EVALUATION OF THE FEEDBACK SYSTEM FOR PROVIDING POSTURAL BALANCE IN PATIENTS WITH MINE EXPLOSIVE INJURY
DOI:
https://doi.org/10.11603/1681-2786.2023.3.14229Keywords:
mine-explosive injury, rehabilitation, feedback system, stabilometry, balance test, stability platform, quality of life, healthAbstract
Purpose: to assess the impact of physical therapy on the main components of ensuring postural balance in patients with a mine-explosive injury.
Materials and Methods. The studies were performed on a stable platform with biofeedback TYMO (Tyromotion). 20 patients who received injuries of the lower limbs with a violation of the integrity of the bone tissue were examined. The diagnosis was carried out at the stage of verticalization of the patient and the possibility of axial loading of the affected limb. The assessment of the ratio of the impact on the postural balance of the visual, vestibular and somatosensory components was carried out before the start of the two-week rehabilitation program (included mobilization of joints and soft tissues; restoration of the amplitude of movements; kinesiotherapy; therapy of impaired balance functions; restoration of the gait pattern; correction of elements of motor activity; medical therapeutic training; mechanotherapy; instrumental methods of mobilizing soft tissues; therapy of impaired balance functions using a stable platform) and after its completion.
Results. When evaluating the components of the reverse reaction in patients with a mine-explosive injury before treatment, it was found that the somatosensory component prevailed in them, which exceeded the vestibular component by 22.7 % (p<0.05), and the visual component by 35.2 % ( p<0.001). The visual component turned out to be the smallest,
After treatment, there was a significant decrease in the somatosensory component by 10.1 % (p<0.001), a significant increase in the visual component by 6.6% (p<0.01) and an increase of 6.3 % (p>0.05), which turned out to be statistically unreliable. In patients, the somatosensory component prevailed, which exceeded the vestibular component by 3.8 % (p>0.05), and the visual component by 14.1 % (p<0.02). The visual component was smaller than the vestibular component by 9.9% (p<0.05).
Conclusions. Mine-explosive injury causes disorders of postural balance, which is reflected by an imbalance in the distribution of the components of the feedback reaction: the contribution of the somatosensory component increases, and the visual component decreases. Treatment leads to a decrease in the contribution of the somatosensory component. Stabilometry turned out to be the optimal method for monitoring the therapeutic effect of medical rehabilitation for musculoskeletal dysfunction.
References
Мisyura, V.B. (2023). Stan balansu, functsionalnoji rukhluvosti ta biomekhanichnі parametry khodby cholovikiv 25–42 rokiv іz naslidkamy bojovoji travmy [The state of balance, functional mobility and biomechanical walking parameters of men aged 25–42 with the consequences of combat trauma]. Naukovyj chasopys NPU іmeni М.P. Drahomanova – Scientific journal of the M.P. Drahomanov NPU, 2(160), 129-133 [in Ukrainian]. DOI: https://doi.org/10.31392/NPU-nc.series15.2023.02(160).27
Wares, J.R., Hoke, K.W., Walker, W., Franke, L.M., Cifu, D.X., Carne, W., & Ford-Smith, C. (2015). Characterizing effects of mild traumatic brain injury and posttraumatic stress disorder on balance impairments in blast-exposed servicemembers and Veterans using computerized posturography. Journal of Rehabilitation Research & Development, 52(5), 591-603. DOI 10.1682/JRRD.2014.08.0197. DOI: https://doi.org/10.1682/JRRD.2014.08.0197
Haran, F.J., Zampieri, C., Wassermann, E.M., Polejaeva, E., Dell, K.C., LoPresti, M.L., ... Carr, W. (2021). Chronic effects of breaching blast exposure on sensory organization and postural limits of stability. Journal of occupational and environmental medicine, 63(11), 944-950. DOI 10.1097/JOM.0000000000002266. DOI: https://doi.org/10.1097/JOM.0000000000002266
Cleworth, T.W., Peters, R.M., Chua, R., Inglis, J.T., & Carpenter, M.G. (2023). Effects of postural threat on perceptions of lower leg somatosensory stimuli during standing. Front. Neurosci., 17. DOI 10.3389/fnins.2023.1191976. DOI: https://doi.org/10.3389/fnins.2023.1191976
Pierret, J., Caudron, S., Paysant, J., & Beyaert, C. (2021). Impaired postural control of axial segments in children with cerebral palsy. Gait Posture, 86, 266-272. DOI 10.1016/j.gaitpost.2021.03.012. DOI: https://doi.org/10.1016/j.gaitpost.2021.03.012
Patti, A., Bianco, A., Şahin, N., Sekulic, D., Paoli, A., Iovane, A., … Palma, A. (2018). Postural control and balance in a cohort of healthy people living in Europe: An observational study. Medicine, 97(52). DOI 10.1097/MD.0000000000013835. DOI: https://doi.org/10.1097/MD.0000000000013835
de Groot, M.H., van der Jagt-Willems, H.C., van Campen, J.P., Lems, W.F., & Lamoth, C.J. (2012). Testing postural control among various osteoporotic patient groups: a literature review. Geriatr. Gerontol. Int., 12(4), 573-585. DOI 10.1111/j.1447-0594.2012.00856.x. DOI: https://doi.org/10.1111/j.1447-0594.2012.00856.x
Littlefield, P.D., Pinto, R.L., Burrows, H.L., & Brungart, D.S. The Vestibular Effects of Repeated Low-Level Blasts. J. Neurotrauma, 33(1), 71-81. DOI 10.1089/neu.2014.3824. DOI: https://doi.org/10.1089/neu.2014.3824
Carr, W., Yarnell, A.M., Ong, R., Walilko, T., Kamimori, G.H., da Silva, U., … LoPresti, M.L. (2015). Ubiquitin Carboxy-Terminal Hydrolase-L1 as a Serum Neurotrauma Biomarker for Exposure to Occupational Low-Level Blast. Front. Neurol., 6. DOI 10.3389/fneur.2015.00049. DOI: https://doi.org/10.3389/fneur.2015.00049
Miyazaki, S., Yamako, G., Arakawa, H., Sakamoto, T., Kawaguchi, T., Ito, K., & Chosa, E. (2023). Weight-shifting-based robot control system improves the weight-bearing rate and balance ability of the static standing position in hip osteoarthritis patients: a randomized controlled trial focusing on outcomes after total hip arthroplasty. PeerJ., 11. DOI 10.7717/peerj.15397. DOI: https://doi.org/10.7717/peerj.15397
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Bulletin of Social Hygiene and Health Protection Organization of Ukraine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
