Transcript By activity

Physical rehabilitation (PR) - an independent medical
discipline, which uses the means of physical culture for
therapeutic, prophylactic and recreational purposes.
The main objectives of the PR are: 1.
Save and support the sick body in
the best state of the active
functional.
2. Prevent complications that can
cause disease and those that may
arise as a result of forced rest.
3. Encourage potential defenses in
the fight against disease.
 . 4. Involve the patient to
actively participate in the
process recovery.
 5. Accelerate the elimination
of local anatomical and
functional manifestations of
the disease.
 6. Restore function in the
short term usefulness man.
 7. Bringing up the positive
attitude of patients to
conventional hardening his
body by natural factors
PR is different from other treatments in
that this treatment:
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public and free;
natural - it is based on exercise;
increases the reactivity;
potentiates the action of drugs;
no allergic reactions;
has a traumatic impact;
universal influence (generally
Firming and random);
 easily dosed and studied
response to stress;
 can be long term or
permanent use for the
treatment and prevention
of relapse;
 few contraindications,
and if so temporary;
 high emotion classes.
Contraindications to the appointment of the PR is not
a lot and they usually are temporary.
 There are regular
Contraindications: severe
irreversible is progressing overall
organic diseases in which
activation unacceptable as general
and local physiological processes,
where the main goal of treatment
is to alleviate the suffering of the
patient, with no hope of restoring
health (cancer, blood diseases,
mental illness, the progression
of cardiac and respiratory
failure
Temporary contraindications:
 - The acute phase of the disease,
- A serious condition of the
patient; - Acute inflammation,
which is accompanied by fever,
increased erythrocyte
sedimentation rate, leukocytosis
(it can be used for low-grade
fever, in such cases, the ESR
should show a tendency to
normalization);

- The acute phase of noninflammatory processes
(hypertensive crisis,
stroke) - Disease
progression (depending
on the dynamics of the
process) - Pain regardless
of the location of pain;
 - Bleeding or threat,
coughing up blood; The presence of
foreign bodies near
major vessels and
nerve trunks.
Physical rehabilitation
 - This is what we signifies
our strong act on the
human body for
therapeutic purposes. By
means of exercise
therapy include:
 - Exercise;
 - Modes of motor
activity;
 - Assumptions;
 - Factors hardening;
 - Massage and selfmassage techniques.
 Exercise that is used in
therapeutic exercise - a
specially organized
movement to achieve
the therapeutic and
healing effect.
 They are divided into:
 gymnastics;
 sports and applied;
 slot;
 labor.
Gymnastic exercises not only affect different
body systems, but also on individual muscle
groups, bring items such movement amplitude,
power, speed.
 They are classified by anatomic
criteria:
 m for facial "muscles;
 for the muscles of the neck;
 for the muscles of the upper
extremities;
 for the muscles of the upper limb and
shoulder girdle;
 for the muscles of the back;
 for the abdominal muscles;
 for the muscles of the pelvis;
 for the muscles of the lower
extremities.
In relation to the load:
with load: to enhance the
action of exercise on the
body and to increase the
emotional lessons. They are
divided into:
a) exercise with shells
(gymnastic sticks,
dumbbells, expanders,
mace);
b) exercise on the
equipment and apparatus
(exercise at the gym wall,
gym bench,
mechanotherapeutic
devices, etc.);
 no load: used for actions in
certain parts of the body,
joints, muscles, for training
the nervous, cardiovascular
and respiratory systems, to
improve metabolism, mobility
of the spine, the acceleration
of regenerative processes;
The nature of muscle contraction:
dynamic (isotonic):
working muscle in
isotonic mode,
alternating periods of
contraction and
relaxation of muscles,
it is a movement in the
joints;
static (isometric):
 muscle tension is no
movement in the joint. Such
exercises are carried out in
immobilized limbs. In isometric
exercises are not disturbed
peace of damaged bones, but
maintained in a tone the
nervous and muscular systems
immobilized limb, provided
normal blood circulation in the
muscles and over ossuary.
By activity
Active exercises performed by
the patient at volovomuzusylli.
They can be implemented in a
lightweight environment. For
this purpose special sliding
plane, reducing the friction
force at the time of active
movement. Another possible
option when creating dosed
resistance at the time of
execution of active movement,
and this resistance may be at
different stages of movement:
first, in the middle, at the end.
Active exercises nervous
system, which increases the
overall activity of the patient;
 patient himself controls the
sensations arising from the
movement, there is
displacement of the tendons,
which prevents the formation
of connections, while active
movements increased
kapilyaryzatsiya muscles,
thus improving blood flow to
the muscles involved in the
exercises and the surrounding
tissue.
passive: exercise performed without
volitional effort of the patient
through an instructor, with no
active a reduction of muscle.
These exercises are prescribed
when the patient himself is unable
to meet them. Passive motion
improves blood and lymph
circulation, stimulate the
emergence of active movements
due to the influence of reflex
efferent impulses, maintain
elasticity copula-tendon system,
prevent the formation
maloruhomosti joints.

