KINESITHERAPEUTIC APPROACH TO OVERCOMING THE PROBLEMS OF INACTIVATION IN PATIENTS WITH METABOLIC SYNDROME
The objective of this article is to share our experience in the prevention and treatment of the metabolic syndrome. The most important risk factors of its development are the abdominal obesity (essential component) and the insulin resistance. The metabolic syndrome is a multicomponent cardiovascular risk factor. There are two main directions in the treatment of the metabolic syndrome – modification of the main reasons: treatment of the excessive weight and obesity; hypodynamia treatment; insulin resistance treatment. We have applied non-medication approach, which included removal of various stress conditions, body weight control, giving up alcohol and smoking, application of a hypocaloric diet. Early prophylactic is needed through change of the lifestyle and adequate and complex influence on each one of the syndrome’s components. The means of the physical medicine and rehabilitation are widely accessible and relatively cheap. They can be applied through self-control and training of the patients themselves. They are applied also in non-hospital conditions; they affect the social status, as well as the psycho-emotional stress. We recommend kinesitherapeutic methods with diabetic polyneuropathy and obesity – moderate physical load through purposeful exercises for each of the disturbances, which continue also at home, and with the patients having arterial hypertonia and obesity – till the end of life. The active kinesitherapy is an initiating procedure in the integrated program approach, which includes also hydrotherapy (underwater-jet massage), and also a well balanced diet. The appropriate nutrition regime, the increased physical activity, the new lifestyle – secure to the patients with metabolic syndrome therapeutic success without medication treatment. The active kinesitherapy is a part of the curative strategy of the metabolic syndrome treatment, however, applied independently it cannot solve all cardinal manifestations of the syndrome. Having in mind the beneficial changes in the patients’ general status ensuing from it, we propose to establish it as therapeutic approach of first choice for the patients with increased metabolic risk.
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