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The effectiveness of high-tone therapy in the complex rehabilitation of servicemen with post-traumatic stress disorder complicated by traumatic brain injury

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Abstract

Introduction

As a result of local military conflicts that have become more frequent over the past decades, the number of military personnel subjected to combat stress has sharply increased. More than 50% of them suffer from combat posttraumatic stress disorder. The most common comorbidity in this category of patients is a traumatic brain injury. Due to the undesirability of the long-term use of pharmacological agents, for rehabilitation, preference should be given to physiotherapeutic procedures.

Objects and methods

We examined 50 patients with post-traumatic stress disorder in combination with a closed craniocerebral injury. Group 1–25 patients received standard complex treatment at the sanatoriumresort rehabilitation stage (diet therapy, climatotherapy, balneotherapy, exercise therapy, psychotherapy). Group 2–25 patients, in addition to the standard complex treatment, received a course of high-tone therapy.

Results

Complex rehabilitation of patients with the use of high-tone therapy contributes to a significant decrease in astheno-neurotic (p < 0.05) and asthenic depressive (p < 0.01) syndromes and has a psycho-relaxing effect on anxiety syndrome (p < 0.01). There was also a decrease in the severity of pyramidal symptoms and regression of the vestibulo-atactic syndrome (p < 0.05). The course application of hightone therapy was accompanied by a significant restoration of the elastotonic properties of the vascular wall and an improvement in cerebral perfusion (p < 0.05). Positive dynamics of electrophysiological indicators were noted: a decrease in the intensity of slow rhythms against the background of an increase in the frequency and intensity of the alpha rhythm in both hemispheres (p < 0.05), which indicates the harmonization of the bioelectrical activity of the brain.

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Data availability

All data generated or analyzed during this study are included in this published article.

References

  1. Babov KD, Pinchuk I.Ya, Stenlyuk VV (2015) Rehabilitation of victims in emergencies and hostilities. Post-traumatic stress disorder. Polygraph, Odessa [in Ukranian]

    Google Scholar 

  2. Brenner LA, Ivins BJ, Schwab K, Warden D, Nelson LA, Jaffee M et al (2010) Traumatic brain injury, posttraumatic stress disorder, and postconcussive symptom reporting among troops returning from Iraq. J Head Trauma Rehabil 25(5):307–312

    Article  PubMed  Google Scholar 

  3. Fear NT, Jones E, Groom M, Greenberg N, Hull L, Hodgetts TJ et al (2009) Symptoms of post-concussional syndrome are non-specifically related to mild traumatic brain injury in UK Armed Forces personnel on return from deployment in Iraq: an analysis of self-reported data. Psychol Med 39(8):1379–1387

    Article  CAS  PubMed  Google Scholar 

  4. Hruby A, Lieberman HR, Smith TJ (2021) Symptoms of depression, anxiety, and post-traumatic stress disorder and their relationship to health-related behaviors in over 12,000 US military personnel: bi-directional associations. J Affect Disord 283:84–93

    Article  PubMed  Google Scholar 

  5. Kerr NC, Ashby S, Gerardi SM, Lane SJ (2020) Occupational therapy for military personnel and military veterans experiencing post-traumatic stress disorder: a scoping review. Aust Occup Ther J 67(5):479–497

    Article  PubMed  Google Scholar 

  6. LeardMann CA, Smith TC, Smith B, Wells TS, Ryan MAK, Millennium Cohort Study Team (2009) Baseline self reported functional health and vulnerability to post-traumatic stress disorder after combat deployment: prospective US military cohort study. Br Med J 338:b1273

    Article  Google Scholar 

  7. Gaydabrus A (2020) Complex post-traumatic stress disorder in participants of the military actions in the operation military groups. Eur Neuropsychopharmacol 40:347–348

    Article  Google Scholar 

  8. Otto JL, Smolenski DJ, Stewart L, Workman DE, Kincaid M, Belsher BE et al (2021) Explosive ordnance disposal personnel in the US military have higher risk of insomnia and post-traumatic stress disorder: a large retrospective cohort study. Ann Epidemiol 57:40–45

    Article  PubMed  Google Scholar 

  9. Proessl F, Dretsch MN, Connaboy C, Lovalekar M, Dunn-Lewis C, Canino MC et al (2020) Structural connectome disruptions in military personnel with mild traumatic brain injury and post-traumatic stress disorder. J Neurotrauma 37(19):2102–2112

    Article  PubMed  Google Scholar 

  10. Babov K, Korshnyak V, Gushcha S, Nasibullin B, Plakida A (2022) Post-traumatic stress disorder complicated by mild combat contusion trauma: clinical features. J Neurosurg Sci 66(4):380–382

  11. Simmons AN, Matthews SC (2012) Neural circuitry of PTSD with or without mild traumatic brain injury: a meta-analysis. Neuropharmacology 62(2):598–606

    Article  CAS  PubMed  Google Scholar 

  12. Karr JE, Areshenkoff CN, Garcia-Barrera MA (2014) The neuropsychological outcomes of concussion: a systematic review of meta-analyses on the cognitive sequelae of mild traumatic brain injury. Neuropsychology 28(3):321–336

    Article  PubMed  Google Scholar 

  13. Merritt VC, Jurick SM, Sakamoto MS, Crocker LD, Sullan MJ, Hoffman SN et al (2020) Post-concussive symptom endorsement and symptom attribution following remote mild traumatic brain injury in combat-exposed veterans: an exploratory study. J Psychiatr Res 130:224–230

    Article  PubMed  Google Scholar 

  14. Phipps H, Mondello S, Wilson A, Dittmer T, Rohde NN, Schroeder PJ et al (2020) Characteristics and impact of US military blast-related mild traumatic brain injury: a systematic review. Front Neurol 11:e559318

    Article  Google Scholar 

  15. Vasterling JJ, Brailey K, Proctor SP, Kane R, Heeren T, Franz M (2012) Neuropsychological outcomes of mild traumatic brain injury, post-traumatic stress disorder and depression in Iraq-deployed US Army soldiers. Br J Psychiatry 201(3):186–192

    Article  PubMed  Google Scholar 

  16. Georgina G, Perez GM, De Gasperi R, Sosa MAG, Otero-Pagan A, Pryor D et al (2021) Progressive cognitive and post-traumatic stress disorder-related behavioral traits in rats exposed to repetitive low-level blast. J Neurotrauma 38(14):2030–2045

    Article  Google Scholar 

  17. Koliatsos VE, Rao V (2020) The behavioral neuroscience of traumatic brain injury. Psychiatr Clin North Am 43(2):305

    Article  PubMed  Google Scholar 

  18. Rosenfeld JV, Ford NL (2010) Bomb blast, mild traumatic brain injury and psychiatric morbidity: a review. Injury Int J Care Inj 41(5):437–443

    Article  Google Scholar 

  19. Smith TC, Ryan MAK, Wingard DL, Slymen DJ, Sallis JF, Kritz-Silverstein D et al (2008) New onset and persistent symptoms of post-traumatic stress disorder self reported after deployment and combat exposures: prospective population based US military cohort study. BMJ Br Med J 336(7640):366–371

    Article  Google Scholar 

  20. Likhterman LB (2014) Traumatic brain injury. Diagnostics and treatment. Geotar-Media, Moscou, p 504 [in Russian]

    Google Scholar 

  21. Cafin OD, Balabushka YO (2016) Individual psychological features and severity of post-traumatic stress disorder as a basis for the success of psychological rehabilitation of combatants. Probl Extreme Crisis Psychol 19:171–183 [inUkranian]

    Google Scholar 

  22. Kaplan GB, Vasterling JJ, Vedak PC (2010) Brain-derived neurotrophic factor in traumatic brain injury, post-traumatic stress disorder, and their comorbid conditions: role in pathogenesis and treatment. Behav Pharmacol 21(5–6):427–437

    Article  CAS  PubMed  Google Scholar 

  23. Lippa SM, Gill J, Brickell TA, French LM, Lange RT (2021) Blood biomarkers relate to cognitive performance years after traumatic brain injury in service members and veterans. J Int Neuropsychol Soc 27(5):508–514

    Article  PubMed  Google Scholar 

  24. van Vliet EA, Ndode-Ekane XE, Lehto LJ, Gorter JA, Andrade P, Aronica E et al (2020) Long-lasting blood-brain barrier dysfunction and neuroinflammation after traumatic brain injury. Neurobiol Dis 145:e105080

    Article  Google Scholar 

  25. Calviello LA, Donnelly J, Zeiler FA, Thelin EP, Smielewski P, Czosnyka M (2017) Cerebral autoregulation monitoring in acute traumatic brain injury: what’s the evidence? Minerva Anestesiol 83(8):844–857