Ideomotor exercises - is sending impulses to the
muscle contraction. When restoring movements
in the mind remains normal stereotype of
excitation and inhibition in the central nervous
system. This supports the functional mobility of
the limb. For effects on the body : - general
strengthening : aimed at improving and
strengthening the whole body ; - Special: act
selectively on a particular part of the
musculoskeletal system . The nature of the
exercises : - Stretching ; - On balance ; ? Adjustment ; - In coordination ; - Relaxation ; Reflex ; - Breathing divided into : a) dynamic ,
combined with the movements of the hands,
shoulder girdle , trunk , b) static - made ​only by
means of the diaphragm and intercostal muscles;
c) special - used for prevention and control of
pulmonary complications.
Applied Sport and Exercise:
 -walking (normal, complicated,
dosage) - running; - climbing and
crawling; - dam; - swimming; cycling; - skiing.
Games:
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- In place;
- Inactive;
- Moving;
- Sports. On TE using table tennis,
badminton, bowling, skittles, relay.
Labor
 This method of active restoration of disturbed functions during illness
and disability through work. Assign diseases musculoskeletal,
neurological and psychiatric disorders. Use the following types of
work, like woodwork, honcharku, making flowers, basket weaving,
gardening, garden. With occupational therapy restores or improves
muscle strength and mobility in the joints, normal circulation and
trophic damaged organs or body systems, the patient develops
attention, hope for recovery .
There are 5 modes of labor
 0 - the temporary separation of patients attending
occupational therapy;
 1 - ward treatment: the patient is engaged in work therapy
in the House, No
 2 - student mode: patient studies recommended type of labor
3 - shorter working hours: medical indications for the
patient is fed on reduced hours 1 hour. additional recess;
 4 - full-time mode with the restriction type of work;
 5- full-time mode.
Load adequate if:
 a) the patient has no complaints, no strongly
pronounced signs of fatigue;
 b) at the peak load pulse increases:? - At bed rest
for 8 beats. 1 min - In the ward - 16 bpm. 1 min If available - to 24 bpm. 1 min - When
exercising - the formula 180 - age of patient.
 c) increase in systolic blood pressure of 40 mm.
Hg. century., increase or decrease in diastolic
blood pressure of 10 mm. Hg. century. pulse
pressure should be increased;
 d) pochaschennya breathing for 6-8 breaths;
 e) breathing and pressure should vary
synchronously with the pulse;
 g) all parameters are restored for 3-5 minutes.
FORM TE
Form TE
accessibility
For health
For
of
equipment
Select
actions
The ease of Emotions
dosing
Natures
RGG
+ +
+ +
+ +
+ +
+ +
+ +
LG
+ +
+ +
+ +
+ +
-
-
-
Individual.
tasks
for
self.
Occupation
+ +
+ +
+ +
+ -
-
-
+ -
First walking
-
+
+ +
-
-
-
+
+ +
+ +
Terrenkur
-
-
+
-
-
-
-
-
+
+
+ +
Play-lesson
+
-
+
-
-
-
-
-
+
+
+ +
Items
sporting
these
exercises
-
-
+
-
-
-
+
-
+ +
+ +
Run
+
-
+
+
-
-
+
-
+
+ +
+
-
SPEED motor activity
Regim The
e
origina
l
provisi
ons of
the
Bed
numbers
Amo rate
unt
repea
ted
Raini
er
Amplit Muscl grow
udee-term th
Tuda
group rate
8
4-6
slow
limited
To sloll
+8
Half Bed sit
numbers
16
6
medium
medium
medium
+16
Free
24
8
Medium
and fast
full
Medium
full
Training
lay
Amo
unt
of
exer
cise
stand
stand
>24
8
all
+24
all
180-
Effect of massage on the mechanical and
proprioceptors.
Mechanical action
Mechanoreceptors (force sensor,
velocity, acceleration)а
Skin-visceral
reflexes (changes
activities
internal organs)
Proprioceptors (muscle spindles,
joint receptors)
Лемнисковий
spin thalamic
ways
Specific and nonspecific nuclei of the
thalamus, internal kolinchate body, nucleus
of the brain stem, the hypothalamus.
Somatosensory cortex of large
hemispheres of the brain.
Generalized response to
Segmental
reflexes
Mechanical action (massage techniques)
Formation BAR
Acetylholin
Irritation thermal receptors
Amino acids and
polypeptides
Talamus,hipotalamus
Histamin
somatosensory
area of the cortex
Irritation
chemoreceptors
magnification
rate of recottage first
pulse
magnification
content of adrenaline
Changes in activity
CVS and respiratory
system
stimulation
muscle
activities
mobilization
adaptive
of the body
expansion
capillaries
increase
permeability of the walls
capillaries
strengthening
limfoutvorennya,
stimulation of metabolic
processes in tissues
Гуморальний вплив масажу.