MEDICAL AND SOCIAL EFFICIENCY OF REHABILITATION OF CHILDREN AFTER NEUROINFECTIONS

Introduction. The increased attention from the state to the organization of rehabilitation measures, especially among children, requires evaluation and development of measures to improve the effectiveness of all areas of rehabilitation – medical, social and professional rehabilitation. The development of measures increasing efficiency is especially important among children, since children are the main potential of the country. 

The objective of the study was to evaluate the medical and social effectiveness of the rehabilitation measures carried out for children after neuroinfections.

Material and methods. During the study, parents of children after neuroinfections were interviewed, as well as the examination of changes in large motor functions and functional state was carried out by doctors of the Clinic of “Scientific and Research Institution of Children’s Infections”. Medical experts used special evaluation scales in order to objectify the research.

Results. The overwhelming majority of parents (90.4 %) note an improvement in the condition of their children in terms of medical and social adaptation. More than one third of parents (35.9 %) note the improvement of their children’s condition, according to all seven criteria proposed for the answer (formation of independent walking skills, stabilization of emotional-volitional activity, acquisition of new social household skills, ability to sit, decrease of muscle tone,  speech development and improvement of manipulative functions of the hand). According to the expert opinion of the doctors of the Clinic, 78.8 % of children suffered from the disruption of large motor functions, and children of the first level, i.e. the lightest, according to the classification scale for large motor functions (GMFCS), was only 17 %. After four courses of rehabilitation in the Clinic, the proportion of children of the first level increased significantly and amounted to 48.2 %. Improvements in the opinion of medical experts, based on the results of the questioning, were also observed in functional status, in such positions as communication, everyday life skills, socialization and motor skills.

Сonclusion. Thus, the effectiveness of rehabilitation measures for children after neuroinfections has been proved. Moreover, with the increase in the number of rehabilitation courses, the state of children improves both by the medical and social criteria.

1. Ospanova, Sh.H. Assessment of self-care skills in children with disabilities in comprehensive rehabilitation / Sh.H. Ospanova. Vestn. vosstanovit. mediciny. 2012. № 1: 5-6. (in Russ.)

2. Public health and health: training. for students / N.I. Vishnjakov, O.A. Gusev, L.V Kochorova, E.N. Penju- gina, S.N. Puzin. 8-e izd., ispr. i dop. M. : MEDpress-inform, 2016. 840p. (in Russ.)

3. Chaplinskaja, E.V Social rehabilitation of families with disabled children, as a technology of social work / E.V Chap-linskaja. Nauka i sovremennost ’. 2013. № 21:108-113. (in Russ.)

4.