In acute pneumonia physiotherapy is contraindicated in patients who have a strong intoxication, fever, respiratory distress, or tachycardia, when the heart rate exceeds 100 beats per minute.For patients who comply with bed rest, shows the special exercises.They are appointed on the fifth day of stay in a hospital in the sustained reduction in body temperature, a decrease in heart rate and leukocytosis.Let's talk about what is needed physiotherapy for acute pneumonia!
Before medical physical culture is several tasks:
- must be brought to normal breathing mechanism, ie. E. To make it more productive;
- to reduce the lack of breath;
- to accelerate the absorption of inflammatory focus in the lung;
- to improve the overall performance of external respiration and activity of the cardiovascular, nervous and other body systems.Classes are conducted individually.Patients who are on strict bed rest, carried out first static breathing exercises.To do this with the help of a doctor or an instructor patient t
Then the doctor puts his hand on his stomach in the area of the diaphragm and asks the patient during inspiration as possible to draw the stomach.Later in the day the patient to perform these exercises on their own.They help to improve the ventilation, increased depth of respiration and reduce its frequency.Also, it increases the mobility of the diaphragm.To increase the ventilation of the patient's lung, the doctor turns to the healthy side of the patient and asks him to breathe deeply as possible.During inhalation, the doctor helps the patient to raise his hand up, and during exhalation - lower it to the side surface of the chest with some pressing on it.This same exercise is carried out in the supine position on the sick side.
elderly or severely debilitated patients is recommended after the first cycle of exercises to make a back massage to prevent pulmonary complications.After that, perform physical exercise for small and medium sized groups of muscles in the arms and legs.These exercises are repeated 3-4 times.When the patient lies on the patient side, it - make a back massage.Then carried out exercises for the major muscle groups of the limbs, with the help of a doctor repeat these exercises 3-4 times.Seriously ill and elderly people recommend to massage the arms, legs and chest when lying on the healthy side or back.Massage is performed for about 15 minutes.
Patients who are on polupostelnom mode, it is recommended to start classes on 5-9 day.The objectives of this period was the further normalization of the breathing mechanism, the elimination of respiratory failure, improving the overall tone of the central nervous system, the absorption of exudate, if there pleuropneumonia, removing phlegm;and further reduction of functions of many body systems, including the cardiovascular.
Physiotherapy begins with static exercises that are performed on the back, side, or half-sitting.If inflammation persists for a long time, you can massage the chest on the affected side.Exercises for the arms and legs are carried out simultaneously with breathing, at a ratio of 3: 1.Each exercise should be repeated 4 times.A set of exercises recommended to be performed in a lying or sitting position, feet down.After a few days in this complex adds a dynamic breathing exercises that contribute to the removal of sputum, increased mobility of the diaphragm and respiratory muscle strength.Also improves blood circulation, and improve some of the indicators of external respiration.
patients who do not need to comply with strict regime (about 12-day hospital stay), there is also a set of exercises.Objectives of physical education: the restoration of respiratory function, restore the structure of the respiratory system to prevent recurrence of acute pneumonia, functional recovery of the cardiovascular system and other systems, the adaptation of the patients to physical activities, preparation of patients for work and everyday life.Typically, classes in hospital wards for the subgroups.Patients sit or stand.Exercise has been held with the weights.For these purposes gymnastic stick, dumbbells or other items.At the end of the gym spend walking.For medical reasons some patients to massage the chest on the affected side when the patient sits in a chair, leaning on his back.In addition to the dynamic breathing exercises, during this period it is necessary to carry out exercises for the upper and lower limbs, waist and torso.
Breathing exercises combined with strengthened in the ratio of 3: 1.Exercises are repeated 5-6 times.Time employment increased to 30 minutes.On the 12th day of hospital stay, patients can independently perform the full range of exercises 2 times a day.Starting exercises recommended in the prone position and the need to finish the complex walking.One lesson doctor should be in the hall of physiotherapy with sports equipment.In carrying out complex physical and breathing exercises in acute pneumonia requires strict control of the body's reaction to stress and strain occurs.It is necessary to continuously measure the pulse, blood pressure, the number of breaths per minute.When properly chosen pulse load should not exceed the original figures by more than 15 beats per minute, blood pressure should not rise by more than 15 mm Hg, and respiratory rate - increase by 2-3 breaths per minute or decrease by1-2 breathing by increasing the depth of breathing.10 minutes after all indicators load should return to the original values.