Post-concussion Syndrome in Ukrainian Veterans: Physical and Mental Manifestations

Stebliuk Vsevolod, Pronoza-Stebliuk Kate. Post-concussion Syndrome in Ukrainian Veterans: Physical and Mental Manifestations. Journal of Education, Health and Sport. 2018;8(2):349-354. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1195724 http://ojs.ukw.edu.pl/index.php/johs/article/view/5285 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.02.2018. Revised: 05.02.2018. Accepted: 26.02.2018. POST-CONCUSSION SYNDROME IN UKRAINIAN VETERANS: PHYSICAL AND MENTAL MANIFESTATIONS COL Professor Dr. Vsevolod Stebliuk*, Kate Pronoza-Stebliuk** *Ukrainian Military Medical Academy, Kyiv, Ukraine **Institute of Neurosurgery National Academy of Medical Science of Ukraine Abstract In the structure of wounds on the Russian-Ukrainian war, traumatic brain injury takes 33 percent. And more than 80 percent is a mild TBI. Open clinical trial was provided by a multidisciplinary team in the National Military Medical Center (the Main military clinical hospital), Kyiv, Ukraine, under the leadership of the Military Medical Academy of Ukraine. 286 veterans, male, age 27,38±9,67 y.o with history of mTBI were observed for post-concussion syndrome. Causes of concussion were: isolated blast injury-69,3%, combine blast + shrapnel injury- 18,5% , car accidences - 6,1%, falls-7,1%/ Spectrum of PCS symptoms included all manifestations – as a physical, as mental heals problems, but dynamic in time of manifestations show the decreasing of physical signs and increasing of intensity of mental symptoms. Many patients with post-concussion syndrome also have symptoms of PTSD. In the studied group near the 40% of patients have PCL-m score more than 50. Our study shown that post-concussion syndrome, as a result of traumatic brain morphological and functional changes, powered with combat psycho trauma, lead to functional disorders: physical, emotional and cognitive. Keywords: mild traumatic brain injury, post-concussion syndrome, combat stres