Saratov JOURNAL of Medical and Scientific Research

medical rehabilitation

Medical rehabilitation after total hip and knee arthroplasty: logistics and resource provision

Year: 2019, volume 15 Issue: №4 Pages: 920-924
Heading: public health Article type: Original article
Authors: Fedonnikov A.S.
Organization: Saratov State Medical University

Aim: analysis of problems of logistics and resource provision of medical rehabilitation of patients after total hip and knee arthroplasty. Material and Methods. In the period of 2013-2018 for 24 Russian regions studied: statistic materials of Federal Ministry of Health (form № 14); territorial government guarantee programs. Results. It was developed an author's scheme of logistics and resource provision of medical rehabilitation, describing 4 of its possible trajectories, guaranteed governmental funding sources, and infrastructure capabilities. It was revealed the regional differentiation and the lack of stable dynamics in tariffs growth for in-patient stage of medical rehabilitation — an increase in the tariff was revealed only in 8% of the regions, in a day hospital — in 29% of the regions. Conclusion. The insufficient amount of financial resources within the framework of budgetary allocations and the basic program of compulsory medical insurance leads to limited access for patients to the trajectory of the completed cycle of medical rehabilitation after these surgical interventions. The current practice reduces the medical and social effectiveness of concerned high-tech medical care programs that in the long run creates a risk of socio-economic devaluation of the medical result achieved at the stage of resource demanding surgical treatment.

2019_04_920-924.pdf1.4 MB

Regional problems of organization of medical rehabilitation of children who underwent neuroinfection.


The purpose of the study is to demonstrate the main problems of rehabilitation aid to children who underwent neuroinfection. Material and Methods. Statistical evaluation of the results of the survey of doctors, nurses and heads of medical organizations (n=690) of various regions of the Russian Federation involved in the treatment of children with neuroinfections. These results were compared with the opinion of experts of the leading organization that provides assistance to this category of children at the Pediatric Research and Clinical Center for Infectious Diseases of Federal Medical and Biological Agency (n=121). Results. Specialists of all institutions note the growing need for children in rehabilitation activities after neuroinfections. 20,7% of specialists from regional medical organizations and 22,4% of experts from Pediatric Research and Clinical Center for Infectious Diseases of Federal Medical and Biological Agency indicate that continuity between medical organizations of different levels of medical care for children who have undergone neuroinfection is rather ineffective. The survey found that 25,9% of specialists of regional medical organizations pointed to funding problems. 28,3% of regional specialists indicated an insufficient number of medical organizations providing rehabilitation to children, and 59,0% of specialists from regions and 50,2% of Pediatric Research and Clinical Center for Infectious Diseases of Federal Medical and Biological Agency experts indicated the need to improve the legislative base. In addition, the interviewed experts ascertained an insufficient number of doctors and nurses in the organizations of the profile in question. Conclusion. According to the results of the study, the main problems in the organization of children's medical rehabilitation were established. This work can be one of the reasons for making management decisions aimed at improving the quality of this type of care for children who have undergone neuroinfections.

2018_4_676-679.pdf481.87 KB

Evaluation of the effectiveness of underwater running machine in complex rehabilitation of patients with lumbar dorsalgia to improve local microcirculation

Year: 2014, volume 10 Issue: №4 Pages: 889-891
Heading: rehabilitative medicine Article type: Original article
Authors: Kotenko K.V., Korchazhkina N.B., Mikhaylova A.A., Petrova M.S., Portnov V.V., Danilova D.P.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency

The authors describe the method of application of underwater running machine in the treatment of patients with lumbar dorsalgia. Aim: To evaluate the effectiveness of the inclusion of underwater running machine comprehensive rehabilitation program in patients with lumbar dorsalgia to improve the local microcirculation. Material and Methods: The study included 20 patients with lumbar dorsalgia. Results: Application of course of study on an underwater running machine provides patients with lumbosacral dorsopathy pronounced effect on a vascular component. Conclusion: The study demonstrated that the use of an underwater treadmill in the complex treatment of patients with lumbosacral dorsopathy is highly effective and pathogenetically substantiated method factor in the local microcirculation and normalizes physiological static position of the spine.

2014_04-01_889-891.pdf296.34 KB