Russian Journal of Physiotherapy, Balneology and Rehabilitation最新文献

{"title":"Personalized physiotherapy of patients with late complications after the introduction of lip fillers","authors":"I. Aksenenko, M. Gerasimenko","doi":"10.17816/rjpbr119817","DOIUrl":"https://doi.org/10.17816/rjpbr119817","url":null,"abstract":"BACKGROUND: Lip contouring with preparations based on synthetic hyaluronic acid is one of the most popular cosmetic procedures. But in recent years, there has been an explosive increase in the number of complications. There are many physiotherapeutic methods for the treatment of late complications of lip contouring. However, currently there are no differentiated approaches to the choice of physiotherapy techniques and their combination with each other, depending on the nature of the filler and the clinical and functional picture of the complication. \u0000AIM: to develop and evaluate the use of personalized physiotherapy in patients with complications after the introduction of lip fillers, taking into account their genetic predisposition. \u0000MATERIAL AND METHODS: The study involved 52 patients aged 3042 years with a diagnosis of \"L57.4 Senile atrophy (lethargy) of the skin\", who received late complications (local swelling, dry and pale lip skin, filler contouring, soreness, sensitivity change) at the filler injection site. All patients underwent genetic testing on the Cosmetology panel before the start of treatment. There were 3 groups that received physico-pharmacological methods: laserophoresis of longidase, diadinamophoresis of collagenase or a combination of them in the lip area at the filler injection site. \u0000RESULTS: When analyzing the data after the course of treatment, patients with the combined protocol showed a significant improvement in the quality of life, both in the near and long-term research period. This was expressed in a statistically significant decrease in intradermal edema, rapid regression of pain syndrome and more accelerated biodegradation of the superficially injected filler in the main group compared to other study groups/ \u0000CONCLUSION: In patients with late local complications after the introduction of hyaluronic acid fillers, the combined protocol with the inclusion of laser-phoresis of longidase and collagenase diadinamophoresis significantly shortens the recovery period, contributes to a faster reduction of local edema, pain, neuropathy phenomena, accelerated biodegradation of the superficially injected filler, and also allows for a stable clinical result. Personalized physiotherapy is an effective factor in relieving complications after lip contouring.","PeriodicalId":226051,"journal":{"name":"Russian Journal of Physiotherapy, Balneology and Rehabilitation","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132037243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of non-drug methods in rehabilitation programs to improve the quality of life of patients after lower limb joint endoprosthetics","authors":"S. N. Kolbakhova, E. Koneva, T. Khaptagaev, R. N. Strukov","doi":"10.17816/rjpbr116356","DOIUrl":"https://doi.org/10.17816/rjpbr116356","url":null,"abstract":"BACKGROUND: All over the world, osteoarthritis is a common disease and accounts for 10% of all diseases in the population, and therefore, the frequency of large joint arthroplasty continues to increase, which determines the need to develop new methods of complex treatment in the rehabilitation of patients after arthroplasty operations. \u0000AIM: Scientific substantiation of the expediency of the complex use of a stabilometric multifunctional platform with biofeedback and light therapy in patients after arthroplasty of the joints of the lower extremities to improve the quality of life in the late recovery period. \u0000MATERIAL AND METHODS: 60 patients were examined three months after total joint replacement of the lower limb at the age of 55 to 75 years. All patients were randomly divided into three groups of 20 people comparable in terms of clinical and functional characteristics. Patients of the main group were exposed to monochromatic polarized incoherent light and underwent physical training using a stabilometric complex with biofeedback COBS (mtd-Systems, Germany), in the comparison group, patients received therapeutic exercises on a stabilometric simulator with biofeedback, patients the control group received only a standard rehabilitation complex and drug therapy, which served as a background in the main group and the comparison group. \u0000RESULTS: Prior to the start of treatment, when analyzing the indicators of static and dynamic stabilometric studies, an uneven distribution of the load was established during tests with a preponderance towards the healthy leg. After a course of treatment, patients of all groups showed statistically significant positive results, however, a more pronounced improvement in indicators was