Exercise therapy treatment of patients with heart disease

On the therapeutic value of physical therapy and exercise also pointed SP Botkin. Talking about the treatment of patients with heart disease, he noted the importance of exercise of functions: "At the same circulatory disorders nervous breathing apparatus may be somewhat accustomed to a certain stimulus.

For example, if the patient is systematically reducing its muscles, develops each time the same amount of effort to excite the respiratory acts, he can finally achieve that the number of respiratory movements during prolonged methodical exercise will increase only slightly, and often short of breath, appearing at movements relatively smaller, does not occur even when reinforced.

An entity with a specific heart defect, mastered false hygiene concepts, hard leaving your muscles inactive, begins to choke at a paltry motion and, on the contrary, the subject of a similar suffering, but do not wean their nerve breathing apparatus from the influence of a certain degree of agent commits motion without sudden sensations of shortness of breath, and only in cases of power cuts a significant number of muscle gets the feeling, which almost does not leave the patient at the wrong its contents. "

GA Zakhar'in, enforcing preventive ideas, recommend their patients use the natural elements of nature to prevent colds. GA Zakhar'in, including the mode of the patient in the form of various movements of walking and gymnastics, argued that drug therapy is a unilateral means of treatment.

One of the largest representatives of Russian medicine AA Ostroumov in his clinical lectures stressed that the clinic is necessary to gradually transfer the recovering patient to a regime that is closest to the conditions of his home life, otherwise the effect will be short-lived, and relapse is provided.

"As long as he is in the hospital - said A. Ostroumov - it feels good, once released into the wild, it will again be a disorder of compensation." This statement AA Ostroumova indicates the importance that he attached to the method of functional therapy, which is a vivid expression of physiotherapy.

He called for bolder daring to test the influence of the motor acts on the course of the disease, indicating that the presence of medical supervision is no need to fear for the development of adverse effects. He believed that the use of physical therapy at the resorts and spas is not limited to its effect on the patient during treatment.

The use of therapeutic exercises, reflexes of the brain

Prominent Russian pathologist and physiologist AI Polunin in 1851 noted: "Gymnastics is developing not only strengthens the body and prevents the development of diseases and even cures disease ...

with its help cure many forms of scrofulous diseases, English, nerve disease, which are not inferior to the persistent use of other medical supplies ".Voenny doctor Geltovsky first applied swimming and gymnastics in the water for the treatment of" military command scrofulous patients "in the resort of Staraya Russa.

One of the largest Russian clinicians VA Manassein fervently advocated exercises and massage. At the conference, the Military Medical Academy, he made a proposal to introduce in the training academy of the practical course exercises and massage.

During the war of liberation of Serbs and Montenegrins prof. SG Kolomnin Doctor K. Sokolov, and advocated the need for active and passive exercises to restore limb function after injury.

It should be noted that during the Russian-Turkish war of physiotherapy has been used in a variety of injuries. There are indications in the literature that during the Russian-Japanese war in a number of hospitals in the rear treating gunshot wounds applied exercises and massage.

Belinsky pointed out that physical education should not be an end in itself, but a means of training a man with his high moral and ethical qualities. He held the same views and NA Dob, who considered physical education as part of the overall education of the person.

"Reflexes of the Brain"

Great importance attached hygienic exercises NGChernyshevsky because they lead to a general strengthening and improvement of the body. I wrote JG Chernyshevsky in his novel "What to do? "New Russia, freedom from oppression and tyranny, we need people blossoming health: strong, graceful, energetic; such people should have high moral qualities.

JG Chernyshevsky influenced his contemporaries and, in particular, to Sechenov, who later wrote his remarkable work "Reflexes of the Brain", which initiated the scientific substantiation of the therapeutic value of physical uprazhneniy.Sredi revolutionaries of the XIX century and D. . Pisarev was a true advocate of physical education of children.

