Dynamics of indicators of vestibular dysfunction and walking locomotion in men aged 25-42 years with the consequences of a combat wound as a result of the influence of physical culture and sports rehabilitation

Abstract

The purpose of the study was to investigate and evaluate the dynamics of basometry and stabilometry in men aged 25-42 with the consequences of a combat injury. Material & Methods: examined 38 men aged 25-42 years with long-term consequences of closed craniocerebral injury in the late long-term period, which were divided into Gr1 (n=20) and Gr2 (n=18). Vestibular dysfunction, mobility was determined by the Bohannon and "TUG" tests. To determine the biomechanical characteristics of walking, a hardware-software basometric complex and methods of the Ukrainian Research Institute for Prosthetics, Prosthetic Engineering and Recovery were used. Results: when developing a correctional and rehabilitation program, thanks to the concept of the ICF, Smart goals were set. At stage 1 of inpatient rehabilitation (28 days), the program is composed of components. For men in both groups, the normative component was the same. Kinesitherapy, classes on the C-mill system, on the «Cosmos» treadmill, and massage were prescribed. Persons Gr1 in the variable part were trained on the Redcord suspension system, Nordic walking and vestibular gymnastics. The men of Gr2 were prescribed a general training on a multifunctional block simulator, training walking. At the 2nd stage (42 days) the persons of both groups were exercising independently, however, the persons of Gr1, with the help of modern telecommunication technologies, were exercising under the supervision of a specialist in physical rehabilitation. The dynamics of the balance indicator according to the Bohann test indicated that the persons Gr1 balance indicator almost approached the normative value. In Gr2 positive changes were observed, however, after stage 2 the difference was only 0.44 points compared with the dynamics of stage 1 (p>0,05). The dynamics of functional mobility and balance according to the "TUG" test indicated that the average time to complete the test after stage 2 approached the standard value. In patients, Gr2 tended to decrease (p>0,05). Biomechanical studies of statics, namely the coefficient of resistance, rotation of pressure centers, the common center of pressure in the frontal and sagittal plane in men Gr1 acquired significant differences (p<0,05); in men Gr2 tended to improve (p>0,05). The main indicators of walking locomotion, namely the pace and speed in men Gr1 and Gr2, acquired a standard value (p<0,05). The walking rhythm coefficient and load asymmetry index in men Gr2 did not acquire the normative value (p>0,05), in comparison with the indices of men Gr1 (p<0,05), who were engaged under the supervision of a specialist in physical culture and sports rehabilitation. Conclusions: the results of the study revealed a violation of walking in men aged 25-42 years with the consequences of a combat injury in the form of temporal, kinematic and dynamic asymmetry. The analysis of the dynamics of the parameters of vestibular dysfunction and walking locomotion confirmed the advantages of the author's program.