Physiotherapy (physical therapy ) .Physiotherapy in spinal osteochondrosis - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Neurology

Exercise therapy in neurological diseases

Physiotherapy (physical therapy) - a set of exercises for the majority of chronic human diseases associated with loss of muscle strength and volume movements of the joints.

Physiotherapy of neurological manifestations should be carried out in the provisions and the absence of pain, or, at least - on the border of pain.Otherwise, it is developing "steal phenomenon" manifesting compensatory substitutions unaffected by body segments;as a result - the training exposed intact muscle groups, ie "weak" rob "strong" and "sick" - "healthy."

Exercise therapy should be combined with care.Before the classes necessary to make ventilation chambers and offices of physiotherapy.Classes are preferably carried out at the open window, windows, verandas.Patients involved in light tracksuits.

If the patient is on polupostelnom mode, you must prepare it for classes - fold the blanket, rearrange the sheets, right place or remove the extra pillows.At the end of the session when

the relevant clinical data to the patient should be given a position which has medicinal value (treatment position): wear the straps to traction bandage splint, to transfer the patient to a sitting position on a chair.It is necessary to monitor the condition and state of health of the patient, of all cases of trainers or a nurse to carry out recording, tell your doctor.

Morning hygienic gymnastics held in the morning, after waking up, before breakfast.Classes with the patients underwent physical therapy Methodist or ward nurse.

Patients with movement disorders, doing morning exercises in the House, a person with no restrictions of movement - in the gym or in the air.The room in which patients are involved, should be well ventilated.During gymnastics body comes out of the state of inhibition of physiological processes during sleep, and increases the overall emotional tone, enhanced by the activities of all organs and systems.Selection of exercises for hygienic gymnastics and dosage of physical activity with the age of the patient, the nature of the underlying disease, the extent and form of the disturbed functions.During the morning exercises carried out training of the cardiovascular and respiratory systems for the upcoming day stress.A set of exercises is chosen with the expectation that it will be available to all patients in this group.For patients with movement disorders exercises begin in the starting prone position, then move the patients in the sitting position.The duration of morning exercises - 10 - 20 minutes.The complex morning exercises comprise no more than 8 - 12 exercises with each repetition of 3 to 6 -8 times.

Physiotherapy - the main form of physical therapy.Two methods of medical gymnastics - individual and group.Lesson therapeutic exercises consist of introductory, basic and final sections.

introductory section involves training the patient to perform the following exercise.The patient explained the purpose of the lesson, calculated pulse, breathing is carried out, general developmental and preparatory exercises.The duration of this part of the lesson - 5-10 min.

main section includes physical exercises, providing specific and overall impact on the patient's body.Their aim - the restoration and compensation of defective functions, help the patient in learning motor skills, increase physical fitness and adaptation to the conditions of life.The length of the main section - 25 - 30 minutes.The final section is aimed at a gradual reduction of the total load, the activity of the cardiovascular and respiratory systems, reducing emotional stress and bring the patient to the initial state.The length of this section -5-10 minutes.

lesson tasks determined by the physician.During the training load is adjusted based on the so-called physiological curve - the curve changes in heart rate during training.With proper construction of lesson maximum pulse frequency should not exceed more than 50% of the initial heart rate.

particularly responsible is to create a set of exercises corresponding to the objectives of the restoration of the disturbed functions.This, in particular, relates to movement disorders.In accordance with the nature of the injury and rehabilitation treatment stages used passive and active movement.

When playing certain passive motion pulses are delivered to those cells of the cerebral cortex, which cause it.In the absence of active movements using passive simultaneous sending impulses of the patient.

By increasing muscle strength in paretic limbs is possible to perform active movements, which initially carried out with the help of the staff, then self.The importance of compliance is consistency in training of individual muscle groups and getting isolated active movements.

important prerequisite in the methods of physiotherapy lesson is the dosage of physical activity, which is determined by a number of indicators.These include: the selection exercise, which is based on the principle of gradualness: from simple to complex.The duration of exercise is determined by the time spent on patient compliance.The number of repetitions is determined by the nature of the disease, and especially exercise.Exercises such as restorative advisable to repeat the 5 - 6 times, to strengthen weak muscle groups of 10 - 20 times.

