The expert consensus of the Russian communities discusses the issues of comprehensive medical rehabilitation of patients with coronavirus disease 2019 (COVID-19). COVID-19 is a contagious infectious disease that can cause pulmonary, cardiac, motor, metabolic, neurocognitive and mental disorders, that is, multiple organ dysfunction. COVID-19 survivors, especially after a severe clinical course, face serious psychological and physical problems, posttraumatic stress, cognitive dysfunction, nutritional deficiencies and exacerbation of concomitant chronic diseases. Some patients, regardless of the COVID-19 severity, have a long clinical course of the disease (“chronic-COVID”, “long COVID”). There is evidence of post-acute COVID-19 syndrome. In this regard, patients after COVID-19 will need rehabilitation measures. The expert consensus of the Russian communities presents general principles, stages and aspects of medical rehabilitation after COVID-19, indications and contraindications for rehabilitation interventions. The paper includes recommendations on comprehensive cardiac and pulmonary rehabilitation, as well as specifics of rehabilitation care for different COVID-19 courses within the national three-stage rehabilitation system.

The aim of the study is to investigate the psychometric characteristics of the Hospital Anxiety and Depression Scale (HADS) on a sample of patients with impaired motor functions. HADS was used to examine the current psychoemotional state of 73 women and 27 men aged 62.1±13.7 years who were in the hospital for inpatient rehabilitation for motor function disorders arising from a stroke (n=50) or developing against the background of chronic musculoskeletal disorders (n=50). Independent of the psychologist, a psychiatrist examined the same patients, filling out Hamilton Anxiety and Depression scales. A comparison of the findings led to the conclusion of overdiagnosis with the HADS subscales. At the same time, it is shown that the questionnaire items have satisfactory indices of discriminativeness and internal reliability. The combination of low content and convergent validity of some items of the questionnaire allowed modifying subscales, reducing the number of items without prejudice to psychometric characteristics. By comparing the data obtained with an objective external criterion for the Anxiety (HADS-A) and Depression (HADS-D) subscales, new cutoffs (9 points) were determined for diagnosing the presence or absence of anxiety and depression, which allows to use this version of the test more effectively for screening the current psychoemotional state in patients with impaired motor functions who enter the second stage of medical rehabilitation.

The aim of this study was to conduct the procedure of psychometric adaptation the Russian version of the questionnaire «Scale Tampa» for measuring of kinesiophobia (fear of movement). On the representative sample of the patients (n=292) with movement disorders of various etiologies studied factorial structure and nosological nonspecificity of method, showed its satisfactory construct and discriminative validity, analyzed the influence of social desirability factor, estimated synchronous reliability of selected subscales. Separately analyzed pharmaco-economic value of the test construct. Thus, it is shown that a sufficiently high psychometric indicators allow to use a questionnaire «Tampa Scale» as for scientific and research purposes, as in the practical work of clinical psychologist.

Medical article медицинская статья

The aim of present work was to investigate the psychosocial factors of quality of life associated with health in patients with impaired motor functions. Representative sample consisted of 126 patients with impaired motor functions of various etiologies receiving medical rehabilitation. The contribution of socio-demographic and anamnesis characteristics (gender, age, education, marital status, social status, number of previous hospitalizations) in the formation of the quality of life has studied. The patients age, social status (retirement) are designated as significant factors. At the same time gender, marital status, education level, number of hospitalizations for rehabilitation treatment is not associated with the subjective assessment of the quality of life in the examined group of patients.