The role of therapeutic exercises in blood pressure correction, vascular wall stiffness and disorders of bone and mineral metabolism in postmenopausal hypertensive patients

The purpose of the study was to prove the effectiveness of the developed program of physical therapy for women with hypertension based on the indicators of the functional state of the cardiovascular system. Materials and methods. The paper presents an analysis and generalization of modern scientific and methodological literature of domestic and foreign authors according to the Internet and the PubMed resource. A large group of medical and biological methods was used: 6-minute walk test, tonometry, registration of electrocardiogram, electroencephalogram and heart rate variability. Results and discussion. Based on the analysis of literature sources, it was found that in the problem of physical therapy of people with hypertension there are a number of unresolved issues regarding their use for effective recovery and increase adaptability. The program of physical therapy for women with hypertension was developed based on data on the etiology and pathogenesis of the disease, as well as data from previous examinations. That is why the therapies were selected according to their effect on the mechanisms of blood pressure regulation. After physical therapy according to our proposed program, the 6-minute test in women of the main group probably (p <0.05) increased and amounted to 512.52±14.30 meters, which is 105.05 meters more. In women of the comparison group, this figure increased by 50.5 meters. Statistically significant (p <0.05) decreased systolic and diastolic pressure to 128.2±8.9 mm Hg and 82.3±4.1, respectively. In the women of the comparison group, these reductions were not statistically significant. The ratio of sympathetic to parasympathetic activity in terms of heart rate variability changed in women of the main group from 1.7±0.11 to 0.53±0.03 (p <0.05), due to a decrease in sympathetic and increased parasympathetic activity, which also manifested in a reduction in the QT interval of the electrocardiogram. In women of the comparison group, the ratio of sympathetic to parasympathetic activity changed from 1.7±0.18 to 1.04±0.06 (p <0.05). After physical therapy in 100% of cases in women of the main group the power and in 85% the frequency of α-electrocardiogram rhythm decreased, which indicated a decrease in excitability and increased energy intensity of central processes. In women of the comparison group, these figures were 74% and 60%, respectively. Conclusion. The data obtained indicate the feasibility of selected means and methods of physical therapy for middle-aged women with hypertension

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Effect of Physical Therapy Program on Improving the Functional Condition of the Cardiovascular System in Middle Aged Women with Hypertension

Liashenko¹,

Odynets²,

Lukashov³

2022

Ukr. ž. med. bìol. sportu

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Analysis of the effectiveness of the physical therapy program on the quality indicators of middle-aged women with hypertension

Lyashenko¹,

Odineth²

2022

PCS

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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.

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The role of therapeutic exercises in blood pressure correction, vascular wall stiffness and disorders of bone and mineral metabolism in postmenopausal hypertensive patients

Cited by 2 publications

References 9 publications

Effect of Physical Therapy Program on Improving the Functional Condition of the Cardiovascular System in Middle Aged Women with Hypertension

Effect of Physical Therapy Program on Improving the Functional Condition of the Cardiovascular System in Middle Aged Women with Hypertension

Analysis of the effectiveness of the physical therapy program on the quality indicators of middle-aged women with hypertension

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