The distinctions of higher nervous activity disorders during the long-term period of military injury of the Donbass defenders

Abstract

In Donbass getting 55% of military injuries is related to extremities injuries. It was surveyed 83 soldiers who had surgery on the extremities injuries; research was conducted 3–4 years later after sustained injuries. Overwhelming majority of defenders have mine-explosive injuries (MEI) - 49 people, 34 people have gun-shot injuries (GSI). During research the following methods were used: Montreal Cognitive Assessment (МоСА), Hospital Anxiety and Depression Scale (HADS), and the Fatigue Severity Scale (FSS). Mild cognitive impairments were diagnosed in 25.2% of patients suffering from the mine-explosive injuries (MEI), in 18.4% of patients suffering from the gun-shot injuries (GSI). Moderate cognitive impairments were detected in 21.1% of defenders suffering from mine-explosive injuries (MEI) and in 15.4% of defenders suffering from gun-shot injuries (GSI). These patients have violated working memory, disorders of attention and delayed recall. Moderate depressive disorders were diagnosed in the 23 patients suffering from the mine-explosive injuries (MEI),12 patients suffering from the gun-shot injuries (GSI). Severe somatogenic depression were diagnosed in 7 patients suffering from the mine-explosive injuries (MEI) and 2 patients suffering from gun-shot injuries (GSI). The Montreal Cognitive Assessment (МоСА) scale for persons suffering from mild depressive disorders had following results: 23.21 ± 1.34 points; Montreal Cognitive Assessment (МоСА) scale for persons suffering from the severe depressive disorders - 23.01 ± 1.15 points. Asthenic disorders were detected in 36.2% of the examined individuals. In the long-term rehabilitation period, patients who have military injuries as the bone injuries and joints damages often require corrections of the cognitive and psychoemotional disorders.