General bases of methods of medical physical culture

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Therapeutic physical culture affection of peripheral nerves is established in three periods.
I period - the period of acute and subacute state - 30-45 days from the moment of injury. The tasks of medical physical culture in this period: 1) the removal of the patient from a severe condition, increase mental tone, a tonic effect on the body; 2) improvement of lymph and blood circulation, metabolism and trophic in the affected area, resorption of the inflammatory process, preventing the formation of adhesions, the formation of a soft, elastic scar (with nerve injury); 3) strengthening the peripheral muscles, ligaments, the fight against muscular atrophy, prevention of contractures, vicious provisions and deformations; 4) sending pulses to the restoration of the lost movements; 5) improvement of work of respiratory apparatus, blood circulation, excretion and metabolism in the body.
Therapeutic physical training in the first period are 1-2 times a day with an instructor and 6-8 times a day itself (set of exercises is chosen individually). Duration of training with instructor - 20-30 minutes, self-study - 10-20 min
The second period starts with a 30-45 day and lasts b - 8 months after injuries or disorders of the peripheral nerve. The tasks of medical physical culture in this period are: 1) strengthening of paretic muscles and ligaments, combating atrophy and flabbiness of muscles of the affected area, and the training of the muscles of the entire limb; 2) recovery of the full volume, coordination, agility, speed of performing active movements in the affected area, and if not possible, the maximum development of compensatory motor skills; 3) prevent the development of a vicious provisions of the affected area and related comorbid disorders (violations of posture and gait, Krivoshei and so on).
Therapeutic physical training in the II period are 1-2 times a day with an instructor and 4-6 times alone (individual). Duration of training with instructor 40-60 minutes, self-study - 25-30 minutes
III period - training - period of the final restoration of all functions of the affected area and the whole body. It takes up to 12-15 months from the date of injury. The tasks of medical physical culture of this period are: 1) the final restoration of all motor functions of the affected area and the whole body; 2) training of highly differentiated movements in complex coordination, speed, power, agility, endurance; 3) the restoration of the complex of labour processes and total disability.
Therapeutic physical culture conducted in the third period once with the instructor and 4-5 times alone (performed exercise program prescribed by a doctor or instructor of medical physical culture). Duration of training with instructor 60-90 min, self-study - 50-60 minutes