Adaptation to stresses, with neurocirculatory dystonia.
As follows from the preceding data, the condition of disadaptation of patients with neurocirculatory dystonia is of great importance in the progression of the disease, being often the cause of acute disease. Any manifestation of disadaptation aggravates the clinical picture of the disease, as if “shaking” state compensation, temporary stabilization, is directly related to the cause of temporary disability. In this part of the Chapter we will focus on improving adaptation to physical stress and
changes in body position, to hypoxic conditions and meteorological factors, briefly touch on the question of adaptation to pain.
Methods of prevention and treatment of physical exercises are divided into 1) physiotherapy, 2) complexes of various hygienic gymnastics (morning, evening, industrial, for persons engaged in physical and mental work to relieve fatigue), 3) small sports uniforms: lightweight running, swimming, skiing, just walking (normal, Express, metered or Wellness); alternating walking with Jogging and exercise, sun and air baths.
For patients with neurocirculatory dystonia during operation, we recommend a therapeutic pause: every 1.5—2 hours of work to carry out light exercises, breathing exercises, followed by relaxation for 10 to 12 minutes. This method allows you to prevent fatigue and improve the efficiency of labor. Physical therapy can be a restorative and to improve the functioning of individual organs and systems of the body and also to relieve headaches, pain in the heart area, in violation of the functions of respiration, etc.
Exercise therapy for neuro dystonia is aimed at improving adaptation to physical stress by activation of excitability of the nervous system and increase the CoE regulatory functions; the impact on the intensity of metabolism (catabolic and anabolic processes) with the accumulation of a reserve of energy production. Exercise therapy leads to increased activity of the capillary blood flow and transcapillary exchange. Therapeutic exercise and physical activity in General have as yet little studied properties favorably influence the body to create an internal wave oscillating processes involved in common complex oscillatory flows of the body, to create additional effects on membrane transport, and the effect on the physiological disintegration of red blood cells.
It is impossible not to recognize the positive role of the influence of exercise therapy on mental and endocrine functions of the body.
The most rational principles of exercise therapy in the treatment of neurocirculatory dystonia .
1) gradual increase of the dynamic tension;
2) rational combination of dynamic and static voltage;
3) methods of relaxation;
4) combination therapy with elements of psychotherapy and intake of adaptogens;
5) conduct physical therapy with the use of simulators. In our practice, we recommended that the exercise bike and treadmill (they were placed on the number of enterprises in the halls of physical training). Method used was the rising tension by gradually increasing the load), and the method of cyclic stress. when in the process of training is consistently suggested to increase the voltage (up to 150— 170 watt) with a subsequent decrease (75-100 watts) and a repetition of the above modes (Yu Sobin et al.);
6) a combination of physical therapy with breathing exercises and elements of rational psychotherapy.
Developing physical therapy from the standpoint of sanogenesis, we came to the conclusion about expediency of creation of therapeutic programs aimed at restoring specific functions and treatment of the major syndromes. With this purpose were developed by medical ozdorovitelnye program in which physiotherapy has had a dominant role: programme for the prevention of headaches, pain in the region of the heart and respiratory syndrome. Along with physical therapy they include elements of psychotherapy, reflex therapy, bioelectric stimulants. Each type of exercise has its own specific, relatively specific effects on the body as a whole and its individual functions.
The use of physical exercises showed that when the load increases in strength and duration in some patients accompanied by deterioration. That’s why these individuals recommended an additional intake of adaptogens. Adaptogens have a beneficial effect in the performance of physical exercises and prepare the cardiovascular system for exercise. Many of them reduce heart rate, have a hypotensive effect and affect metabolic processes in conditions of physical exercise. Adaptogens affect immune processes, increasing resistance, and thereby create the conditions for playing outdoors and in adverse weather.
Drugs do not possess toxicity . do not cause allergic reactions and sometimes hinder their development. However, it is not advisable to use them in persons with sharp anxiety, hypertension and high hyperkinesias. With this purpose used Siberian ginseng, saparal, tincture of aralia, zamanihi at normally recommended dosages. Adaptogens were applied a week before the start of physical therapy and during the first phase. With the use of adaptogens decreased the number of failures from physical therapy, came faster its good tolerability. In some patients improvement of adaptation to physical loads was achieved course or a one-off (for load) receiving b-blockers. They are allowed to reduce the reaction pressure, heart rate, to improve the tolerance to stress.