TECHNOLOGY OF REMOTE MEDICAL REHABILITATION OF PATIENTS WITH CORONAVIRUS INFECTION

FIELD: medicine.SUBSTANCE: invention relates to medicine, medical equipment and rehabilitation using computer technology, innovative electronic developments of distance learning and treatment systems, cloud systems and is based on use of a telemedicine platform for rehabilitation online sessions with patients suffering from or undergoing coronaviral infection in self-isolation mode, for complex improvement of the functions of their respiratory, cardiovascular, motor, digestive, and nervous systems. Remote rehabilitation is performed on a cloud telemedical platform - COVIDREHAB, using a device suitable for unobstructed Internet access and video communication in real time. First, patient leaves online application on platform portal for remote rehabilitation, filling a set of questionnaires, attending physician checks completed questionnaires: health assessment, mMRC (Modified Medical Research Council), SF-36, and determines indications and contra-indications for remote rehabilitation in accordance with information received from patient. If, in the process of filling out the questionnaires, the patient indicates a symptom that is dangerous or critical for life and health, patient immediately receives notification from attending physician on in-person seeking of medical care. According to results of patient filling questionnaires and analyzing available information on patient's condition, attending physician through portal of telemedicine platform opens the patient access to set of medical recommendations in form of links to Internet resources with remote sessions with an instructor of physical therapy (PT), as well as with information materials or video lections, placed on the same portal and relating, in addition to PT, recommendations for nutrition, intestinal microflora recovery and drug-free posttraumatic recovery methods, or in accordance with the patient's condition, sends a message on the need for an in-person visit to the doctor. As rehabilitation measures, patients undergo a distance rehabilitation course for 20 days: 14 days of online sessions with a PT instructor and according to the indications - with a psychologist, in a group or individually, and 6 days of self-study on video lessons. At that, as PT sessions, diaphragmatic breathing is taught to patients in online classes led by an instructor, after which they perform complex exercises of respiratory gymnastics using diaphragmatic breathing under video surveillance of instructor. In the sitting