PHYSICAL THERAPY FOR MILITARY PERSONNEL WITH SPINAL CORD INJURIES

Authors

DOI:

https://doi.org/10.32782/pub.health.2024.1.10

Keywords:

spinal cord injury, rehabilitation, physical therapy, physical activity

Abstract

Topicality. The rehabilitation of military personnel with spinal cord injuries sustained as a result of military conflicts or traumatic events is an important task for the healthcare sector. Spinal cord injury (SCI) has broad implications for many bodily functions, so physiotherapists treat a number of different problems associated with SCI and involving many body systems, even if the underlying pathology is neurological in nature. The goal of the work is the analysis of the peculiarities of physical therapy for servicemen with spinal cord injuries. Materials and methods. Theoretical analysis and synthesis of scientific and methodological literature. Research results. Physiotherapy in the rehabilitation phase focuses on goals related to motor tasks, such as walking, pushing a wheelchair, transferring and using the upper extremities. Physiotherapists working with SCI patients treat pain and respiratory complications, use electrical stimulation to treat pressure ulcers, develop fitness training programmes; encourage people with SCI to live a healthy lifestyle, teach people with disabilities sports, provide various types of orthoses, splints and aids, prescribe wheelchairs, advise on strategies to prevent shoulder pain and pressure ulcers, and perform various electrotherapy interventions. Therefore, physiotherapists treating people with SCI need to have a variety of clinical skills. Physiotherapy practice may change significantly over the next decade. Exoskeletons are already available and allow people with lower limb paralysis to walk on the ground. Stem cell therapy may also one day open the door for those suffering from SCI. Conclusions. Physical therapy for servicemen with spinal cord injuries is a complex and multifaceted process based on the principles of individualisation, comprehensiveness and phasing.

References

Physiotherapy interventions for the treatment of spasticity in people with spinal cord injury: a systematic review / P. H. F. d. A. Barbosa et al. Spinal cord. 2021. Vol. 59, no. 3. P. 236–247. URL: https://doi.org/10.1038/s41393-020-00610-4 (date of access: 26.04.2024).

Harvey L.A. Physiotherapy rehabilitation for people with spinal cord injuries. Journal of physiotherapy. 2016. Vol. 62, no. 1. P. 4–11. URL: https://doi.org/10.1016/j.jphys.2015.11.004 (date of access: 26.04.2024).

Harvey L.A., Anderson K.D. The spinal cord independence measure. Journal of physiotherapy. 2015. Vol. 61, no. 2. P. 99. URL: https://doi.org/10.1016/j.jphys.2015.02.013 (date of access: 26.04.2024).

Крук І.М., Григус І.М. Фізична терапія військовослужбовців з наслідками вогнепальних поранень. Реабілітаційні та фізкультурно-рекреаційні аспекти розвитку людини (Rehabilitation and recreation). 2022. № 12. С. 44–51. URL: https://doi.org/10.32782/2522-1795.2022.12.6 (дата звернення: 27.04.2024).

Бабова К.Д. Реабілітація військовослужбовців в умовах санаторно-курортних та реабілітаційних закладів : монографія. Одеса: «Поліграф», 2023. 80 с.

Купріненко O. Аналіз сучасного стану та проблем ерготерапії військовослужбовців збройних сил України постраждалих в результаті бойових дій. Український журнал медицини, біології та спорту. 2020. Т. 5, № 4. С. 36–43. URL: https://doi.org/10.26693/jmbs05.04.036 (дата звернення: 27.04.2024).

Young W. Electrical stimulation and motor recovery. Cell transplantation. 2015. Vol. 24, no. 3. P. 429–446. URL: https://doi.org/10.3727/096368915x686904 (date of access: 26.04.2024).

Health implications of physical activity in individuals with spinal cord injury: a literature review / B. Fernhall et al. Journal of health and human services administration. 2008. Vol. 30, no. 4. P. 468–502. URL: https://doi.org/10.1177/107937390803000402 (date of access: 26.04.2024).

Gómara-Toldrà N., Sliwinski M., Dijkers M. P. Physical therapy after spinal cord injury: a systematic review of treatments focused on participation. The journal of spinal cord medicine. 2014. Vol. 37, no. 4. P. 371–379. URL: https://doi.org/10.1179/2045772314y.0000000194 (date of access: 26.04.2024).

Gorgey A. S. Exercise awareness and barriers after spinal cord injury. World journal of orthopedics. 2014. Vol. 5, no. 3. P. 158. URL: https://doi.org/10.5312/wjo.v5.i3.158 (date of access: 26.04.2024).

The effect of functional electrical stimulation and therapeutic exercises on trunk muscle tone and dynamic sitting balance in persons with chronic spinal cord injury: a crossover trial / M. Bergmann et al. Medicina. 2019. Vol. 55, no. 10. P. 619. URL: https://doi.org/10.3390/medicina55100619 (date of access: 26.04.2024)

Locomotor training using an overground robotic exoskeleton in long-term manual wheelchair users with a chronic spinal cord injury living in the community: lessons learned from a feasibility study in terms of recruitment, attendance, learnability, performance and safety / D. H. Gagnon et al. Journal of Neuroengineering and Rehabilitation. 2018. Vol. 15, no. 1. URL: https://doi.org/10.1186/s12984-018-0354-2 (date of access: 26.04.2024).

Progress in stem cell therapy for spinal cord injury / L. Gao et al. Stem cells international. 2020. Vol. 2020. P. 1–16. URL: https://doi.org/10.1155/2020/2853650 (date of access: 26.04.2024).

Characterizing natural recovery after traumatic spinal cord injury / S. Kirshblum et al. Journal of neurotrauma. 2020. URL: https://doi.org/10.1089/neu.2020.7473 (date of access: 26.04.2024).

Neurological recovery following traumatic spinal cord injury: a systematic review and meta-analysis / M. Khorasanizadeh et al. Journal of neurosurgery: spine. 2019. Vol. 30, no. 5. P. 683–699. URL: https://doi.org/10.3171/2018.10.spine18802 (date of access: 26.04.2024).

Effects of training on upper limb function after cervical spinal cord injury: a systematic review / X. Lu et al. Clinical rehabilitation. 2014. Vol. 29, no. 1. P. 3–13. URL: https://doi.org/10.1177/0269215514536411 (date of access: 26.04.2024).

Experiences with and perspectives on goal setting in spinal cord injury rehabilitation: a systematic review of qualitative studies / T. Maribo et al. Spinal cord. 2020. Vol. 58, no. 9. P. 949–958. URL: https://doi.org/10.1038/s41393-020-0485-8 (date of access: 26.04.2024).

Michael E., Sytsma T., Cowan R. E. A primary care provider’s guide to wheelchair prescription for persons with spinal cord injury. Topics in spinal cord injury rehabilitation. 2020. Vol. 26, no. 2. P. 100–107. URL: https://doi.org/10.46292/sci2602-100 (date of access: 26.04.2024).

Self-Efficacy predicts personal and family adjustment among persons with spinal cord injury or acquired brain injury and their significant others: a dyadic approach / E. W. M. Scholten et al. Archives of physical medicine and rehabilitation. 2020. Vol. 101, no. 11. P. 1937–1945. URL: https://doi.org/10.1016/j.apmr.2020.06.003 (date of access: 26.04.2024).

Published

2024-07-31

Issue

Section

Статті