy [On classifications and criteria used in the implementation of medical and social expertise of citizens by federal state institutions of medical and social expertise]. Prikaz Ministerstva truda i sotsial’noj zashchity Rossijskoj Federatsii N 585n ot 27.08.2019 [Order of the Ministry of Labor and Social Protection of the Russian Federation N 585n of August 27, 2019]. Available at: https://base.garant.ru/74681690/. (accessed 03.01.2025). (In Russian).

4. Ob utverzhdenii perech nya pokazanij i protivopokazanij dlya obespecheniya invalidov tekhnicheskimi sredstvami reabilitatsii [On approval of the list of indications and contraindications for providing disabled people with technical means of rehabilitation]. Prikaz Ministerstva truda i sotsial’noj zashchity Rossijskoj Federatsii N 342 n ot 27.04.2023 g. « » [Order of the Ministry of Labor and Social Protection of the Russian Federation N 342n of April 27, 2023]. Available at: https://base.garant.ru/407017486/. (accessed 03.01.2025). (In Russian).

5. Ob utverzhdenii poryadka razrabotki i realizatsii individual’noj programmy reabilitatsii ili abilitatsii invalida, individual’noj programmy reabilitatsii ili abilitatsii rebenka-invalida, vydavaemykh uchrezhdeniyami mediko-sotsial’noj ekspertizy i ikh form [On approval ofthe procedure for the development and implementation of an individual rehabilitation or habilitation program for a disabled person, an individual rehabilitation or habilitation program for a disabled child issued by institutions of medical and social expertise and their forms]. Prikaz Ministerstva truda i sotsial’noj zashchity Rossijskoj Federatsii N 545n ot 26.06.2023 [Order of the Ministry of Labor and Social Protection of the Russian Federation N 545n of June 26, 2023]. Available at: https://clck.ru/3QRmdk. (accessed 03.01.2025). (In Russian).

6. Kresla-kolyaski mekhanicheskie [Mechanical wheelchairs]. Available at: https://armed.ru/category/ kresla-kolyaski-mexanicheskie/ (accessed 03.01.2025). (In Russian).

7 Kreslo-kolyaska vezdekhod stupen’kokhod Caterwil GTS 4WD Lux. [All-terrain stepladder wheelchair with electric controls Caterwil GTS 4WD Lux]. Available at: https://caterwil.ru/product/kolyaska-vezdehod-stupenkohod-cater wil-gts-4wd-lux/?yclid=9963934241968619519. (accessed 03.01.2025). (In Russian).

8. Ob utverzhdenii Srokov pol’zovaniya tekhnicheskimi sredstvami reabilitatsii, protezami i protezno-ortopedicheskimi izdeliyami [On approval of the Terms of use of technical rehabilitation equipment, prostheses and prosthetic and orthopedic products]. Prikaz Ministerstva truda i sotsial’noj zashchity Rossijskoj Federatsii N 107n ot 05.03.2021 g. [Order of the Ministry of Labor and Social Protection of the Russian Federation N 107n of May 3, 2021]. Available at: https://clck.ru/3QRmpQ. (accessed 03.01.2025). (In Russian).