TENDENCIES IN DEVELOPMENT OF MEDICAL REHABILITATION , FROM PAST TO FUTURE УДК 615

Abstract

Определение, сформулированное Американской академией физической медицины и реабилитации в 1975 году, гласит: «Услуги медицинской реабилитации можно определить как скоординированный междисциплинарный подход к инвалидности под руководством квалифицированного врача, который руководит планом управления для одной или нескольких категорий. хронических инвалидизирующих заболеваний или травм с указанием реалистичных целей для максимального выздоровления ». Основные принципы реабилитации включают в себя центрирование пациента и семьи, междисциплинарный подход и целостное отношение к физическому и психическому здоровью. С самого начала своего развития и до сегодняшнего дня реабилитация представляется в качестве третьего этапа медицинской помощи – после диагностики и лечения. Физическая и реабилитационная following a stroke: an exploratory study. BMC Health Services Research20066:151 20. Dreeben O. Development of the physical therapy profession. 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Ritvo P, Obadia M, Santa Mina D, Alibhai S, Sabiston C, Oh P, Campbell K, McCready D, Auger L, Jones JM. Smartphone-Enabled Health Coaching Intervention (iMOVE) to Promote Long-Term Maintenance of Physical Activity in Breast Cancer Survivors: Protocol for a Feasibility Pilot Randomized Controlled Trial. JMIR Res Protoc. 2017 Aug 24;6(8):e165 36. Treger I, Landesman C, Tabacaru E, Kalichman L. Influence of homebased exercises on walking ability and function of post-stroke patients. International Journal of Therapy and Rehabilitation 2014; 21(9):441–446 37. Jagroop D, Maebrae-Waller A, Dogra S. The feasibility of an exercise program for individuals 12 months post-stroke in a small urban community. J Sports Med Phys Fitness. 2017 May 9. doi: 10.23736/S0022– 4707.17.07414-X ОбзОры, лекции, дОклады, истОрические Очерки 106 физическая и реабилитационная медицина, медицинскаяреабилитация май 2019 Контакты: Iuly Treger. E-mail: [email protected] , Lena Lutsky. E-mail: [email protected] медицина (PRM) – это растущая и развивающаяся дисциплина. Гутенбруннер и др. писали: «Различные социальные и медицинские тенденции, включая старение населения, увеличение числа людей с функциональными ограничениями из-за улучшения показателей выживаемости при различных заболеваниях (например, инсульт, повреждение спинного мозга, множественные травмы) и необходимость пожилые работники, чтобы оставаться интегрированными в рабочую силу, несмотря на наличие хронических заболеваний, призывают к увеличению значения реабилитации в будущем». Ключевые слова: физическая и реабилитационная медицина, амбулаторная реабилитация, инсульт, спинномозговая травма. ABSRACT A definition as stated by the American Academy of Physical Medicine and Rehabilitation in 1975 is: “Medical rehabilitation services can be defined as a coordinated multi – disciplinary approach to disability under a qualified physician who directs a plan of management for one or more of the categories of chronic disabling diseases or injuries, specifying realistic goals for maximal recovery”. The Main rehabilitation principles include patient and family centeredness, a multidisciplinary approach and holistic attitude towards physical and mental health. From early in its development and until today, rehabilitation is represented as the third phase of medical care – after diagnosis and treatment. Physical and Rehabilitation Medicine (PRM) is a growing and a developing discipline. Gutenbrunner et al wrote: “Various societal and medical trends, including the ageing of populations, the increasing number of people with functional limitations due to improving survival rates in different disease entities (e.g. stroke, spinal cord injury, multiple trauma) and the need of elderly workers to remain integrated in the workforce despite the presence of chronic illnesses, call for an increasing importance of rehabilitation in the future”.