observed in patients of the main group, less pronounced, but statistically significant results were obtained in the comparison group, and insignificant positive dynamics was noted in patients of the control group. When studying the quality of life and the effectiveness of treatment according to the EQ-5D questionnaire in the examined patients in the initial state, the indicator averaged 6.60.8 points. After the course of treatment, patients of the main group showed a statistically significant decrease in the scores of the EQ-5D questionnaire from 6.70.9 points in the initial state to 4.20.9 (p 0.001), which lasted up to 6 months. In patients of the comparison group, in all periods of observation, a decrease in the indicator was also noted, but less pronounced, in patients of the control group ― only a positive trend. The findings were supported by the results of the Hospital Anxiety and Depression Scale (HADS). \u0000CONCLUSION: The use of a comprehensive rehabilitation program with the inclusion of a stabilometric platform with biofeedback and polarized light \"Bioptron\" contributes to a marked improvement in the state of balance, balance and coordination abilities of patients, normalization of muscle tone, a significant reduction in anxiety","PeriodicalId":226051,"journal":{"name":"Russian Journal of Physiotherapy, Balneology and Rehabilitation","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126669836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variable electromagnetic fields in physiotherapy of diseases of the musculoskeletal system","authors":"Y. Byalovsky, A. Ivanov, I. Rakitina","doi":"10.17816/rjpbr115279","DOIUrl":"https://doi.org/10.17816/rjpbr115279","url":null,"abstract":"Increasing evidence suggests that the exogenous electromagnetic field may be involved in many biological processes of great importance for therapeutic interventions. \u0000It is known that variable electromagnetic fields are a non-invasive, safe and effective therapeutic tool without obvious side effects. Numerous studies have shown that variable electromagnetic fields can become an independent or additional method of treating diseases of the musculoskeletal system. However, several questions remain unresolved. Prior to their widespread clinical application, further research is needed based on well-designed, high-quality studies to standardize treatment parameters and develop an optimal protocol for healthcare decision making. \u0000In this review, we aimed to provide up-to-date data on the mechanism of action, clinical application, and controversy regarding variable electromagnetic fields in the physiotherapy of musculoskeletal disorders.","PeriodicalId":226051,"journal":{"name":"Russian Journal of Physiotherapy, Balneology and Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129030807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plasma medicine: Prospects and experience of application of low-temperature argon plasma in medical rehabilitation","authors":"V. O. Kozyreva","doi":"10.17816/rjpbr115273","DOIUrl":"https://doi.org/10.17816/rjpbr115273","url":null,"abstract":"Plasma medicine is a dynamically developing field of science based on the physical and chemical properties of air-plasma flows. \u0000Low-temperature plasma is a partially ionized gas with a temperature of about 40C, the synergistic interaction of its active substances is a successful method of sterilization, decontamination of wound surfaces, treatment of surgical and burn wounds. Due to the combined action, over the past decades, low-temperature plasma has proven itself in purulent surgery, dermatology, and dentistry, but in addition, it has opened up great prospects in oncology. Possessing the effects of inhibiting inflammatory processes, stimulating regeneration processes, improving microcirculation and tissue metabolism, plasma flows are also used in medical rehabilitation. \u0000The review considers the possibilities of using low-temperature plasma in various fields of medicine, as well as the effect of plasma flows on basic cellular processes and various forms of cell death. The experience of using low-temperature argon plasma in the complex rehabilitation of patients with malignant neoplasms is presented. \u0000Literature sources from Russian and foreign databases (Elibrary, PubMed) on the topic of low-temperature plasma application in medical practice were analyzed. The analysis showed that plasma medicine is a rapidly developing modern direction, opening up new opportunities in healthcare. \u0000Further studies of plasma streams are needed to unlock their full therapeutic potential and fully understand the mechanisms of action.","PeriodicalId":226051,"journal":{"name":"Russian Journal of Physiotherapy, Balneology and Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126165157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of early medical rehabilitation on improving