mesЭкстремальная биомедицинаExtreme Medicine3033-89643033-8972Centre for Strategic Planning of the Federal Medical and Biological Agency10.47183/mes.2023.045mes-41Research ArticleОБЗОРREVIEWОценка реабилитации детей-реконвалесцентов после инфекционных заболеванийAssessing rehabilitation of convalescent children after infectious diseasesМельниковаЕ. В.MelnikovaE. V.

Санкт-Петербург

Saint Petersburg

ХасановаН. М.KhasanovaN. M.

Нина Минувалиевна Хасанова

ул. Профессора Попова, д. 9, г. Санкт-Петербург, 197022

Saint Petersburg

Arkhangelsk

СкрипченкоН. В.SkripchenkoN. V.

Санкт-Петербург

Saint Petersburg

Детский научно-клинический центр инфекционных болезней Федерального медико-биологического агентства; Санкт-Петербургский медико-социальный институтРоссияPediatric Research and Clinical Center for Infectious Diseases of the Federal Medical Biological Agency; Saint Petersburg Medical and Social InstituteRussian FederationДетский научно-клинический центр инфекционных болезней Федерального медико-биологического агентства; Северный государственный медицинский университетРоссияPediatric Research and Clinical Center for Infectious Diseases of the Federal Medical Biological Agency; Northern State Medical UniversityRussian FederationДетский научно-клинический центр инфекционных болезней Федерального медико-биологического агентства; Санкт-Петербургский государственный педиатрический медицинский университетРоссияPediatric Research and Clinical Center for Infectious Diseases of the Federal Medical Biological Agency; Saint Petersburg State Pediatric Medical UniversityRussian Federation2023221020242545662Copyright © Мельникова Е.В., Хасанова Н.М., Скрипченко Н.В., 20242024Мельникова Е.В., Хасанова Н.М., Скрипченко Н.В.Melnikova E.V., Khasanova N.M., Skripchenko N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.extrememedicine.ru/jour/article/view/41

Особенность медицинской реабилитации детей состоит в том, что последствия заболевания могут ограничивать развитие активностей растущего ребенка, поэтому необходимы повторные курсы реабилитации или абилитации, где каждый последующий курс — это продолжение предыдущего. Задача специалиста — выявить показания к реабилитации. В статье представлены феноменология и способы диагностики нарушений активности и участия у детей-реконвалесцентов после перенесенных инфекционных заболеваний для постановки целей реабилитации в доменах (категориях) Международной классификации функционирования, ограничений жизнедеятельности и здоровья. Рассмотрено применение метода оценки активности и участия как со стороны ребенка, так и со стороны родителя или опекуна. Статья содержит информацию, полезную для специалистов, занимающихся вопросами реабилитации детей после инфекционных заболеваний.

The fact that the disease sequelae can limit the development of the growing child’s activity is the feature of pediatric medical rehabilitation, that is why there is a need for repeated courses of rehabilitation or habilitation, where each subsequent course is a continuation of the previous one. The specialist’s mission is to determine indications for rehabilitation. The paper reports phenomenology and methods to diagnose abnormal activity and participation in convalescent children after infectious diseases in order to set the rehabilitation goals in the International Classification of Functioning, Disability and Health domains (categories). The use of method to estimate activity and participation from the point of view of both child and parent or caregiver is considered. The paper provides information useful for specialists dealing with the issues of rehabilitation of children after infectious diseases.

