THE ROLE OF VERTICALIZATION IN THE REHABILITATION OF MILITARY PERSONNEL AFTER NEUROSURGICAL INTERVENTIONS AND NEUROLOGICAL INJURIES

Abstract

Topicality. In the context of armed conflict in Ukraine, the number of servicemen with severe neurological injuriesand the consequences of neurosurgery is increasing. One of the key components of early rehabilitation of such patients is verticalization. Timely introduction of verticalization allows to reduce the risk of complications, promotes mobilization and improvement of functional prognosis. Aim of the study is to summarize modern scientific data on the influence of verticalization (passive, mechanical, robotic) on the physiological and functional state of servicemen with severe traumatic brain injuries, spinal injuries and other neurological diseases, based on the examination of available literature andclinical experience. Materials and methods. General scientific methods, based on the analysis of scientific publications and data of publications of Ukrainian and foreign specialists, practical recommendations regarding the rehabilitationmanagement of servicemen of traumatic, neurological profile and therapeutic impact on various components of thepathological condition of patients. Results of the study. The rehabilitation of military personnel after severe traumatic brain and spinal injuries caused by combat wound is a complex process. One of the critical goals of early rehabilitation is the prevention of long-term immobilization complications, such as respiratory diseases, peripheral problems, etc. Studies have shown that verticalization, for example, with a vertical table, can improve the level of cognitive functions, motor recovery in patients with damage to the nervous system. The introduction of robotic systems allows you to safely carry out verticalization with crop movements and functional electrical stimulation, which additionally activates the leg muscles and reduces the risk of syncopal conditions. Early rehabilitation interventions, including verticalization, can reduce these risks and improve recovery results. Conclusions. Verticalization should be considered as a priority intervention in early rehabilitation programs for wounded military personnel, contributing to functional recovery and prevention of secondary complications after traumatic brain injuries, damage to the spinal cord, surgical interventions.