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.
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