Recent aspects of medical rehabilitation for combat trauma
- 作者: Pogonchenkova I.1, Shchikota A.1, Kashezhev A.1, Kotelnikova A.1, Makarova M.1, Filippov M.1
-
隶属关系:
- Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine
- 期: 卷 22, 编号 2 (2023)
- 页面: 115-127
- 栏目: Review
- URL: https://journals.rcsi.science/1681-3456/article/view/251430
- DOI: https://doi.org/10.17816/622930
- ID: 251430
如何引用文章
详细
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.
作者简介
Irene 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 代码: 8861-7367
MD, Dr. Sci. (Med.), Assistant Professor
俄罗斯联邦, MoscowAlexey Shchikota
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine
编辑信件的主要联系方式.
Email: alexmschikota@mail.ru
ORCID iD: 0000-0001-8643-1829
SPIN 代码: 7079-6505
MD, Cand. Sci. (Med.), Assistant Professor
俄罗斯联邦, MoscowAlim 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 代码: 2032-2566
MD, Cand. Sci. (Med.), Senior Research Associate
俄罗斯联邦, MoscowAnastasia 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 代码: 7493-6708
Cand. Sci. (Psychology), Assistant Professor, Leading Researcher
俄罗斯联邦, MoscowMarina 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 代码: 7640-4570
MD, Cand. Sci. (Med.), Assistant Professor, Leading Researcher
俄罗斯联邦, MoscowMaksim 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 代码: 8103-6730
俄罗斯联邦, Moscow
参考
- Fisun AYa. Hybrid warfare and medicine: from common understanding to interagency interaction. Disaster medicine. 2022;(3):12–16. (In Russ). doi: 10.33266/2070-1004-2022-3-12-16
- Cubano MA, editors. Emergency war surgery. Fourth United States Revision. San-Antonio; 2013. 529 р.
- Barzilai L, Harats M, Wiser I, et al. Characteristics of improvised explosive device trauma casualties in the Gaza Strip and other combat regions: The Israeli Experience. Wounds. 2015;27(8):209–214.
- Melcer T, Pyo J, Walker J, et al. Rehabilitation and multiple limb amputations: A clinical report of patients injured in combat. J Rehabil Res Dev. 2016;53(6):1045–1060. doi: 10.1682/JRRD.2014.09.0219
- Chernyshov EA, Abrosimov AA, Romanov ID, et al. Modern fighting wound and development of means of an individual armored protection. Int J Applied Fundamental Research. 2014;(9-1):42–46. (In Russ).
- Tong D, Ross B. Combat body armor and injuries to the head, face, and neck region: A systematic review. Military medicine. 2013;178(4):421–426. doi: 10.7205/MILMED-D-12-00522
- McIntyre J. Syrian civil war: A systematic review of trauma casualty epidemiology. BMJ Military Health. 2020;166(4):261–265. doi: 10.1136/jramc-2019-001304
- Trishkin DV, Kryukov EV, Chuprina AP, et al. Methodological recommendations for the treatment of combat surgical trauma. Moscow; 2022. 373 p. (In Russ).
- Mihin AA, Churashov SV, Kulikov AN, Nikolaev SN. Modern combat eye injury. Structure, features and outcomes of treatment. Bulletin Pirogov National Medical & Surgical Center. 2021;16(1):132–134. (In Russ). doi: 10.25881/BPNMSC.2021.61.84.025
- Seliverstov PA, Shapkin YuG. Application of damage control tactics in combat injuries of limbs at the advanced stages of medical evacuation in modern war settings (literature review). Medico-Biological Socio-Psychological Problems Safety Emergency Situations. 2023;(1):42–52. (In Russ). doi: 10.25016/2541-7487-2023-0-1-42-52
- Ponomarenko GN, editors. Combat injury: Medical and social rehabilitation (practical guide). Moscow: GEOTAR-Media; 2023. 304 p. (In Russ). doi: 10.33029/9704-7919-3-BTM-2023-1-304
- Abdrafikova GH, Guryeva NA. Organization of rehabilitation therapy centre for participants of local military conflicts. Pediatr. 2012;3(1):59–61. (In Russ).
