Hardware and software method preclinical detection of pathological conditions in persons arriving for medical and psychological rehabilitation in the sanatorium conditions

BACKGROUND: It is important to identify the risks of developing somatic disorders, for further clarification by laboratory and instrumental diagnostic methods. An objective assessment of the effectiveness of the medical and psychological rehabilitation (MPR) of a serviceman is important.

AIMS: The aim of the study is to determine the informative value of the Diamed-MBS hardware and software complex as a method of preclinical detection of pathological conditions by assessing heart rate variability (HRV), electrosomatography, bioelectrography (BEG), as well as the psychosomatic context of complaints and identified deviations.

MATERIALS AND METHODS: Along with the methods of the Diamed-MBS agro-industrial complex, the MPR program of military personnel included a regulated scope of measures: examination for UPFT-1/30 "Psychophysiologist" (simple visual-motor reaction and variational cardiointervalometry); registration of the levels of "energy potential" and stress background by gas-discharge visualization on the pulse analyzer "GRV-Express", determination of the compositional composition of the body by bioimpedance measurement on the analyzer "Tanita BC-532".

The automated system of assessment in points (APC) allows for differentiated diagnostics of the somatic and psychoemotional profile of military personnel who arrived at the MPR; to personalize the rehabilitation program; to evaluate the effectiveness of the MPR program. The data of a group of 85 military personnel undergoing MPR were processed in the Statistica 10 (StatSoft Inc., USA).

RESULTS: In the branches of the Federal State Budgetary Institution SKK "Privolzhsky" of the Ministry of Defense of the Russian Federation ("Volga Clinical Sanatorium", "Chebarkulsky Sanatorium", "Yeltsovka Sanatorium") within the framework of the psychotherapy office (psychologist's office) with the category of MPR, work was carried out on the Diamed-MBS hardware and software complexes for 9 months. This allowed for a short examination time (up to 20 minutes) to conduct an objective assessment of the psychosomatic state of a person: respiratory, digestive, immune, genitourinary, musculoskeletal, cardiovascular, endocrine systems, as well as the general state of the body and psychological status.

After the course of MPR, the improvement of the indicators of the condition of military personnel was noted to a greater extent due to the indicators according to the survey data (Questionnaire 1, 2) (p <0.000) (the subjective component of the study), which ultimately reflected the improvement of the integral indicator (Integral 1, 2) (p <0.007). Changes in the psychoemotional (Psychoemotional 1, 2) and somatic state (Soma 1, 2) were not statistically significant (p >0.05).

CONCLUSION: The restoration of the psychoemotional background and the necessary training in stress resistance skills requires a revision of the duration of the MPR by military personnel. The advantage of the Diamed agro-industrial complex is the arrangement of three diagnostic complexes in one device: for determining the parameters of heart rate variability, electro-tomography, bioelectrography; in the mode of express diagnostics, the determination of the state of the body in the range "healthy-practically-healthy-weakened-premorbid state-sick-critical condition".

The possibility of creating a single information and analytical center for processing the final protocols of the examination of military personnel under the MPR program in the CCM sanatoriums.