    Article  PubMed  Google Scholar 

  26. Rasulo FA, Transcranial BR (2019) Doppler and optic nerve sonography. J Cardiothorac Vasc Anesth 33:38–52

    Article  Google Scholar 

  27. Blanco P, Abdo-Cuza A (2018) Transcranial Doppler ultrasound in neurocritical care. J Ultrasound 21(1):1–16

    Article  PubMed  PubMed Central  Google Scholar 

  28. Robba C, Goffi A, Geeraerts T, Cardim D, Via G, Czosnyka M, Park S et al (2019) Brain ultrasonography: methodology, basic and advanced principles and clinical applications. A narrative review. Intensive Care Med 45(7):913–927

    Article  PubMed  Google Scholar 

  29. Cooper DB, Bunner AE, Kennedy JE, Balldin V, Tate DF, Eapen BC et al (2015) Treatment of persistent post-concussive symptoms after mild traumatic brain injury: a systematic review of cognitive rehabilitation and behavioral health interventions in military service members and veterans. Brain Imaging Behav 9(3):403–420

    Article  PubMed  Google Scholar 

  30. Heslot C, Cogne M, Guillouet E, Perdrieau V, Lefevre-Dognin C, Glize B et al (2021) Management of unfavorable outcome after mild traumatic brain injury: review of physical and cognitive rehabilitation and of psychological care in post-concussive syndrome. Neurochirurgie 67(3):283–289

    Article  CAS  PubMed  Google Scholar 

  31. MacGregor AJ, Shannon KB, Dougherty AL (2021) Time since injury as a factor in post-concussion symptom reporting among military service members with blast-related concussion. J Neurotrauma 38(17):2447–2453

  32. Mahoney EJ, Silva MA, Reljic T, Dams-O’Connor K, Hammond FM, Monden KR et al (2021) Rehabilitation needs at 5 years post-traumatic brain injury: a VA TBI model systems study. J Head Trauma Rehabil 36(3):175–185

    Article  PubMed  Google Scholar 

  33. Moore BA, Pujol L, Waltman S, Shearer DS (2021) Management of post-traumatic stress disorder in veterans and military service members: a review of pharmacologic and psychotherapeutic interventions since 2016. Curr Psychiatry Rep 23(2):e9

    Article  Google Scholar 

  34. Opie GM, Foo N, Killington M, Ridding MC, Semmler JG (2019) Transcranial magnetic stimulation-electroencephalography measures of cortical neuroplasticity are altered after mild traumatic brain injury. J Neurotrauma 36(19):2774–2784

    Article  PubMed  Google Scholar 

  35. Mu WY, Catenaccio E, Lipton ML (2017) Neuroimaging in blast-related mild traumatic brain injury. J Head Trauma Rehabil 32(1):55–69

    Article  PubMed  Google Scholar 

  36. Fickling SD, Greene T, Greene D, Frehlick Z, Campbell N, Etheridge T et al (2020) Brain vital signs detect cognitive improvements during combined physical therapy and neuromodulation in rehabilitation from severe traumatic brain injury: a case report. Front Hum Neurosci 14:e347

    Article  Google Scholar 

  37. Shmakova IP, Afanasyeva Ya S (2004) Application of high-tone therapy in rehabilitation of patients with dyscirculatory encephalopathies of the I – II stage. Int J Immunorehabil 6(1):178–179 [in Russian]

    Google Scholar 

  38. Shmakova IP, Panina SO (2020) The effect of high-tone therapy on clinical and neurofunctional parameters in patients with hypertension with encephalopathy and concomitant diabetes. Bull Mar Med 1:95–99 [inUkranian]

    Google Scholar 

  39. Schaffler-Schaden D, Sassmann R, Johansson T, Gampenrieder SP, Rinnerthaler G, Lampl K et al (2020) Comparison of high tone therapy and transcutaneous electrical nerve stimulation therapy in chemotherapy-induced polyneuropathy. Medicine (Baltimore) 99(19):e20149

    Article  PubMed  Google Scholar 

  40. Ogrodzka-Ciechanowicz K, Glab G, Slusarski J, Gadek A (2021) Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trial. BMC Musculoskelet Disord 22(1):975

