PHYSICAL FACTORS OF REHABILITATION OF PATIENTS WITH SEVERE CRANIAL INJURY
Traumatic brain injury is one of the most urgent problems of modern medicine. According to the World Health Organization, the number of such injuries increases by 2% annually, accounting for 35 - 40% in the structure of total injuries. The research purpose was to study the possibility of using a combination of rehabilitation methods, proving their most beneficial effect on neuroplasticity and improving motor function, optimizing functional recovery after traumatic brain injury, as opposed to using each approach separately. Materials and methods. 40 patients with severe traumatic brain injury were examined. The study design included two groups. The main group was selected by randomization - 19 (45%) patients with photochromotherapy, extremely high - frequency therapy, transcranial magnetic stimulation in the complex of early recovery treatment, and a control group that included 21 (55%) patients with only basic recovery treatment. Results and its discussion. As a result of the course of rehabilitation therapy with the inclusion of green spectrum photochromotherapy, extremely high - frequency therapy, transcranial magnetic stimulation, there was a significant improvement in muscle tone in the extremities, which passes from muscle hypotension to physiological or pyramidal tone on the Ashworth scale after treatment - 1 - 1+ points, an increase in the level of consciousness (on the Glasgow coma scale before treatment 4 - 8 points and after treatment 12 - 15 points), increased motor activity and correction of convulsive syndrome. Conclusions. The dynamics of recovery of impaired functions is directly dependent on the severity of the injury, early neurosurgical and rehabilitation treatment. A combination of rehabilitation methods (green spectrum photochromotherapy, extremely high - frequency therapy, transcranial magnetic stimulation) has the most favorable effect on neuroplasticity than using any of the approaches separately and leads to improved motor function, optimization of functional recovery after traumatic brain injury.