Periods of medical application of physical exercises

The process of restoring the health and disability of patients is called rehabilitation. By the decision of the world health organization (who) to distinguish Two periods of rehabilitation - hospital and aftercare. Therapeutic physical culture is widely used in medical rehabilitation, and its use is divided into the corresponding periods of characterizing the anatomic-functional state of the damaged organ and the whole body. In curative physical culture there are three periods (table. 1).

Table 1. The relationship between periods of rehabilitation, periods of medical physical culture and physical activity modes
Periods of medical rehabilitation (who) The physical activity modes (by C. N. Moscova) Periods of medical physical culture The ratio of General developmental and breathing exercises special exercises, %
Hospital (the hospital) 1. Bedding:
a) strict
b) lightweight
The first (introductory) 75-25
2. Pruposely
3. Free
The second (main) 50-50
Aftercare (sanatorium-resort treatment, rehabilitation Department, clinic, home conditions) 1. Gentle
2. Sparing-training
3. Training
The third (final) 25-75

Characteristic curve therapeutic gymnastics The main part of the session The pace of exercises The ratio of respiratory exercises and exercises on the joints Characteristics of the original position
Unimucronate 1/3 Slow 1:1 Lying
Two-trevelina 1/2 Slow, medium and fast (limited 1:2 Lying, sitting, standing
MNV 2/3 Slow, medium, fast 1:3-4 All kinds of (health)

The first period (Intro)- a sharp, gentle, the period of forced provisions, or immobilization. It is characterized by the fact that the anatomical and functional state of the organ and the whole body is broken. For example, when a fracture of the forearm there are anatomical integrity of the bone, and disorders of the limbs.
In this period physiological load curve, as a rule, unimucronate, with the maximum elevation in the middle part of the session. The attitude of respiratory exercises to obshherazvivajushhego and special - 1:1. The pace of implementing them slow and average. In the lesson included 25% and 75% of General developmental and breathing exercises. The main part of the session is about 1/3 of the time the entire session.
The second period (main) - functional, the period of recovery of functions. It is characterized by the fact that anatomically body largely restored, and the function is still severely disrupted. For example, at the turn of the immobilization charged, callus formed, but the movements in the joints limited.
In this period physiological load curve of the two-trevelina, the starting position is different. The attitude of respiratory exercises to obshherazvivajushhego and special-1:2. The pace of implementing their average. In lesson includes 50% of special exercises and 50% of General developmental and breathing. The main part of the session is about 1/2 the time the entire session.
The third period (final)- training, the period of recovery of functions not only the victim of the body, but also the whole organism. For example, after a fracture of the forearm was full recovery: bone spur strengthened, in my joints were close to normal. However, high physical activity (vises, stops, lifting weights) the patient is still unsustainable. It is necessary to gradually restore the ability to perform these exercises.
In the third period physiological load curve MNV, the starting position of all kinds. The pace is slow, fast, and average. The attitude of respiratory exercises to obshherazvivajushhego and special - 1:3-4. In the lesson included 75% of special exercises and 25% of General developmental and breathing. The main part of the session is increasing and makes up about 2/3 of the time the entire session.