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ACHIEVEMENTS of the patient ROMAN K. (ATO soldier)

Achievements of our patients
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ACHIEVEMENTS of the patient ROMAN K. (ATO soldier)





Roman K. born in 1974. He was severely injured during shooting near Pisky in the ATO zone. He had been treated at 66military hospital, then transferred to the Civil Hospital named after Mechnikov in Dnipropetrovsk. However, Roman’s the condition remained critical and worsened due to the development of secondary somatic complications, the proliferation of severe neurotrophic changes, bedsores, purulent & septic complications, severe cachexia.

Volunteers and the military commanders of the military unit, where Roman had been serving, searched and applied for the transfer of the patient for further treatment & rehabilitation in the specialized medical institutions, though got refusal from 18 medical state and private medical entities. Taking into account such social request, the administration of our center re-considered the application of the volunteers and the mother of the patient about the transfer of Roman to NODUS.

However, it was clearly explained to them that the patient's condition may suddenly deteriorate at any time, irrespective of the scope, completeness and timeliness of such rehabilitation assistance, due to the severe injury and its consequences for the health of the patient. It was also clearly stated that, even in the case of positive dynamics, Roman will have a rough motor disability and a complete loss of professional ability and dependence on third-party care. Accepting this, the mother and the volunteers, knowing the complexity of the situation, insisted on hospitalization of Roman to NODUS.

On May 27, 2015, Roman K. was admitted to NODUS for treatment & rehabilitation in the framework of the Nodus Charitable project for wounded soldiers in the ATO zone


At NODUS Roman had been comprehensively examined and an Individual rehabilitation program (IRP) created. This rehabilitation course included: symptomatic pharmacotherapy, several surgeries to be made, therapeutic exercises, massage, vertikalization, hardware kinesiotherapy, mechanotherapy with biofeedback, electromiostimulation, medical & protective regime and social re-adaptation

During the treatment of Roman at NODUS 52 surgeries were made, of which 5 surgical interventions were of the 7th class. All social-rehabilitative tasks as per the IRP were completed.

  • The horizontal and vertical postural tone restored- the patient can sit in a wheel chair or stand, without any problems with hemodynamics and breath.
  • The contractures of big joints eliminated;
  • The patient gained his weight , the cachexia is eliminated
  • Anemia, protein-metabolic, water-electrolyte disturbances are eliminated;
  • Septic condition is eliminated;
  • Epileptic syndrome is completely compensated;
  • Severe chronic purulent hypostatic pneumonia is eliminated;
  • A good adaptation to the physical hourly training is developed;
  • Gastrointestinal dyskinesia, constant vomiting syndrome is eliminated.

Kinetek and Performa MAESTRO session

Neuroelectrostimulation of the lower limbs

Kinetek and Performa MAESTRO session

Neuroelectrostimulation of the lower limbs

Hardware vertikalization on the tilt table

Therapeutic rhythmic transcranial and transvertible magnetic stimulation

Biodex 4Pro session

Sitting of the patient in a wheel chair

Biodex 4Pro session

Sitting of the patient in a wheel chair

Vertikalization session with Balance Trainer and with the Guldmann lifting system

S-E-T therapy

S-E-T therapy

The results of the 5 months of the bedsores’ treatment


During the period of the inpatient treatment of Roman at NODUS, his intensive neurorehabilitation in accordance with the individual rehabilitation program, the patient demonstrated an impressive positive dynamics, despite a negative outlook. Emergence of the patient from the Vegetative status and his transfer to the level of low consciousness, despite the gun-shot traumatic defect of the right hemisphere of the brain, are the main clinical achievements

All set clinical goals have been achieved:

  • Complete elimination of the bedsores of the 3-4th degree on all 12 parts of both legs, trunk.
  • Removal of the bedsores of both nasal passages, implantation of gastrostomy for the improved nutrition of the patient and prevention of purulent-septic complications in the anterior cranial well.
  • Elimination of decompensated hydrocephalus;
  • Manufacturing of an individual mesh implant and surgical reconstruction of the cranio-defect;
  • Eliminating of purulent recurrent cancoolitis of the left eye;
  • Elimination of the inflammatory process of mediastinum, elimination of phlegmon mediastinum;
  • Elimination of paratracheal paratracheostomy abscesses;
  • Plastic surgery of the tracheal defect (up to 9 cm) and removal of tracheostomy by a combined method, restoration of physiological breathing, restoration of nasal breathing, elimination of diaphragmatic weakness and intercostal muscles formed through prolonged (more than a year) breathing through the tracheostomy.

The patient has been socialized as possible and is now minimally dependent on medical care, and can be at the social institutions of care for such patients, requiring the constant out-patient medical control (neurologist) at least twice a week.

At discharge from NODUS, the patient is active, practically all the time awake, responds very well to stimuli. The activity of facial expressions has grown. Roman performs simple commands: “Open your mouth, show the tongue, close your eyes, squeeze your hand”. Works well and adapts well to the vertikalization and the vertical positions. In bed he only sleeps. Roman can lie for 3 hours on the abdomen during rehabilitation sessions, which indicates complete restoration of control over the horizontal tone.




Донині в Нодусі діє Благодійний проект реабілітаційного лікування поранених в зоні АТО військовослужбовців та добровольців