On the issue of exoskeletal rehabilitation of shoulder periarthritis after a gunshot wound of the scapular area

Author:

Vorobyev A. A.1ORCID,Barinov A. S.2ORCID,Barinova E. A.2ORCID,Andryushchenko F. A.3

Affiliation:

1. Volgograd State Medical University; Federal Center for Support of the Development and Production of Exoprostheses; Volgograd Scientific Medical Center of the Administration of Volgograd Region

2. Volgograd State Medical University

3. Volgograd Scientific Medical Center of the Administration of Volgograd Region

Abstract

The study aimed to investigate the effectiveness and applicability of exoskeletons in the rehabilitation of  patients with scapula and shoulder joint injuries.Purpose of a study: to demonstrate the possibilities of rehabilitating patients with gunshot injuries to the upper extremities, specifically focusing on the passive upper limb exoskeleton “EKZAR34”.Material and methods. The study conducted an analysis of the patient's range of motion in the shoulder joint after using the exoskeleton. Clinical data and observations of a patient with mine-explosive scapula injury were used as research material.Results. The use of the exoskeleton compensates for the lost muscle functions and increases the range of motion in the shoulder joint. This enables patients to perform actions that would otherwise require significant effort without the exoskeleton. Additionally, rehabilitation with the exoskeleton strengthens both damaged and undama- ged muscles, leading to a balanced functioning of the shoulder and upper limb muscle system.Conclusion. Employing of exoskeletons in the rehabilitation of scapula and shoulder joint injuries is an effective and promising approach. Exoskeletons expedite muscle strengthening, restore motor activity and range of motion, and enhance treatment outcomes and patients' quality of life.

Publisher

Research Institute of Microsurgery

Subject

General Medicine

Reference6 articles.

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2. Sukharev V.A., Khominets I.V., Kukushko E.A., Vaskul D.I. Lecheniye sochetannogo ognestrel’nogo raneniya s defektom plechevoy kosti i luchevogo nerva (klinicheskoye nablyudeniye) [Treatment of a combined gunshot wound with a defect of the humerus and radial nerve (clinical observation). Meditsinskiy vestnik GVKG im. N.N. Burdenko – Medical Bulletin of Main Millitary Clinical Hospital named after N.N. Burdenko. 2022;4(10):5764 (In Russ.).

3. Khominets V.V., Shapovalov V.M., Mikhaylov S.V., Brizhan L.K. Lecheniye ranenyh v konechnosti v voynah i vooruzhennyh konfliktah [Treatment of wounded limbs in wars and armed conflicts]. St. Petersburg, Istoricheskaya illyustratsiya, 2021:304 p. (In Russ.).

4. Vorobyev A.A., Petrukhin A.V., Zasypkina O.A., Krivonozhkina P.V., Pozdnyakov A.M. Ekzoskelet kak novoye sredstvo v abilitacii i reabilitacii invalidov (obzor) [Exoskeleton as a new means in habilitation and rehabilitation of invalids (review)]. Sovremennyye tekhnologii v medicine. 2015;7(2):185-197 (In Russ.).

5. Vorobyev A.A., Andryushchenko F.A., Zasypkina O.A., Krivonozhkina P.V. K metodike opredeleniya anatomicheski zavisimyh parametrov ekzoskeleta verkhney konechnosti “EKZAR” [On the method for determining the anatomically dependent parameters of the exoskeleton of the upper limb “EXAR”]. Volgogradskiy nauchnomeditsinskiy zhurnal – Volgograd Medical Scientific Journal. 2015;1:58-61 (In Russ.).

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