Subject(s)
Amputation, Surgical , Diabetes Mellitus, Type 1/rehabilitation , Diabetes Mellitus, Type 2/rehabilitation , Diabetic Angiopathies/rehabilitation , Exercise Therapy/methods , Leg/surgery , Adult , Aged , Diabetes Mellitus, Type 1/complications , Diabetes Mellitus, Type 1/surgery , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/surgery , Diabetic Angiopathies/etiology , Diabetic Angiopathies/surgery , Humans , Leg/blood supply , Middle Aged , Prostheses and Implants , Treatment OutcomeABSTRACT
The studies of adaptive-compensatory reactions in low-limb amputees on training swimming regimens registered changes in vegetative regulation, predominance of the sympathetic component, low cardiovascular adaptive potential. High amputations led to arterial hypertension. Swimming and underwater exercise suppressed the influence of the sympathetic component of the autonomic nervous system, promoted enhancement of automatic regulation of the cardiac rhythm, lowering of arterial pressure. Pool exercise are recommended for rehabilitation of amputees.
Subject(s)
Adaptation, Physiological , Amputation, Surgical/rehabilitation , Amputees/rehabilitation , Exercise Therapy , Swimming/physiology , Adolescent , Adult , Amputees/statistics & numerical data , Exercise Therapy/statistics & numerical data , Humans , Male , Time FactorsABSTRACT
Cardiodynamic studies by one-dimensional echocardiography were performed in 45 disabled persons with various lower limb amputations at rest and during graded bicycle ergometer exercises. The disabled included males aged 20-40 years with posttraumatic limb amputations who had no respiratory and circulatory disorders. The results of the studies were comparable with the data obtained in the control group. The handicapped were found to have significant cardiodynamic changes which were regarded as sequelae of weight and vascular bed loss. On exercise, there was loss of capacity to adequately enhance venous return and left ventricular diastolic filling, which was evidenced by concurrently decreased end-systolic and end-diastolic volumes and no increased systolic ejection. At the same time there was a regular reduction in myocardial contractility.
Subject(s)
Amputation, Traumatic/physiopathology , Heart/physiopathology , Hemodynamics/physiology , Leg Injuries/physiopathology , Adult , Exercise Test , Humans , MaleABSTRACT
There are given the results of study of external respiration function of 45 invalids after amputation of upper limbs, including 20 after amputation of one arm and 25 after amputation of both arms. The study was carried out at rest and with physical loading at veloergometer. Detected disturbances of external respiration function are determined by decrease of reserve capability of respiratory system due to disturbance of dynamic balance of muscular system of shoulder girdle and thorax, muscle atrophy, thorax excursion decrease. There are given recommended locomotory regimens and allowable physical loads and recommendations concerning prosthetics and exercise therapy.
Subject(s)
Amputation, Surgical , Amputees , Respiration , Adult , Arm , Exercise Test , Humans , Male , Respiratory Function Tests , RestABSTRACT
The examination was performed of 125 invalids. Fifty-five of them underwent amputation of the upper limbs, seventy--of the lower limbs. Reduction of physical performance turned out dependent on body mass loss that is level of the amputation. The authors developed motor regimens, permissible exercise loads, criteria of the follow-up check-ups for the handicapped with various levels of limb amputation.