The effectiveness of rehabilitation of patients with injuries as part of the Social Insurance Institution’s disability prevention

Article type: Research Article

Authors: Stembalska, Małgorzata^a | Mazurek, Justyna^b | Biernat, Karolina^{b; *} | Sokołowski, Michał^b | Sutkowska, Edyta^b

Affiliations: [a] Private Medical Practice Stembalska, Wroclaw, Poland | [b] University Rehabilitation Center, Wroclaw Medical University, Wroclaw, Poland

Correspondence: [*] Address for correspondence: Karolina Biernat, Borowska 213, Wrocław 50-556, Poland. E-mail: karolina.biernat@umw.edu.pl.

Abstract: BACKGROUND:Injuries are the cause of professional and social deactivation. The rehabilitation program provided under Social Security prevention pension enables earlier rehabilitation measures. OBJECTIVE:The study’s aim was to determine the efficiency of the rehabilitation as a part of Social Security prevention pension in the group of patients after limb injuries depending on the time when rehabilitation was undertaken. METHODS:The study was a retrospective data analysis, based on medical histories of 93 patients after injuries, rehabilitated as part of Social Security prevention pension from January 2016 until July 2017. The effects of rehabilitation were assessed in 2 groups: early (up to 6 months from the injury) and late rehabilitation (over 6 months). Medical effects are based on measurements of the motion range in extremities’ joints, functional test results and final evaluation of the rehabilitation. RESULTS:For both groups, the motion range of most joints improved. Improvement among the group of early rehabilitated patients concerned everyday activities (p = 0.035), the results of medical rehabilitation (p = 0.046) and also the results of the functional tests. CONCLUSION:Comprehensive rehabilitation of patients after the injuries in Social Security prevention pension leads to better medical effects. The results are better for earlier rehabilitated patients.

Keywords: Healthcare finance, rehabilitation, prevention, social institution, public health

DOI: 10.3233/WOR-210860

Journal: Work, vol. 74, no. 2, pp. 663-671, 2023