SIGNIFICANCE OF THE TRAUMATIC SPINAL CORD INJURY COMPLICATIONS IN MOTOR REHABILITATION OF PATIENTS
Objective. To assess the influence of the course of traumatic spinal cord injury on capability for motor rehabilitation treatment in this category of patients. Material. A retrospective analysis of 1434 care reports of traumatic spinal cord injury patients admitted for rehabilitation treatment was conducted. Patients with traumatic spinal cord injury complications accounted for 54,9 % as follows: patients with decubitus ulcers - 12,8 %, with urological complications - 16,9 %, with orthopedic complications - 9,6 %, with combined complications - 15,7 %. Data analysis between presence of traumatic spinal cord injury complications and change of motor and locomotor scores was performed by correlation and logistic analysis. Risks of negative rehabilitation treatment outcome were assessed by logistic analysis. Results. Motor score decrease by 4,25 times was observed in patients with decubitus ulcers. Motor score decrease by 2,28 times was observed in patients with urological complications. Risks of negative motor rehabilitation outcome increased by 2,97 times in patients with combined complications. Risks of locomotor score decrease by 1,63 times were observed in the group of patients with decubitus ulcers. Scope. Rehabilitation, surgery, orthopedics. Conclusion. Decubital process, urological complications and combination of complications of the course of traumatic spinal cord injury significantly limit a motor rehabilitation. Rehabilitation plan should consider the locomotor functions compensation level in case of presence of limb orthopedic impairments.