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METHOD FOR CALCULATING THE REHABILITATION POTENTIAL OF CHILDREN AFTER SPINAL CORD INJURY

机译:计算脊髓损伤后儿童的康复潜力的方法

摘要

FIELD: medicine. ;SUBSTANCE: invention relates to medicine, pediatrics, neurology, restorative medicine and can be used to determine the rehabilitation potential (RP) in children with spinal cord injury (SCI). First, the level of damage is determined in points according to Table 1, from the description, then the severity of disorders on the ASIA scale in points, secondary complications are estimated by the number from 0 to 10, psychological assessment of anxiety is carried out on the basis of the Spielberg-Khanin scale, depression according to HADS; tolerance to physical activity is determined on the basis of ergospirometry by conducting a four-stage test; the degree of independence assessment in case of spinal cord injury is carried out according to the SCIM III scale; parental participation according to the tests “Strategies of family education” and “Questionnaire of parental attitude”; personal factors based on the assessment of the locus of control of RP are determined by the sum of the points received. A high RP (1-10 points) implies the possibility of achieving full recovery and full integration into the social environment. Average RP (11-20 points) involves incomplete recovery or compensation with pronounced manifestations of functional impairment, a partial decrease in the level and quality of life, the performance of basic activities in a limited volume. Low RP (21-30 points) is noted with a pronounced violation of functions, unrealized compensatory mechanisms, severe deprivation of rehabilitation, children have no possibility of learning and integration into society, they feel the need for constant social assistance and protection. The absence of RP (31-40 points) is noted when the spinal cord is completely damaged above the C4 level, the surviving patients need artificial ventilation and are deprived of the slightest possibility of self-service, they need constant care, constant social assistance and protection. ;EFFECT: method provides an increase in the reliability of calculating the level of RP and the prospects for restoring impaired functions, the expediency of prescribing active medical rehabilitation. ;1 cl, 6 tbl, 4 ex
机译:领域:医学。 ;物质:本发明涉及医学,儿科,神经学,恢复性药物,可用于确定脊髓损伤(SCI)儿童的康复潜力(RP)。首先,根据表1的点确定损害水平,从描述中,然后在亚洲症状的严重程度,二次并发症估计从0到10的数量估算,对焦虑的心理评估进行了在斯皮尔伯格 - 汗印度的基础上,抑郁症符合曾经;通过进行四级测试,基于Ergospirometry确定对物理活性的耐受性;根据SCIM III规模进行脊髓损伤的独立评估程度;父母参与根据测试“家庭教育战略”和“父母态度调查问卷”;根据RP控制轨迹评估的个人因素由收到的要点的总和确定。高RP(1-10分)意味着实现全面恢复和完全融入社会环境的可能性。平均RP(11-20分)涉及在明显的功能损伤的表现下不完全恢复或赔偿,部分降低生活质量和生活质量,在有限的体积中的基本活动的表现。低RP(21-30分)被发明违反职能,未实现的补偿机制,严重剥夺康复,儿童没有可能融入社会的可能性,他们觉得需要不断的社会援助和保护。当脊髓完全损坏在C4水平以上时,不需要RP(31-40点),所幸存的患者需要人工通风,并且被剥夺了自助服务的最轻微的可能性,他们需要不断关怀,不断的社会援助和保护。 ;效果:方法增加了计算RP水平的可靠性以及恢复损害功能的前景,处于处置活跃的医疗康复的权宜之计。 ; 1 cl,6 tbl,4 ex

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