The Therapeutic physical culture | Exercise therapy
The

Healing Fitness

The section is written by a team of authors - leading specialists in the field of curative physical culture - in accordance with the new program for special higher education institutions. It takes into account the modern achievements of medical science, which led to a change in views on the methods of treatment, including the methods of therapeutic physical education. Illustrated by a large number of drawings, in many sections are given complexes or a list of special physical exercises.

The curricula of the institutes of physical education provide a sufficiently wide range of knowledge in the field of social, psychological, pedagogical and biomedical sciences. This knowledge would not be complete if the students studied the effect of physical exercises and the methods of their use only in classes with healthy people and did not become acquainted with the specifics of occupations with people who have deviations in health status or any diseases.

Graduates of institutes of physical culture are often sent to work in schools, technical schools and universities, where they have to conduct classes in special groups that unite students with various diseases. Knowledge of the peculiarities of the methods of exercising with patients, mechanisms of the therapeutic action of physical exercises are also necessary when working with health groups.

In addition, teachers and trainers meet with the need to conduct classes with athletes after injuries and illnesses. Therefore, the curriculum of the institutes of physical culture includes the discipline of therapeutic physical training, which studies the organization, the methods of exercising and the mechanisms of their therapeutic effect in a variety of diseases and injuries.

The

This textbook is written by the author's team in accordance with the new program, unified for the coaching and pedagogical faculties of the institutes of physical culture. The textbook presents modern ideas about the mechanisms of therapeutic action of physical exercises, as well as features of the technique of physical exercises in various diseases.

The textbook consists of 5 parts and 17 chapters (see the full table of contents below).

Introduction

Therapeutic physical culture (or abbreviated LFK) is an independent medical discipline that uses the means of physical culture to treat diseases and injuries, prevent their exacerbations and complications, and restore their ability to work. The main such tool (and this distinguishes LFK from other methods of treatment) are physical exercises - a stimulant of vital functions of the body.

Therapeutic physical training is one of the most important elements of modern complex treatment, which means an individually selected set of therapeutic methods and means: conservative, surgical, medicament, physiotherapeutic, therapeutic nutrition, etc. Complex treatment affects not only pathologically altered tissues, organs or organ systems , but also on the whole organism as a whole. The specific weight of various elements of complex treatment depends on the stage of recovery and the need to restore the ability to work. An essential role in complex treatment belongs to therapeutic physical culture as a method of functional therapy.

Physical exercises affect the reactivity of the whole organism and involve in the overall reaction the mechanisms that participated in the pathological process. In this regard, therapeutic exercise can be called a method of pathogenetic therapy.

LFK provides for conscious and active implementation of appropriate physical exercises by patients. During the training the patient acquires skills in using natural factors of nature for hardening, physical exercises with therapeutic and preventive purposes. This allows you to consider the practice of curative physical culture as a therapeutic and pedagogical process.

LFK uses the same principles of physical exercises as the physical culture for a healthy person, namely: the principles of comprehensive impact, application and health-oriented. In its content, therapeutic physical culture is an integral part of the Soviet system of physical education.

Part one. General questions of therapeutic physical culture
Chapter I. A brief history of the development of therapeutic physical culture
The


