Exercising in water (gidrokinezoterapiya).

  Swimming in the fins, with a spatula and gymnastics in the water - a combination of exercise and a thermal (or chemical) factor of water with curative and preventive purposes.  Being in the water increases the heat transfer and metabolism, activates hemodynamics, respiration, etc.  Doing gymnastic exercises in water is ineffective, especially for the elderly, since it is possible supercooling of the body.

  In some cases (for injuries and diseases of the musculoskeletal system, paresis, and paralysis), the warm water facilitates the exercise.  Swimming and Exercising, playing in the water have a general effect on the body, help to improve mobility in the joints (with injuries, contractures, coxarthrosis, etc.), improve fitness muscles, relieve pain, etc.  Exercising in water (special exercises with dumbbells, rubber balls, etc.) contributes to the restoration to adapt to a variety of physical activities, and also acts as a tempering factor in the low water temperature (23-27 ° C) and causes the relaxation of muscles during its increase (37 - 39 ° C).

  Exercise in water are shown for patients with diseases and injuries of the musculoskeletal system, especially after the removal of immobilization, in violation of posture, contractures, muscle atrophy, metabolic disorders, diseases of the cardiovascular system, respiratory system, as well as in diseases of internal organs (cholecystitis , colitis, gastritis, etc.), and vascular disorders (varicose veins, thrombophlebitis, etc.), metabolic and endocrine systems (gout, obesity, diabetes, etc.), injuries and diseases of the nervous system (spinal osteochondrosis, paralysis and paresis, neuroses, polio, cerebral palsy, vibration disease, etc.), arthritis (coxarthrosis), arthritis, vegetative dystonia, etc. With intraarticular fractures of the elbow joint thermal procedures (paraffin wax, mineral wax, dirt, etc.), as well as Bath (hyperthermia), and gymnastics in the water NOT!  You should not use the gym and walking in water (as well as bath and sauna) for injuries, knee and ankle joints, as this leads to increased swelling in the joint (synovitis increase), particularly in the ankle joint.

    Of particular importance are special exercises (with belts, paddles, inflatable cuffs, etc.) for the rehabilitation of sportsmen of high qualification and after surgical interventions in injuries of the locomotor apparatus.

  The system includes a combination of rehabilitation cryomassage and swimming with injuries and diseases of the musculoskeletal system, after removal of plaster casts (longetok).

Our studies (observed 624 highly skilled athlete at the age of 18 years to 34 years) have shown high efficiency gidrokinezoterapii in conjunction with various types of massage (especially cryomassage) and phonophoresis, as well as cold electrophoresis and electro with intramuscular ATP. As a result, dramatically decreases the time of disability, accelerated regeneration of tissues, blood and lymph flow, metabolism, faster restores motility (amplitude) in the joints.

Contraindications to physical exercise in water: osteomyelitis, open wounds, abrasions, skin diseases (pustular eczema, athlete, etc.), diseases of upper respiratory tract (perforation of the tympanic membrane, otitis media, sinusitis and frontity, etc.), venereal diseases (AIDS, gonorrhea, syphilis and trichomonas infection, etc.), high body temperature, and disorders of the gastrointestinal tract (diarrhea, dysentery, etc.), mental illness (schizophrenia, epilepsy, etc.), myocardial infarction, angina decubitus , increased blood pressure, Raynaud's disease, obliterative endarteritis, heart defects, rheumatic fever in the acute stage, etc.; wheeze bronchitis, bronchial asthma, bronchiectasis, tuberculosis in an active form, etc.; pyelonephritis, acute cystitis, and others, severe fatigue and fatigue in athletes (gymnastics in the water accumulates process of fatigue).

   When conducting exercises in water use different depths, used games and, as a rule, conventional dynamic exercises, exercises with an elastic (rubber) with a bandage, Rubber Expander, spatulas (to increase resistance to stroke), flippers and a special sleeve at the ankle joints, etc. In addition, the use of walking and jogging in water (not touching the bottom of the pool feet) with special vests. This technique is used in the rehabilitation of athletes after surgery on the tissues of the locomotor apparatus, his injuries and chronic diseases combined with cryomassage (duration 15-20 minutes 2-3 times a day, the course of 30-45 days) and subsequent imposition of tapes, as well as exercise in the gym.