the quality of life of patients after surgical treatment of breast cancer","authors":"I. Evstigneeva","doi":"10.17816/rjpbr115246","DOIUrl":"https://doi.org/10.17816/rjpbr115246","url":null,"abstract":"BACKGROUND: Various methods of physical therapy are widely used in the rehabilitation of patients with oncological diseases. It is known about the successful use of magnetotherapy, various types of electrotherapy, laser therapy, as a result of which the pain, edematous anti-inflammatory syndrome decreases after radical treatment. There are a large number of studies in the literature devoted to the study of the quality of life and the psycho-emotional state of a patient in the process of antitumor treatment, however, there are few studies on the effect of early onset of medical rehabilitation on the quality of life of women after surgical treatment of breast cancer. \u0000AIM: тo compare the effectiveness of prescribing medical rehabilitation in breast cancer patients at different times after surgical treatment of breast cancer 24 days and 11.5 months after surgery. \u0000MATERIAL AND METODS: A randomized placebo-controlled study was conducted in 70 patients at different times after surgical treatment of breast cancer. All patients underwent medical rehabilitation: individual physical therapy classes, balance therapy, classes with a medical psychologist, general magnetotherapy and intermittent pneumocompression. The main group included 35 patients who were rehabilitated on the 2nd-4th day after surgical treatment of breast cancer, the comparison group included 35 women who were rehabilitated after 11.5 months on the background of radiation therapy. \u0000RESULTS: It was proved that the early start of medical rehabilitation in patients after surgical treatment of breast cancer (on the 2nd4th day), contributed to the rapid restoration of the quality of life, namely, a rapid reduction in pain and postoperative edema, an increase in the volume of movements in the shoulder joint, prevention of severe lymphostasis, rapid restoration of electrical excitability of the shoulder girdle muscles. \u0000CONCLUSION: In the groups, a long-term clinical effect was obtained after the appointment of physiotherapy procedures, which emphasizes the expediency of exposure to physical factors at the first stage of rehabilitation to restore the motor function of the operated upper limb in patients with a history of breast cancer.","PeriodicalId":226051,"journal":{"name":"Russian Journal of Physiotherapy, Balneology and Rehabilitation","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114843067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical rehabilitation of complications after injections of lipolytics","authors":"E. Ikonnikova, N. Manturova, L. S. Kruglova","doi":"10.17816/rjpbr115244","DOIUrl":"https://doi.org/10.17816/rjpbr115244","url":null,"abstract":"Lipolytic injections are widely used in cosmetology practice. In most cases, they are used to correct the contours of the body, as well as to reduce the amount of fat deposits in the submental area. Side effects after their use are rare and, as a rule, resolve themselves. However, in the case of the use of non-certified medications, the frequency and severity of complications increase sharply, which requires timely and highly qualified therapy. \u0000The article presents overview data concerning the mechanism of action of the main types of lipolytics and their classification, indications and contraindications to lipolytic therapy, reveals the problems of complications that have developed as a result of their use. A description of a clinical case of the development of an inflammatory reaction after injection of a low-quality lipolytic in the area of paint fat bags is presented. The tactics of her therapy are described. This clinical case demonstrates the importance of using certified products, compliance with injection techniques and the correct choice of the patient for this method of cosmetic therapy. \u0000The article is of interest to a wide range of specialists (cosmetologists, dermatovenerologists, plastic surgeons, physiotherapists).","PeriodicalId":226051,"journal":{"name":"Russian Journal of Physiotherapy, Balneology and Rehabilitation","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122123178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laser and phototherapy of rosacea","authors":"Yu. I. Matushevskaya","doi":"10.17816/rjpbr115248","DOIUrl":"https://doi.org/10.17816/rjpbr115248","url":null,"abstract":"Rosacea is a non-infectious dermatological disease of middle age, requiring long-term and often lifelong treatment. The onset of the disease begins with minor clinical manifestations such as centrofacial transient erythema or conjunctivitis, which patients often do not consider as a need to consult a doctor. \u0000Early therapy prevents the chronization of the process and the development of