PROBLEMS AND PROSPECTS OF PHYSICAL REHABILITATION OF PATIENTS WITH PELVIC ORGAN DYSFUNCTION AS A RESULT OF SPINAL CORD INJURIES IN UKRAINE

Abstract

The article presents the results of a review of the literature on the problem and attempts to give an assessment of the existing forecasting methods to describe the problem fi eld of the system of physical rehabilitation of people with dysfunction of the pelvic organs as a result of spinal cord injury. The research used theoretical analysis and synthesis, comparison of methods, documentary method. It was revealed that the main areas of research in the fi eld of rehabilitation of people with spinal cord injuries include: rehabilitation in acute injuries, medical rehabilitation, rehabilitation interventions during spa treatment, rehabilitation process and implementation of new approaches to it. The insuffi ciently improved system of rehabilitation of people with pelvic organs dysfunction as a result of spinal cord injuries at remote stages of treatment requires search and introduction of modern, mobile, accessible and eff ective forms and programs of active rehabilitation. Effi ciency of rehabilitation depends on rational coordination of many specialists. It actualizes the issue of work of multidisciplinary teams in medical institutions providing both primary care of such patients and their support throughout the rehabilitation process. It is emphasized that the process of rehabilitation and social adaptation of patients with pelvic organs dysfunction as a result of spinal cord injuries should include appropriate rehabilitation measures and technologies that would adapt the patient to everyday, domestic and professional conditions by improving the quality of life. It is proved that this problem is still relevant and the issue of integrated use of rehabilitation measures in the process of rehabilitation treatment requires new scientifi c developments that will help to reduce the number of negative consequences of the disease that aff ect the quality of life of patients. At the present stage there is a need for further research on the development of predictive factors of the level of functional recovery of the pelvic organs in patients with spinal cord injury, which will be the basis for choosing the strategy of rehabilitation measures and technologies to ensure the optimal correlation of the costs of the health system and the eff ectiveness of rehabilitation measures in terms of improving the quality of life of patients.