The effectiveness of the developed physical therapy program for middle-aged women with hypertension has been studied. The feature of our program was the dynamic performance of exercises in different body positions, adding a certain amount of static exercises, the use of walking of moderate intensity with a heart rate of up to 40% of maximum, as well as psychotherapy and autogenic training. The data of 24 women with hypertension of the 1st degree, who underwent physical rehabilitation for 4 months, were analyzed. The effectiveness of the presented program was assessed by the indicators of quality of life on the questionnaire MOS SF-36, eight scales of which form two integrated indicators: "physical component of health" and "psychological component of health". A detailed analysis of the Hospital Scale in women with hypertension revealed that 44% of women had no symptoms of anxiety, subclinical manifestations of anxiety were observed in 40%, clinical manifestations - in 16% (p <0.05). Detailed analysis of depression showed its absence in 56% of women, subclinical manifestations - in 8% of respondents, clinical - in 36% (p <0.05). The results of the analysis of quality of life indicators after the application of rehabilitation measures indicate the presence of probable positive changes in middle-aged women with hypertension, on almost all subscales. In particular, the improvement of physical condition in women occurred by 18.00 points (p <0.001), the decrease in pain intensity - by 12.00 points (p <0.001), general health - by 20.00 points (p <0.001); vital activity - by 20.00 points (p <0.001), mental health - by 20.00 points (p <0.001). The obtained data show that our proposed program of physical therapy for middle-aged women with hypertension probably changed the quality of life indicators, which concerned, above all, mental health, vital activity and general health.
The efficacy of a specially designed physical rehabilitation program to alleviate hip pain and improve function in patients with vertebral arthralgia of the hip was investigated. The rehabilitation program included exercises to strengthen and stretch the muscles of the lower back and exercises for balance. Data from 32 women with unilateral or bilateral hip arthralgia were analyzed. They underwent physical rehabilitation for 3 months. The average age of the patients was 64.5 years. The WOMAC questionnaire (Western Ontario and McMaster Universities osteoarthritis Index) with three subscales, the Timed-Up and Go functional test, measurements of walking speed, maximum walking speed and the ability to keep balance were used for the initial assessment of the patient's condition and assessment of the effectiveness of the rehabilitation intervention. Walking speed and maximum walking speed were measured using a stopwatch. The balance was tested using the Berg scale. The data obtained indicate significant positive changes in pain sensation and functional ability according to WOMAC, maximum walking speed, in functional test "Timed-Up and Go" and balance under the influence of rehabilitation intervention. The difference in pain score was 70.75 ± 17.58 mm. The indicator of the functional ability of patients associated with the hip joint during the rehabilitation period changed by 31%, which is a significant change (p ≤ 0.05). There was an increase in the maximum walking speed (on average by 26%) and a decrease in the time for passing the ""Timed-Up and Go" test (on average by 13%) (p <0.05).
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