детиреабилитацияинфекционные заболеванияМКФактивность и участиеchildrenrehabilitationinfectious diseasesICF methodactivity and participationReferencesЛобзин Ю. В., Захаров В. И. Медицинская реабилитация инфекционных больных и динамический контроль за переболевшими. СПб.: Изд-во СЗГМУ имени И. И. Сеченова; 2015. 184 с.Lobzin JuV, Zaharov VI. Medicinskaja reabilitacija infekcionnyh bol'nyh i dinamicheskij kontrol' za perebolevshimi. SPb.: Izd-vo SZGMU imeni I.I. Sechenova, 2015; 184 p. Russian.Мельникова Е. В., Хасанова Н. М., Чупрова С. Н., Усков А. Н., Скрипченко Н. В., Самойлова И. Г. и др. Медицинская реабилитация и инфекционные болезни у детей. Медицина экстремальных ситуаций. 2021; (4): 55–64. DOI: 10.47183/mes.2021.043.Melnikova EV, Khasanova NM, Chuprova SN, Uskov AN, Skripchenko NV, Samoylova IG, et al. Medical rehabilitation and infectious diseases in children. Extreme Medicine. 2021; (4): 50–8. DOI: 10.47183/mes.2021.043.McDougall J, Bedell G, Wright V. The youth report version of the Child and Adolescent Scale of Participation (CASP): assessment of psychometric properties and comparison with parent report. Child Care Health Dev. 2013; 39 (4): 512–22. DOI: 10.1111/cch.12050. PubMed PMID: 23763252.McDougall J, Bedell G, Wright V. The youth report version of the Child and Adolescent Scale of Participation (CASP): assessment of psychometric properties and comparison with parent report. Child Care Health Dev. 2013; 39 (4): 512–22. DOI: 10.1111/cch.12050. PubMed PMID: 23763252.Rast FM, Labruyère R. ICF mobility and self-care goals of children in inpatient rehabilitation. Dev Med Child Neurol. 2020; 62 (4): 483–8. DOI: 10.1111/dmcn.14471. PubMed PMID: 31984500.Rast FM, Labruyère R. ICF mobility and self-care goals of children in inpatient rehabilitation. Dev Med Child Neurol. 2020; 62 (4): 483–8. DOI: 10.1111/dmcn.14471. PubMed PMID: 31984500.Шмонин А. А., Мальцева М. Н., Мельникова Е. В., Иванова Г. Е. Базовые принципы медицинской реабилитации, реабилитационный диагноз в категориях МКФ и реабилитационный план. Вестник восстановительной медицины. 2017; 2 (78): 16–22.Shmonin AA, Malceva MN, Melnikova EV, Ivanova GE. Bazovye principy medicinskoj reabilitacii, reabilitacionnyj diagnoz v kategorijah MKF i reabilitacionnyj plan. Vestnik vosstanovitel'noj mediciny. 2017; 2 (78): 16–22. Russian.Angeli JM, Schwab SM, Huijs L, Sheehan A, Harpster K. ICF- inspired goal-setting in developmental rehabilitation: an innovative framework for pediatric therapists. Physiother Theory Pract. 2021; 37 (11): 1167–76. DOI: 10.1080/09593985.2019.1692392. PubMed PMID: 31766925.Angeli JM, Schwab SM, Huijs L, Sheehan A, Harpster K. ICF- inspired goal-setting in developmental rehabilitation: an innovative framework for pediatric therapists. Physiother Theory Pract. 2021; 37 (11): 1167–76. DOI: 10.1080/09593985.2019.1692392. PubMed PMID: 31766925.Международная классификация функционирования, ограничений жизнедеятельности и здоровья: 54-я сессия ассамблеи Всемирной Организации Здравоохранения 22 мая 2001 года. Библиотечная служба ВОЗ. Санкт- Петербургский институт усовершенствования врачей-экспертов Министерства труда и социального развития Российской Федерации, 2003; 228 с.Mezhdunarodnaja klassifikacija funkcionirovanija, ogranichenij zhiznedejatel'nosti i zdorov'ja: 54-ja sessija assamblei Vsemirnoj Organizacii Zdravoohranenija 22 maja 2001 goda. Bibliotechnaja sluzhba VOZ. Sankt-Peterburgskij institut usovershenstvovanija vrachej-jekspertov Ministerstva truda i social'nogo razvitija Rossijskoj Federacii, 2003; 228 p. Russian.King G, Law