The Ministry of Health does not recommend physical therapy to patients, calling it “not a very effective Soviet practice.” Instead, it is advised to resort to multidisciplinary active rehabilitation.
“At first glance, active rehabilitation and LKF are “twin brothers”: similar on the outside, but completely different on the inside. The first came from developed countries, the second was inherited from the Soviet Union.” – explain the differences in the Ministry of Health.
LKF has a clearly described system with its periods and a number of modes of motor activity: bed, semi-bed and free. Physical exercises are the basis of LKF. Its varieties are:
- morning and therapeutic gymnastics;
- terenkur (dosed physical activity in the form of hiking);
“LCF is similar to modern rehabilitation. However, there is a difference. And it is so significant that it has a significant impact on the effectiveness of restoring the lost functions of the patient’s body.” – they write in the Ministry of Health.
The differences lie in the approaches to providing services: physical therapy, unlike active rehabilitation, does not take into account the individual needs and functional characteristics of a person.
“Let’s give a banal example: restriction of knee extension movement during walking can look the same in three or more patients. However, the reasons are different for all of them. In one case, it is a question of weakness of the muscles of the front surface of the thigh, in the second – of a muscle contracture the back surface of the thigh, in the third – about pain, swelling, muscle spasm, etc. In physical therapy, this is not taken into account.”– the ministry emphasizes.
Instead, in the process of active, evidence-based recovery, rehabilitation specialists clearly identify the movement disorder and its causes, they say. After that, an individual rehabilitation plan is developed, taking into account all the features.
The Ministry of Health says that physical therapy specialists usually “blindly” use dosed walking and do not pay attention to the need for orthoses (the use of orthopedic products that are designed to correct, increase mobility, reduce pain, in order to prevent or stabilize deformations of the musculoskeletal system ) or separate work with certain muscle groups.
“It is these factors, combined with differences in approaches, that tip the scales in the direction of multidisciplinary active rehabilitation. And although it is difficult to call exercise therapy completely ineffective, this method is hopelessly outdated.” – summarized in the Ministry of Health.
The NHSHU medical guarantee program covers the costs of rehabilitation
The Ministry of Health explains that in order to undergo free outpatient rehabilitation, a patient needs an electronic referral from a family or attending physician.
It is enough to receive an electronic referral from the attending physician for inpatient rehabilitation. The service is also available in case of transfer from one medical institution or clinical unit to another.
Inpatient rehabilitation service for one direction of rehabilitation must last at least 14 days. Three hours a day are allotted for the procedures. In two directions and more – more than 21 days. Outpatient rehabilitation involves more than 14 days of intensive classes that should last more than an hour a day.
Iryna Batiuk, “UP. Life”
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