The Ministry of Health of the Russian Federation, Russian Scientific Center for Restorative Medicine and Balneology.
Moscow, 2000
Annotation
The examination and treatment of 30 patients with hypertension and coronary heart disease have been audited.
During treatment, patients continued getting of basic medication; dose and frequency of taking the drugs have not changed.
A number of patients had been examined. Violation of muscle tone mainly muscles of the shoulder girdle to the local areas of pain, the presence of functional blockades cervico-thoracic transition, sternocostal joints, decrease in range of motion in the cervical and thoracic spine were detected.
When clinical and instrumental study marked hyper- and dyslipidemia, the activity of the antioxidant system and lipid peroxidation, a violation of hemorheology, coagulation, microcirculation, decreased exercise tolerance.
In the treatment of this group of patients used "soft" techniques of manual therapy (mobilization, postisometric relaxation) concerned muscles and manipulation of the cervical-thoracic junction, T1-5 costal-transverse joints and one edge.
After a course of treatment we сan see improvement of clinical status of patients, normalization of muscle tone concerned, elimination of the functional blockades, increased range of motion in the cervical and thoracic spine. Manual therapy also provided a normalizing effect on lipid metabolism, lipid peroxidation, hemorheology and coagulation, helped to increase physical performance and efficiency of the heart muscle.
Mechanisms of effects of manipulation due to the normalization of muscle tone, improvement of blood circulation in the muscle tissue, resulting in a reflex to improve the blood supply to the heart muscle, the influence of the central and peripheral regulation of vascular tone and autonomic nervous system, which helps to improve metabolic and hemodynamic parameters.
All this allows us to talk about advisability to continue research in this direction in order to enhance the effectiveness of rehabilitation therapy of patients with hypertension and coronary heart disease.
