ACTUALITY AND FOUNDATION OF NEUROPSYCHOLOGICAL AND PHYSIOTHERAPEUTIC REHABILITATION IN PATIENTS WITH CLOSED TRAUMATIC BRAIN INJURY CAUSED BY ACTION OF THE EXPLOSIVE WAVE
DOI:
https://doi.org/10.11603/1811-2471.2019.v0.i1.10053Keywords:
traumatic brain injury, distant consequences of traumatic brain injury, military traumatic brain injury, neuropsychological assistance, physiotherapy measures, psychotherapeutic assistance, explosive waveAbstract
Damage to the central nervous system among participants in military operations in the east of Ukraine ranks second after bullet and fragmentation wounds to the trunk and extremities. Damages caused by the blast wave, according to pathogenesis and clinical and morphological manifestations, differ significantly from the usual mechanical closed craniocerebral injuries.
It is quite obvious that this problem of remote consequences,, their diagnosis, adequate clinico-pathophysiological evaluation, treatment, rehabilitation in general, have an important general medical and socio-economic significance.
The aim – to study the long-term consequences of a military brain injury for the further validity of the choice of therapy and rehabilitation methods.
Material and Methods. There were examined 97 military men with this nosology. The pathogenesis of damage to the nervous system in traumatic brain disease is mainly due to metabolic, toxic, vascular and reflex disorders. The shift of homeostasis, as an internal stress factor, triggers a cascade of pathological mechanisms.
Results and Discussion. An analysis of the dynamics of pathological processes showed that not all of its links are equivalent. Individual links of pathogenesis are crucial for the further development of pathological processes. In the dynamics of the disease, the role of individual links, even the main pathological process, often changes, and so the main link is not always constant throughout the illness. At each stage of the development of the disease, its main their own links in pathogenesis are possible.
Conclusions. Anticipating the structural and functional rearrangements of the structure of the brain, it is possible to provide the possibility of controlling vital processes. The efficacy and effectiveness of neuropsychological and physiotherapeutic measures of rehabilitation of patients were tested and proved.
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