Technical Means Of Rehabilitation Research Articles

Medical and social support for children with disabilities in hospitals

Children constitute a special category among the disabled and people with disabilities. Restoration or compensation of impaired functions cannot be achieved in full, but thanks to medical and social support and technical means of rehabilitation, adaptation to existing living conditions, it is possible to achieve a higher level of quality of life. Medical and social support for children with disabilities is considered from the perspective of the available resource potential of the hospital system itself - the competent application of medical and social technologies and the functional capabilities of inpatient or semi-stationary type institutions. The leading criterion for evaluating the effectiveness of medical and social support for children with disabilities in hospital and semi-stationary care was the criterion of satisfaction of the medical and social needs of rehabilitators and their family members (parents/legal representatives). The author used analysis of documents, questioning of children with disabilities and parents (legal representatives) to identify needs, assessment of satisfaction of medical and social needs of children with disabilities and their parents (legal representatives) using comprehensive medical and social support (interviewing). In the course of the work, the purpose of the study was achieved – a sociological analysis of medical and social support for children with disabilities was carried out. Based on the research data, it can be concluded that the most relevant in meeting the needs of children with disabilities in hospital and semi-hospital settings are the socio-pedagogical and socio-psychological components of medical and social support, while the medical and social components fade into the background. The explicit needs must be met not through a ready-made solution, but by teaching the child himself to accept and work with them until an optimal level of compensation is achieved, the use of medical and social support technology as a system in hospital and semi-stationary conditions, on the one hand, has stable invariance properties, on the other, has variability.

On the organization of interdepartmental interaction of institutions of medico-social expertise and rehabilitation of disabled people in the region (on the example of the Perm territory)

BACKGROUND: Currently, a rehabilitation system for people with disabilities is actively developing at the federal and regional levels. Institutions of medical and social expertise occupy an important place in it, developing an individual program of rehabilitation or habilitation (IPRН) and evaluating the results of its implementation.
 AIM: Assess the need of persons recognized as disabled for rehabilitation measures, analyze the organization of interdepartmental interaction of institutions for medical and social examination and rehabilitation of disabled people at the regional level.
 MATERIALS AND METHODS: A retrospective analysis of the needs of persons recognized as disabled for rehabilitation measures within the framework of IPRH for five years (2018–2022) was carried out according to the Federal state information system “Uniform automated vertically integrated information and analytical system on conducting medico-social examination” of Main Bureau of Medical and Social Expertise in Perm Territory, forms Federal State Statistical Observation № 7-Sobes “Information on the medical and social examination of persons aged 18 years and older”, № 7-D (Sobes) “Information on the medical and social examination of children under the age of 18”. The indicators of the effectiveness of rehabilitation based on the results of re-examination at the ITU bureau were studied, and an analysis of organizational technologies of interdepartmental interaction on issues of rehabilitation or habilitation of disabled people in the region was given. Statistical data processing was carried out using Microsoft Office Excel 2010.
 RESULTS: The analysis showed that, against the backdrop of a high need for medical rehabilitation, in the region there were higher indicators of the need for disabled people in social rehabilitation measures, technical means of rehabilitation, and information on adaptive physical education and sports compared to the Russian average. An assessment of the effectiveness of the implementation of rehabilitation measures shows that in 2022 it was almost possible to achieve the level of indicators of 2019 (“pre-Covid”) for both children and adults. As part of interdepartmental interaction, specialists from the main bureau and executive authorities, branches of the Social Fund of Russia, the Center for Comprehensive Rehabilitation of Disabled People, and public organizations quickly resolve problematic issues, conduct training seminars and conferences, and organize interdisciplinary research.
 CONCLUSION: The study made it possible to identify regional features of the structure of the need of persons with disabilities for rehabilitation or habilitation measures, as well as to analyze organizational approaches and technologies of interdepartmental interaction between the Main Bureau of Medical and Social Expertise and institutions subject to rehabilitation.