Choice assumptions also depend on the characteristics of the disease and the nature of the exercise.There are three major Starting position: lying down, sitting or standing.Assumptions are regarded as an important element in the regulation of physical activity.

There are slow, medium and fast paced movements.At a slow pace movements are performed at 4 bills, with the average - two, with fast - on one bill.Selecting the rate of movement depends on the characteristics of the disease, age of the patient and his individual peculiarities.Adjust the load during exercise allows the degree of effort, precision of movement.On the load value affects the degree of difficulty of movements.It is necessary to gradually complicate the movement, as their mastery and growth features of the organism.

rhythmic movements helps to improve blood and lymph circulation and reduces fatigue.

number of distractions exercises.Through their alternation with the major increase in muscle performance is achieved.These exercises are also used to conclude the lesson.

Using emotional factor is that when physical exercise cause the patient positive emotions.This is achieved by the inclusion in the employment elements of the game or competition, musical accompaniment and others.

Dosing exercise during physical exercise provides a thorough medical and educational monitoring and individual approach to the patient.Planning for the use of therapeutic exercise for periods carries methodologist under the supervision of a physician.Specify a form of physiotherapy, their application in the mode of the day, in combination with other treatment modalities, is about complex physical therapy sessions.

self-employed patients represent a form of physical therapy.The patient picked up a set of exercises, which he repeated during the day several times.Depending on the characteristics of the disease on a complex exercise expended from 2-3 to 10-15 minutes.For patients with severe motor impairment who require intensive treatment, but due to the defect can not do on their own, it is recommended to hold classes with the help of relatives, who previously taught methods of physical therapy and the exercises, which are set to perform with the patient.

During the physical therapy system should be borne in mind exercises sports application type, which include the main types of natural movements of the person, -.. Walking, running, jumping, crawling, exercise in equilibrium, etc. Walking is widely used in physical therapy inas a physical exercise, which is a natural way to travel.Walking increases metabolism, improves blood circulation and breathing, has a positive effect on the entire body.Walking is used when doing physiotherapy, and other walks in. Indications walk as a therapeutic agent are very broad.

running compared to walking is a more powerful means of therapeutic effects on the human body of the patient.Running used in physical therapy in the dosage form is strictly limited its speed.Coaching the patient in walking and running is carried out special plan on the basis of the principle of gradual and orderly with careful medical and pedagogical control.

Jumping on its physiological effects are short-lived exercise considerable intensity.The use of hops is expedient in the period of convalescence.

Throwing helps restore coordination, improves joint mobility, increase the strength of muscles of the limbs and trunk, the speed of motor responses, develops marksmanship.Use throwing the ball, sticks, disc.

gymnastic climbing wall helps to increase joint mobility, muscle strength development.

Exercises to crawl mainly used for correcting various spinal curvatures.

exercises in balance used in diseases associated with the violation of the vestibular apparatus and the function of the cerebellum.

Sports Games in the system of exercise therapy is used as an important means of physical education of the sick person.Games foster and develop a series of physical, moral and volitional qualities: strength, speed, agility, focus, shutter speed, etc. Great importance of games is that they stimulate positive emotions and tone of neuro-psychic sphere of patients..Used mostly games that do not give a heavy load on the body of the patient, relatively simple and affordable technical implementation.They are divided into slow-moving, agile and athletic.Sedentary games are organized with immobile patients.Outdoor games are made up of different combinations of walking, running, jumping, and so on. N. Sports in the framework of physical therapy used is limited.

Swimming and water exercises.They are characterized by a combination of the impact of movements and the aquatic environment.Being in the water increases metabolism, stimulates circulation.In special circumstances (bath, basin) facilitates the movement of atrophy, weakened muscles.Swimming is also assigned to the tempering and wellness goals.

