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"Sport Medicine Journal" No.16 - 2008

Improvement of patient’s skeletal muscles with congestive heart failure cl. II-III NYHA
by physical therapy’s methods

Dobreci Lucian,  Mârza-Dănilă Doina
University of Bacau, Faculty of Movement, Sports, and Health Science, Romania

Introduction. The patients suffering from congestive heart failure cl. II-III NYHA have an alteration of the muscular mass caused by the decrease of the muscular force, the decrease of the muscular mass with diminution of the section area, the increase of the glycolysis activity and the decrease of the oxidation enzyme activity. The muscular fatigue during effort determines its interruption, although the cardiac or respiratory store is not depleted.
Methods. The research was carried out on 40 patients suffering from congestive heart failure cl. II-III NYHA, aged between 55 and 60. They followed a physical therapy programme for 2 months, with a frequency of 3 sessions a week. The assessment was carried out by registering – initially and finally – the following parameters: the diameter of the lower third of the thigh using a metric ribbon, the effort capacity using the 6-minute-walking test, and the EMG value on thigh level using the Biopac Student-Lab. Results. The final results show an increase in the trophic and tonus status of the lower limbs, as well as an increased effort capacity. The final results were much better than the initial ones.
Conclusions. Using the physical therapy programme in the case of patients suffering from congestive heart failure cl. II-III NYHA, we can significantly diminish the alteration of the skeletal muscle.
Key words:

heart failure, Biopac, physical therapy.

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