  • Chapter II. Clinical and physiological basis and mechanisms of therapeutic action of physical exercises
  • Chapter III. General principles of application of exercise therapy
  • III. 1. Means of therapeutic physical training
  • III. 2. Classification and characterization of physical exercises
  • III. 3. Methods of therapeutic use of physical exercises (general requirements). Dosage of exercise
  • III. 4. Forms of therapeutic physical culture
  • III. 5. Methods of medical and pedagogical evaluation of the influence of therapeutic physical culture
  • III. 6. Periods of therapeutic use of physical exercises
  • III. 7. Organization of therapeutic physical culture in health care institutions
  • III. 8. Complex pathogenetic functional treatment and therapeutic physical culture
  • Part two. Therapeutic physical culture in diseases of internal organs and joints
  • Chapter IV. Therapeutic physical culture in diseases of the cardiovascular system
  • IV. 1. Mechanisms of therapeutic action of physical exercises
  • IV. 2. Indications and contraindications to the use of therapeutic physical culture
  • IV. 3. Fundamentals of exercise therapy
  • IV. 3.1. Atherosclerosis
  • IV. 3.2. Cardiac ischemia
  • IV. 3.3. Rheumatism
  • IV. 3.4. Heart diseases
  • IV. 3.5 Hypertensive disease
  • IV. 3.6. Hypotonic disease
  • IV. 3.7. Obliterating Artery Disease
  • IV. 4. The role of physical exercises in the prevention of diseases of the cardiovascular system
  • Chapter V. Exercise for respiratory diseases
  • V. 1. Mechanisms of therapeutic action of physical exercises
  • V.2. Fundamentals of methods of therapeutic physical training
  • V. 2.1. Bronchial asthma
  • V. 2.2. Emphysema of the lungs
  • V. 2.3. Pneumonia
  • V. 2.4. Pleurisy
  • Chapter VI. Physiotherapy in diseases of the digestive system and metabolic disorders
  • VI. 1. Mechanisms of therapeutic action of physical exercises
  • VI. 2. Fundamentals of the methods of therapeutic physical education
  • VI. 2.1. Gastritis
  • VI. 2.2. Peptic Ulcer
  • VI. 2.3. Diseases of the intestine
  • VI. 2.4. Splanhoptosis
  • VI. 2.5. Cholecystitis and cholelithiasis
  • VI. 2.6. Obesity
  • VI. 2.7. Diabetes
  • VI. 2.8. Gout
  • Chapter VII. Exercise for diseases of the joints and osteochondrosis of the spine
  • VII. 1. Mechanisms of therapeutic action of physical exercises
  • VII. 2. Basics of the methods of therapeutic physical training
  • VII. 2.1. Arthritis
  • VII. 2.2. Osteoarthritis
  • Part Three. Therapeutic physical culture in surgical diseases and injuries
  • Chapter VIII. Therapeutic physical culture with injuries of the musculoskeletal system
  • VIII. 1. Physiotherapy exercises for injuries of the shoulder girdle and upper limb
  • VIII. 1.1 Fracture, dislocation of clavicle, rupture of acromioclavicular articulation
  • VIII. 1.2. Fracture of scapula
  • VIII. 1.3. Fractures of upper third of humerus
  • VIII. 1.4. Dislocations of the head of the humerus
  • VIII. 1.5. Diaphyseal fracture of humerus
  • VIII. 1.6. Injuries to the elbow joint
  • VIII. 1.7. Fractures of the forearm diaphysis
  • VIII. 1.8. Fractures, dislocations in the wrist and hand area
  • VIII. 1.9. Damage to the tendons of the hand and fingers
  • VIII. 2. LFK at fractures of vertebra or vertebrae without infringement of integrity of a spinal cord
  • VIII. 2.1. Fractures of cervical vertebrae
  • VIII. 2.2. Compression fractures of the thoracic, lumbar and sacral vertebrae
  • VIII. 3. Medical physical culture in fractures of pelvic bones and lower limb
  • VIII. 3.1. Fractures of the pelvic bones
  • VIII. 3.2. Fractures of the neck of the hip
  • VIII. 3.3. Diaphyseal fracture of femur
  • VIII. 3.4. Injuries to the knee joint
  • VIII. 3.5. Fracture of the ankles
  • VIII. 3.6. Fractures of the bones of the foot and fingers
  • VIII. 3.7. Damage to the tendon-ligament apparatus of the ankle
  • The

    Chapter IX. Physiotherapy for burns and frostbites

  • IX. 1. Main clinical and physiological manifestations and methods of complex treatment of burn disease
  • IX. 2. Clinical and physiological basis and mechanisms of therapeutic action of physical exercises in case of burn disease
  • IX. 3. Methods of therapeutic physical culture in case of burn disease
  • IX. 4. Clinical and physiological substantiation and technique of exercise therapy in case of frostbite
  • Chapter X. Therapeutic physical activity in operations on the organs of the thorax and abdominal cavity
  • X. 1. Operations on the organs of the thorax
  • X. 1.1. Operations on the lungs
  • X. 1.2. Heart surgery
  • X. 2. Operations on the abdominal organs
  • X. 2.1. Surgery on the stomach and duodenum
  • X. 2.2. Herniot surgery
  • CHAPTER XI. Therapeutic physical culture with defects of posture, scoliosis and flat feet
  • XI. 1. Defects of posture
  • XI. 2. Scoliotic disease (scoliosis)
  • XI. 3. Flattening
  • Part Four. Therapeutic physical culture in diseases and injuries of the nervous system
  • CHAPTER XII. Therapeutic physical culture in diseases and injuries of the peripheral nervous system
  • XII. 1. Mechanisms of therapeutic action of physical exercises
  • XII. 2. General principles of the methods of therapeutic physical training
  • XII. 2.1. Neuritis of the facial nerve
  • XII. 2.2. Neuritis of the ulnar nerve
  • XII. 2.3. Neuritis of the median nerve
  • XII. 2.4. Neuritis of the radial nerve
  • XII. 2.5. Traumatic injury of the brachial plexus - plexitis
  • XII. 2.6. Sciatic neuritis
  • XII. 2.7. Neuritis of the femoral nerve
  • XII. 2.8. Neuritis of the peroneal and tibial nerves
  • XII. 2.9. Radiculitis and polyneuritis
  • Chapter XIII. LFK for diseases and injuries of the brain and spinal cord
  • XIII 1. General principles of the methods of conducting classes
  • XIII. 1.1. Stroke
  • XIII. 1.2. Brain Injuries, Tumors, Inflammatory Diseases
  • XIII. 1.3. Spinal cord injuries
  • XIII. 2. Features of therapeutic physical culture with spastic and flaccid paralysis
  • XIII. 2.1. Spastic paresis and paralyzes
  • XIII. 2.2. Flaccid paresis and paralyzes
  • CHAPTER XIV. Physiotherapy exercises with neuroses
  • XIV. 1. General principles of the methods of therapeutic physical culture
  • XIV. 1.1. Neurasthenia
  • XIV. 1.2. Psychasthenia
  • XIV. 1.3. Hysteria
  • Part Five. Exercise in special medical groups and with middle-aged and elderly people
  • Chapter XV. Physical culture in special medical groups of secondary and higher educational institutions
  • XV. 1. Acquisition of special medical groups
  • XV. 2. Means and forms of physical education in special medical groups
  • Chapter XVI. Physical education in middle and old age
  • Chapter XVII. Therapeutic physical training in obstetrics and gynecology