• Rheumatoid arthritis
  • Bechterew's Disease
  • Arthritis associated with infection
  • In inflammatory joint diseases rheumatic nature therapeutic physical training addresses the following General objectives: 1) increase the tone of the CNS and normalization of cortical processes; 2) development of mobility of the affected joints and preventing further violations of their functions; 3) strengthening the muscles, preventing atrophy of muscle-cohesive unit and stiffness in the joints; 4) improving blood and lymph circulation, activate metabolism, elimination of inflammatory changes in the joints and the acceleration of reparative processes; 5) the destruction of the existing defective temporary compensation and adaptation of the affected joints to household and industrial loads.
    In the acute phase of the disease is used treatment provision, peace, drug therapy and physiotherapy. As with arthritis rheumatic nature most of all affects the muscles of the extensor, the legs are placed in a position extension. This prevents the development flexion contractures.
    In subacute disease, when relieve the pain, decreases body temperature and improves the General condition of the patient is prescribed therapeutic physical training.
    Physiotherapy is used mainly in the provisions of lying or sitting. It is necessary to take into account the degree of pain with motion and General condition of the patient (the functionality circulation and respiration, nervous system, etc).
    At the beginning of treatment recommended both active and passive movements. Active movements are made of lightweight basic assumptions on the main axes at a slow pace. The amplitude of movements built up gradually. Exercises are selected simple, accessible to the patient. In the first days of studies, they are predominantly healthy joints, then gradually work involved and the affected joint. Along with the special exercises, in alternation with them, are bracing and breathing exercises.
    To reduce the pain when you exercise, in the early stages of the disease it is recommended to apply the massage, especially for muscles with impaired functional ability. In subsequent load is incremented by the number of repetitions, amplitude of movements, exercises weights and resistance.
    The chronic course of the disease propulsion mode for the affected joints must be broader. In the studies included flight movements with weights, stretching exercises muscular-ligamentous apparatus (vises on the gym wall, different kinds of climbing I. so on).
    In the treatment of patients with lesions of the joints, especially in the initial stages, a special role belongs to the method of passive exercise (yourself, with the help of a practitioner or physician). The value of this method is that motor function is performed when an independent voluntary movements are missing because of stiffness, contractures, etc.
    Passive movements in these conditions prevent the development of stiffness in the joints, maintain elasticity of the ligaments and the power of cartilage, and also have a positive effect on periarticular muscles. Along with local special effects are, though to a small extent, the overall impact on the patient's body - on the Central nervous system and vegetative organs.
    Passive movements should be carried out with the greatest possible relaxation of periarticular muscles. It is necessary to avoid significant strengthening of pain in the affected joints, as this reduces the effect of exercise (increased muscle tension, and range of motion is reduced). To reduce pain advisable before classes to conduct heat treatments. However, it should be borne century mind that small pain and discomfort when motion is quite acceptable. Sick, well transferring loads, it is possible to exercise with weights (gymnastic sticks, stuffed balls, weights, and so on), outdoor games, dosed walking.