    Article  PubMed  PubMed Central  Google Scholar 

  41. Guelfi JD (ed) (1993) L'évaluation clinique standardisée en psychiatrie. Boulogne: Editions Médicales Pierre Fabre

  42. Zigmond AS, Snaith AS (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370

    Article  CAS  PubMed  Google Scholar 

  43. Kaltiainen H, Helle L, Liljestrom M, Renvall H, Forss N (2018) Theta-band oscillations as an indicator of mild traumatic brain injury. Brain Topogr 31(6):1037–1046

    Article  PubMed  PubMed Central  Google Scholar 

  44. Kubsik A, Klimkiewicz P, Klimkiewicz R, Jankowska K, Jankowska A, Woldanska-Okonska M (2014) Wplyw terapii energotonowej na stan funkcjonalny chorych na stwardnienie rozsiane. [The influence of high-tone power therapy on the functional status of patients with multiple sclerosis]. Polski merkuriusz lekarski 37(217):24–29

    PubMed  Google Scholar 

  45. Sheerin CM, Franke LM, Aggen SH, Amstadter AB, Walker WC (2018) Evaluating the contribution of EEG power profiles to characterize and discriminate posttraumatic stress symptom factors in a combat-exposed population. Clin EEG Neurosci 49(6):379–387

    Article  PubMed  PubMed Central  Google Scholar 

  46. Wei H, Chang L, Huang Q, Zhou RL (2020) Relation between spontaneous electroencephalographic theta/beta power ratio and test anxiety. Neurosci Lett 73:135323

    Article  Google Scholar 

  47. Wen TY, Bani NA, Muhammad-Sukki F, Aris SAM (2020) Electroencephalogram (EEG) human stress level classification based on theta/beta ratio. Int J Integr Eng 12(6):174–180

    Article  Google Scholar 

  48. Lewine JD, Plis S, Ulloa A, Williams C, Spitz M et al (2018) Quantitative EEG biomarkers for mild traumatic brain injury. J Clin Neurophysiol 36(4):298–305

    Article  Google Scholar 

  49. Pauli R, O’Donnell A, Cruse D (2020) Resting-state electroencephalography for prognosis in disorders of consciousness following traumatic brain injury. Front Neurol 11:e586945

    Article  Google Scholar 

  50. Tolonen A, Sarkela MOK, Takala RSK, Katila A, Frantzen J, Posti JP et al (2018) Quantitative EEG parameters for prediction of outcome in severe traumatic brain injury: development study. Clin EEG Neurosci 49(4):248–257

    Article  PubMed  Google Scholar 

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Funding

This research was funded by a budget of research work “To develop a system of rehabilitation of servicemen with various injuries and diseases in sanatorium-resort conditions with the use of natural therapeutic factors,” No. 0120U101626 state registration of the Ministry of Health of Ukraine.

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Authors and Affiliations

  1. State Institution “Ukrainian Research Institute of Medical Rehabilitation Therapy of Ministry of Health of Ukraine”, Odessa, 65014, Ukraine

    Kostyantyn D. Babov, Iryna B. Zabolotna, Alexander L. Plakida & Sergey G. Gushcha

  2. Odessa National Medical University, Odessa, 65000, Ukraine

    Veronika S. Volyanska & Iryna A. Kolker

  3. State Institution “South Ukrainian National Pedagogical University Named After K.D. Ushynsky”, Odessa, 65020, Ukraine

    Iryna K. Babova

Authors
  1. Kostyantyn D. Babov
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  2. Iryna B. Zabolotna
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  3. Alexander L. Plakida
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  4. Veronika S. Volyanska
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  5. Iryna K. Babova
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  6. Sergey G. Gushcha
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  7. Iryna A. Kolker
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Contributions

All authors contributed to the study conception and design. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Alexander L. Plakida.

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Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

The study was approved by the Bioethics Committee of the State Institution “Ukrainian Research Institute of Medical Rehabilitation Therapy of Ministry of Health of Ukraine”, protocol No. 5 of 23.02.2021. All patients have given their informed consent for participation in the research study.

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The authors declare no competing interests.

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Babov, K.D., Zabolotna, I.B., Plakida, A.L. et al. The effectiveness of high-tone therapy in the complex rehabilitation of servicemen with post-traumatic stress disorder complicated by traumatic brain injury. Neurol Sci 44, 1039–1048 (2023). https://doi.org/10.1007/s10072-022-06510-0

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