Brief description of the standard treatment regimes

Under therapeutic regimes understand the totality of measures that eliminate negative irritation and increases the sustainability of the body. The contents of treatment is determined by the schedule and volume of motor activity of the patient, i.e. the motor mode.
The motive modes are used in hospitals, and are divided into: I - strict bed, II - bed, III - ward (pruposely) and IV - free (General). In sanatoriums, respectively on: the I - gentle, II - tonic, or gently-training, and III - training.
In a hospital setting strict bed rest is lying or half-sitting (on a stand), eating with the help of the staff.
Used exercise - passive movement of the limbs, active movement in the small joints of the hands and feet, foot massage, breathing exercises moderate depth. All movements are carried out at a slow pace. Duration of training - 10 - 12 minutes
If bed rest is the lifting of the patient on the headrest, a gradual transition into a sitting position, and then sitting down with their legs and increase the duration of the seat, the seat moves on a chair. The meal is in a sitting position. Develops further adaptation to self-service.
Used exercise - active movements of the limbs, with a gradual increase of the amplitude; exercises for the muscles of the body. Sitting exercises are done with incomplete amplitude; the rate of implementation is slow and average (traffic in small joint - always on average pace), duration of training - 15-17 minutes
When ward (polumetallam) mode is the patient in a sitting position (up to 50% of the daily time). Gets up and walks around the room, then if necessary - in the Department.
Used exercise - motion limbs and torso in the original provisions of lying, sitting and limited standing; exercises with easy drag and small weight; walk (50-200 m). The pace of implementation is slow and average duration - 17-20 minutes
Free (common) mode implies a free walk in the Department, walking up the stairs, walking. The patient is prepared to everyday stress.
Used exercise gymnastic exercises, progressively more sophisticated form, from different starting positions, mostly standing exercises with weights and moderate resistance, throwing the ball weighing not more than 1 kg, the Pace is slow and medium, and small muscle groups - fast. The walk - up 400-1000 m (short-term acceleration). Sessions of 20-30 minutes
In the conditions of sanatorium treatment sparing mode (weak physical impact) is prescribed to the patients with severe organic diseases of the cardiovascular system, in case of insufficiency of the heart of the I-II degree, with ulcers stomach and duodenal ulcers in the phase-constant aggravation, and jelchnokamenna disease in the absence of frequent complications after operations on the stomach and gall bladder removal (not earlier than in 2-3 months). Patients are encouraged 9 hours a night and 1-2-hour NAPs, 10 hours of relative peace, 4 hours driving.
Physiotherapy is an individual or malapropism method. Exercise small. Used medical gymnastics and dosed walking on level ground at a distance of 0.5-1 km 1-2 times a day. Recommended for independent studies, including the execution of elementary movements of small muscle groups and breathing exercises.
Note that the motive modes for children, neurological, tubercular sanatorium and resorts of a different profile have some specifics.
Tonic, or gently-training mode (moderate physical impact) shall be appointed patients with less severe organic diseases in the absence of functional disorders. Physical load average. In addition to medical gymnastics (malapropism and group methods) are appointed morning hygienic gymnastics with a light load (without running and jumping); dosed walking on flat terrain with elevation up to 10 degrees - not more than 2 km 2-3 times a day; swimming (at temperature not more than 20 degrees below) - from 15 to 30 minutes with a rest every 5 minutes; boating - 30-40 minutes (at temperature of air not lower than 15 degrees, without wind) when the tempo 22-24 stroke in 1 minutes; table tennis and badminton courts - no more than 30 minutes; skiing at a slow pace under the supervision of a practitioner - 20-40 minutes Resolved slow dancing (up to 1 hour) and bus tours with a duration of 1 to 3 hours once a week.
Training mode (more pronounced physical impact) is prescribed to the patients with initial forms of organic diseases, in the absence of functional impairments, with sufficient physical preparation. Exercise great. The number of forms of medical physical culture increases (added volleyball, tennis, skating, close tourism, landscape works and others).
With positive dynamics in health translations are possible in the 2nd half of the course of treatment with I, II and II to the third mode, and not necessarily to assign all forms of medical physical culture of the new regime - sufficient training effect is achieved by increasing the load only one form.
If sanatorium receives patients from other climatic zones, for example from Leningrad to a sanatorium in Sochi and Vice versa, then they need to give a few days for acclimatization, therefore, to reduce the load in comparison with the assigned mode. The same is required in rainy days, sick, reacting to a change in the weather.
From the above shows that the movement is part of a therapeutic regimen, and medical physical culture is a part of the motor mode. However, the ratio of medical physical culture with the regime may be different. For example, diseases of cardiovascular system, washing, brushing and combing, like exercise, will cause increased heart rate and increased blood pressure. In this case, therapeutic physical culture identical with other elements of the motor mode and prepares the patient for the expansion of motor activity. Fractures of the upper limb all, which helps to restore their strength, flexibility and coordination of movements (gymnastics, throwing, towns, tennis and so on), is a medical physical culture, Bicycle, skating, Hiking elements motor mode.