International Medical Journal, Vol. 21., Iss. 2, 2015, P. 56−60.
THE USE OF MEDICATION AND PHYSIOTHERAPY IN CEPHALGIC SYNDROME IN PATIENTS WITH SEQUELLAE OF BRAIN INJURY
Kharkiv Medical Academy of Postgraduate Education, Ukraine
The patients with mild traumatic injuries (70−80 %) amount the largest group among patients with head injuries. One of the main long term symptoms of mild traumatic brain injury is headache. The aim of the study was to investigate the influence of the complex medical and physical therapy on hemodynamics in patients with sequellae of mild traumatic brain injury and evaluation of efficiency of the treatment and definition quality of life in the patients. The study involved 65 patients with sequellae of mild traumatic brain injury. The patients were divided into two groups: group 1 consisted of patients who received medical therapy. Group 2 included the patients who were administered a similar drug therapy and physical therapy in addition to using the method of magnetic therapy and darsonvalization. Control of the treatment was carried out using the method of Doppler ultrasonography of carotid arteries as well as testing of patients by questionnaire MOS SF−36 quality of life, which was carried out before and after the treatment. The result of the study showed that patients with sequellae of traumatic brain injury had disorders of hemodynamics and liquorodynamics. Decreased quality of life on all scales of the questionnaire MOS SF−36 was revealed. Combined treatment using physiotherapy and medical treatment leads to subjective and objective improvement of the state of patients. A fairly significant increase of cerebral blood flow and decrease in the indices of resistance vessels were observed. A significant increase in the quality of life on the scale of pain intensity, life activity, emotional and social functioning, physical functioning was found.
Key words: brain injury, sequellae of brain injury, darsonvalization, magnetotherapy, hemodynamics, qua−lity of life.