M, King S, Hurley P, Rosenbaum P, Hanna S, et al. Children’s Assessment of Participation and Enjoyment (CAPE) and preference for activities for children (PAC) Harcount Assessment. San Antonio, TX: Harcourt Assessment, Inc., 2004.King G, Law M, King S, Hurley P, Rosenbaum P, Hanna S, et al. Children’s Assessment of Participation and Enjoyment (CAPE) and preference for activities for children (PAC) Harcount Assessment. San Antonio, TX: Harcourt Assessment, Inc., 2004.Mandich AD, Polatajko HJ, Miller LT, Baum C. Pediatric Activity Card Sort (PACS). Ottawa, Canada: CAOT Publications ACE., 2004.Mandich AD, Polatajko HJ, Miller LT, Baum C. Pediatric Activity Card Sort (PACS). Ottawa, Canada: CAOT Publications ACE., 2004.Rosenberg L, Jarus T, Bart O. Development and initial validation of the children participation questionnaire (CPQ). Disability and Rehabilitation. 2010; (32): 1633–44. DOI: https://doi.org/10.3109/09638281003611086.Rosenberg L, Jarus T, Bart O. Development and initial validation of the children participation questionnaire (CPQ). Disability and Rehabilitation. 2010; (32): 1633–44. DOI: https://doi.org/10.3109/09638281003611086.Noreau L, Fougeyrollas P, Vincent C. The LIFE-H: Assessment of the quality of social participation. Technology and Disability. 2002; 14 (3): 113–8. DOI: https://doi.org/10.1080/0963828041000165 8649.Noreau L, Fougeyrollas P, Vincent C. The LIFE-H: Assessment of the quality of social participation. Technology and Disability. 2002; 14 (3): 113–8. DOI: https://doi.org/10.1080/09638280410001658649.Amini M, Hassani Mehraban A, Pashmdarfard M, Cheraghifard M. Reliability and validity of the Children Participation Assessment Scale in Activities Outside of School–Parent version for children with physical disabilities. Aust Occup Ther J. 2019; 66 (4): 482–9. DOI: 10.1111/1440-1630.12569. PubMed PMID: 30697766.Amini M, Hassani Mehraban A, Pashmdarfard M, Cheraghifard M. Reliability and validity of the Children Participation Assessment Scale in Activities Outside of School–Parent version for children with physical disabilities. Aust Occup Ther J. 2019; 66 (4): 482–9. DOI: 10.1111/1440-1630.12569. PubMed PMID: 30697766.Adair B, Ullenhag A, Keen D, Granlund M, Imms C. The effect of interventions aimed at improving participation outcomes for children with disabilities: a systematic review. Dev Med Child Neurol. 2015; 57 (12): 1093–104. DOI: 10.1111/dmcn.12809. PubMed PMID: 26010935.Adair B, Ullenhag A, Keen D, Granlund M, Imms C. The effect of interventions aimed at improving participation outcomes for children with disabilities: a systematic review. Dev Med Child Neurol. 2015; 57 (12): 1093–104. DOI: 10.1111/dmcn.12809. PubMed PMID: 26010935.Amini M, Hassani Mehraban A, Haghani H, Mollazade E, Zaree M. Factor structure and construct validity of Children Participation Assessment Scale in Activities Outside of School–Parent Version (CPAS-P). Occup Ther Health Care. 2017; 31 (1): 44–60. DOI: 10.1080/07380577.2016.1272733. PubMed PMID: 28139181.Amini M, Hassani Mehraban A, Haghani H, Mollazade E, Zaree M. Factor structure and construct validity of Children Participation Assessment Scale in Activities Outside of School–Parent Version (CPAS-P). Occup Ther Health Care. 2017; 31 (1): 44– 60. DOI: 10.1080/07380577.2016.1272733. PubMed PMID: 28139181.Gallo KP, Hill LC, Hoagwood KE, Olin SC. A narrative synthesis of the components of and evidence for patient- and family- centered care. Clin Pediatr (Phila). 