Aim: To analyze the reasons of low rehabilitation efficiency of persons with disabilities after musculoskeletal injuries. Materials and Methods: A retrospective study of the 102 people’s records whose permanent disability is extended after next certification was conducted. Results: Only 31.4% persons reduced the severity of disability. The rest remained unchanged (67.6%) or deteriorated (1.0%). Permanent disability after musculoskeletal injuries is typical for men (86.3%), villagers (74.5%), working age (99.0%), of which 37.5% – men under 40 years. Near half persons (45.1%) have passed the next re-examination more than 3 times; in 52.0% ones four or more years have passed after injury; in 9.8% cases the continuation of rehabilitation is considered as hopeless. Defects in the implementation of rehabilitation measures were revealed, namely: excessive use of drugs with insufficient evidence of effectiveness (85.3-88.2%), inadequate coverage of physical therapy and occupational therapy (56.4%), a formal approach to the individual rehabilitation programs (IRP) formation, in particular in the assessment of rehabilitation potential (100.0%), the degree of movement restrictions (20.6%), social and labor rehabilitation (36.3%). Despite the fact that the majority of the observed people (86.3%) were recognized as capable for work, only 63.7% were provided with advice on rational employment, and 78.4% of them do not work. Conclusions: Improving of the rehabilitation effectiveness requires comprehensive integrated solutions at the state level in order to change approaches to assessing the degree of disability, the formation and implementation of IRP based on modern world standards.

The aim: The purpose of this article is to identify through the analysis of biographical and scientific Sofia Okunevska-Morachevska, Sofia Parfanovych and Volodymyra Krushelnytska common features of personal and professional development to understand the scientific, social and cultural parts of their activities in the context of the history of national medical tradition. Materials and methods: We will try to consider in general terms the life and professional path of Sofia Okunevska-Morachevska, Sofia Parfanovych, Volodymyra Krushelnytska, highlighting common features and analyzing them in contexts of social, political, and cultural features of the era. Conclusions: Analyzing the biographical milestones and scientific achievements of women physicians in Western Ukraine in the late XIX – early XX century, we concluded that these personalities of Ukrainian medicine can be combined with a number of characteristics, thus demonstrating the continuity and longevity of the national female medical elite in Ukraine.

The aim: To study the intrinsic and extrinsic factors affecting quality of life in persons with disability after musculoskeletal injuries. Materials and methods: A medical and social research was conducted on151 individuals with re-confirmed disability after musculoskeletal injuries. Results: It was found that a third of people with disabilities after musculoskeletal injuries (35.8±3.9%) has low quality of life (QoL), females more often than males (OR = 2.73; 95% CI: 1.33-5.59). The following physical determinants of low QoL were identified: severity of disability group (2.77; 1.29-5.92), severity of injury (2.73; 1.11-5.63) related to long-term inpatient treatment (6.36; 2.55-15.86) and need of special tools for rehabilitation (2.42; 1.20-4.92). It was found that QoL in people with disability is decreasing with unemployment (4.44; 2.13-9.23) and reduction in social interaction (2.67; 1.33-5.39) when living with children (3.04; 1.50-6.16), complicated relationship (5.28; 2.54-10.97) and no support in family (3.25; 1.62-6.50). This is accompanied by an increase in the need of psychotherapy (4.07; 2.10-8.24), risky alcohol consumption (3.29; 1.19-9.07) and taking of sedative drugs (2.97; 1.35-6.50). It was established such medical and social determinants of low QoL as inadequate awareness of persons with disability about content of their Individual rehabilitation program (3.85; 1.69-8.76), insufficient covering of special tools (3.41; 1.67-6.96) and dissatisfaction of rehabilitation efficacy (3.79; 1.55-9.28). Conclusions: It is necessary to improve the system of rehabilitation of persons with disability after musculoskeletal injuries in view of quality of life determinants.