The use of clinical protocols and standarts of care of adult patients of neurological and orthopedic-traumatological profile by a physiotherapist in the outpatient link (review)

According to the regulatory documents, from January 1, 2022, medical care is provided on the basis of clinical protocols. At the same time, the assessment of the entire volume of regulatory and legal documentation remains an urgent and complex task today, requiring special attention of a physiotherapist due to the fact that the section non-drug methods of treatment and rehabilitation is mandatory for any clinical protocol. Thus, a physiotherapist should have up-to-date information on almost all clinical protocols and standards of medical care. Physiotherapy is also presented in the standards of treatment of patients of various profiles and ages, which are often published earlier than the relevant clinical protocols or are the only regulatory document.

For ease of use, the standards and clinical protocols have been grouped according to the clinical and anatomical principle in tabular form. For each group of nosologies, only non-drug methods of treatment with a multiplicity of use and frequency of provision are allocated. The ways of solving the imperfections of the regulatory framework in the context of physiotherapy at various levels are proposed. Methods of integration of documents regulating medical activity into the practice of work of an outpatient physiotherapist are described.