2016; 55 (4): 333–46. DOI: 10.1177/0009922815591883. PubMed PMID: 26116351; PMCID: PMC5555419.Gallo KP, Hill LC, Hoagwood KE, Olin SC. A narrative synthesis of the components of and evidence for patient- and family- centered care. Clin Pediatr (Phila). 2016; 55 (4): 333–46. DOI: 10.1177/0009922815591883. PubMed PMID: 26116351; PMCID: PMC5555419.Wiart L, Ray L, Darrah J, Magill-Evans J. Parents' perspectives on occupational therapy and physical therapy goals for children with cerebral palsy. Disabil Rehabil. 2010; 32 (3): 248–58. DOI: 10.3109/09638280903095890. PubMed PMID: 20001831.Wiart L, Ray L, Darrah J, Magill-Evans J. Parents' perspectives on occupational therapy and physical therapy goals for children with cerebral palsy. Disabil Rehabil. 2010; 32 (3): 248–58. DOI: 10.3109/09638280903095890. PubMed PMID: 20001831.Baker SM, Marshak HH, Rice GT, Zimmerman GJ. Patient participation in physical therapy goal setting. Phys Ther. 2001; 81 (5): 1118–26. PubMed PMID: 11319937.Baker SM, Marshak HH, Rice GT, Zimmerman GJ. Patient participation in physical therapy goal setting. Phys Ther. 2001; 81 (5): 1118–26. PubMed PMID: 11319937.Angeli JM, Harpster K, Huijs L, Seid M, Sheehan A, Schwab SM. Patient-centered goal setting in developmental therapy: discordance between documented goals and caregiver-perceived goals. Pediatr Qual Saf. 2019; 4 (4): e199. DOI: 10.1097/pq9.0000000000000199. PubMed PMID: 31572900; PMCID: PMC6708649.Angeli JM, Harpster K, Huijs L, Seid M, Sheehan A, Schwab SM. Patient-centered goal setting in developmental therapy: discordance between documented goals and caregiver-perceived goals. Pediatr Qual Saf. 2019; 4 (4): e199. DOI: 10.1097/ pq9.0000000000000199. PubMed PMID: 31572900; PMCID: PMC6708649.Bedell GM. Developing a follow-up survey focused on participation of children and youth with acquired brain injuries after discharge from inpatient rehabilitation. NeuroRehabilitation. 2004; 19 (3): 191–205. PubMed PMID: 15502253.Bedell GM. Developing a follow-up survey focused on participation of children and youth with acquired brain injuries after discharge from inpatient rehabilitation. NeuroRehabilitation. 2004; 19 (3): 191–205. PubMed PMID: 15502253.Bedell G. Further validation of the Child and Adolescent Scale of Participation (CASP). Dev Neurorehabil. 2009; 12 (5): 342–51. DOI: 10.3109/17518420903087277. PubMed PMID: 20477563.Bedell G. Further validation of the Child and Adolescent Scale of Participation (CASP). Dev Neurorehabil. 2009; 12 (5): 342–51. DOI: 10.3109/17518420903087277. PubMed PMID: 20477563.Bedell G, Ph.D., OTR, FAOTA. The Child and Adolescent Scale of Participation (CASP). Administration and Scoring Guidelines. 2019; p. 1–16.Bedell G, Ph.D., OTR, FAOTA. The Child and Adolescent Scale of Participation (CASP). Administration and Scoring Guidelines. 2019; p. 1–16.Christie S, Chan V, Mollayeva T, Colantonio A. Systematic review of rehabilitation intervention outcomes of adult and paediatric patients with infectious encephalitis. BMJ Open. 2018; 8 (5): 1–18. DOI: 10.1136/bmjopen-2017-015928. PubMed PMID: 29764868; PMCID: PMC5961616.Christie S, Chan V, Mollayeva T, Colantonio A. Systematic review of rehabilitation intervention outcomes of adult and paediatric patients with infectious encephalitis. BMJ Open. 2018; 8 (5): 1–18. DOI: 10.1136/bmjopen-2017-015928. PubMed PMID: 29764868; PMCID: PMC5961616.Лобзин Ю. В., Коновалова Л. Н., Скрипченко Н. В. Состояние инфекционной заболеваемости у детей в Российской Федерации. Медицина экстремальных ситуаций. 2017; 60 (2): 8–22.Lobzin JuV, Konovalova LN, Skripchenko NV. Sostojanie infekcionnoj zabolevaemosti u detej v Rossijskoj Federacii. Medicina jekstremal'nyh situacij. 