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ЖУРНАЛ

Экономическая эффективность реабилитации с использованием новых технологий при детском церебральном параличе: сравнительный обзор

Статья PDF

Об авторах

Белокопытов М. – Внештатный профессор, Университет имени Бен-Гуриона в Негеве, Беер-Шева, Израиль

Резюме

Оценка экономической эффективности различных технологий, используемых в реабилитации локомоции у детей с церебральным параличом (ДЦП) для определения эффективных технологий, соответствующих инвестиционных решений и улучшения терапевтических результатов.

Материалы и методы: Идентификация современных технологий, используемых в реабилитации ДЦП, в результате всестороннего обзора существующей литературы. Устройства были разделены на пять групп: 1) большие, дорогостоящие устройства, 2) средние устройства, 3) небольшие, недорогие устройства, 4) модульные домашние роботизированные системы и 5) программные продукты. Данные о стоимости устройств, клинической эффективности и потенциальной экономической эффективности были собраны из рецензируемых публикаций и сетевых ресурсов.

Результаты: Технологическая реабилитация предлагает многообещающие пути для улучшения двигательной функции и качества жизни у детей с ДЦП. Большие, дорогостоящие устройства, такие как роботизированные экзоскелеты и системы виртуальной реальности (VR), хотя и эффективны, ограничены высокой стоимостью. Устройства среднего размера, включая надеваемые датчики и функциональную электростимуляцию, обеспечивают баланс между стоимостью и эффективностью, улучшая двигательную функцию и позволяя проводить домашнюю реабилитацию. Небольшие, недорогие устройства, такие как мобильные приложения и игровые системы, обеспечивают доступные и эффективные решения, часто сопоставимые с традиционными методами лечения. Модульные домашние роботизированные системы предлагают потенциал для долгосрочной последовательной реабилитации, но их стоимость и требования к обслуживанию могут ограничивать доступность. Программные решения, такие как мобильные и компьютерные приложения, предоставляют экономичные варианты для домашней терапии. Тщательное рассмотрение экономической эффективности различных технологий имеет важное значение. В то время как передовые технологии предлагают значительный потенциал, более доступные и недорогие решения могут обеспечить сопоставимые результаты.

Выводы: Реабилитация с использованием технологий предлагает спектр методов для детей с церебральным параличом. В то время как передовые устройства обладают потенциалом, их высокая стоимость ограничивает доступность. Небольшие, более доступные технологии, такие как носимые датчики, VR и мобильные приложения, предоставляют эффективные и экономически эффективные решения для домашней терапии. Продолжение исследований имеет важное значение для оптимизации этих технологий и максимального увеличения их влияния на результаты лечения пациентов.

Ключевые слова

Детский церебральный паралич, реабилитация, реабилитационное оборудование, анализ экономической эффективности.

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