pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2018-28-1-110-117pulmo-968Research ArticleОБЗОРЫREVIEWФизическая реабилитация больных хроническими респираторными заболеваниями: оптимальная организация при ограниченных ресурсахPhysical rehabilitation of patients with chronic respiratory diseases: the optimal organization under limited resourcesСычеваМ. Г.SychevaM. G.

Сычева Марина Генриховна – кандидат медицинских наук, старший научный сотрудник отдела медицинской реабилитации больных с заболеваниями бронхолегочной системы. 

105120, Москва, ул. Земляной Вал, 53.

Marina G. Sycheva, Candidate of Medicine, Senior Researcher, Division of Medical Rehabilitation for Patients with Respiratory Diseases.

ul. Zemlyanoy val 53, Moscow, 105120.

sytchevameister@gmail.comГосударственное автономное учреждение здравоохранения «Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины Департамента здравоохранения г. Москвы».РоссияMoscow State Academic and Practical Center for Medical Rehabilitation and Sports Medicine, Moscow Healthcare Department.Russian Federation201827042018281110117Copyright © Сычева М.Г., 20182018Сычева М.Г.Sycheva M.G.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/968

Пульмонологическая реабилитация (ПР) является неотъемлемой частью комплексного лечения больных хроническими респираторными заболеваниями (ХРЗ). «Краеугольным камнем» реабилитационных программ при ХРЗ являются физические тренировки (ФТ). Целью предлагаемого обзора является ознакомление практикующих врачей с возможностями организации эффективных программ физической реабилитации пациентов с ХРЗ в условиях ограниченных ресурсов медицинских учреждений. Выбор типа реабилитационных мероприятий зависит не только от нужд и целей конкретного больного, но и от оснащения реабилитационного центра. Возможности лечебных учреждений часто ограничены и не позволяют использовать все современные технологии ПР. Тем не менее при использовании наиболее физиологичных и недорогих методик ФТ (дыхательная гимнастика, дозированная ходьба, силовые упражнения) в различных сочетаниях улучшается физическое состояние больных ХЗР, что позволяет адаптировать их к повседневной жизни и ориентировать на поддержание здоровья.

Pulmonary rehabilitation (PR) is an important part of management of patients with chronic respiratory diseases. Physical exercise is a key issue of rehabilitation programs in patients with chronic respiratory diseases. The aim of this review was to describe potential ways to organize effective physical rehabilitation programs for patients with chronic respiratory diseases in a medical institution with limited resources. The choice of rehabilitation mode is related to the needs and the goals of the patient and available equipment. Medical facilities are often limited in their resources and failed to use all modern rehabilitation techniques. Nevertheless, the most physiological and inexpensive rehabilitation techniques, such as (breathing techniques, dosed walking, strength training, could improve functional status and daily activity of patients with chronic respiratory diseases and encourage them to wellness management.

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The authors declare that there are no conflicts of interest present.