EFFECTIVENESS OF PHYSICAL MEDICINE AND KINESITHERAPY IN PEOPLE WITH IMPAIRED CIRCULATION IN BLOOD VESSELS

Abstract

Cardiovascular diseases are a leading cause of morbidity and mortality worldwide. The problem is particularly relevant in our country, as data show that 2 out of every 3 people die from cardiovascular diseases (myocardial infarction, stroke, heart failure). Risk factors: Medical science has clear knowledge about risk factors, which leads to the appearance and accelerated development of the atherosclerotic process. There are risk factors that can be controlled, such as High Blood Pressure, High Cholesterol, Diabetes, Smoking, Obesity) and risk factors that cannot be controlled like Age, Gender, family history of cardiovascular disease, etc. As the main reason for the appearance of these life-threatening conditions and subsequent complications from it, is considered that atherosclerosis of the blood vessels plays a leading role. In the process of atherosclerosis, fatty deposits (atherosclerotic plaques) are formed in the blood vessels that supply the vital organs with blood. Atherosclerosis process: The disease develops insidiously, there is a long latent period in which clinical symptoms may be absent. Over time, due to the disturbed balance between the need for oxygen and the inability to supply it due to the narrowing of the lumen of the blood vessel, symptoms began to appear. Atherosclerosis as an inflammatory condition: Fried and baked food, fast food, hydrogenated and chemically altered vegetable fats and trans-fats that are consumed in the diet are dangerous for our health. As they travel through the blood vessels, they damage the inner layer of the blood vessels called the endothelium and cause inflammation in the intima of the blood vessel. Many free radicals are created, i.e. highly reactive molecules that can cause great damage. Myth about cholesterol: We receive information from various institutions that cholesterol and dietary fats such as meat, fish, cheese, eggs and oil are considered the greatest risk factor for cardiovascular diseases. But, a number of scientists in their conducted scientific research oppose the hypothesis of a link between saturated fat and heart health. On the contrary, research indicates that people with low blood cholesterol die more often from cardiovascular disease than people with high cholesterol. The aim of the research is to study the effectiveness of physical medicine and kinesitherapy in people with impaired circulation in blood vessels. Research methods: The research was conducted for a duration of 3 months, at the Department of Physical Medicine and Kinesitherapy at "Goce Delchev University" in Shtip. The research includes 16 patients with impaired circulation in the blood vessels, of which 9 patients are male, while the remaining 6 patients are female. Before the start of treatment, all participants are recommended the use of Omega-3 oil (EPA), antioxidants (vitamin C, E, A, Selenium and Vitamin B3) and lifestyle changes. The Kinesitherapy program is implemented in the physical medicine and kinesitherapy cabinets in the Recreational Center at Gotse Delchev University in Shtip. The complex of Kinesitherapy exercises for patients with cardiovascular diseases is made individually for each patient. The dosage of exercise, the type of exercise, the rate of increase in exercise intensity should be specified. Patients with cardiovascular disease have different responses to exercise compared to healthy individuals. Results: Тhe use of vitamins, amino acids, minerals and other useful nutritional supplements help the body to get rid of harmful agents and contribute to the reversibility of the atherosclerosis process and the healing of the endothelium. Conclusion: A sedentary lifestyle, excessive stress, improper diet and free radicals contribute to endothelium damage and the development of atherosclerosis. Physical activity, application of antioxidants (vitamin C, E, A and Selenium) and lifestyle changes in people with vascular diseases play a key role in normalizing blood flow in blood vessels. In addition, regular physical activity is essential for improving the function of the cardiovascular and respiratory systems