Опыт ортезирования при позвоночно-спинномозговой травме (случай из практики)

Relevance Traumatic spinal cord injury is a complex, urgent and multidisciplinary problem with a high percentage of disability and subsequent social exclusion. Treatment of neuroorthopedic pathologies is often associated with the need to use technical means of rehabilitation. The objective was to develop a successful orthosis for a patient with severe spinal cord injury. Material and methods The article describes a clinical case of a 16-year-old female patient with the outcome of a severe concomitant injury: lower paraplegia, sensory disturbances in the lower extremities and pelvic organ function. MRI of the spinal cord revealed cystic-glial changes and atrophy of the spinal cord at the Th10-12 level. Results and discussion With clinical signs of paraplegia and a complete spinal cord injury according to the instrumentation findings, the patient had poor prognosis for the recovery of motor functions in the lower limbs. One of the main tasks of medical rehabilitation of patients with spinal cord injury is the activation of movements and restoration of locomotion. The Hip-Knee-Ankle-Foot Orthosis (HKAFO) manufactured at the Center was intended for unloading, replacement and fixation. The device was light and strong due to greater use of carbon layers, equipped with functional hinges to prevent development of contractures, had a high corset for external stabilization of the body and double knee splint for safe standing. Conclusion For the paraplegic patient, the opportunity to stand and walk with the support using successful orthosis was important from both physical and psychosocial perspectives and allowed correction of contractures in the catamnesis.

Euthanasia and palliative care in pulmonology

Background: Currently, euthanasia is officially allowed only in a number of countries, in most countries, as well as in the Russian Federation, it is prohibited by law. However, in clinical practice, there are a large number of incurable patients who experience intractable pain, so the problem of euthanasia is relevant.
 Aim: to analyze the current state of the problem of euthanasia and palliative care in pulmonology.
 Material and methods: review of domestic and foreign literature on the problem of euthanasia over the past 10 years has been carried out. Literature search was carried out using the e-library and PubMed databases.
 Results: We present a medical and philosophical perspective. Currently, euthanasia (Greek "good death") is a way to quickly and painlessly die if there is a serious illness that is incurable, suffering and pain. The best and perhaps the only alternative to euthanasia is palliative care. In pulmonology, palliative care focuses on early detection of respiratory failure, dyspnea, fear and pain relief. The effective organization of palliative care in respiratory medicine depends on the well-coordinated work of pulmonologists, physiotherapists, nurses, and psychologists.
 Conclusion: The problem of euthanasia to date still remains controversial from both medical and ethical points of view. The adoption of euthanasia by law may be a deterrent to governments from funding research into new treatments. The risk of abuse of euthanasia in order to obtain organs for transplantation or to get rid of seriously ill burdensome relatives cannot be ruled out. It is necessary to consider the issue of introducing additional educational cycles on the issues of modern achievements in palliative medicine, technical means of rehabilitation and the peculiarities of their use in patients with various diseases in the terminal stage in the training of doctors and nurses.

Digital smart home technologies for the disabled people and people with disabilities

The author analyzes and presents the latest technologies in the field of assistance to persons with disabilities. The developments of the Istok-Audio group of companies, engaged in the development and production of modern technical means of rehabilitation for people with disabilities, were considered. Namely, the article presents devices for household adaptation of deaf and hard of hearing people— a Smart home system that can not only improve the quality of life of people with disabilities, but also make it complete and safe.

Особенности медицинской реабилитации при недифференцированной дисплазии соединительной ткани

A pronounced prevalence of connective tissue dysplasia is recorded in the population. This connective tissue (CT) pathology is represented by hereditary and polygenic multifactor disorders in the CT development. The latter disorders are considered within the framework of undifferentiated variants of CT dysplasia. Undifferentiated dysplasia of CT (UDCT) is observed in 10–30% of the population; some authors believe that the frequency of individual signs of UCTD is much higher and is observed in 84.5% of the population. The use of various orthoses stabilizing the joints and spine in patients with UCTD was considered expedient. Patients with UCTD need an individual approach to the appointment of therapeutic gymnastic, sports exercises, as well as games. Physiotherapy with ultrasound, constant pulsed currents, sinusoidal modulated currents, and hydrotherapy is used to relieve pain in the muscular-articular syndrome. It is advisable to use manual therapy and acupuncture. Medical massage (vacuum, manual) is actively used. Thus, with UCTD, it is necessary to prescribe physiotherapy exercises, manual therapy, physiotherapy, therapeutic massage, reflexology, and it is also advisable to select technical means of rehabilitation.