- Hoencamp R, Idenburg FJ, van Dongen TT, et al. Long-term impact of battle injuries; Five-year follow-up of injured Dutch servicemen in Afghanistan 2006–2010. PLoS One. 2015;10(2):e0115119. doi: 10.1371/journal.pone.0115119
- Gzirjan VS. A comprehensive approach to rehabilitation of disabled combatants in the Orenburg oblast. Vestnik Orenburgskogo gosudarstvennogo universiteta. 2005;(10-2):43–47. (In Russ).
- Dyakonov IF, Markosyan SE, Tegza VJu, Rezunkova OP. Technologies of medical and psychological rehabilitation of servicemen. Health ― the base of human potential: Problems and ways to solve them. 2018;13(1):237–244. (In Russ).
- Stucki G, Cieza A, Melvin J. The International Classification of Functioning, Disability and Health (ICF): A unifying model for the conceptual description of the rehabilitation strategy. J Rehabil Med. 2007;39(4):279–285. doi: 10.2340/16501977-0041
- Zujkova AA, Potemina TE, Kuznetsova SV, Pereshein AV. Options for medical and psychological rehabilitation of combat veterans in the aftermath of combat stress and trauma. Problems Balneology, Physiotherapy Exercise Therapy. 2021;98(4):5–10. (In Russ). doi: 10.17116/kurort2021980415
- Belozyorov GM, Dzhurko VV, Klimenko GYa, et al. Rehabilitation of participants of military actions: History, modern state, development perspectives. Human Ecology. 2004;(4):40–45. (In Russ).
- Trishkin DV, Sergoventsev AA, Yudin VE, et al. Modern system of rehabilitation and habilitation of military personnel with limb amputation. Russian Military Medical Journal. 2023;344(1):4–12. (In Russ). doi: 10.52424/00269050_2023_344_2_4
- Dolgikh SV, Kirsanova AA, Kovlen DV, et al. Modern technologies of medical rehabilitation of traumatological patients in the health resort organization of the Ministry of Defense. Russian Military Medical Journal. 2021;342(4):11–17. (In Russ). doi: 10.17816/RMMJ82594
- Asadoullin CG, Chigapov BG. Organizational aspects of rehabilitation of participants of operations and local armed conflicts in the republic of Tatarstan. Modern Problems Science Education. 2014;(5):510. (In Russ). doi: 10.17513/spno.2014.5
- Lugovaya OM. Regional peculiarities of socio-psychological work with servicemen and their families. Science. Innovations. Technologies. 2010;(71):188–195. (In Russ).
- Boos CJ, Schofield S, Cullinan P, et al. Association between combat-related traumatic injury and cardiovascular risk. Heart. 2022;108(5):367–374. doi: 10.1136/heartjnl-2021-320296
- Garcia A, Reljic T, Pogoda TK, et al. Obstructive sleep apnea risk is associated with cognitive impairment after controlling for mild traumatic brain injury history: A chronic effects of neurotrauma consortium study. J Neurotrauma. 2020;37(23):2517–2527. doi: 10.1089/neu.2019.6916
- Yudin VE, Yaroshenko VP, Popravka SN. Experience in the organization of prosthetics and medical rehabilitation of service members with limb amputation. Russian Military Medical Journal. 2021;342(4):18–25. (In Russ). doi: 10.17816/RMMJ82601
- Kaufman KR, Wyatt MP, Sessoms PH, Grabiner MD. Task-specific fall prevention training is effective for warfighters with transtibial amputations. Clin Orthop Relat Res. 2014;472(10):3076–3084. doi: 10.1007/s11999-014-3664-0
- Mikami Y, Fukuhara K, Kawae T, et al. The effect of anti-gravity treadmill training for prosthetic rehabilitation of a case with below-knee amputation. Prosthet Orthot Int. 2015;39(6):502–506. doi: 10.1177/0309364614532866
- Zuo KJ, Olson JL. The evolution of functional hand replacement: From iron prostheses to hand transplantation. Plastic Surgery (Oakville, Ont.). 2014;22(1):44–51. doi: 10.1177/229255031402200111
- Ladlow P, Phillip R, Etherington J, et al. Functional and mental health status of United Kingdom military amputees postrehabilitation. Arch Phys Med Rehabil. 2015;96(11):2048–2054. doi: 10.1016/j.apmr.2015.07.016
- Rivera JC, Glebus GP, Cho MS. Disability following combat-sustained nerve injury of the upper limb. Bone Joint J. 2014;96-B(2):254–258. doi: 10.1302/0301-620X.96B2.31798
- Banh DP, Moujan PM, Haque Q, Han TH. Permanent implantation of peripheral nerve stimulator for combat injury-related ilioinguinal neuralgia. Pain Physician. 2013;16(6):E789–791.
