METHOD functional assessment DISABLED WITH PATHOLOGY lower limbs and the choice and amount of exercise in the rehabilitation process

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to sport medicine and therapeutic physical training. Patient performs functional tests in form of physical exercise before and after rehabilitation. At rest, in initial sitting position, disabled person's AP₀ is measured and HCF for 10 sec (P₀) is calculated, disabled person is placed into lying on stomach position and they perform 30 press-ups from couch for 30 sec, obtaining physical loading, then disabled person is placed in sitting position and their HCF is counted during recovery period during first sec of recovery (P_1a), from 20-th to 40-th seconds of first minute of recovery AP₁ is measured during last 10 sec of first minute of recovery HCF (P_1b) is measured again, similar measurements are performed on second- fifth minutes of recovery, Rouffier's index (RI) is calculated by special formula. Response of cardio-vascular system is estimated as excellent if values of RI are less than 0, if RI is from 0 to 5 - as good, if RI is from 6 to 10 - satisfactory, if RI is from 10 to 15 - weak, if RI is more than 15 - unsatisfactory, by AP change type of cardiovascular system (CVS) response is estimated as normotonic, dystonic, hypertonic, with step rise of AP or hypotonic; if type of response is normotonic and RI is excellent or good, state of cardio-vascular system is estimated as good, adaptability to physical exercise as high, there are indications that disabled people can do adaptive physical exercise and sport without limitation; if type of response is normotonic and RI is weak or unsatisfactory, conclusion about reduction of functional state of cardiovascular system is made, adaptability to physical exercise is low, there are indications that disabled people can do physical exercise with moderate loading in aerobic mode; if type of response is dystonic with drop of diastolic pressure to zero during first-second minute of recovery and if RI is excellent or good or satisfactory, state of cardio-vascular system is estimated as good, adaptability to physical loading as high, there are indications that disabled people can do adaptive physical exercises and sport without limitation; if type of response is dystonic with drop of diastolic pressure to zero more than 2 minutes of recovery, slowing down of HCF and AP recovery and RI estimation as weak or unsatisfactory, conclusion about reduction of functional state of cardio-vascular system is made, adaptability to physical lading is weak, there are indications that disabled people can do physical training with moderate loading in aerobic mode; if type of response is hypertonic and RI estimation is weak or unsatisfactory, conclusion about reduction of functional state of cardio-vascular system is made, adaptability to physical loading is weak, there are indications that disabled people can do therapeutic physical training under HCF and AP control, with small and lower than average intensity, exercises with bending, circle head movements, abrupt movements with large amplitude are limited; if type of response is with step increase of AP, irrespective of RI estimation, conclusion about reduction of functional ability of cardio-vascular system is made, adaptability to physical loading is weak, there are indications that disabled people can do exercises with loading lower than average with extension of movement loading; if type of response is hypotonic and RI estimation is weak or unsatisfactory, conclusion about reduction of functional ability of cardio-vascular system is made, there are indications that disabled people can do therapeutic exercises with loading lower than average, with change of initial positions, stimulating venous return, upturned positions are eliminated. RI index is evaluated in dynamics of training process and if RI decreases, conclusion about improvement of high training of disabled person is made.;EFFECT: ensuring possibility to dose physical loading and choose form of physical loading in process of disabled people rehabilitation, as well as to estimate functional state of disabled person in dynamics.;3 cl, 9 tbl, 5 ex