FEATURES OF RESTORATION OF SPATIAL STABILITY DISORDERS AMONG SERVICEMEN WITH TRAUMATIC BRAIN INJURY AND ACUBAROTRAUMA CONSEQUENCES

  • A. V. Shvets Ukrainian Military Medical Academy https://orcid.org/0000-0002-9461-7129
  • A. Yu. Kikh Military Medical Clinical Treatment & Rehabilitation Center
  • Y. O. Parkhomenko Ukrainian Military Medical Academy
  • I. A. Lukianchuk Ukrainian Military Medical Academy
Keywords: military personnel, acubarotrauma, traumatic brain injury, computer posturography, rehabilitation, suitability for military service

Abstract

Introduction. Being in the conditions of military operations, military personnel are exposed by a complex of negative factors, which lead to decrease their combat readiness and working capacity due to the consequences of mine explosive injury. Traumatic brain injury (TBI) is becoming a complex medical and social problem due to increased professional disqualification in many countries of the world. Combined pathology always entails defects in maintaining postural control, which makes these studies relevant for the timely diagnosis and monitoring of cochleo-vestibular disorders and targeted rehabilitation treatment of the acubarotrauma effects.

The purpose of research was to investigate the features of restoring spatial stability disorders in military personnel with the consequences of closed TBI and acubarotrauma at the subacute rehabilitation period as assessing method for monitoring of their functional state restoration.

Materials and methods. A group of 30 servicemen who had in history (more than 3 months)  Milde TBI complicated by acubarotrauma has been  examined. The study of static spatial stability (balance function) was carried out using the "Stabilograph-1 Complex" and the "StabiliS" software package for 1 min. In individuals of the group, studies were carried out upon admission to rehabilitation and after 14 ± 2 days of rehabilitation treatment.

Results. The indicators of computer posturography obtained in the absence of visual control over the maintenance of the vertical pose are the most informative characteristics that can serve as criteria for diagnosing functional disorders after a mTBI with acubarotrauma. It was found that during studies of the long-term consequences of mTBI, stabilization indices do not change significantly during rehabilitation, but their variability decreases significantly (before rehabilitation it was significantly higher). This indicates harmonization of vestibular apparatus functions in the studied group during subacute rehabilitation.

Conclusions. The importance of a periodic assessment of the functional state according to posturography indicators in individuals during the treatment of acubarotrauma combined with mTBI in the subacute period of rehabilitation is shown to improve and individualize the technology of rehabilitation treatment of this pathology. It was found that statistically confirmed positive dynamics of rehabilitation is characterized by a decrease in the variability of the characteristics of such parameters among patients without visual control as: the average position of the pressure center in the frontal plane, the excess oscillations of the pressure center in the frontal plane, the shift of the autocorrelation function in the frontal and sagittal planes to obtain a correlation coefficient value less than zero,  indicates a harmonization of functions vestibular apparatus in the studied group under the influence of rehabilitation measures. The dynamics of the restoration of the majority of posturography indicators in military personnel by the quantitative characteristics of their deviation from normal values, regardless of visual control, indicates the presence of positive results of rehabilitation  and has certain structural features.

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Published
2020-03-23
How to Cite
Shvets, A. V., Kikh , A. Y., Parkhomenko, Y. O., & Lukianchuk, I. A. (2020). FEATURES OF RESTORATION OF SPATIAL STABILITY DISORDERS AMONG SERVICEMEN WITH TRAUMATIC BRAIN INJURY AND ACUBAROTRAUMA CONSEQUENCES. Ukrainian Journal of Military Medicine, 1(1), 40-49. https://doi.org/10.46847/ujmm.2020.1(1)-040
Section
Military preventive medicine