Development of non-invasive methods and technical means for diagnosing posture disorders and spinal deformities

The purpose of this paper is to review the existing non-radiation methods and systems for diagnosing postural dis- orders and spinal deformities. Materials and research methods. Search for scientific articles on the database platforms „Web of Science“, „Scopus“, PubMed, Cochrane Library, eLIBRARY, CYBERLENINKA and using the Google Scholar search engine for keywords and phrases: three-dimensional gait analysis, dynamic sagittal balance, spinal kinematics, deformity spine, global sagittal alignment, degenerative lumbar kyphoscoliosis, posture, movement. Results. When analysing information on methods and systems for non-radiological diagnostics of postural disorders and spinal deformities, attention was primarily paid to the possibility of using such information for examination in dynamics; repeatability of results, their accuracy and reliability; correlation of the results of indirect determination of the Cobb angle to its true value, measured from the radiograph. An overview of the diagnostic possibilities and technical features using the methods of: moiré topography, raster stereography, laser scanning, three-coordinate electrogoniometry, portable (wearable) devices, marker video capture of motion. A compara- tive analysis of the methods of non-radiation diagnostics of spinal deformities is presented, considering their advantages and disadvantages. Conclusion. The method of marker video capture of motion is the closest to X-ray in terms of the reliability of the results of the assessment of the musculoskeletal system with the possibility of conducting tests in dynamics to assess the mobility of the spine, in the selection and adjustment of technical means of rehabilitation. But video analysis is characterized by the complexity of the survey, data processing and analysis. For long-term monitoring, portable devices are more suitable, but in terms of the reliability of diagnostic results, they are inferior to systems based on the motion capture method.

New approaches to the question of training for the system of comprehensive rehabilitation and habilitation of disabled

The article reveals the issues of personnel training for the formation of a system of comprehensive rehabilitation and habilitation of disabled / disabled children, early assistance to children and their parents, accompanied living, social and vocational rehabilitation, psychological rehabilitation, technical means of rehabilitation of disabled people. The purpose and main task of our research is to study the issues of personnel training from the standpoint of regulatory, scientific, methodological and practice-oriented support. The presented materials are relevant and significant at the present time. In the light of the modernization of federal and regional legislative acts, the need to provide quality assistance to persons with disabilities is increasing, which in turn requires the training of highly qualified personnel. The materials of the article use statistical data on the needs of all constituent entities of the Russian Federation in the preparation of their leaders and leading specialists for the implementation of these types of activities. The study analyzes the need for training personnel for the education system, health care, and social protection. The value of the materials presented will make it possible to develop new technologies and approaches to the personnel training system. The areas of work given in the article are of great practical value and indicate that the technologies offered by Saint-Petersburg Postgraduate Institute of Medical experts, employees are effective and can be multiplied on the territory of the Russian Federation. In the process of further research, it is planned to develop professional standards for specialists in the education system, health care and social protection in the field of comprehensive rehabilitation and habilitation of disabled people / disabled children, early assistance to children and their parents, accompanied by living, social and vocational rehabilitation, psychological rehabilitation, technical means of rehabilitation disabled people.

Обзор программ реабилитации детей с ограниченными возможностями здоровья в г. Ош Киргизской Республики и перспективы применения МКФ

The article provides an overview of rehabilitation programs for children with disabilities in Osh (Kyrgyz Republic) and the prospects for the introduction of ICF into the system of rehabilitation of persons with disabilities based on the analysis of certain medical and social expertise indicators and the prescription of rehabilitation programs for children under 18 years living in the city Osh. The relevance of the study is determined by the high rates of disability among children and the lack of similar research in the Kyrgyz Republic. Over the years of the study (2018–2020) there is an upward trend in repeated disability among children: in 2018 — 62.4%, in 2019 — 64.0%, in 2020 — 73.9%, with a corresponding growth rate in 2019 (−8.2%) and in 2020 (+18%), and in relation to 2018 (+8.2%). One of the reasons for the revealed trend is the low effectiveness of rehabilitation programs for children with disabilities. The analysis of types of rehabilitation (medical, educational, vocational, and technical means of rehabilitation) reveals existing risks and problems caused by outdated rehabilitation technologies without unified coordination and monitoring. It is suggested to introduce the ICF into the rehabilitation system as a tool for coordination and monitoring to improve the effectiveness of rehabilitation programs for children.

Use of Silicone Materials in Modern Structures of Highly Functional Technical Means of Rehabilitation

The choice of silicone materials for manufacturing of technical means of rehabilitation of high functionality has been validated. Comparison of physical mechanical properties of domestically produced high-temperature silicones with the materials produced by leading European companies has been carried out. The use of the particular brand of domestically produced high-temperature silicones is recommended according to strength and elastic properties for different groups of products. Efficiency of use of high-temperature silicones in manufacturing of components for prostheses, including bionic ones, has been specified.

