Strategy of Psycho-Correctional Work in Medical Rehabilitation of Patients with Movement Disorders

The purpose of present work is to study the dynamic characteristics of the personality (current psycho-emotional state, adherence to treatment) of patients with movement disorders in order to identify the main targets of psycho-correctional work. 363 patients were examined: 195 after stroke and 168 with degenerative-dystrophic diseases of large joints and spine. The following tools were used: SCL-90-R, Tampa Scale, Compliance Level Questionnaire, expert assessment of compliance by the attending physician and physical therapy instructor on a five-point scale. High level of somatization of anxiety and depressive feelings and psychological component of kinesiophobia (fear of movement), manifested in convincing patients that their illness is an insoluble medical problem were marked as targets of psycho-correctional works during the study. The contribution of personal compliance, understood as the implicit willingness of the patient to be committed to treatment and to the achievement of satisfactory compliance, registered in the rehabilitation process, is studied. The expediency of drawing up individual programs of psychological rehabilitation on the basis of preventive diagnostics of compliance is shown, while the average level of the mentioned indicator is determined as optimal for the effectiveness of rehabilitation.

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