The Analysis of Dynamics of Functional Indicators of the Musculoskeletal System of ATO Participants with Gunshot Fractures of the Shin Bones
Keywords:
physical rehabilitation, participants of the ATO, injury jointsAbstract
Taking into account the fact that the main complications of gunshot fractures of the shin bones in the distant post-mobilization period include: violation of the amplitude of movements in the joint, loss of muscle strength, deterioration of microcirculation, impaired function of the peripheral nerves of the affected limb and correct rehabilitation examination are needed. The article contains the analysis results of the goniometry indicators and manual muscle testing among a contingent of military personnel, participants of the ATO with the effects of gunshot fractures of the shin bones. Examination of the musculoskeletal system allows determining the initial level of the functional state of the patient and highlighting the results of the program of physical rehabilitation. Study location: UkrainianState Medical and Social Center of War Veterans, Tsybli. Objective: to obtain information on the effect of a gunshot trauma on the functional characteristics of the musculoskeletal system. Methods of the research: analysis of scientific and methodological literature, goniometry (determination of active and passive range of movements in joints), MMT (assessment of the preservation of the strength of individual muscles or muscle groups), the method of variation statistics. Results. As a significant part of disability prevention and rehabilitation measures will be conducted in sanatorium and resort conditions, using natural and medical resources in order to increase the rehabilitation and sanatorium-resort potential of Ukraine [3]. Therefore, scientific justification for using the methods of the PR in the practice of providing rehabilitation assistance to servicemen who were injured as a result of hostilities.Conclusions. Based on the obtainedresults, prospects for future studies, we see the further expansion of research at clinical sites in order to assess the effectiveness of the use of traditional means and methods and modern technologies of physical rehabilitation to restore the health of military personnel with the consequences of gunshot fractures of the shin bones.
References
2. Ivashchenko S. N. (2016) Osoblyvosti pobudovy fazovoyi modeli fizychnoyi reabilitatsiyi viys’kovosluzhbovtsiv, shcho postrazhdaly vnaslidok boyovykh diy [Phase Model for Physical Rehabilitation of Servicemen Affected as a Result of Combat Activities] Scientific Journal of NPU Dragomanova, Series 15, 63–67 (in Ukrainian).
3. The explanatory note to the draft law of Ukraine № 4458 from 04.15.2016, on the prevention of disability and rehabilitation system in Ukraine. Available at: http://search.ligazakon.ua/l_doc2.nsf/link1/GH3FU00A.html (in Ukrainian)
4. Capo J. T., Liporace F., Ng D., Caruso S. Bilateral comminuted radial shaft fractures from a single gunshot: fixation with alternative techniques. The American Journal of Orthopedics. 2009. Vol. 38, N 4. P. 194–198.
5. Daniels L., Worthingham K. Muscle Testing – Techniques of Manual Examination. 7th edition. Phyladelphia, PA: W. B. Saunders Co; 2002.
6. Dougherty P. J., Vaidya R., Silverton C. D. et al. Joint and long-bone gunshot injuries // The Journal of Bone and Joint Surgery. 2009. Vol. 91. P. 980–997
7. Mauffrey C. Management of gunshot wound to the limbs. A review. The Internet Journal of Orthopaedic Surgery 2006.3(1).
8. Queen R. M. Repeatability of lower extremity kinetics and kinematics for standardized and self-selected running speeds / R. M. Queen, M. T. Gross, H.Y. Liu // Gait & Posture. – 2006. – Vol. 23 (3). – P. 282–287.
9. Thordarson D. B., Complications after treatment of tibial pilon fractures: prevention and management strategies // J-Am-Acad-Orthop-Surg. 2000 Jul-Aug; 8(4): 253–65
