Comparative characteristics of life quality in patients with distant consequences of combat brain injury

Objective: To define the main directions of diagnostic, therapeutic and rehabilitation actions in persons, who have had a combat brain injury based on assessment and comparison of indicators of life quality in various terms of postponed trauma. Material and methods: we have examined 180 males: 100 combatants in the Democratic republic of Afghanistan (1979–1989) and 80 combatants of the conflict in the East of Ukraine (from 2014 till present) with consequences of a combat brain injury of varying severity. We used clinical-neurological, instrumental (craniography of skull, magnetic resonance imaging, ultrasonic doppler sonography of the main vessels of the head and neck), biochemical, statistical methods of research, and questionnaire scale SF-36. Results: the study found that indicators of life quality in persons, who have had a combat brain injury depend on severity and term which has passed from the getting combat brain injury. In early terms after the combat brain injury and in persons who have had minor and moderate degree combat brain injury, the indicators connected with a psychological component are mainly broken. While the patients, who have had a combat brain injury, have violations of all aspects (physical, psychological and social), which in the absence of necessary rehabilitation and treatment, identically shown in the different terms of trauma. Conclusion: according to the results the level of life quality is in many respects caused by the degree of functional violations leading to activity restriction first in the social life, considerably affect adaptation potential of organism.

[DISTANT CONSEQUENCES AND THE QUALITY OF LIFE OF PATIENTS WITH MILITARY-RELATED CRANIOCEREBRAL TRAUMA]

The purpose of the study was to determine appropriate diagnostic, therapeutic and rehabilitation treatments of patients with military-related craniocereberal trauma. We have examined 180 male patients: 100 participant of operations in the Democratic Republic Afghanistan (1979-1989) and 80 - participants of conflict in the east of Ukraine (from 2014 until present) with military-related craniocereberal trauma of varying severity. We used clinical-neurological, instrumental (craniography of skull, magnetic resonance imaging, ultrasonic doppler sonography of the main vessels of the head and neck), biochemical, statistical methods of a research, and also questionnaire scale SF-36. It was found that the quality of life of patients with military-related craniocereberal trauma depends on the severity of the wound and the period after trauma. In the early period after military-related craniocereberal trauma of light or average severity, the psychological components are more strongly manifested. Patients with severe military-related craniocereberal trauma have serious physical, psychological and social problems at different periods after trauma. The results of the research show that the quality of life depends on the severity of functional disorders and have impact on adaptive potential of the organism.

[Bioelectric activity of the brain in patients with distant consequences of combat brain injury]

Cranio-cerebral trauma is considered as one of the leading causes of mortality, long-term temporary incapacity for work and disability. The aim of the article is to study distant consequences of the so-called "combat cranio-cerebral injury". 108 male patients - participants of the military actions in Afghanistan were examined. The patients were divided into groups depending on the severity of the injury. The reasons of the development of violations of bioelectric activity of the brain in soldiers who have had a history of traumatic brain injury were analyzed. Patients underwent the EEG and the analysis of the results was carried out. The examination of bioelectric activity of the brain showed that the battle injury is characterized by changes in the frequency and amplitude of the alpha-rhythm, which proves that the dysfunction of non-specific structures of the brain is the consequences of cranio-cerebral injury.