АНАЛИЗ КАЧЕСТВА И ДОСТУПНОСТИ МЕДИКО-СОЦИАЛЬНОЙ ПОМОЩИ (ПО РЕЗУЛЬТАТАМ СОЦИОЛОГИЧЕСКИХ ИССЛЕДОВАНИЙ)

For older people and people with disabilities, not only medical, but also social assistance is extremely important. As a result of sociological surveys of the population of the Russian Federation in 2015, 2017, 2019, it was determined that the share of respondents (people over working age and people with disabilities) who are provided with social services free of charge (almost half of those surveyed in 2019) is increasing. However, the share of respondents who are completely satisfied with the quality of social services is declining. The share of respondents who are only partially satisfied with the quality is increasing. The vast majority of respondents (persons above working age and people with disabilities) have gained the necessary facilities at their own expense, with an equal proportion among the urban and rural population. An analysis of responses about an individual program of medical rehabilitation measures developed for a people with disabilities revealed an increase in the proportion of respondents who are suitable for this program, taking into account their health status (from 57.1% in 2015 to 65.2% in 2019). There is a decrease in the share of respondents who indicated the presence of deficiencies in the provided technical means of rehabilitation and/or the procedure for obtaining them (from 31.0% in 2015 to 28.2% in 2019). As the main shortcomings, the respondents indicated: "difficulty and laboriousness of obtaining", "inadequate quality", "waiting time for receiving funds". Relatives (acquaintances) are sources of necessary medical or sanitary and hygienic procedures for people over working age and disabled people; the overwhelming majority of those surveyed are satisfied with such procedures.

Организационно-методические аспекты подбора кресла-коляски для детей с ДЦП

The article gives definitions to the concepts of "rehabilitation", "habilitation", "individual rehabilitation program", "technical means of rehabilitation". The statistical data on primary disability of children with cerebral palsy in the city of Khabarovsk for the period 2016–2020 are presented. The characteristics of a wheelchair with additional fixation for patients with cerebral palsy are given. The requirements for the provision of disabled people with technical means of rehabilitation (wheelchairs) are noted, the principles of selection and the tasks that must be solved when using them are indicated. The method of correct determination of the parameters of the wheelchair is presented to help doctors of medical organizations in the preparation of referral documents for medical and social examination

АНАЛИЗ НОРМАТИВНО-ПРАВОВОЙ БАЗЫ УЧРЕЖДЕНИЙ МЕДИКО-СОЦИАЛЬНОЙ ЭКСПЕРТИЗЫ В УСЛОВИЯХ ПАНДЕМИИ (COVID-19)

The article analyzes regulatory framework governing performance of medical and social expertise (MSE) facilities in the Republic of Bashkortostan. The paper uses methods of copying information from primary and reporting medical documents and logical analysis of regulatory documents. In the conditions of the COVID-19 pandemic, activities of MSE facilities are guided by the Temporal procedure for examination. The Procedure guides establishment of disability, development of rehabilitation or habilitation programs for the disabled (disabled children), as well as determination of the degree of loss of professional ability to work as a result of industrial accidents and occupational diseases, and development of rehabilitation programs for victims of industrial accidents and patients with occupational diseases. The examination is carried out in absentia, without presence in person. Also, the Order of the Ministry of Labor of the Russian Federation No. 979n dated 12/30/2020 approved the "Procedure for organization and performance of federal institutions of medical and social expertise", stipulating the rules, sequence and timing of the provision of MSE services to the citizens. The Order of the Ministry of Labor of the Russian Federation No. 106n dated 05.03.2021 approved the "List of indications and contraindications for providing the disabled people with technical means of rehabilitation", which has introduced a number of changes to the technical means of rehabilitation of the disabled people. The main feature of the MSE procedure was the automatic extension of disability for 6 months if there is no referral for examination (form 088/y) from a health care facility. In the framework of the Temporal Procedure, disability was automatically extended for 29,624 citizens in 2020 (38.0% of the total number of examinations), and 31442 citizens for the six months of 2021 – (70.0% of the total number of examinations). Further improvement of the legislative complex during the taugh epidemiological situation becomes an essential element of the legal regulatory process in order to restore social justice for the most socially vulnerable segments of the population in urgent need of the state legal protection under the current difficult circumstances.

