ЭФФЕКТИВНОСТЬ МЕДИЦИНСКОЙ РЕАБИЛИТАЦИИ ПАЦИЕНТОВ С ПОСЛЕДСТВИЯМИ ТРАВМ И ЗАБОЛЕВАНИЯМИ КОСТНО-МЫШЕЧНОЙ СИСТЕМЫ В РЕСПУБЛИКЕ ТАТАРСТАН

Abstract

Abstract. Introduction. Musculoskeletal and connective-tissue disorders rank the third among diseases leading to primary disablement among adults in the Republic of Tatarstan. They are characterized by long healing periods and contractures. Timely rehabilitation of patients allows preventing many complications and restoring their former activity levels. Aim: To assess changes in the medical rehabilitation for patients with musculoskeletal and peripheral nervous disorders in the Republic of Tatarstan in 2020-2022. Materials and Methods. Clinical and expert-assessment statistical processing techniques, generalization method, and comparative analysis were used to process the data of patients with musculoskeletal and peripheral nervous disorders, who underwent medical rehabilitation in the Republic of Tatarstan in 2020-2022. We also used the statistical data made available by the Head Office of Medical and Social Expert Assessment in the Republic of Tatarstan at the Ministry of Labor and Social Protection of the Russian Federation. Ministry of Health of the Republic of Tatarstan. Statistical analysis was performed using the GraphPad Prism 9 software. Quantitative variables are presented as medians and quartiles, while the qualitative one as percentages. Comparative analysis (for dependent samples) was based on identifying the statistical significance of differences between indicators using Wilcoxon criterion. Differences at p < 0.05 were considered statistically significant. Results and Discussion. In 2022, there was a 49-% increase in the number of patients who were provided with medical rehabilitation in the Republic of Tatarstan, including a 69-% increase in the number of patients with diseases relating to musculoskeletal and peripheral nervous systems. Number of first-declared disabled people (disability group 3) decreased by 3.8% in 2022, since as medical rehabilitation of patients with musculoskeletal and peripheral nervous disorders increased by 42% in inpatient hospital conditions and by 76% in outpatient and polyclinic conditions in 2022. Conclusions. Increasing number of patients with musculoskeletal and connective-tissue disorders, who had undergone medical rehabilitation at the inpatient and outpatient stages, led to a decrease in the number of first-declared enabled people (disability group 3) by 3.8%. This substantiates the need for further development of medical rehabilitation in traumatology and orthopedics to preserve the labor potential, stabilize the disability levels, return the patient to social and domestic activities, and create optimal conditions for their active engagement in social activities and health resumption.