There are other sports exercises like skiing, cycling and so on. N.

motor mode.Therapeutic exercise is an integral part of all modes of propulsion.The selection exercise, the forms of their conduct in the classroom load in each individual case must comply with motor activity permitted by separate modes.

There are strict bed rest, bed rest, polupostelny, advanced, moderate training, obschetreniruyuschy.

The rehabilitation department received, as a rule, patients who are on polupostelnom or the advanced modes, strict bed rest observe patients in the acute period of the disease.

When polupostelnom mode during physiotherapy sessions the patient is prepared to move to a sitting position in the bed down the legs, to move a chair to standing, walking slowly within the chamber.Advanced mode allows you to use all the means of physical therapy.In Train mode, physiotherapy exercises should facilitate the recovery of the patient's health and serve as one of the main means of rehabilitation.

When using exercise therapy should adhere to the principle of phasing treatment, comply with the gradual build-up in the intensity of physical activity in accordance with the clinical condition of the patient.

Examples of medical gymnastics exercises in neurological diseases, in particular osteochondrosis with protrusions and hernias of intervertebral discs.

MEMO
for self-study physical therapy in osteochondrosis of the lumbar spine


in the prevention and treatment of degenerative disc disease of the spine are essential systematic employment of special physiotherapy.

First teas to start self-employment medical gymnastics, it is necessary to consult with a specialist (neurologist, orthopedic trauma, exercise therapy doctor).

Doing physiotherapy at any time of the day.Very useful in the morning immediately upon waking perform some exercises (eg: W 1,3,13,17,20 acute period), then take a morning toilet, and continue doing the exercises prescribed according to the doctor and physiotherapists complex.

clothes during exercise should be easy, does not restrict movement, and preventing overcooling.Best of all - a woolen tracksuit.

Some of the recommended exercises you perform useful during the working day (eg, exercise №I training period - the period of remission).

P O N M E & T!

appearance of pain during exercise is a signal to reduce the amplitude of the exercises and their intensity or completely stop their execution.

To Physiotherapy bring the greatest benefit, it is necessary: ​​
a) perform the exercises on a daily basis;
b) do the exercises diligently, at a slow pace, not willfully distorting the shape, the speed and intensity of the exercises;
c) during exercise does not hold your breath;
g) Periodically consult with your doctor, not hiding from him his ailments.

approximate range of therapeutic giinastiki.used in the acute stage (initial stage)

Iplying.Flexion and extension of the feet and fingers of hands in a fist.
Iplying, his left leg bent at the knee.Flexion and extension of the right leg, sliding the heel on the bed.After 8-10 repetitions - the same with the other leg.
Ipleks.Alternately raising hands up.
Ipleks, left leg bent at the knee.Allocating the right foot to the side.After the 8th repetition - the same with the other leg.
Iplying down, arms to the shoulders.Followed flexed his arms back and forth.
Ipleks.Alternately straightening the knees, hips resting on the cushion.
Ipleks, legs bent.Alternating bending bent legs to the ark.
Ipleks.Curls to her shoulders in combination with breathing.
Ipleks, legs bent.Alternate diversion knees to the side.
Ipleks, legs bent.Hands up - inhale, press the knee to the ark - exhale.The same - with the other leg.
Ipleks, legs apart.The rotation of the legs in and out "
Ip lek. Diaphragmatic breathing.

Special exercises used in the second stage of the acute period

Start out lying,legs bent. Lifting sacral building on thoracicoinferior spine and foot by kyphosation lumbar spine.
Start out lying down, legs bent. Lifting head while tense the abdominal muscles.
... Start out lying Static voltage gluteus 8-10 strains each with 4-6
Start out lying down, legs bent apart left hand up -. Lower breath arm forward and down.-Inside, lift your head and shoulders, stretch a hand to the right knee - exhale.The same with the other hand.The same in the other direction.The same in the other direction.The same in the other direction.