Rehabilitation equipment

Technical means of rehabilitation (TMR) include special devices and mechanisms are intended to compensate or completely eliminate persistent disabilities in individuals with limited physical and mental capabilities and aimed at normalizing physical and work activity. They include special means for self-care and care, means for orientation in space, devices for communication and information exchange, materials for training and education, as well as devices for engaging in work activities. Rehabilitation equipment also includes all types of prostheses, orthopedic shoes and special clothing, eye prostheses and hearing aids, special sports equipment and sport outfit, as well as mobility aids (wheelchairs). They all have a single purpose, which is to facilitate the daily life of handicapped people and people with disabilities. Provision of this category of persons with technical means of rehabilitation is carriedout on the basis of individual programs. Federal Law of November 24, 1995 No. 181-FZ “On the Social Protection of Persons with Disabilities in the Russian Federation” guarantees free provision of technical rehabilitation means at the expense of the federal budget to the disabled people [6] in the Russian Federation.

Modern aspects of social protection of combatants depending on the severity of disability

The urgency of the problem is due to the significant increase in recent years in the number of young and middle-aged people who have passed the war, the need to develop adequate measures of social assistance and protection. An important task in the organization of the rehabilitation process is to determine the structure of the needs of servicemen with disabilities in various types of medical and social care and the development of individual rehabilitation programs (IRP) based on them. The purpose of the study: to determine the structure of the needs of servicemen with disabilities in medical and social rehabilitation depending on the severity of disability. Statistical data from 25 administrative territories of Ukraine for 2018 are analyzed, the needs of participants of military service with disabilities in medical and social rehabilitation measures, their structure are calculated. The data of the information base of the centers and the bureau of medical and social examination of the regions were used. Processing of the primary material was performed using the universal statistical package "Excel". In 2018, medical and social expert commissions (MSEC) of Ukraine for the first time and re-certified and recognized persons with disabilities 7843 combatants. Of these, disability of group I (IA and IB) was established in 2.6 %, II – in 29.2 %, III – in 68.2 % of cases. All victims for MSEC were formed IRP. The dependence of the needs of combatants in medical and social rehabilitation measures on the severity of disability has been established. For persons with disabilities of groups II and III, priority is given to medical and professional rehabilitation, group I – social rehabilitation and technical means of rehabilitation with medical support. Of the medical rehabilitation services for persons with II and III groups of disability, sanatorium treatment is significant, and group I – rehabilitation therapy. Among vocational rehabilitation services, employment in production conditions is important – for persons with group III disabilities, in specially created conditions – for persons with group II disabilities, at home – for persons with group I disabilities. Vocational training was offered to a small number of people with disabilities of all groups. Among social rehabilitation services and technical means of rehabilitation, the services of social workers of territorial social service centers were significant for representatives of all disability groups, simpler means of transportation for persons of group III disability and more complex means for persons of group I. Determining the characteristics of the needs of servicemen with disabilities depending on its severity allows MSEC specialists to better form the IRP, develop targeted rehabilitation programs at the regional level, assess shortcomings in the organization of the rehabilitation process and build a rehabilitation system for combatants.

Ранняя протезно-ортопедическая помощь как основа медицинской реабилитации детей с врождёнными и ампутационными дефектами нижних конечностей

Introduction The quality of medical rehabilitation and habilitation of children with lower limb defects depends on early prosthetic and orthopedic care. Purpose Analysis of the provision of prosthetic and orthopedic care for children with orthopedic pathology of the lower extremities at the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht. Methods The results of rehabilitation and habilitation of 261 children with orthopedic pathology of the lower extremities were studied. Methods of clinical examination, radiography, physiological and biomechanical study were applied. Statistical analysis was carried out. Results In 261 cases studied, the causes of defects were congenital anomalies (82 %) and amputation defects (18 %). Surgical preparation for prosthesis application was performed in 85 cases (33 %). More than half of the patients who sustained interventions had a defect at the hip level. The anatomical and functional features of stumps in children with abnormal development of the lower extremities were studied and the principles of prosthesis and orthosis application were developed. Discussion Delay in prosthesis application leads to negative effects on the child's body. The supply of children with technical means of rehabilitation is not regulated in due manner by the current legislation, which leads to the complexity of the purpose of the product and the delay in the timing of prosthesis and orthosis fitting. Early prosthetic and orthopedic care for children with orthopedic pathology of the lower limb is a prerequisite for normal development of their growing body. Due to subjectivity of child's assessment of the results of prosthetic fitting, there is high risk of secondary deformities of the child's musculoskeletal system; for children using limb prostheses and orthoses, it is necessary to use an objective instrumental assessment of the results of prosthesis application; dispensary observation; monitoring of motor loads and the technical condition of the prosthesis. Early prosthetic and orthopaedic assistance to children should be conducted not only according to the rules of registration of the individual program for rehabilitation and habilitation (IPRH), but also followed to disability with the aim of preventing the development of complications, injuries, diseases of the musculoskeletal system, and impairment of functional disorders.

