healthcareЗдравоохранение. HealthcareHealthcare1027-7218Republican Scientific and Practical Center for Medical Technologies, Informatization, Management and Health Economics10.65249/1027-7218-2026-1-28-38healthcare-239Research ArticleОБЩЕСТВЕННОЕ ЗДОРОВЬЕ И ЗДРАВООХРАНЕНИЕPUBLIC HEALTH AND HEALTHCAREМетоды оценки ограничений социального функционирования у пациентов после церебрального инсульта с дисфункцией верхней конечностиMethods for assessing the limitations of social functioning in patients with upper limb dysfunction after cerebral strokehttps://orcid.org/0009-0005-4943-316XСоколовД. В.SokalauD.

Соколов Дмитрий Вячеславович – ассистент кафедры медицинской реабилитации

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Гродненский государственный медицинский университетBelarus202614022026012838Copyright © Соколов Д.В., 20262026Соколов Д.В.Sokalau D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://healthcare.ejournal.by/jour/article/view/239

Церебральный инсульт представляет собой одну из наиболее значимых причин стойкой инвалидизации населения. Дисфункция верхней конечности как наиболее частое последствие инсульта существенно ограничивает социальную адаптацию пациентов и их качество жизни. Несмотря на наличие валидных инструментов для оценки двигательных нарушений (FMA-UE, WMFT, ARAT) и бытовой активности (шкалы Бартел, Катца, FIM), существующие методики не позволяют адекватно оценить социальную дезадаптацию пациентов вне привычной домашней среды. Проведенный анализ выявил пробел в системе реабилитационного обследования: стандартные шкалы фиксируют преимущественно базовые навыки самообслуживания, но не отражают трудности выполнения социально значимых действий, таких как использование банкоматов, электронных устройств, общественного транспорта, осуществление финансовых операций. Особую значимость эта проблема приобретает у пациентов с легкими и умеренными нарушениями, которые могут сохранять бытовую независимость, но испытывать серьезные ограничения в социальном взаимодействии. В статье обоснована необходимость разработки специализированного опросника, ориентированного исключительно на оценку социального функционирования. Такой инструмент позволит усовершенствовать процесс реабилитации за счет выявления «скрытых» ограничений жизнедеятельности и разработки целенаправленных программ социальной реинтеграции, что является ключевым фактором улучшения качества жизни пациентов после перенесенного инсульта.

Cerebral stroke is one of the most significant causes of persistent disability in the population. Upper limb dysfunction as the most common consequence of stroke significantly limits the social adaptation of patients and their quality of life. Despite the availability of valid tools for assessing motor disorders (FMA-UE, WMFT, ARAT) and household activity (Bartel, Katz, FIM scales), existing methods do not allow for an adequate assessment of patients' social maladaptation outside their usual home environment. The analysis revealed a gap in the rehabilitation examination system: standard scales mainly record basic self-service skills, but do not reflect the difficulties of performing socially significant actions such as using ATMs, electronic devices, public transport, and financial transactions. This problem is particularly important in patients with mild to moderate disabilities, who may maintain domestic independence but experience serious limitations in social interaction. The article substantiates the need to develop a specialized questionnaire focused solely on the assessment of social functioning. Such a tool will make it possible to improve the rehabilitation process by identifying “hidden” disability and developing targeted social reintegration programs, which is a key factor in improving the quality of life of patients after a stroke.

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