Physical and rehabilitation medicine, medical rehabilitationPhysical and rehabilitation medicine, medical rehabilitation2658-68432949-1436Eco-Vector11241310.36425/rehab112413Research ArticleAssessment of rehabilitation in children with infectious diseases of the lower respiratory tract using the categories of the International Classification of Functioning, Disability and HealthMelnikovaElena V.<p>MD, Dr. Sci. (Med.)</p>melnikovae2002@mail.ruhttps://orcid.org/0000-0002-2076-4062IvanovaGalina E.<p>MD, Dr. Sci. (Med.), Professor</p>reabilivanova@mail.ruhttps://orcid.org/0000-0003-3180-5525UskovAlexander N.<p>MD, Dr. Sci. (Med.), Professor</p>aouskov@gmail.comhttps://orcid.org/0000-0003-3185-516XSkripchenkoNatalia V.<p>MD, Dr. Sci. (Med.)</p>snv@niidi.ruhttps://orcid.org/0000-0001-8927-3176KhasanovaNina M.<p>MD, Cand. Sci. (Med.)</p>khasanovanina@rambler.ruhttps://orcid.org/0000-0003-0729-3726KudryavtsevAlexander V.ispha09@gmail.comhttps://orcid.org/0000-0001-8902-8947ShergoldEkaterina Yu.katrinsher@mail.ruLepikhinaTatyana G.<p>Junior Research Associate</p>side-tf@yandex.ruPediatric Research and Clinical Center for Infectious DiseasesSaint-Petersburg Medico-Social InstituteThe Russian National Research Medical University named after N.I. PirogovFederal Center of Brain Research and NeurotechnologiesFederal Research and Clinical Center of Intensive Care Medicine and RehabilitologySaint-Petersburg State Pediatric Medical UniversityNorthern State Medical UniversityArkhangelsk City Clinical Polyclinic No. 209122022442232330711202215112022Copyright © 2022, Eco-Vector2022<p><strong><em>BACKGROUND</em></strong><em>:</em> Solving the issues of rehabilitation of children after lower respiratory tract infections requires putting up rehabilitation diagnoses in the categories of the International Classification of Functioning, Disabilities and Health (ICF).</p>
<p><strong><em>AIMS</em></strong><em>:</em> The study aimed to define the key problems in the ICF categories and make quantitative and qualitative assessments of the changes in the ICF domains in convalescent children with infectious diseases of the lower respiratory tract at the outpatient stage and in one month after the disease.</p>
<p><strong><em>MATERIALS AND METHODS</em></strong><em>:</em> The assessment of rehabilitation was performed using the ICF categories for 201 convalescent children with lower respiratory tract infections.</p>
<p><strong><em>RESULTS</em></strong><em>:</em> Most of the patients had significant impairments in the following functions: b134 Sleep functions; b152 Emotional functions; b280 Feeling of pain; b440 Respiratory functions; b450 Additional respiratory functions; b455 Exercise tolerance function; b460 Sensations associated with cardiovascular and respiratory functions; b730 Muscle strength functions; b740 Muscular endurance functions; b780 Sensations associated with muscles and motor functions, both at the time of discharge from the hospital and a month after the discharge. Environmental factors (e115 Products and technologies for personal use in daily life; e225 Climate; e260 Air quality; e310 Close relatives; e355 Medical workers; e410 Relationships with immediate family members; e450 Relationships with medical workers; e580 Medical services; e585 Services in education and training) were shown to have an influence on rehabilitation process.</p>
<p><strong><em>CONCLUSION</em></strong><em>:</em> The identified range of functioning disorders and the influence of environmental factors indicates the need for medical rehabilitation for convalescent children with lower respiratory tract infections. The rehabilitation should be multidisciplinary and involve psychological and pedagogical techniques, work with the family, and motor rehabilitation techniques to restore workload tolerance.</p>childrenrehabilitationinfectious diseasesrespiratory diseasesthe International Classification of Functioning Disability and HealthICFbiopsychosocial diseases modelpersonalized approachдетиреабилитацияинфекционные заболеваниязаболевания дыхательных путейМеждународная классификация функционирования и ограничений жизнедеятельностиМКФбиопсихосоциальная модельперсонифицированный подход[International Classification of Functioning, Disability and health: 54th session of the Assembly of the World Health Organization on May 22, 2001. WHO Library Service. Saint Petersburg Institute of Advanced Training of Medical Experts of the Ministry of Labor and Social Development of the Russian Federation; 2003. 228 p. (In Russ).][Melnikova EV, Buylova TV, Bodrova RA, et al. The use of the international classification of functioning (ICF) in outpatient and inpatient medical rehabilitation: instructions for specialists. Vestnik vosstanovitelʹnoj mediciny. 2017;(6):7–20. (In Russ).][On the state of sanitary and epidemiological welfare of the population in the Russian Federation in 2018. State report. Moscow: Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; 2019. 254 p. (In Russ).][Lobzin YuV, Konovalova LN, Skripchenko NV. The state of infectious morbidity in children in the Russian Federation. Extreme medicine. 2017;60(2):8–22. (In Russ).][Cho J, Park H, Kang D, et al. Rehabilitation in critically ill children: findings from the Korean National Health Insurance database. PLoS One. 2022;17(3):e0266360. doi: 10.1371/journal.pone.0266360][Melnikova EV, Khasanova NM, Chuprova SN, et al. Medical rehabilitation and infectious diseases in children. Extreme medicine. 2021;23(4):55–64. (In Russ). doi: 10.47183/mes.2021.043][Galkin VA. Internal diseases. 3rd ed., revised and updated. Moscow: Medicine; 1987. 400 p. (In Russ).][Clinical recommendations. Pneumonia (community-acquired). The Union of Pediatricians of Russia; Interregional Association for Clinical Microbiology and Antimicrobial Chemotherapy; 2022. 82 p. (In Russ). Available from: https://www.antibiotic.ru/files/334/kr-mz-vp-deti2022_714.pdf. Accessed: 02.09.2022.][Levchenko NV, Bogomolova IK, Chavanina SA. Results of catamnestic observation of children after influenza A/H1N1/09. Zabaikal’skii meditsinskii vestnik. 2014;(2):23–27. (In Russ).][Nemkova SA. Modern approaches to the treatment of postinfectious asthenia in children and adolescents. Pediatria named after G.N. Speransky. 2016;95(6):199–204. (In Russ).]