THE IMPACT OF MILD ВRAIN INJURY ON THE PHYSICAL STATE OF PATIENTS AFTER LOWER LIMB AMPUTATION
DOI:
https://doi.org/10.32782/2221-1217-2026-1-07Keywords:
amputee, brain injury, patient, lower limb, balance, enduranceAbstract
The aim of the study: To assess the impact of mild traumatic brain injury on the physical condition of patients after lower limb amputation. Methods of investigation: analysis and generalization of data from scientific and methodological literature, sociological methods, biomedical methods and methods of mathematical statistics. Results. After conducting the study, the impact of mild traumatic brain injury on the physical condition of patients after lower limb amputation at the hip level (transfemoral) was established. Neurological symptoms in patients were of moderate severity. According to the Rivermead questionnaire, it was divided into early symptoms, where an average level of symptoms was observed, but if in 2OG (without loss of consciousness), these indicators were at the lower limit and approaching a mild level, then in 1OG (with loss of consciousness), the symptoms were more pronounced, and late symptoms, where it was demonstrated that in both groups (1OG) and (2OG) the severity of symptoms was similar, namely at an average level. The headache impact questionnaire (HIT-6) showed a low impact on life in both groups, however, in some patients the headache intensified during physical exertion, which was reflected in the effectiveness of physical therapy. The dizziness control questionnaire (DHI) showed an average manifestation of dizziness in both groups. Functional indicators in groups 1OG and 2OG showed that there was impaired balance, in particular, during the 4-square test (FSST) in 1OG it was - 27 (± 2.9) seconds, and in 2OG – 26.6 (± 5.1) seconds. According to the indicators of general endurance 2-minute walk test (2MWT), patients in 1OG covered a distance of 106.4 (± 22.9) meters, 2OG - 110.3 (± 20.1) meters, while the heart rate was at the level of the 4th pulse zone (anaerobic zone) (152-171 beats / min), and in some cases in the VO2 max zone (172-190 beats / min), which indicates a high energy expenditure during this test and poor endurance.
The results of the study prove that mild traumatic brain injury has an impact on the physical condition of patients after amputation of the lower limb, in particular their balance and endurance.
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