Therapeutic exercises at diseases of respiratory system

1. Therapeutic exercises at diseases of respiratorysystem

2. Causes of the respiratory diseases: a) Limiting of the chest and lungs mobility; b) Disorders of the respiratory ways passage ; c) Decreasing of lungs respiratory surface ; d) Decreasing of the elastic lungs ; e) Disorders of the gas diffusion in the lungs ; f) Disorders of the central respiratoryregulation and lungs blood circulation .

3. Mechanisms of the physical exercises curative action: • General tonic :improving higher regulator mechanismsin the CNS (formation and improvement self-control , self-regulation , control forbreathing and muscles relaxing ); stimulationс of metabolism; improving of nervous and psychical tone ; restoration and rising tolerance to physical loadings. • Pathogenetic action :correction of the breathing mechanisms ; accelerating of the resolve atinflammatory processes;improving of the bronchial passage ; removing and decreasingof thebronchi spasm ; improving of the bronchi drainage function ; regulation of the external breathing function and its reserves. • Prophylactic action :improving of the external breathing function; take possession by methods of breathing operation ; decreasing of the intoxication ; stimulation of the immune processes ; improving of the protective functions of the respiratory tracts , gardening of an organism and rising its resistance to cold ; formation and improvingof self-control skills.

4. Results of the physical exercises conducting • aimproving mobility of the chest connections , so its excursion is increasing ;this influence positive on the lung’s function; • b) rhythmic movements lead to increasing of the lungsventilation ; • c) substances, which are formed at the muscles contraction,adrenaline , which go to the bloodin the case of positive emotions during executing of physical exercisespositive influence on the receptors of bronchi muscles ; • d) increasing of the oxygen need in an organism stimulate the respiratory system , increase its functional possibilities .

5. Specific of the TE at the diseases of при respiratory organs: Conducting of the respiratory exercises withdifferent character: a) for the increasing of lung’s ventilation; b) for relief of the expiration; c)for accelerating exudates resolve; d) for stretching of adhesives in the pleural cavity . 2. Using of different initial poses, which help the improving of lung’s action –increasing of the chest excursion, lung’s ventilation , flexibility , mobility of the chest connections . 3. Conducting of the physical exercises with objects (gymnastic stick – for exercises of the respiratory character; булава – for vide swing-shape movements, which enlarge the chest; rubber tape and dumb-bells – make physical exercises more effective,strength the respiratory muscles, balls – its using make the procedures of the TEmore emotional).

6. 4. Differences of the TE methods . 5. Using of the special gymnastic exercisesaccording to character and and localization of pathology. 6. Correlation of the physical exercises parts with inspiration and expiration (widening of chest – inspiration , squeezing – expiration, at exudates pleurisy it better do inspiration bending trunk in the health side , this help more stretching adhesives ) 7. If at diseases of cardio-vascular systemthe main task - right dosage of the general strengthen influence,at respiratory diseases significant not only correctly determinate the dose of the physicalloading ,but find special physical exercises for concrete pathological process . 8. Together with general strengthen action of the physical exerciseson the patient’s organism , significant is the local action with the help special exercises: a) fixation of the separate parts of chest for limiting of its mobilitythis give more expressed respiratory excursion of other (not fixed) departments; b) pressing on the chest and on the front abdominal wall with the aim to do the expiration more deep and long;

7. c) pronouncing sounds on the expiration;it permitsmake control forevenand long expiration ; d) using of the nose and pharynx reflex for improvingof breathing -mainly expiration (cold air irritate receptors of the mucous membranes ,impulses are going to the medulla oblongata then impulses go in opposite direction to the bronchi muscles and bronchi spasm is removing ); e) right connection and interchange of the moderate loadings and respiratory exercises ( loadings increase need in the deeper breathing (aeration), help better realization of respiratory function); f) using of the different drainage exercises and poses , which improve lung’s drainage); g) training of the abdominal kind of breath from the initial pose laying on the spine for the increasing of diaphragm excursion; h) pulling the stomach and pressing on abdomen bending leg with the purpose of the diaphragm rising , improving of the lower lung’s department ventilation and removing of the phlegm; i) hands layingon the waist or gymnastic apparatus with the purpose of the unloading of chest of it’s weight and improving of the deep breathing .

8. TE task for the respiratory diseases General: • Improving of the CNS higher regulator mechanisms . • Improving of the mental processes – will , sense, perception and other. • Formation and fastening of the self-control, self-regulation, muscles relaxation, conducting of breath skills. • Improving of action and increasing of the Respiratory system functional possibilities (increasing of the lung’s ventilation ,VLV , chest and anterior abdomen wall excursion,improving of gas metabolism , strength of the respiratory muscles). • Improving of the breathing act (rhythm , deep smoothness). • General strengthen and hardening of an organism, ricing of its resistance .

9. TE tasks for some diseasesPneumonia • Increase of blood and lymph circulation in the lungs for acceleration of exudates and inflammation products resolvesfor prevention of the complications; • Improving the lungs ventilation – prophylaxis of atelectasis formation; • Prevention of adhesives spread in pleural cavities; • Activization of tissues metabolism and oxygen and restore processes in the body; • Nervous and psychical tone rising; • Improvement of drainage function of the lungs; • Medicines action activating.

10. Bronchial asthma • Promotion of the bronchi spasm decreasing; • To study of the patient by breathing ruling during the asthmatic attack; • Breath improving : expiration’s extending; • Activation of the tissues trophic ; • Strengthen of the patient’s organism generally and respiratory muscles for prevent of lung’s emphysema development; • Removing of the pathological cortex and visceral reflexes and restoration the normal stereotype of breathing apparatus regulation; rising of the nervous and mental tone ; • Increasing of an organism adaptation togrowing physical loadings.

11. Bronchitis : • Increasing of the blood and lymph circulation; • Decreasing or removing of the inflammatory bronchi processes; • Restoration of the bronchi drainage function; • Prophylaxis of the chronic bronchitis, pneumonia; • Rising general and local bronchi resistance , organism resistance to the cold diseases. Lung’s emphysema: • Saving of the lung’s tissues elastic; • Increasing of the chest and spine bone mobility; • Training of the diaphragm breathing, increasing of the diaphragm respiratory excursion; • Strengthen of the respiratory muscles , especially such ,that take part expiration act – decreasing of the respiratory muscles rising tone; • Teaching of the right , rhythmic breathing with the prolongation expiration; • Improvement of the cardio- vascular system function.

12. Pleurisy: • Struggle against respiratory insufficiency; • Help to exudates resolve, oppose pleurisy adhesives formations; • Activating of the blood and lymph circulation; • Restoration of the external breathing apparatus function; • Adaptation of the cardio-vascular and respiratory systems ,in generally ,to increasing physical loadings. Bronchiectatic disease: • Improving of the spitting removing from lungs; • Inflammatory processes removing; • Formation of the chest and spine bone conjunction mobility; • Rising of general and local bronchi resistance.

13. Indications and contraindications to the TE at the diseases of respiratory system

14. Indications and contraindications to the TE at the diseases of respiratory system

15. During of the TE procedure at diseases of respiratory system are appointed : a)Static ruling breathing – work only respiratory muscles. Lead to the normal correlation between in-and expiration; b)Dynamic ruling breathing – connect with different movements which are conducted with arms , feet , head , all body for strengthen and prolonging of expiration; c)Local breathing – limiting of activity of some chest part , where is needing in increasing of respiratory excursion : upper -chest, lower-chest,lateral , abdominal.

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