severe forms, which include papulo-pustular rosacea, ophthalmosacea and phymes. \u0000One of the methods of rosacea treatment is physiotherapy, which includes laser light, cryotherapy, darsonvalization, electrophoresis, electrocoagulation, pulse therapy, inductothermy, phototherapy of vascular pathology, and others. \u0000This review presents the main mechanisms of laser light action on human skin and systematizes recent data on its use in various forms of rosacea. \u0000Despite the moderate success of laser therapy, further research will help to choose more effective treatment protocols for rosacea. The appearance of the first signs of vasodilation in the facial area, especially in people with a family history of rosacea, frequent eye diseases or the presence of fim, requires contacting a dermatologist.","PeriodicalId":226051,"journal":{"name":"Russian Journal of Physiotherapy, Balneology and Rehabilitation","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132380514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical efficacy of the combined use of a pulsed dye laser and enzyme preparation phonophoresis in patients with immature hypertrophic skin scars","authors":"K. V. Ismailyan, L. S. Kruglova, S. Nagornev, Valery K. Frolkov","doi":"10.17816/rjpbr115042","DOIUrl":"https://doi.org/10.17816/rjpbr115042","url":null,"abstract":"BACKGROUND: Taking into account the role of angiogenesis processes in the zone of development of immature scar tissue, it seems pathogenetically justified to use a vascular laser for the correction of hypertrophic skin scars that are at the maturation stage. In this regard, we used a pulsed dye laser, the effect of which is perceived by the patient without pronounced pain, and the technology itself is quite safe and leads to a rapid recovery of the skin after the procedure. Fermencol phonophoresis supplementation of laser therapy with pulsed dye laser has the potential to enhance the therapeutic efficacy of a vascular laser, since Fermenkol is a preparation of collagenases of hydrobiont origin that can destroy the components of the extracellular matrix, the formation of which exceeds in intensity its degradation by matrix metalloproteinases at the stage of formation scar. The use of ultrasound in this case not only accelerates the delivery of proteolytic enzymes, but also exhibits independent fibromodulatory activity. \u0000AIM: comparative evaluation of the effectiveness of the use of physiotherapeutic factors (Fermenkol phonophoresis, pulsed dye laser therapy and their combination) in patients with immature hypertrophic skin scars, taking into account clinical research methods. \u0000MATERIAL AND METHODS: The study was performed on 125 patients aged 19 to 50 years with immature (less than 6 months) hypertrophic skin scars. All patients were divided into 4 groups according to the simple fixed randomization procedure. The first group (control, 32 patients) received course local compression therapy using silicone plates for two months. The second group (31 patients) was treated with phonophoresis of 0.01% Fermencol gel. The third group (31 patients) was treated with pulsed dye laser. The fourth group (31 patients) received complex treatment, including a combination of two pulsed dye laser procedures and two cycles of Fermencol phonophoresis. Patients were examined twice: before the start of treatment and 2 weeks after the end of the course of treatment. The assessment of the clinical condition of patients was carried out according to the modified Vancouver scale for assessing the signs of cicatricial deformity. \u0000RESULTS: Conducting a course of treatment of patients with immature hypertrophic skin scars made it possible to establish a good tolerability of the effects of physiotherapeutic factors. At the same time, the positive dynamics of clinical manifestations of cicatricial changes in the skin, assessed by Vancouver scar scale, in the control and main groups was not the same and increased in the following order: Control Fermencol phonophoresis pulsed dye laser pulsed dye laser + Fermencol phonophoresis. The use of the correlation adaptometry technique, which makes it possible to objectify the obtained clinical data, evaluating them using the category of functional reserves of the body, confirmed that the best clinical result was achieved in the group reci","PeriodicalId":226051,"journal":{"name":"Russian Journal of Physiotherapy, Balneology and Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131270171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of ultrasound therapy and phonophoresis in the treatment of ankylosing spondylitis","authors":"M. Al-Zamil, Maria А. Stepanovich, N. Kulikova, E. Vasilieva","doi":"10.17816/rjpbr111869","DOIUrl":"https://doi.org/10.17816/rjpbr111869","url":null,"abstract":"BACKGROUND: In Bekhterev's disease, an autoimmune inflammatory process develops in the intervertebral