   Exercising in water is in addition to gymnastics in the hall, on the grounds, etc. It is held by the group method, and run - personal. In the pool games are held in water basketball.

  Sport and applied exercises - these are natural physical actions, or their elements. These exercises are climbing, household and labor actions, jumping, throwing, swimming, skiing, boating, walking, bite, displacement and transport of various items, etc.

   Exercising more effective for the development of endurance, the normalization of the functional state of the patient (especially in diseases of the cardiopulmonary system, metabolism, etc.).

   Exercises for the recovery of domestic skills are used in violation of movements (injuries, amputations, paralysis, etc.) that are needed for household and industrial motor acts (dressing and undressing, washing, brushing teeth, combing, as well as locking and unlocking, tap, telephone, etc.). For these purposes and special stands (in the offices of occupational therapists).

  Walking as a therapeutic agent widely used to restore motor function, cardiovascular workout, and propulsion systems, etc. It is also used walking with crutches, in a special "hodilkah, walking up the stairs, water, etc. The dosage is held in tempo, the length of steps on time, on the terrain (smooth, rough, etc.).  Walking is used to restore the mechanism of gait (with trauma, amputation, paralysis, etc.) to improve mobility in joints, as well as for training the cardiovascular system in patients with coronary artery disease, hypertension, vascular dystonia, pulmonary disorders (pneumonia, asthma and etc.), and metabolic disorders. Practiced dosed walking, walking in the area with different terrain (terrenkur).

  Running is an exercise overall impact on the cardiorespiratory system and metabolism. In conjunction with walking, it is widely used in spa treatment. As the organism's adaptation to training length looping segments increases and decreases while walking.

  Skiing promotes training of cardiorespiratory system, stimulates metabolism in tissues, etc. Depending on the type of gait (tempo, speed, long distance, the profile distance, etc.) the intensity of exercise can be moderate, high and maximum. Skiing is not only the training effect, but tempering. Cross-country skiing is widely used in sanatoria and rest homes.

   Rowing has a beneficial effect on cardiorespiratory system, metabolic processes, on the muscular system, etc. In the sanatorium conditions Rowing is widely used in various diseases of the musculoskeletal system, cardiovascular and respiratory systems, and metabolic disorders.

  Skating requires good coordination. Especially useful skating with neurosis, diseases of the cardio-respiratory system, etc. The dosage depends on the driving time, number of laps, pace, etc.

  Biking strengthens the autonomic vestibular reactions, stimulates metabolism, as well as an excellent tool for training the cardiovascular system, respiratory function of the lower limbs, etc. The dosage is determined by the cycling, its pace, distance (distance) relief, and t . etc.  It is used in spa treatment in dispensaries.

  Swimming as a means of exercise therapy used in the cardiorespiratory diseases, metabolic disorders, injuries and diseases of the musculoskeletal system, etc. Swimming is a good tool for training the cardiovascular and respiratory systems, as well as thermoregulation. The dosage is determined by the length of sailing intervals, tempo, rest periods between segments, as well as navigation techniques. If the patient is bad swim, then the energy he spends much more.

  Games as a means of exercise therapy designed to improve motor skills in a changing environment, to improve the function of analyzers. Games have a training effect for a number of systems and organs, and if we take into account the emotional factor, they successfully applied for neurosis, vegetative dystonia, and other pathology. The advantage of games is also in the fact that during their periods of stress alternate with periods of rest. Games are especially helpful to children. The games develop qualities such as agility, quick response, attention, etc. Since the purpose of treatment using slow-moving, agile and athletic games, water games, etc. Game on the ground, slow-moving and moving in the group include procedures for exercise therapy. Games are widely used in children's hospitals, nursing homes, boarding schools and other institutions.

  The duration and intensity of games adjust, change the height of the grid (in volleyball), the number of participants and rules of the game include a pause for relaxation and breathing exercises, change the size of sites.

  Do not include games in gymnastics class groups of patients with diseases of the cardiovascular system, impaired function of the vestibular apparatus, with a marked cerebral sclerosis, intermittent claudication (obliterative endarteritis), etc. Outdoor games included in the training exercise therapy in clinics, dispensaries and health-resort treatment. Нагрузки регулируются подбором игр, интервалами отдыха, сменой «водящего» и др. Load governed the selection of games, recreation intervals, the change of "superconducting", etc.

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