EVALUATION OF THE EFFECTIVENESS OF MEDICAL REHABILITATION USING THE HUBER 360 EVOLUTION PLATFORM IN TRAUMATIC INJURIES RESULTING FROM A GUNSHOT WOUND: A CLINICAL CASE
DOI:
https://doi.org/10.32782/health-2025.3.29Keywords:
medical rehabilitation, traumatic injury, peripheral nerves, gunshot wound, innovative technologiesAbstract
Introduction. Traumatic injuries of peripheral nerves are a common problem, particularly in military conflict settings, and often lead to impaired limb functionality. These conditions are accompanied by sensorimotor dysfunction, trophic disturbances, limited mobility, and difficulties in walking. The aim of this work was to present a clinical case of lower limb injury following a gunshot wound and to evaluate the effectiveness of rehabilitation using the Huber 360 Evolution platform. Methods. A 28-year-old patient with sequelae of gunshot injuries to both shanks and the right foot, presenting with gait disturbance, right foot paresis, and sensorimotor changes, underwent a course of medical rehabilitation using the Huber 360 Evolution device (LPG Systems, France). The goal was to improve endurance under static and dynamic loads and to strengthen the right lower limb. The assessment included measurements of stability, balance, gait, steadiness, and coordination. Results. The rehabilitation course revealed significant improvements. Initially, there was marked asymmetry in body mass center distribution and severe balance impairment. The lower limbs demonstrated increased sway length and area. Upon completion of the rehabilitation program, the body mass center stabilized, sway length and area significantly decreased, and the stability limit reached 83 973,53 mm². Equal force distribution between the arms was achieved, and the coordination test was successfully performed at the maximum level of difficulty. Conclusions. Rehabilitation using the Huber 360 Evolution platform proved highly effective in restoring balance, stability, and proprioceptive control after lower limb injuries. Significant improvements were observed in load distribution symmetry, reduction of sway amplitude and speed, and positive changes in static stability and movement coordination. Upper limb strength was successfully balanced, and coordination tasks were completed at the highest difficulty level, indicating enhanced sensorimotor integration.
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