2017; 60 (2): 8–22. Russian.Лобзин Ю. В., Рычкова С. В., Усков А. Н., Скрипченко Н. В., Федоров В. В. Современные тенденции инфекционной заболеваемости у детей в Российской Федерации. Кубанский научный медицинский вестник. 2020; 27 (4): 119–33.Lobzin JuV, Rychkova SV, Uskov A, Skripchenko NV, Fedorov VV. Sovremennye tendencii infekcionnoj zabolevaemosti u detej v Rossijskoj Federacii. Kubanskij nauchnyj medicinskij vestnik. 2020; 27 (4): 119–33. Russian.Скрипченко Н. В., Пронина Е. В., Лепихина Т. Г., Владимирова О. Н., Иванова М. В., Гончар Н. В. и др. Медицинская реабилитация детей-реконвалесцентов инфекционных заболеваний в свете представлений Международной классификации функционирования, ограничений жизнедеятельности и здоровья. Педиатр. 2015; VI (3): 41–7.Skripchenko N, Pronina EV, Lepihina TG, Vladimirova ON, Ivanova MV, Gonchar NV, et al. Medicinskaja reabilitacija detej- rekonvalescentov infekcionnyh zabolevanij v svete predstavlenij mezhdunarodnoj klassifikacii funkcionirovanija, ogranichenij zhiznedejatel'nosti i zdorov'ja. Pediatr. 2015; VI (3): 41–7. Russian.Самойлова И. Г. Прошлое, настоящее и будущее в реабилитации детей, перенесших нейроинфекции. Детская и подростковая реабилитация. 2018; 2 (34): 19–26.Samojlova IG. Proshloe, nastojashhee i budushhee v reabilitacii detej, perenesshih nejroinfekcii. Detskaja i podrostkovaja reabilitacija. 2018; 2 (34): 19–26. Russian.Самойлова И. Г. Экономическая эффективность реабилитации детей после нейроинфекций. Вятский медицинский вестник. 2019; 1 (61): 64–6.Samojlova IG. Jekonomicheskaja jeffektivnost' reabilitacii detej posle nejroinfekcij. Vjatskij medicinskij vestnik. 2019; 1 (61): 64–6. Russian.Мельникова Е. В., Хасанова Н. М., Шергольд Е. Ю., Кудрявцев А. В., Лепихина Т. Г., Усков А. Н. и др. Реабилитационная оценка при инфекционных заболеваниях нижних дыхательных путей у детей с использованием категорий международной классификации функционирования. Физическая и реабилитационная медицина, медицинская реабилитация. 2022; 4 (4): 67–77.Melnikova EV, Khasanova NM, Shergold EJu, Kudryavtsev AV, Lepikhina TG, Uskov AN, et al. Assessment of rehabilitation in children with infectious diseases of the lower respiratory tract using the categories of the International Classification of Functioning, Disability and Health Physical and rehabilitation medicine. 2022; 4 (4): 67–77. Russian.Маматова Д. М. Медицинская реабилитация в период выздоровления после инфекционных заболеваний. Вестник науки. 2021; 2 (4-37): 81–4.Mamatova DM. Medicinskaja reabilitacija v period vyzdorovlenija posle infekcionnyh zabolevanij. Vestnik nauki. 2021; 2 (4-37): 81–4. Russian.Rugemalira E, Karppinen M, Savonius O, Cruzeiro ML, Peltola H, Roine I, et al. Health-related quality of life after childhood bacterial meningitis. Pediatr Infect Dis J. 2021; 40 (11): 987–92. DOI: 10.1097/INF.0000000000003243. PubMed PMID: 34321441.Rugemalira E, Karppinen M, Savonius O, Cruzeiro ML, Peltola H, Roine I, et al. Health-related quality of life after childhood bacterial meningitis. Pediatr Infect Dis J. 2021; 40 (11): 987–92. DOI: 10.1097/INF.0000000000003243. PubMed PMID: 34321441.Ferreira HNC, Schiariti V, Regalado ICR, Sousa KG, Pereira SA, Fechine CPNDS, et al. Functioning and disability profile of children with microcephaly associated with congenital Zika virus infection. Int J Environ Res Public Health. 2018; 15 (6): 1107. DOI: 10.3390/ ijerph15061107. PubMed PMID: 29844290; PMCID: PMC6025082.Ferreira HNC, Schiariti V, Regalado ICR, Sousa KG, Pereira SA, Fechine CPNDS, et al. Functioning and disability profile of children with microcephaly associated with congenital Zika virus infection. Int J Environ Res Public Health. 