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This review is devoted to a modern and highly effective complex method of treatment and rehabilitation of patients with cardiovascular diseases — terrencure, which, according to A. D. Fesyun (2022), is a combination of climate therapy and physical exercises in the open air in a natural environment, significantly increasing the effectiveness of each of these methods. Physical activity is important for preventing and limiting morbidity and mortality from chronic diseases and thereby reducing health care costs and reducing economic productivity. Terrenkur is a method of training therapy that helps to improve endurance and functioning of the cardiovascular, respiratory and nervous systems, metabolism, as well as the muscles of the limbs and trunk. The method represents metered physical activity in the form of hiking over rough terrain, climbing in mountainous terrain along certain marked routes under the supervision of a doctor. dosed physical activity by distance, time and angle of inclination of hiking is a method of training and treatment of various forms of cardiovascular, bronchopulmonary and other diseases. World and domestic scientific and practical experience testifies to its high efficiency and an increase in the adaptive and compensatory potential of the patient’s body as a result of the use of terrencure, the safety of its use in medical and rehabilitation programs. Wide availability, low cost-effectiveness and additional therapeutic effects in contact with the terrain, it seems appropriate to expand the use of the terrencure for spa treatment and rehabilitation.

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