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"Medicina Sportiva" No.14 - 2008 The 15-th Sports Medicine Balkan Congress
CHRONIC DISEASE AND PHYSICAL ACTIVITY


IMPROVEMENT OF PATIENT'S SKELETAL MUSCLES WITH CONGESTIVE CARDIAC INSUFFICIENCY CL. II-III NYHA BY PHYSICAL THERAPY'S METHODS

Dobreci Lucian, Marza -Danilă Doina
University of Bacau, Faculty of Movement, Sport and Health Sciences, Romania


Introduction. Congestive heart failure cl. II-III NYHA patients have an alteration of muscles mass caused by muscular force decrease, decrease of muscular mass with diminishing section area, increasing glycolysis and decreasing of oxidation enzyme’s activities. Muscular fatigue during effort determines its interruption although cardiac or respiratory reserve isn’t depleted.
Methods. The research took place on 40 patients with congestive heart failure cl. II-III NYHA, between 55- 60 years old. They followed a physical rehabilitation program for 2 months, 3 sessions/ week. We kept a look over the following parameters during the evaluation (initial and final): diameter of 1/3 inferior of the thigh measured with metric ribbon, effort capacity measured with 6 minutes walking test, and EMG value on thigh level with Biopac Student-Lab.
Results. The final results show an increasing in trophic and tonus status of lower limbs, as well as an increased effort capacity. The final results were much better than the initial ones.
Conclusions. With physical therapy program we can meaningfully diminish the alteration of skeletal muscles status. Key words: spondilolistesis, manipulation, rehabilitation.






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