- DePalma RG. Combat TBI: History, epidemiology, and injury modes. In: F.H. Kobeissy, editor. Brain neurotrauma: Molecular, neuropsychological, and rehabilitation aspects. CRC Press/Taylor & Francis; 2015. Chapter 2.
- Carrick FR, McLellan K, Brock JB, et al. Evaluation of the effectiveness of a novel brain and vestibular rehabilitation treatment modality in PTSD patients who have suffered combat-related traumatic brain injuries. Front Public Health. 2015;(3):15. doi: 10.3389/fpubh.2015.00015
- Isaacson BM, Swanson TM, Pasquina PF. The use of a computer-assisted rehabilitation environment (CAREN) for enhancing wounded warrior rehabilitation regimens. J Spinal Cord Med. 2013;36(4):296–299. doi: 10.1179/2045772313Y.0000000119
- Rivera JC, Anderson ER, Jenne JW, Topp RF. Spine-related disability following combat injury. J Surg Orthop Adv. 2014;23(3):136–139. doi: 10.3113/jsoa.2014.0136
- Furlan JC, Gulasingam S, Craven BC. Epidemiology of war-related spinal cord injury among combatants: A systematic review. Global Spine J. 2019;9(5):545–558. doi: 10.1177/2192568218776914
- Duddy D, Doherty R, Connolly J, et al. The effects of powered exoskeleton gait training on cardiovascular function and gait performance: A systematic review. Sensors (Basel). 2021;21(9):3207. doi: 10.3390/s21093207
- Fang CY, Tsai JL, Li GS, et al. Effects of robot-assisted gait training in individuals with spinal cord injury: A meta-analysis. Biomed Res Int. 2020;2020:2102785. doi: 10.1155/2020/2102785
- Shapkova EYu, Emelyannikov DV, Larionova YuE, et al. Dynamics of independence and locomotor capabilities caused by powered exoskeleton-induced walk training in patients with severe chronic spinal cord injury. Russian Journal Spine Surgery. 2020;17(4):54–67. (In Russ). doi: 10.14531/ss2020.4.54-67
- Gvozdareva MA, Chesheva EV, Samokhin AG, et al. Evaluation of the effectiveness and safety of exoskeleton in rehabilitation programs for patients with spinal cord injury. Russian Journal Spine Surgery. 2020;17(4):68–76. (In Russ). doi: 10.14531/ss2020.4.68-76
- Dancer A, Buck K. Noise: A limiting factor for the use of modern weapon systems? In new directions for improving audio effectiveness (pp. KN1-1–KN1-14). Meeting Proceedings RTO-MP-HFM-123, Keynote 1. Neuilly-sur-Seine, France: RTO; 2005.
- Theodoroff SM, Konrad-Martin D. Noise: Acoustic trauma and tinnitus, the US military experience. Otolaryngol Clin North Am. 2020;53(4):543–553. doi: 10.1016/j.otc.2020.03.004
- Kulemzina TV, Krasnozhon SV. To the question of rehabilitation of combat traumas. Bioradicals and Antioxidants. 2018;5(3):198–200. (In Russ).
