Medical and Social Expert Evaluation and Rehabilitation

The article analyzes the activities recommended for medical, professional, and social aspects of rehabilitation in individual rehabilitation programs and the results of their implementation.

The study objective was devoted to rehabilitation of disabled people after interscapular-thoracic resection. The results of the rehabilitative therapy and ORTO-treatment are presented. The construction of the orthopaedic device «Exoskeleton» for the upper extremity, which is used after the interscapular-thoracic resection is described, the novelty of which is confirmed with a useful model patent. The results of the orthopaedic provision were studied in various physiological and biomechanical investigations. Clinical observations as well as the accomplished studies corroborate the rational character of patient treatment with the ORTO devices. Elimination of functional and cosmetic defects ensures complete social rehabilitation and integration in the society.

Annual number of disabled due to cancer increased by 71.2% in 10 years of observation (2000-2009) in the Belgorod region. Their share increased from 6 to 11.7% of the total re-registered as disabled. In 2009, the malignancy as a cause of disability was ranged 2 after diseases of the circulatory system. Re-registered population of disabled due to malignant tumors formed mainly middle-aged (53.5%) and younger (31.2%) of working age, disabled of II and III groups (respectively 48.8 and 40.1%). With age, the heavier re-install of disability. Installed negative trend levels, patterns and trends of adults re-disability due to malignant neoplasms suggests the relevance and high medical and social and economic importance of the problem.

It has been estimated that the number of newly registered disabled due to coronary heart disease among all age groups in the Kemerovo region decreased, as well as in the Russian Federation. In Kemerovo region proportion of coronary heart disease among other diseases of the circulatory system in the period under review declined, despite the fact that in Russia the rate was relatively stable. Among newly registered disabled due to ischemic heart disease prevailed people of retirement age. During the analyzed period, the structure of disability groups by 2010. There have been changes in the ratio of II and III group of disabled in favor of the latter. A proportion of people with disabilities in group I was consistently low.

The analysis of Commission examinations performed in the Moscow regional Bureau of forensic medical examination in 1992 2011, about adverse outcomes of medical assistance to victims from height falling The structure and causes of defects of rendering medical aid to the victims at the stage of the ambulance, hospital and rehabilitation stages of doctors of different specialties has been studied.

Speech examination has been conducted on junior school children with general speech underdevelopment, phonetic-phonematic and phonematic disorders, psychological parameters were studied using Wechsler, Schulte, Philos, Eysenck, Lusher tests. Complex nature of the violations involving both cognitive and psycho-emotional sphere of children, which has been found out, justified the need for psycho-correction by speech therafy for children with the characteristics of speech disorders.

Needs of disabled people with reduced mobility to adapt to a wheelchair have been assessed. It has been found that people with disabilities with the pathology of the musculoskeletal system need training skills of effective and safe use of a wheelchair in amounts that depend on the nosology, sex and age characteristics of the population. Proposed organizational solution to training in the use of technical means of rehabilitation.