2018; 15 (6): 1107. DOI: 10.3390/ijerph15061107. PubMed PMID: 29844290; PMCID: PMC6025082.Campos TNC, Schiariti V, Gladstone M, Melo A, Tavares JS, Magalhães AG, et al. How congenital Zika virus impacted my child's functioning and disability: a Brazilian qualitative study guided by the ICF. BMJ Open. 2020; 10 (12): e038228. DOI: 10.1136/bmjopen-2020-038228. PubMed PMID: 33268403; PMCID: PMC7713226.Campos TNC, Schiariti V, Gladstone M, Melo A, Tavares JS, Magalhães AG, et al. How congenital Zika virus impacted my child's functioning and disability: a Brazilian qualitative study guided by the ICF. BMJ Open. 2020; 10 (12): e038228. DOI: 10.1136/bmjopen-2020-038228. PubMed PMID: 33268403; PMCID: PMC7713226.Teo JH, Shabhani S, Qiao F, Ng ZM, Chan DW. Comparison of functional outcome scales in paediatric acute encephalitis: Responsiveness and outcome predictors. J Pediatr Rehabil Med. 2022; 15 (2): 289–98. DOI: 10.3233/PRM-200706. PubMed PMID: 34744032.Teo JH, Shabhani S, Qiao F, Ng ZM, Chan DW. Comparison of functional outcome scales in paediatric acute encephalitis: Responsiveness and outcome predictors. J Pediatr Rehabil Med. 2022; 15 (2): 289–98. DOI: 10.3233/PRM-200706. PubMed PMID: 34744032.Schiariti V, Selb M, Cieza A, O’Donnell M. International Classification of Functioning, Disability and Health core sets for children and youth with cerebral palsy: A consensus meeting. Dev Med Child Neurol. 2015; (57): 149–58. DOI: doi.org/10.1111/dmcn.12551.Schiariti V, Selb M, Cieza A, O’Donnell M. International Classification of Functioning, Disability and Health core sets for children and youth with cerebral palsy: A consensus meeting. Dev Med Child Neurol. 2015; (57): 149–58. DOI: doi.org/10.1111/dmcn.12551.Bölte S, Mahdi S, de Vries PJ, Granlund M, Robison JE, Shulman C, at al. The Gestalt of functioning in autism spectrum disorder: Results of the international conference to develop final consensus International Classification of Functioning, Disability and Health core sets. Autism. 2019; 23 (2): 449–67. DOI: 10.1177/1362361318755522. PubMed PMID: 29378422; PMCID: PMC6376609.Bölte S, Mahdi S, de Vries PJ, Granlund M, Robison JE, Shulman C, at al. The Gestalt of functioning in autism spectrum disorder: Results of the international conference to develop final consensus International Classification of Functioning, Disability and Health core sets. Autism. 2019; 23 (2): 449–67. DOI: 10.1177/1362361318755522. PubMed PMID: 29378422; PMCID: PMC6376609.Bölte S, Mahdi S, Coghill D, Gau SS, Granlund M, Holtmann M, et al. Standardised assessment of functioning in ADHD: consensus on the ICF Core Sets for ADHD. Eur Child Adolesc Psychiatry. 2018; 27 (10): 1261–81. DOI: 10.1007/s00787-018-1119-y. PubMed PMID: 29435654.Bölte S, Mahdi S, Coghill D, Gau SS, Granlund M, Holtmann M, et al. Standardised assessment of functioning in ADHD: consensus on the ICF Core Sets for ADHD. Eur Child Adolesc Psychiatry. 2018; 27 (10): 1261–81. DOI: 10.1007/s00787-018-1119-y. PubMed PMID: 29435654.Ptyushkin P, Selb M, Cieza A. ICF core sets. In: Bickenbach J, Cieza A, Rauch A, Stucki G, editors. ICF Core Sets: Manual for Clinical Practice. Hogrefe Publishing, 2012; p. 1–21.Ptyushkin P, Selb M, Cieza A. ICF core sets. In: Bickenbach J, Cieza A, Rauch A, Stucki G, editors. ICF Core Sets: Manual for Clinical Practice. Hogrefe Publishing, 2012; p. 1–21.

The authors declare that there are no conflicts of interest present.