- Lamb DG, Porges EC, Lewis GF, Williamson JB. Non-invasive vagal nerve stimulation effects on hyperarousal and autonomic state in patients with posttraumatic stress disorder and history of mild traumatic brain injury: Preliminary evidence. Front Med. 2017;(4):124. doi: 10.3389/fmed.2017.00124
- Mior S, Sutton D, To D, et al. Chiropractic services in the active duty military setting: A scoping review. Chiropr Man Therap. 2019;(27):45. doi: 10.1186/s12998-019-0259-6
- Xu PC, Xuan M, Cheng B. Effects and mechanism of platelet-rich plasma on military drill injury: A review. Mil Med Res. 2020;7(1):56. doi: 10.1186/s40779-020-00285-1
- Saha B, Krishna Kumar H, Borgohain MP, Thummer RP. Prospective applications of induced pluripotent stem cells in military medicine. Medical Journal Armed Forces India. 2018;74(4):313–320. doi: 10.1016/j.mjafi.2018.03.005
- Rosenow M, Munk N. Massage for combat injuries in veteran with undisclosed PTSD: A retrospective case report. Int J Ther Massage Bodywork. 2021;14(1):4–11.
- Grigoriev AK, Tatarinova OV. Experience of using distance rehabilitation of patients with viral COVID-19 pneumonia in outpatient clinic. Journal New Medical Technologies. 2021;15(5):89–94. (In Russ). doi: 10.24412/2075-4094-2021-5-3-7
- Fomin VS, Stepanov DV, Parfenov IP, et al. The role and place of telemedical technologies in surgical practice during the COVID-19 pandemic. Literature review. Moscow Surgical Journal. 2021;(2):94–100. (In Russ.). doi: 10.17238/issn2072-3180.2021.2.94-100
- Daykhes AN, Shulaev AV, Shikaleva AA, et al. Effectiveness of medical rehabilitation using telemedicine technologies (literature review). Public Health Health Care. 2023;76(1):13–26. doi: 10.56685/18120555_2023_76_1_13
- Hodgetts JM, Claireaux HA, Naumann DN. Remote training for combat medics during the COVID-19 era: Lessons learnt for future crises? BMJ Mil Health. 2021;167(4):244–247. doi: 10.1136/bmjmilitary-2020-001527
- Jones C, Miguel-Cruz A, Smith-MacDonald L, et al. Virtual trauma-focused therapy for military members, veterans, and public safety personnel with posttraumatic stress injury: Systematic scoping review. JMIR Mhealth Uhealth. 2020;8(9):e22079. doi: 10.2196/22079
- Dyball D, Bennett AN, Schofield S, et al. Mental health outcomes of male UK military personnel deployed to Afghanistan and the role of combat injury: Analysis of baseline data from the ADVANCE cohort study. Lancet Psychiatry. 2022;9(7):547–554. doi: 10.1016/S2215-0366(22)00112-2
- Kitchiner NJ, Lewis C, Roberts NP, Bisson JI. Active duty and ex-serving military personnel with post-traumatic stress disorder treated with psychological therapies: systematic review and meta-analysis. Eur J Psychotraumatol. 2019;10(1):1684226. doi: 10.1080/20008198.2019
- Coleman BC, Corcoran KL, DeRycke EC, et al. Factors associated with posttraumatic stress disorder among veterans of recent wars receiving veterans affairs chiropractic care. J Manipulative Physiol Ther. 2020;43(8):753–759. doi: 10.1016/j.jmpt.2019.10.016
- Vasileva AV. Post-traumatic stress disorder in the focus of international research: From soldier heart to ICD-11. Korsakov Journal Neurology Psychiatry. 2022;122(10):72–81. (In Russ). doi: 10.17116/jnevro202212210172
- Mclay R, Fesperman S, Webb-Murphy J, et al. Post-traumatic stress disorder treatment outcomes in military clinics. Mil Med. 2023;188(5-6):e1117–e1124. doi: 10.1093/milmed/usab454
- Clifford C, McCauley M. Male psychosexual therapy in the UK military. J R Army Med Corps. 2019;165(2):94–97. doi: 10.1136/jramc-2018-001046
- Norman RS, Jaramillo CA, Eapen BC, et al. Acquired stuttering in veterans of the wars in Iraq and Afghanistan: The role of traumatic brain injury, post-traumatic stress disorder, and medications. Mil Med. 2018;183(11-12):e526–e534. doi: 10.1093/milmed/usy067