On 16 December at 16:00, in an open meeting of the Medical Promotion Council of Rīga Stradiņš University which will take place in the Hippocrates Lecture Theatre (Rīga, 16 Dzirciema Street), Ruta Jakušonoka will defend her doctoral thesis “Evaluation of the Functional Outcome of Polytrauma Patients with Musculoskeletal Injuries”.
The regaining of ability to walk, return to work and carry out daily activities is a long-term process for patients having suffered severe traumas. Functional outcome for polytrauma patients is dependent not only on trauma mechanism and severity, but also on timely and adequate patient primary examination, provision of first aid, treatment and early rehabilitation.
The author of the paper has carried out research on functional outcome of treatment in patients after polytrauma with consequences of lower limb injuries. The paper has been developed at Rīga Stradiņš University in cooperation with National Rehabilitation Centre “Vaivari”, Riga East Clinical University Hospital “Gaiļezers” and Hospital of Traumatology and Orthopaedics. Three dimensional instrumental gait analysis (an examination method, during which quantitative information about the movements of body segments is collected with the aim to understand the origin of disorders and to find the ways of their prevention) was carried out for patients included in the research at Rehabilitation Research Laboratory of the Faculty of Rehabilitation, Rīga Stradiņš University, and National Rehabilitation Centre “Vaivari”. It was established that patients have significant functional gait disorders not only in the injured side, but even in the uninjured side.
Alongside with the mentioned above, the author analysed the relation of trauma severity with gait disorders. On the grounds of the results of research, the author has developed an algorithm at the Department of Orthopaedics, Rīga Stradiņš University. The author suggests that this algorithm might be used for the prognosis of functional result in patients with severe injuries with an aim to enable timely execution of necessary treatment and rehabilitation activities that are of tremendous significance for these patients.
The author of the thesis proposes to introduce Abbreviated injury scale – injury severity coding system, that has been widely used abroad for the detection of the severity of injuries in patients with severe injuries – with an aim to select appropriate treatment tactics based on these calculations.