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Introduction.The International Classification of Functioning, Disability and Health (ICF) is a universal system for assessing the health of the body as a whole, as well as problems that limit life. Using the ICF, it is possible at the level of the body, personality and society to quite accurately investigate the nature and severity of disabilities. Subsequently, this will make it possible, on a scientific basis, to substantiate the need and volume of rehabilitation measures and social protection. For medical professionals, one of the main criteria for using the ICF is the ability to formulate a rehabilitation diagnosis, which in turn makes it possible to determine the goal, objectives, rehabilitation program, and in the future to assess the effectiveness of rehabilitation measures. In the formulation of a rehabilitation diagnosis, the coding for the ICF domains is used. Rehabilitation diagnosis is a description of structural and functional disorders that have arisen in a patient as a result of a stroke, which entailed a restriction of activity and participation, the possibility of using environmental factors that may facilitate or hinder the performance of the described functions by the patient. Purpose of the study: to evaluate the effectiveness of the algorithm for the formation of a rehabilitation diagnosis using ICF domains, tests and scales on a clinical example of a patient who has had a stroke.Conclusion.The ICF evaluates all components of a post-stroke patient's health. The ICF is used in the preparation of a rehabilitation diagnosis and justifies the use of methods of medical rehabilitation. Formation of a rehabilitation diagnosis based on the principles of ICF is a key point in determining short-term and long-term goals for the patient, as well as assessing the rehabilitation potential and prognosis, drawing up an individual plan for medical rehabilitation and further recommendations upon discharge. Our experience of rehabilitation in the post-stroke period has shown that the use of the international classification of functioning in the formulation of a rehabilitation diagnosis in this category of patients allows for a higher efficiency of medical rehabilitation in general.

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INTRODUCTION. The article reflects long-term and distant consequences of antitumor therapy, from three to six months from the beginning of treatment, in patients with breast cancer. Analysis of the identified effects allowed to determine the structure of the rehabilitation diagnosis based on the International Classification of Functioning. AIM. To designate the main International Classification of Functioning codes for breast cancer patients corresponding to the third stage of rehabilitation, to evaluate the effectiveness of rehabilitation measures at this stage of rehabilitation in breast cancer patients who received different methods of treatment for this disease. MATERIAL AND METODS. The study was conducted on the basis Federal Research and Clinical Center of Radiology and Oncology of the Federal Medical and Biological Agency of Russia for the period October-January 2021-2022, including the data analysis of 40 patients (all women) with breast cancer stages I-IV, being at the third stage of rehabilitation 3-6 months after the complex antitumor treatment with the persistence of adverse events due to the therapy, the mean age of patients is 58 .6 ± 1.2 years. RESULTS AND DISCUSSION. The need for rehabilitation measures in patients with breast cancer persisted and increased after the end of antitumor treatment. A brief set of International Classification of Functioning was formed on the basis of complaints and evaluation of patients admitted to the third stage of medical rehabilitation from the standpoint of a biopsychosocial approach. Rehabilitation diagnosis distinctive features were identified and, accordingly, the rehabilitation program was developed at the third stage of medical rehabilitation of patients with breast cancer. CONCLUSION. The results of the study confirm the long-term effects of antitumor treatment, which suggests the need for rehabilitation measures to prevent the development and progression of complications and to improve the quality of life of breast cancer patients.

BACKGROUND: The patients recovery after total knee replacement (TKR) is long and is associated several potentially serious complications. The optimal solution to this problem is the introduction of regional blocks of the lower limb into anesthesiologic practice, which can contribute to enhanced rehabilitation and fewer complications. AIM: To perform a prospective comparative analysis of the anesthesia outcomes of patients who received a combination of prolonged femoral nerve blockade (CFNB) with catheter insertion and infiltration between the popliteal artery and capsule of the knee (IPACK), with the results in patients receiving prolonged epidural analgesia (PEA) as postoperative analgesia for TKR. MATERIALS AND METHODS: Eighty patients were included and distributed according to the required planned surgical intervention (TKR). The duration of the inclusion period was 3 months (from March to May 2022). Patients were observed up to 48 h after surgery, with control points every 8 h. The patients were divided into two groups: group 1 (PEA, n=40) underwent subarachnoid anesthesia in combination with PEA, and group 2 (n=40) underwent subarachnoid anesthesia as a combination of CFNB and IPACK. To compare the groups, the following main indicators were used: severity of pain syndrome (visual analog scale [VAS], from 0 to 10 cm), muscle strength on the Medical Research Council (MRC) scale, duration of patients stay in the intensive care unit, duration of hospitalization, and presence of postoperative complications. RESULTS: The highest average score for VAS was recorded at 32 h in group 1, and it was 3.6 cm. The lowest average score for VAS (1.11.2 cm) was noted in the first 8 h and after 48 h in group 1. In group 2, this value was 0.91.5 cm in the first 16 h, and at 48 h, the pain syndrome was more pronounced in group 2, making up 2 cm on VAS. Compared with the PEA group, the CFNB group had statistically higher values of the indicators of the motor strength of the leg muscles on the MRC scale at all stages of the study. The PEA group stayed in the intensive care unit statistically significantly longer than the PBN group: 210 (189260) and 180 (154185) min, respectively (p 0.001). CONCLUSION: The results of this study showed that the use of multimodal analgesia as a combination of CFNB and IPACK is a reliable anesthetic support for TKR, with an efficiency not inferior to classical epidural analgesia. The use of this combination of peripheral blockades contributes to the early activation and rehabilitation of patients after TKR.