Rehabilitation diagnosis of patients with mine-explosive wounds of the lower leg based on the international classification of functioning, disability and health
DOI:
https://doi.org/10.26641/2307-0404.2023.2.283384Ключові слова:
rehabilitation diagnosis, mine-explosive injuries, ICF, physical therapyАнотація
Mine-explosive wounds at the level of the lower leg are accompanied by significant functional disorders, leading to long-term disability, and in some cases – to disability. The introduction at the state level of the document of the International Classification of Functioning, Disabilities and Health (ICF) in the treatment and rehabilitation process of medical institutions, necessitates its detailed study and application for making a rehabilitation diagnosis of patients. The aim of this study is to improve the process of rehabilitation diagnosis of patients with mine-explosive wounds of the lower leg based on the International Classification of Functioning, Disability and Health. The study involved 54 people, the average age of the subjects was 37±4.2 years, 80% of them were men, 20% were women. In the course of the clinical and instrumental methods of examination of patients with mine-explosive wounds at the level of the lower leg, the assessment of categories according to the ICF revealed disorders at the level of structure: functions: s 75010 bones of lower leg, s 75012 muscles of lower leg, s 75013 ligaments and fasciae of lower leg, s 8104 skin of lower extremity; b 28015 pain in the lower limb, b 4550 general physical endurance, b 7101 mobility of several joints, b 7351 muscle tone of one limb, b 770 function of the stereotype of walking, b 7800 sensation of muscular stiffness, b 810 protective function of skin; activities: d 4104 standing position, d 4106 moving the center of gravity of the body, d 4501 walking long distances, d 465 moving using technical means, d 5100 washing body parts, d 5102 wiping and drying, d 5402 putting on footwear, d 5403 taking off footwear, d 5702 self-health support, d 850 well-paid work, d 920 recreation and leisure, e 1151 assistive products and technologies for personal everyday use, e 310 close relatives, e 355 professional health care workers. Mine-blast injuries of the shin cause impairments at the structural level, but the majority of impairments in patients were found at the level of function, activity, and participation, which significantly affected their quality of life.
Посилання
Tsymbaliuk VI. [Gunshot wounds of soft tissues (Experience of antiterrorist operations / Joint forces operations)]. Kharkiv: Kolehium; 2020. Ukrainian.
Pustovoit BA. [Medical and physical therapy for combat injuries at the stages of restorative treatment]. Kharkiv: Planeta-Print; 2019. Ukrainian.
Pasenko MV, Hlyniana OO, Somich YuV. [Rehabilitation diagnosis of patients after osteosynthesis of the acetabulum based on the international classification of functioning, limitations of life and health]. Fizychne vykhovannia, sport i kultura zdorovia u suchasnomu suspilstvi. 2022;1(57):52-9. Ukrainian. doi: https://doi.org/10.29038/2220-7481-2022-01-52-58
[Pursuant to the Order of the Cabinet of Ministers of Ukraine dated December 27, 2017 No. 1008]. Ukrainskyi visnyk medyko-sotsialnoi ekspertyzy. 2018;3-4(29-30):66-71. Ukrainian.
Prodinger B, Stucki G, Coenen M, Tennant A. The measurement of functioning using the International Clas-sification of Functioning, Disability and Health: comparing qualifier ratings with existing health status instruments. Disabil Rehabil. 2019;41(5):541-8. doi: https://doi.org/10.1080/09638288.2017.1381186
[International classification of functioning, limitations of vital activity and health: ICF]. [Internet]. Zheneva, Shveitsariia: Vsesvitnia orhanizatsiia okhorony zdorovia; 2001 [cited 2022 Oct 06]. Ukrainian. Available from: http://moz.gov.ua/mkf
Blanpied PR, Gross AR, Elliott JM, Devaney LL, Clewley D, Walton DM, et al. Neck pain: revision 2017: clinical practice guidelines linked to the international classification of functioning, disability and health from the orthopaedic section of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy. 2017 Jul;47(7):A1-83. doi: https://doi.org/10.2519/jospt.2017.0302
Bezpalova OO, Rybalko PF, Sitovskyi AM, Tsiu-pak TYe. [Rehabilitation diagnosis of patients with osteoarthritis based on the International Classification of Functioning, Limitation of Vital Activities and Health (ICF)]. Art of medicine. 2021;3(19):6-15. Ukrainian. doi: http://doi.org/10.21802/artm.2021.3.19.6
Abedi M, Gane E, Aplin T, Zerguine H, John-ston V. Barriers and facilitators associated with return to work following minor to serious road traffic musculo-skeletal injuries: a systematic review. J Occup Rehabil. 2022;32(1):13-26.doi: https://doi.org/10.1007/s10926-021-09994-3
Mitra S, Shakespeare T. Remodeling the ICF. Disabil Health J. 2019;12:337-9. doi: https://doi.org/10.1016/j.dhjo.2019.01.008
Leonardi M, Lee H, Kostanjsek N, Fornari A, Raggi A, Martinuzzi A, et al. 20 Years of ICF – International Classification of Functioning, Disability and Health: Uses and Applications around the World. Int J Environ Res Public Health. 2022;19:11321. doi: https://doi.org/10.3390/ijerph191811321
Strahova OP, Androsov OI. [Statistical methods of processing the results of medical and biological research]. Lviv; 2021. 164 p. Ukrainian.
Duong HP, Garcia A, Hilfiker R, Leger B, Luthi F. Systematic review of biopsychosocial prognostic factors for return to work after acute orthopedic trauma: a 2020 update. Front Rehabil Sci. 2022;2:791351. doi: https://doi.org/10.3389/fresc.2021.791351
Negrini S, Kiekens C, Zampolini M, et al. Metho-dology of «Physical and rehabilitation medicine practice, evidence based position papers: the European position» produced by the UEMS-PRM section. Eur J Phys Rehabil Med. 2016;52:1:134-41.
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