Мета: дослідити динаміку типів реакції серцево-судинної системи на дозоване фізичне навантаження за допомогою проби Мартіне-Кушелевського та визначити функціональний стан вегетативної нервової системи (ВНС) за допомогою вегетативного індексу Кердо жінок молодого віку, хворих на аліментарне ожиріння, під впливом розробленої комплексної програми фізичної терапії. Матеріал і методи: в основу дослідження покладено клініко-функціональне обстеження 50 жінок віком від 18 до 30 років, хворих на аліментарне ожиріння І-ІІ ступеня. Результати: проведено і проаналізовано стан серцево-судинної системи на дозоване фізичне навантаження за допомогою проби Мартіне-Кушелевського та вегетативної нервової системи за індексом Кердо. Висновки: застосування програми фізичної терапії, яка включає гіпокалорійну дієту, масаж, лікувальну гімнастику з елементами спортивно-орієнтованої аеробіки, дозовану ходьбу в поєднанні з дихальними вправами з урахуванням активності ВНС, сприяє нормалізації функціонального стану серцево-судинної і вегетативної нервової систем.Ключові слова: ожиріння, програма фізичної терапії, серцево-судина система, вегетативна нервова система, обстеження хворих.Abstract. Yuliya Kalmykova, Sergey Kalmykov, Viktoriya Polkovnyk-Markova & Anna Reutska. Application and influence of the complex program of physical therapy on the state of the cardiovascular and autonomic nervous system of young women, patients with alimentary obesity. Purpose: to investigate the dynamics of the types of reaction of the cardiovascular system to the dosed physical load using the Martine-Kushelevsky test and determine the functional state of the autonomic nervous system (ANS) using the Kerdo index of young women suffering from alimentary obesity under the influence of the developed comprehensive physical therapy program. Material & Methods: study was based on the clinical and functional examination of 50 women aged from 18 to 30 years old, patients with alimentary obesity I-II degree. Results: conducted and analyzed the state of the cardiovascular system on the dosed exercise with the help of the Martine-Kushelevsky and vegetative nervous system tests according to the Kerdo index. Conclusion: use of a physical therapy program, which includes a low-calorie diet, massage, therapeutic gymnastics with elements of sports-oriented aerobics, dosed walking in combination with breathing exercises taking into account the activity of the ANS, helps to normalize the functional state of the cardiovascular and autonomic nervous system.

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Purpose: to substantiate, develop and evaluate the effectiveness of a physical therapy program for young women with hypertensive neurocirculatory dystonia at the outpatient stage. Material & Methods: under our supervision there were 28 women with a diagnosis of neurocirculatory dystonia of hypertonic type; they were randomly divided into two groups: main (14 patients) and control (14 patients); the average age of patients in the main group was 20,1±0,35 years, in the control group – 20,6±0,23 years. The course of physical therapy for patients of the main and control groups lasted for 5 months. The patients of the main group underwent rehabilitation measures according to the program of physical therapy, which included kinesiotherapy using therapeutic exercises based on dance aerobics in combination with regulated breathing exercises, taking into account the tone of the ANS and autogenic training, patients of the control group were engaged in the E.V. Doliger physical therapy program for patients with NCD. Results: the functional indicators of the cardiovascular and autonomic nervous system obtained during the primary study indicated the absence of economization of the work of the cardiovascular system, the presence of dysfunction of the autonomic nervous system in the direction of the predominance of the activity of the sympathetic department. After 5 months of using physical therapy programs, when re-examined, patients in both groups showed a decrease in heart rate and a decrease in blood pressure; stroke volume in the main group was within normal limits, in the control group, a decrease in stroke volume indicated a reduced myocardial contractility; the decrease in the minute volume of blood in the main group was due to a decrease in heart rate, in the control group – due to a decrease in heart rate and stroke volume. The value of the Kerdo index in the main group corresponded to the state of eutonia, in the control group – sympathicotonia. Conclusions: in the course of the study, we came to the conclusion that a physical therapy program was developed, which included kinesitherapy using therapeutic exercises based on dance aerobics in combination with regulated breathing exercises, taking into account the tone of the parasympathetic and sympathetic divisions of the autonomic nervous system and autogenic training, is effective and contributes to the normalization of hemodynamic parameters and the tone of the autonomic nervous system, which improves the quality of life of NCD patients. The conducted studies have confirmed the need for the use of physical therapy, including kinesitherapy using therapeutic exercises based on dance aerobics in combination with regulated breathing exercises, taking into account the tone of the ANS and autogenous training.