The use of ergotherapeutic techniques in the rehabilitation after severe traumatic brain injury at the stage of confusion syndromes

O. V. Kulyk, W. Zukow


The work is based on the results of diagnosis, rehabilitation and restorative treatment of 220 patients with post-coma long-term consciousness disorders after severe traumatic brain injury.
The main attention is given to the actual topic — the possibility of using ergotherapeutic techniques after severe traumatic brain injury at the stage of confusion in line with the stages of classification according to Dobrokhotova T. A. in the course of the rehabilitation route. This is the identification of sensitivity to ergotherapy, each of its techniques and ascertaining the practical feasibility of their use at each of the stages (6A, 6B, 6C).
The research reveals that, although patients within their groups at the stages 6A, 6B, 6B had almost identical (with individual fluctuations) physical capabilities, social skills, similar in their main features neurological status, but differed in the results of restoration the skills acquired through living.
Despite the fact that during migration of syndromes of consciousness reintegration from stage to stage, new physical skills appeared and previous achievements were strengthened, but tasks and techniques aimed at improving the language and higher cortical functions were at the forefront, thanks to which the social activity of patients increased.
The study emphasized that the combination of ergotherapeutic and psychotherapeutic techniques connected to the rehabilitation program precisely at the time of the stages migration, from confusion with aspontaneity to speech-motor confusion and, subsequently, amnestic confusion, had a great prognostic significance.
The importance of selection of ergotherapeutic techniques and their combinations at each link in the chain of consciousness recovery was revealed, and the dynamics of changes indicated the reserves of restoration of each patient's praxis.


ergotherapy; traumatic brain injury; post-coma disturbance of consciousness; reintegration of consciousness; dyspraxia; praxis; ideation; motoric planning.

Full Text:



Hook AP Epidemiology of traumatic brain injury in Ukraine // Proceedings of V Congress of Neurosurgeons of Ukraine, 25-28 June, 2013. - Uzhgorod, 2013. - P. 38.

Canada perform evaluation of activities. Mary Lo et al. 2 nd edition. Translated to Russian language and edited by S. Maltsev.

EG Pedachenko Current approaches and innovative technologies in the treatment of traumatic brain injury // Proceedings of V Congress of Neurosurgeons of Ukraine, 25-28 June 2013. - Uzhgorod, 2013. - P. 52-53.

Pedachenko EG, Shlapak IP, Guk AP, MM Pylypenko Traumatic brain injury: the modern principles of first aid, teaching. method. guidances. / Custody. - K .: 2007. - 311 p.

Sukhov LS - Principles of Medical and Rehabilitation sotsyalnoy (okkupatsyonnaya therapy) s.40-45.

Linda E.MacKay, Brus A.Bernstein, Phyllis E.Chapman, Anthony S.Morgan, Laraine S.Milazzo. Early intervention in severe head injury: Long-term benefits of a formalized program. Physical medicine and rehabilitation, July 1992, Volume 73, Issue 7, Pages 635-641.

Williard & Spackman`s Occupational Therapy 10 / E (978-0-7817-2798-3) by Crepeau, Elizabeth Blesedell, PhD, OTR / L, FAOTA, Chapter 27, 29, 30.



  • There are currently no refbacks.

Copyright (c) 2018 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

POL-index 2011 - 2014

BASE 2011 - 2014

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

Find a library that holds this journal:

Journal Language(s): English 

PBN Poland



Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2 Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase


Universal Impact Factor 1.78 for year 2012. (

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ)

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski