Recent aspects of medical rehabilitation for combat trauma

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Abstract

The realities of the new times determine the need to update approaches to the organisation and The realities of the new times determine the need to actualise approaches to the organisation and conduct of rehabilitation measures for military personnel and civilians injured during combat operations.

The article presents a review of modern views on the peculiarities of combat trauma and the dynamics of the nature and type of injuries over the past few decades, the basic principles of comprehensive rehabilitation of the wounded, including medical, professional and socio-psychological aspects. The importance of personalisation of rehabilitation programmes, use of multidisciplinary approach, involvement of the patient's family in the process is reflected. The main disorders arising in persons with combat trauma are characterised in the categories of the International Classification of Functioning. The analysis of the use of modern means and methods of medical rehabilitation: physical training with the use of virtual reality environment and innovative technologies based on the principle of biofeedback, robotic mechanotherapy, hydrokinesiotherapy and other physiotherapeutic methods, the role of remote telemedicine technologies in controlling the effectiveness and safety of the rehabilitation process is highlighted.

An integrated approach to rehabilitation, taking into account modern peculiarities of combat trauma, makes it possible to ensure maximum effectiveness of rehabilitation measures, reduce the number of persons with persistent dysfunctions, prevent psycho-emotional disorders and promote maximum social and professional integration of the wounded.

About the authors

Irene V. Pogonchenkova

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Email: PogonchenkovaIV@zdrav.mos.ru
ORCID iD: 0000-0001-5123-5991
SPIN-code: 8861-7367

MD, Dr. Sci. (Med.), Assistant Professor

Russian Federation, Moscow

Alexey M. Shchikota

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Author for correspondence.
Email: alexmschikota@mail.ru
ORCID iD: 0000-0001-8643-1829
SPIN-code: 7079-6505

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, Moscow

Alim G. Kashezhev

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Email: kashezhevalim@gmail.com
ORCID iD: 0000-0001-7483-1796
SPIN-code: 2032-2566

MD, Cand. Sci. (Med.), Senior Research Associate

Russian Federation, Moscow

Anastasia V. Kotelnikova

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Email: pav.kotelnikov@ya.ru
ORCID iD: 0000-0003-1584-4815
SPIN-code: 7493-6708

Cand. Sci. (Psychology), Assistant Professor, Leading Researcher

Russian Federation, Moscow

Marina R. Makarova

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Email: makarovamr@mail.ru
ORCID iD: 0000-0002-1787-7015
SPIN-code: 7640-4570

MD, Cand. Sci. (Med.), Assistant Professor, Leading Researcher

Russian Federation, Moscow

Maksim S. Filippov

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Email: apokrife@bk.ru
ORCID iD: 0000-0001-9522-5082
SPIN-code: 8103-6730
Russian Federation, Moscow

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