CHRONIC
DISEASE AND PHYSICAL ACTIVITYIMPROVEMENT
OF PATIENT'S SKELETAL
MUSCLES WITH CONGESTIVE CARDIAC INSUFFICIENCY CL. II-III NYHA BY
PHYSICAL THERAPY'S METHODS
Dobreci
Lucian,
Marza -Danilă Doina
University
of Bacau, Faculty of Movement, Sport and Health Sciences, Romania
Introduction.
Congestive heart failure cl. II-III NYHA patients have an alteration of
muscles mass caused by muscular force decrease, decrease of muscular
mass with diminishing section area, increasing glycolysis and
decreasing of oxidation enzyme’s activities. Muscular fatigue
during effort determines its interruption although cardiac or
respiratory reserve isn’t depleted.
Methods. The
research took place on 40 patients with congestive heart failure cl.
II-III NYHA, between 55- 60 years old. They followed a physical
rehabilitation program for 2 months, 3 sessions/ week. We kept a look
over the following parameters during the evaluation (initial and
final): diameter of 1/3 inferior of the thigh measured with metric
ribbon, effort capacity measured with 6 minutes walking test, and EMG
value on thigh level with Biopac Student-Lab.
Results. The
final
results show an increasing in trophic and tonus status of lower limbs,
as well as an increased effort capacity. The final results were much
better than the initial ones.
Conclusions. With
physical therapy program we can meaningfully diminish the alteration of
skeletal muscles status. Key words: spondilolistesis, manipulation,
rehabilitation.
