PHYSICAL REHABILITATION OF PATIENTS WITH POLYTRAUMA: MODERN METHODS AND PROSPECTS FOR DEVELOPMENT

Authors

  • D. V. Popovych I. Horbachevsky Ternopil National Medical University
  • Yu. I. Havlich I. Horbachevsky Ternopil National Medical University
  • V. I. Boіko I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2411-1597.2024.4.14944

Keywords:

polytrauma, physical rehabilitation, kinesiotherapy, mechanotherapy, multidisciplinary approach

Abstract

Introduction. Polytrauma is one of the most complex problems in modern medicine, characterized by multiple injuries that affect several organs or body systems. This phenomenon is accompanied by a high mortality rate and a long rehabilitation process that requires the involvement of a multidisciplinary team. Physical rehabilitation plays a key role in returning motor activity, reducing complications and improving the quality of life of patients.

The aim of the study – to analyze modern methods of physical rehabilitation of patients with polytrauma and discuss the prospects for the development of this area.

The main part. The article discusses the main methods of physical rehabilitation, such as kinesiotherapy and mechanotherapy. Kinesiotherapy includes exercises aimed at restoring muscle strength, flexibility and overall coordination of the patient. Active and passive exercises help prevent muscle atrophy and promote tissue regeneration. Mechanotherapy, in turn, uses specialized equipment to gradually load the injured areas of the body. This method increases the efficiency of recovery and reduces the risk of secondary injuries, allowing for personalized rehabilitation approaches for each patient. The physical rehabilitation of patients with field trauma is aimed at the comprehensive recovery of patients who have sustained several serious injuries at the same time, which requires a multilevel approach and the use of a multidisciplinary team. The main points of rehabilitation of these patients are a multidisciplinary approach, where physical therapists, occupational therapists, surgeons, traumatologists, psychologists and social workers participate in rehabilitation; modern methods of physical therapy, where therapeutic exercises are used to gradually return motor activity, starting with passive movements to active exercises. The rehabilitation process includes mechanotherapy, which involves the use of special simulators to improve the range of motion and restore muscle strength. It is worth noting that psychological support is essential, as working with a psychologist helps patients overcome stress and anxiety associated with a long recovery process. Modern methods of physical rehabilitation, combined with technological advances and an individual approach, can improve the effectiveness of recovery of patients with polytrauma.

 Conclusions. Physical rehabilitation of patients with polytrauma is an important component of the recovery process, which contributes to the improvement of motor functions and overall quality of life. The use of modern methods, such as kinesiotherapy and mechanotherapy, provides an integrated approach to treatment and support for the functional recovery of patients. This helps to reduce the duration of the rehabilitation period and improves the quality of life of patients.

References

Sitovskyi, A.M. (2022). Fizychna terapiia pry porushenni diialnosti oporno-rukhovoho aparatu: navch. posib. [Physical therapy in disorders of the musculoskeletal system: textbook]. Lutsk: VNU im. Lesi Ukrainky [in Ukrainian].

Hryhus, I.M. (2022). Osnovy fizychnoi terapii: posibnyk dlia studentiv [Basics of physical therapy: a student manual]. Odesa: Oldi+ [in Ukrainian].

Smith, J.L. (2023). Advances in polytrauma management in the emergency setting: a comprehensive review. International Journal of Health Sciences.

Melnyk, Yu. (2021). Hidroterapiia, de yii pochatok? [Hydrotherapy, where it begins?]. Retrieved from: https://rehabprime.com/hydrotherapy/ [in Ukrainian].

Cikulin-Kulinski, K. (2017). Physical Therapy Clinical Handbook for PTAs. Jones & Bartlett Learning.

Shmakova, I.P. (2021). Hidroterapiia. Tekhnika i metodyka provedennia protsedur [Hydrotherapy. Technique and procedure methods]. Odesa [in Ukrainian].

Kisner, C., & Colby, L.A. (2012). Therapeutic Exercise: Foundations and Techniques. F.A. Davis Company, 189 p.

Levangie, P.K., & Norkin, C.C. (2011). Joint Structure and Function: A Comprehensive Analysis. F.A. Davis, 136 p.

Frontera, W.R., Silver, J.K., & Rizzo, T.D. (2014). Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. Elsevier Health Sciences, 324 p.

Bandy, W.D. (2001). Therapeutic Exercise for Physical Therapy Assistants, second edition. Lippincott Williams & Wilkins, 286 p.

Published

2024-12-24

How to Cite

Popovych, D. V., Havlich, Y. I., & Boіko V. I. (2024). PHYSICAL REHABILITATION OF PATIENTS WITH POLYTRAUMA: MODERN METHODS AND PROSPECTS FOR DEVELOPMENT. Nursing, (4), 29–33. https://doi.org/10.11603/2411-1597.2024.4.14944

Issue

Section

Матеріали конференції