He attached great importance to preventive medicine, stating: "Health or the study of the conditions that are necessary to preserve the health, gets himself in currently prevailing value in the eyes of every thinking man."

So, MJ Wise, the founder of Russian therapeutic school, medicine safety put at the head of all therapeutic interventions. He put forward the position - to treat the patient, not the disease. This contributed to the further development of the doctrine of antropoterapii, and hence the use of such methods of the overall impact on the patient, such as physiotherapy.

After 50 years, it said, another great Russian physician and scientist Pirogov: "The future belongs to medicine safety." These ideas are reflected in preventive direction of Soviet medicine, practiced in the health system.

The development of therapeutic exercises in Russia

Physiotherapy in pre-revolutionary Russia. References to the therapeutic application of exercise in Russia for the first time took place in the XVII century, during the reign of Alexei Mikhailovich.

In cases apothecary order, which was in charge of health, I found a recipe instructing Tsar Alexei Mikhailovich, obese, exercise in the form of horse-riding, hiking, running and hunting.

It should be noted that marine physician A. Bakherakht first suggested that "... any arbitrary gesture as skakanie, plyasanie, Lazko the masts and fun games", is a means of preserving the health of the sailors.

P. Bogdanovich said: "To maintain health should also movement; For all that it is subject to rapid degradation, which deprived thereof. " "Forbearance and body movements are the most important means to preserve health."

Pirogov Medical Council directed the Ministry of Internal Affairs of its opinion in connection with the discussion of the first draft of the organization in the Russian Supreme Gymnastics Institute. "The history of natural science, experience and a healthy sense ... - wrote NI Pirogov - obviously convince us of the powerful action of the body, strengthening exercises on the manners and spirit of the people.

Use the application to the case to military exercises, to the treatment of various diseases had become too obvious thing for everyone ... and to this institution gymnastic institute believe it is now highly relevant and useful purpose "

Pirogov pointed out that the exercises should be used as a powerful means of hygienic education. It is recommended to combat atrophy of limbs after gunshot wounds special exercises.

He emphasized that for these patients, "... fresh air and movement of the body, even if passive, make living conditions and treatment success."

Professor of the Moscow Medical-Surgical Academy Kudryavtsev wrote about a special gymnastics at the curvature of the spine.

The development of medical gymnastics in Russia

After the revolution, working in the Tomsk Institute of physiotherapy, DS Pirussky creates a system of treatment, including treatment of the movement, the natural forces of nature and trudom.V Tsarist Russia had no medical gymnastics widespread in hospitals.

It is mostly used in diseases and injuries of locomotor (contusions, sprains, dislocations), with curvature of the spine in children; age, obesity, tabes and certain functional disorders of the nervous system.

The development also contributed to the doctors: EN Zalessoza, VF Diakovsky, MK leopard, K. Soloviev et al. Uncritically taken up by the Swedish medical gymnastics was used mainly from the standpoint of local therapy in combination with massage.

The guidelines for medical gymnastics and massage much more attention was always given to the latter, and gymnastics was considered as an aid. It is not superfluous to note that the Russian doctors were the first on the use of therapeutic exercises for gunshot wounds and fractures.

From archive materials it is known that in 1877 - 1878 years. in St. Petersburg opened a clinic with a direction for the free treatment of wounded soldiers, victims of the Russian-Turkish voynu.K Unfortunately, we have noted that some of the priority issues in the development of various active treatment wrongly attributed to foreigners.

For example, a doctor Ekaterynoslavsky VP whistleblowers in 1893, t. E. For 2 years before the publication of the French Luc Shampionera surgeon, published his observations in treatment of closed fractures of bones massage and gymnastics.

Also unreasonably biased and was raised on board the Austrian surgeon Belair as the founder of functional therapy for traumatic injuries of the extremities.

In fact, the work Belair is an imitation of the great work of the Kharkov Medical Group physicians and Mechanical Institute, the materials of which are published before the First World War as well as during it.