Legal regulation of organization and provision of rehabilitation assistance to anti-terrorist operation/joint forces operation participants

Purpose of the study. Investigate the current legal mechanisms for organizing and providing rehabilitation assistance to participants and victims of the armed conflict in the eastern regions of Ukraine.
 Materials and methods. To achieve these goals, a standard methodological apparatus for scientific research was used: bibliosemantic, for the analysis of periodical literature, and content analysis, for the analysis of legal documents.
 Results. As stated in the regulations, one of the main responsibilities of the state is to ensure the social protection of participants in the armed conflict in the east of the country. To fulfill this function, a number of laws and regulations have been enacted at the legislative levels, which are constantly being revised to improve social, medical and psychological care for participants in the joint force operation (anti-terrorist operation) and its victims. Comprehensive assistance to disabled military personnel and combatants includes statutory guarantees and procedures for their rehabilitation and adaptation. This list includes medical rehabilitation (provision of medical care, including prosthetics and orthoses, provision of technical means of rehabilitation); psychological rehabilitation; social rehabilitation; vocational rehabilitation.
 Conclusions. In Ukraine, there is a welldeveloped legal regulation of the process of providing rehabilitation assistance to participants in the armed conflict in the eastern regions of Ukraine. Organizational mechanisms for rehabilitation are constantly being improved: the International Classification of Functioning, Restriction of Life has been introduced; qualification characteristics of rehabilitologists and rehabilitation specialists, occupational therapists, physical therapy assistants and occupational therapists have been developed. It has been established that there are no unified protocols for medical rehabilitation in Ukraine: only a protocol of measures for post-traumatic stress disorder has been developed. A «road map» for medical care, reparative treatment and rehabilitation measures in health care facilities is available and applicable.

Orthopedic services as a tool of medical rehabilitation of patients with foot drop syndrome

Objective To study the features of the rehabilitation of patients with foot drop syndrome and to develop recommendations for the appointment of technical means of rehabilitation (TMR) for this pathology. Material and methods Retrospective analysis of the survey data of 375 patients in need of lower limb orthosis was carried out. General clinical and biomechanical methods were used to study the disturbances of statodynamic function of the musculoskeletal system. Results and conclusion The results confirm that patients with foot drop syndrome have disturbances of support, stability, symmetry and rhythmicity of walking and, as a result, a significant deterioration in the quality of life. It has been established that the patients is not fully provided with orthoses and orthopedic shoes appointed to compensate for impaired function. Practitioners and rehabilitation specialists have difficulties in substantiating the needs and recommendations of TMR for a particular patient. The presented medical and technical requirements for product designs, the methodology for determining the need for them and recommendations for the appointment of TMR will contribute to the successful rehabilitation of patients with foot drop syndrome.

Orthopedic services as a tool of medical rehabilitation of patients with foot drop syndrome

To study the features of the rehabilitation of patients with foot drop syndrome and to develop recommendations for the appointment of technical means of rehabilitation (TMR) for this pathology. Retrospective analysis of the survey data of 375 patients in need of lower limb orthosis was carried out. General clinical and biomechanical methods were used to study the disturbances of statodynamic function of the musculoskeletal system. The results confirm that patients with foot drop syndrome have disturbances of support, stability, symmetry and rhythmicity of walking and, as a result, a significant deterioration in the quality of life. It has been established that the patients is not fully provided with orthoses and orthopedic shoes appointed to compensate for impaired function. Practitioners and rehabilitation specialists have difficulties in substantiating the needs and recommendations of TMR for a particular patient. The presented medical and technical requirements for product designs, the methodology for determining the need for them and recommendations for the appointment of TMR will contribute to the successful rehabilitation of patients with foot drop syndrome.

Technology of designing and manufacturing clothing for physical disabilities as a technical means of rehabilitation

Technology of designing and manufacturing clothing for physical disabilities as a technical means of rehabilitation