Rehabilitation for mine-blast trauma, practical guidelines

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Prof. L.V. Andriyuk 1, prof. L.S. Babinets 2, asst. O.V. Grabous 1

1 Danylo Halytsky Lviv National Medical University,

2 I. Horbachevsky Ternopil National Medical University

Mine-blast trauma (MBT) is characterized by combined damage caused by blast wave, fragments, acceleration/impact of the body, thermal and toxic factors, which forms a multi-organ injury profile and a high frequency of long-term functional limitations.

In 2022-2025, rehabilitation after blast injuries evolved from a fragmented approach to a model of continuous care (from early rehabilitation in the acute period to long-term outpatient, community, and professional reintegration), relying on multidisciplinary teams, the International Classification of Functioning (ICF) and clinical guidelines for amputations, traumatic brain injury, acoustic trauma, burns, and pain.

The article summarizes key evidence-based approaches and organizational solutions: early mobilization and prevention of complications, pre-prosthetic preparation, modern prosthetics, neurorehabilitation for blast-related mTBI, audiological management of tinnitus/hearing loss, burn rehabilitation, multimodal pain management, integrated psychological support, and hospital-rehabilitation-community routing. The article separately highlights the issue of resource planning in the context of mass emergencies and challenges for the rehabilitation system in Ukraine.

Key words: mine-blast trauma; polytrauma; amputation; prosthetics; osseointegration; traumatic brain injury; acoustic trauma; burns; phantom pain; PTSD; ICF; multidisciplinary rehabilitation.

https://doi.org/10.15407/internalmed2026.01.053

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Cite:

Андріюк, Л.В. Реабілітація при мінно-вибуховій травмі, практичні орієнтири / Л.В. Андріюк, Л.С. Бабінець, О.В. Грабоус // Східноєвропейський журнал внутрішньої та сімейної медицини. — 2026. — № 1. — С. 53-59. doi: 10.15407/internalmed2026.01.053

Andriyuk LV, Babinets LS, Grabous OV. Reabilitatsiia pry minno-vybukhovii travmi, praktychni orientyry [Rehabilitation for mine-blast trauma, practical guidelines]. Shidnoevr. z. vnutr. simejnoi med. 2026;1:53-59. Ukrainian. doi: 10.15407/internalmed2026.01.053

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