Methods of Physical Loads Dosing in People with Hypertension During Kinesitherapy Sessions

Authors

  • Yevhen Mykhalyuk Zaporizhzhia State Medical University
  • Georgiy Korobeynikov National University of Ukraine on Physical Education and Sport

Keywords:

physical therapy, kinesitherapy, ergometry, functional test, metabolic equivalent, HR-monitoring

Abstract

Topicality. Considering the important role of physical activity in primary and secondary cardiovascular prophylaxis, as well as taking into account that modern means allow to precisely dose both «external» and «internal» loads, search and improve methods of its dosing for persons with arterial hypertension in the classroom kinesitherapy is an urgent task. The objective of the study was to determine the methods of load dosing in individuals with arterial hypertension during kinesitherapy sessions based on the analysis of scientific literature. To this end, the following tasks were set: to determine reliable methods for assessing the initial physical and functional state, to determine reliable methods for estimating the volume and intensity of the load, to establish criteria for dosing the «external» load and to establish criteria for dosing the «internal» load during kinesitherapy sessions in people with arterial hypertension. Results of the Work. Persons with arterial hypertension should monitor their physical and functional state. It is necessary to conduct it at the initial and current stages of the program. The reliable methods (ergometric with ecocardiography, diagnostics of heart rate variability, neurocognitive testing, etc.) should be used. Dosage should be based on both «external» and «internal» sides of the load. To individualize the program of kinesotherapy the pulsometry should be used. Conclusions. For an effective rehabilitation process of physical rehabilitation of people with arterial hypertension, it is advisable to determine their physical and functional state which will be the criterion of physical activity dosing. Individualization of the kinesitherapy program should be carried out using the method of pulsometry.

References

1. Kemm, A., Lyusher, T.,&Serruis, P. (2011). Heart and vascular diseases : Guide [Bolezni serdtsa i sosudov: rukovodstvo]. Moscow: GEOTAR-Media (in Russian).
2. Zabolotnykh, I., & Kantemirova, R. (2008). Medico-social examination and rehabilitation in cardiology [Mediko-sotsialnaya ekspertiza i reabilitatsiya v kardiologii]. Saint Petersburg: SpetsLit (in Russian).
3. Mykhaliuk, Y., &Malakhova, S. (2014). Shift of pulse and arterial pressure in students with arterial hypertension during bicycle test [Zsuvy pulsu ta arterialnoho tysku u studentiv z arterialnoyu hipertenziyeyu pid chas testuvannya na veloerhometri]. Scientific digest of M. P. Drahomanov National Pedagogical University. Series № 15. Scientific and pedagogical problems of physical culture (Physical culture and sports) [Naukovyi chasopys Natsionalnoho pedahohichnoho universytetu imeni M. P. Drahomanova. Seriya № 15. Naukovo-pedahohichni problemy fizychnoyi kultury (Fizychna kultura i sport)], 3K(45)14, 173–177 (in Ukrainian).
4. Mykhaliuk, E., Malakhova, S., & Levchenko, L. (2013).The functional state of some body systems of boys and girls with primary arterial hypertension who start active kinesitherapy [Funktsionalnoye sostoyaniye nekotorykh sistem organizma yunoshey i devushek s pervichnoy arterialnoy gipertenziyey, pristupayushchikh k aktivnoy kinezoterapii]. Medical rehabilitation, spa therapy, physiotherapy [Medychna reabilitatsiya, kurortolohiya, fizioterapiya], 2 (74), 11–13 (in Ukrainian).
5. Mykhaliuk, E., Malakhova, S., &Levchenko, L. (2013). Introduction of modern pulse monitors in the health training of students with primary hypertension [Vprovadzhennya suchasnykh monitoriv pulsu v ozdorovchi trenuvannya studentiv z pervynnoyu arterialnoyu hipertenziyeyu]. Bulletin of T. Shevchenko Chernihiv National Pedagogical University. Series: Pedagogical Sciences. Physical education and sports [Visnyk Chernihivskoho natsionalnoho pedahohichnoho universytetu im. T. H. Shevchenka. Seriya: Pedahohichni nauky. Fizychne vykhovannya ta sport], 112 (1), 223–225 (in Ukrainian).
6. Platonov, V. (2017). Movement qualities and physical fitness of athletes [Dvigatelnyye kachestva i fizicheskaya podgotovka sportsmenov]. Kyiv: Olimpiyskaya literatura (in Russian).
7. Mykhaliuk, Y., Ivanko, O., & Malakhova, S. (2014). Patent for Bark Model No. 89087 «Method for forecasting the effectiveness of metered exercise loads on exercise bikes for the purpose of rehabilitation of persons with primary hypertension» [Patent na korysku model № 89087 «Sposib prohnozuvannya efektyvnosti dozovanykh fizychnykh navantazhen na velotrenazherakh z metoyu reabilitatsiyi osib z pervynnoyu arterialnoyu hipertenziyeyu»]. Industrial property [Promyslova vlasnist], 7 (in Ukrainian).
8. Mykhaliuk, Y., Ivanko, O., & Malakhova, S. (2014). Conducting of medical and pedagogical observations during physical training on exercise bikes among adolescents with primary hypertension [Provedennya likarsko-pedahohichnykh sposterezhen pid chas fizychnykh navantazhen na velotrenazherakh pidlitkiv z pervynnoyu arterialnoyu hipertenziyeyu]. Kyiv: Ukrmedpatentinform (in Ukrainian).
9. Boutcher, Y., & Boutcher, S. (2017). Exercise intensity and hypertension: what’s new? Journal of human hypertension, 31 (3), 157.
10. Lurbe, E. (2016). European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents. Journal of hypertension, 34 (10), 1887–1920.
11. He, L., Wei, W., Can, Z. (2018). Effects of 12-week brisk walking training on exercise blood pressure in elderly patients with essential hypertension: a pilot study. Clinical and Experimental Hypertension, 1–7.
12. Sui, X. (2017). Impact of changes in cardiorespiratory fitness on hypertension, dyslipidemia and survival: an overview of the epidemiological evidence.Progress in cardiovascular diseases,60 (1), 56–66.
13. Robinson, A. (2018). Microvascular vasodilator plasticity after acute exercise. Exercise and sport sciences reviews, 46 (1), 48–55.
14. Lande, M. (2017). Neurocognitive function in children with primary hypertension. The Journal of pediatrics,180, 148–155.
15. Alves, A. (2016). Physical activity in primary and secondary prevention of cardiovascular disease: overview updated.World journal of cardiology,8 (10), 575.
16. Nedeljkovic, I. (2016). The combined exercise stress echocardiography and cardiopulmonary exercise test for identification of masked heart failure with preserved ejection fraction in patients with hypertension. European journal of preventive cardiology, 23 (1), 71–77.

Published

2018-06-02

Issue

Section

Therapeutic Physical Training, Sport Medicine and Physical Rehabilitation

How to Cite

Methods of Physical Loads Dosing in People with Hypertension During Kinesitherapy Sessions. (2018). Youth Scientific Journal Lesya Ukrainka Eastern European National University, 30, 157-163. https://sportvisnyk.vnu.edu.ua/index.php/sportvisnyk/article/view/49