joints and paravetebral muscles and leads to severe pain syndrome and progressive fusion of articular surfaces. Anti-inflammatory and analgesic therapy should be carried out daily with the use of large doses of nonsteroidal anti-inflammatory drugs. With the progression of the disease, drug therapy is not effective enough to relieve pain and to restore the volume of movement in the joints. In this regard, the use of non-drug treatment is a necessary measure for the treatment of such patients. \u0000AIM: comparison of the effectiveness of phonophoresis and ultrasound in the treatment of pain syndrome in patients with ankylosing spondylitis. \u0000MATERIALS AND METHODS: 30 patients with Bekhterev's disease were included in our study. All patients were found to carry the HLA antigen and high value of C-reactive protein with an increase in the rate of erythrocyte sedimentation. Radiographs revealed signs of arthrosis of the sacroiliac joint and signs of arthritis and arthrosis of the intervertebral joints of the spine in one or several departments. The severity of the pain syndrome was 9.4 points on the visual analog scale (VAS) and 31.1 points on the McGill Pain Questionnaire (MPQ). 10 patients underwent ultrasound therapy, 10 patients underwent phonophoresis with karepain and 10 patients underwent placebo (Simulation of ultrasound exposure). \u0000RESULTS: The analgesic effect of ultrasound therapy was 57.9% at rest, 55.3% with spinal movement. The overall reduction in pain syndrome determined by MPQ was 50%, 49.54% in the sensory class and 51.8% in the affective class. Regression of pain syndrome against the background of the use of phonophoresis with karipain was 60.4% at rest, 54.5% with spinal movement. According to MPQ, the pain syndrome decreased by 46.7% in the sensory class and 52.8% in the affective class and by 49.5% in general. In patients who underwent a placebo course, the pain syndrome according to VAS and MPQ remained without significant dynamics. \u0000CONCLUSION: The significant effectiveness of ultrasound therapy and phonophoresis in the treatment of severe pain syndrome in of patients with ankylosing spondylitis has been proven, but it was not possible, to identify significant differences in the analgesic effect between ultrasound therapy and phonophoresis.","PeriodicalId":226051,"journal":{"name":"Russian Journal of Physiotherapy, Balneology and Rehabilitation","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133825185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective study of inpatient patient records of the Center for comprehensive rehabilitation of disabled people \"Butovo\"","authors":"T. Zaytseva, M. Gerasimenko, D. A. Prityko, V. O. Kozyreva","doi":"10.17816/rjpbr115137","DOIUrl":"https://doi.org/10.17816/rjpbr115137","url":null,"abstract":"BACKGROUND: The problem of medical rehabilitation/habilitation of patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays is extremely relevant. The article analyzes the comprehensive care for this category of patients on the basis of the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled \"Butovo\". \u0000AIM: analysis of the volume and methodology of prescribing physical factors in the provision of medical and social services to patients at the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled \"Butovo\". \u0000MATERIALS AND METHODS: In 2021, based on archival data for 20192020 an assessment was made of the conduct of socio-medical rehabilitation at the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled \"Butovo\". The observation unit is represented by stationary patient charts. \u0000RESULTS: The study revealed a sufficient volume and correct methodology for prescribing physical factors to patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays. At the same time, the absence of an adequate goal of rehabilitation/habilitation was noted. The goals that were set for patients were often unrealizable, non-specific, not defined in time, or not related to the needs of the patient himself. \u0000CONCLUSION: A unified comprehensive approach is needed to assess the condition, identify needs and implement rehabilitation measures for patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays. It has been determined that in this category of patients it is advisable to apply the International Classification of Functioning, which will allow one to concentrate on the necessary areas of diagnostics, select the necessary diagnostic tools, identify and link functional disorders and disability to each other, determine the areas of intervention of different specialists, unite specialists into one team with overall goal of rehabilitation/habilitation.","PeriodicalId":226051,"journal":{"name":"Russian Journal of Physiotherapy, Balneology and Rehabilitation","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132089840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}