The rationale and mechanisms of medical action of physical exercises with burn disease

The right combination of the two most important factors in the treatment of burns locomotor activity and rest - allows to ensure the best results of complex treatment and to reduce the gap between clinical and functional recovery. Regular classes of medical physical culture contribute not only to restore the functionality of an organism of the patient and increasing the degree of his re-adaptation to physical loads, but also reduce the duration of treatment, which is of great social importance.
It is known that burn disease leads to reduction of natural proprioreceptive afferention that supports the tone of the higher functions of the brain.-, Exercise balance the processes of excitation and inhibition in the cerebral cortex of the brain, helping to restore extinct in the period of diseases conditioned reflexes.
Violations tonic and trophic functions of the nervous system, characteristic of a burn, make it necessary for the activation of metabolic processes. It is established that proprioreceptive, i.e., engine analyzer, has a high level of tonic and trophic influence on all organs, including on cells of the Central nervous system. Proprioreceptive impulses from any part of musculoskeletal system through the reticular formation and hypothalamus has a tonic and trophic influence on the exercise muscle group, but on newpagename tissue. Theory of motor-visceral reflexes explains the mechanism of improvement of tone and trophism of the skin and muscles under the influence of systematic exercise. It is the activity of proprioreception determines the necessary level of reflex-trophic influence on CNS various systems of the organism. Toxico-infectious process, striking with burn disease and proprioreceptors, lowers tone and affects the nervous injured tissues trophism.
Kind of changes on the part of the circulatory system (lasting tachycardia, decreased pulse pressure, dystrophic changes in the heart muscle and other) with prolonged period of burn disease often leads to the development of acute left ventricular failure and edema of the lungs. Therefore, early activation of non cardiac factors of blood circulation means of medical physical culture can greatly hinder the development of circulatory decompensation in patients.
The role of medical physical culture in the fight against oxygen and development of pneumonia with burns. Early use of breathing exercises promotes normalization of external respiration and partial or complete liquidation of hypoxia. Diaphragmatic breathing improves ventilation of the lower parts of the lungs, where most often have stagnation, leading to the development of the hypostatic pneumonia. Exercise will help to improve the digestibility of proteins and reduce allergic reactions. This circumstance is essential, as with burn disease, on the one hand, involves the introduction of proteins with the aim of treatment (blood transfusion, serum, protein drugs, and so on), with another - there is a significant allergization of the organism proteins affected tissues and products of vital activity of microorganisms. Increase assimilability of the protein under the influence of the rational impellent mode improves the General condition of the patient, has a positive influence on the course of reparative processes and engraftment autotransplants.
When deep morphological changes in tissues when normalization of the function impossible, exercise contribute to the formation of compensatory and substitution skills that facilitate the adaptation of patients to life and work. Stimulating effect of physical exercise on the processes of healing thermal RAS and engraftment of transplanted skin flap, increasing the functional reserves of the organism under the influence of adequate physical activity is the fundamental prerequisite for the successful application of medical physical culture burns.