Modern approaches to rehabilitation of military men with a gun-shot polystructural woundings of upper extremity

Keywords: gun-shot woundings; upper extremity; rehabilitation; restoration treatment.

Abstract

Objective. To improve the results of treatment in the patients with polystructural gun-shot woundings of the upper extremity, using elaboration and individualization of the rehabilitation program, depending on the trauma severity degree.

Маterials and methods. The restorational treatment course to 52 injured persons was conducted in accordance to elaborated individualized program in the Institute of Traumatology and Orthopedics NAMS of Ukraine, 168 military men - in accordance to standard procedures in the Іrpin Military Hospital with periodical monitoring of the state and correction measures. The extremities function was estimated in accordance to two procedures, which have added one another: DASH (Disability of the Arm, Shoulder and Hand Outcome Measure) and AOOS in modification of І. М. Кurinnyi.

Results. Expediency of differentiated approach and elaboration of individual programs of rehabilitation and achievement of a maximally searched definite results of the specialized help delivery to the injured persons, suffering a gun-shot polystructural woundings of upper extremity.

Conclusion. Enhancement of the upper extremity function in military men, who obtained rehabilitation in accordance to the individual programs elaborated, was essentially bigger - (61.7 ± 12.1) points and achieved during shorter by (65.0 ± 14.0) days, than in the wounded persons, who obtained rehabilitation in accordance to standard procedures, the function enhancement have constituted (48.1 ± 11.2) points.

Author Biographies

I. V. Roy, Іnstitute of Traumatology and Orthopedics, Kyiv

Roy Irina V., DSci (Med), professor
Institute of Traumatology and Orthopedics
Head of the Rehabilitation Department
27 Bulvarno-Kudriavska Str., 01601, Kyiv, Ukraina,
+38 (044) 486 26 18
natashabor@ukr.net
ORCID: https://orcid.org/0000-0002-4138-4691

N. О. Borzykh, Іnstitute of Traumatology and Orthopedics, Kyiv

Borzykh Natalia О., DSci (Med)
Institute of Traumatology and Orthopedics
Traumatologist-orthopedist
27 Bulvarno-Kudriavska Str., 01601, Kyiv, Ukraina,
+38 (044) 486 32 09
natashabor@ukr.net
ORCID: https://orcid.org/ 0000-0002-3733-7905

L. D. Каtіukova, Іnstitute of Traumatology and Orthopedics, Kyiv

Katiukova Lilia D.
State Institution «Institute of Traumatology and Orthopedics National Academy of Medical Science of Ukraine», Kyiv, Ukraine
Physiotherapist, rehabilitologist
27 Bulvarno-Kudriavska Str., 01601, Kyiv, Ukraina,
+38 (044) 486 32 09

О. V. Borzykh, National Military-Medical Clinical Center «The Main Military Clinical Hospital», Kyiv

Borzykh Olexander V., DSci (Med), professor
National Military Medical Clinical Centre «The Main Military Clinical Hospital», Kyiv
Traumatologist-orthopedist
16 Gospіtalna Str., 02000, Kyiv, Ukraina
+38 (044) 521 84 63
alexborz@ukr.net
https://orcid.org/0000-0001-8321-7018

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Published
2019-05-05
How to Cite
Roy, I. V., BorzykhN. О., КаtіukovaL. D., & BorzykhО. V. (2019). Modern approaches to rehabilitation of military men with a gun-shot polystructural woundings of upper extremity. Klinicheskaia Khirurgiia, 86(5), 34-38. https://doi.org/10.26779/2522-1396.2019.05.34
Section
General Problems of Surgery