<p><strong>Objective</strong>: to identify the main approaches in the management and motivation of the staff of the center to improve the effectiveness of physical therapy in orthopedic disorders, to form ways to take these features into account in managing the process of physical therapy.</p><p><strong>Methods</strong>: theoretical analysis and generalization of literary sources, method of systematization of scientific information.</p><p><strong>Results</strong>. It is advisable to use a fairly wide range of management techniques in the management of staff to provide physical therapy services, since it is about the impact on a rather complex system - the team of physical therapists, which in turn have a controlling influence on the not less complex systems - patients. The use of management methods can potentially contribute to a number of positive changes in the activities of the staff of physical therapists. The additional impact of these methods will be directed at the patient, in particular, in improving the quality of services. The work of a physical therapist is rather debilitating both from the physical side and from the psychological one. Therefore, the motivation of the staff is important in the management of physical therapists, as well as other employees of the Center for the provision of physical therapy services to patients with orthopedic profile. The study of the problem of motivation has a significant theoretical and practical significance, since the most valuable resource in the current conditions of the market of physical therapy services is personnel, not equipment. Therefore, the responsibility of the leader of a successful center for the provision of physical therapy services is that the motivational goals of the employees are largely correlated with the interests of the center and led to the final result to success, which can be characterized as achieving a useful result immediately to all participants in the system " the head is a physical therapist - a patient. " In a team of physical therapy center, as in any enterprise, there are different types of workers, and the choice of one concept of motivation is mainly determined by the majority of employees of a certain type in the team. The paper outlines the features of the selection and use motivational concepts for the staff center physical therapy. The theory of motivation is considered. Economic and non-economic motivational factors are allocated within the framework of the center for providing physical therapy services, the model of motivation of the personnel is given.</p><p><strong>Conclusio</strong><em>n</em>. The quality and performance of physical therapists in today's market conditions depends not only on professionalism and competence, but also on management, motivation, satisfaction of their needs and loyalty.</p>

Цель работы-определить уровень качества жизни у амбулаторных пациентов с нарушениями ортопедического профиля и исследовать его динамику за курс физической терапии в зависимости от локализации нарушения и психотипа.

<p><strong>Objective:</strong> to determine the peculiarities of forming a therapeutic alliance in outpatients with disorders of orthopedic profile after completing a course of physical therapy and their physical therapists depending on the psychotype of patients.</p><p><strong>Methods of research:</strong> theoretical analysis and generalization of literary sources, method of systematization of scientific information; Working Alliance Inventory questionnaire Form SF Hatcher (WAI). Patients were grouped using the International Classification of Functioning and Disease Types. The obtained results were processed by adequate methods of mathematical statistics. The study involved 113 patients who underwent a course of physical therapy at FESCO Medical Center during 2013-2015.</p><p><strong>Results.</strong> According to the results of the statistical analysis, patients with irrational attitude to the disease (irrational psychotypes) had significantly lower scores on the eight items of the WAI questionnaire out of twelve, as well as on all three totals. In particular, the «goal» score was significantly better in patients with rational psychotypes: Me (25; 75) scores were 14 (12.75; 15) points, versus 12 (11; 14) scores among patients with irrational psychotypes (p&lt;0,01). Similarly, the score of the "task" was 15 (13; 15) points against 12 (11; 15) points (p &lt;0.01), and the total score of the "bond" points 16 (16; 17) points against 14 (13; 15) points (p &lt;0.01). Thus, it can be stated that the evaluation of the “goal” items showed the lowest results, which were the farthest from the maximum values.</p><p><strong>Conclusion.</strong> The results obtained and the statistical analysis made it possible to evaluate the different sides of the level of formation of the therapeutic alliance, to identify the strengths and weaknesses and, thus, necessitated the development of ways to improve the union of the patient and the physical therapist.</p>

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Quality of life indicators are key in assessing the effectiveness of physical therapy now, as they reflect the physical, psychological and social functioning of the individual. Objective: to determine the dynamics of quality of life in outpatients with disorders of orthopedic profile during a course of physical therapy, depending on the type of attitude to the disease. Research methods: quality of life assessment was conducted using the internationally standardized Health Status Survey. Patient grouping was performed using the International Classification of Functioning and the method of determining types of attitudes to the disease. The obtained results were processed by methods of mathematical statistics. The study involved 113 patients who underwent a course of physical therapy at FESCO Medical Center during 2013-2015. Results. The analysis revealed a number of features of the dynamics of quality of life depending on the localization of damage to the musculoskeletal system and the type of attitude to the disease. In particular, among lower-impaired patients group with irrational attitude to the disease had worse dynamics in the scales “physical functioning”, “role limitations due to physical health”, “pain”, “vitality”, “mental health” and "physical status". Because the dynamics in the groups with irrational attitude to the disease were statistically worse in a significant number of indicators, no comparison of the final indicators with the groups of patients with the rational attitude to the disease was observed. Conclusion. The existence of statistically significant differences in the dynamics of quality of life among patients with orthopedic profile during physical therapy at the outpatient stage was confirmed, depending on the type of attitude to the disease. The results obtained should be considered to improve the physical therapy system and increase its effectiveness. This is necessary first of all for patients with irrational attitude to the disease, as a significant number of the studied indicators were worse in these patients, and also had less pronounced dynamics compared to patients with rational psychotypes. This requires identifying the characteristics of managing such patients and improving management in the physical therapy system.