Physiotherapy exercises for diseases of the gastrointestinal tract in children

Physical exercises affect digestion through the central nervous system through motor-visceral reflexes. Special physical exercises improve blood circulation in the organs of the abdominal cavity, helping to reduce stagnation and restore normal motor function.

The objectives of exercise therapy:

• general improvement and strengthening of the body by the patient;
• influence on neurohumoral regulation of digestive processes;
• improvement of blood circulation in the organs of the abdominal cavity and small pelvis, prevention of adhesions and microcirculation disorders;
• strengthening the muscles of the abdominal process, increasing intra-abdominal pressure, stimulating the motor function of the gastrointestinal tract;
• development of full-fledged breathing;
• positive impact on the patient's neuropsychic area, increased emotional tone.

Indications for exercise therapy:

• hernia of the esophageal opening of the diaphragm;
• splanchnoptosis (pubescence of internal organs);
• chronic gastritis with normal and increased secretion and with secretory insufficiency;
• peptic ulcer of the stomach and duodenum;
• colitis and enterocolitis;
• dyskinesia of bile ducts.

In medical gymnastics, along with exercises of general strengthening nature, special complexes are used for the abdominal and respiratory muscles. In the standing position, do inclines forward and sideways, turns, leg exercises (flexion, extension, breeding, lifting).

In the position of lying exercises are carried out in two versions. The first option is the least loaded and convenient for gradually increasing the load on the abdominal muscles. With this option, the trunk is fixed, and the legs are mobile. At the second variant the patient lies on the back, the legs are motionless, all exercises are carried out by the movements of the body. This is the most stressful exercise, the exercise is facilitated with the help of hands. Use these exercises in the middle of the treatment course, i.e. After a preliminary training.

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Physiotherapy with hernia of the esophageal opening of the diaphragm

Therapeutic gymnastics is conducted no earlier than 2 hours after a meal. Exercises are performed in the supine position on the back with an elevated head end and standing. Use exercises for the hands, legs, neck and torso - lateral inclinations and turns to the right and left. Torso bends forward are strictly prohibited. Widely used diaphragmatic breathing with an emphasis on elongated exhalation.

The tension of the abdominal mice causes simultaneous contraction of the diaphragm, so special attention is paid to exercises for relaxing muscle groups (for example, when lying on the back, it shows the rocking of the bent legs to the sides, exercises in strong-willed relaxation of the abdominal mouse). These exercises are performed in the first half of the course of treatment. Then include exercises with a moderate strain of the mouse in the anterior abdominal wall. Therapeutic gymnastics is conducted twice a day. In addition to therapeutic gymnastics, recommended dosed walking, swimming and other forms of physical therapy. Exclude sports that require the torso to lean forward.

Physiotherapy with splanchnoptosis

Physical exercises tone the muscles of the abdominal and pelvic floor. With the help of training strengthen the muscular corset, which significantly affects the retention of the abdominal cavity. During the first 2-3 weeks exercise is carried out only in a lying position on an inclined plane with the raised end of the couch (to return the abdominal organs to a higher position). Special exercises for the muscles of the abdominal and pelvic floor alternate with restorative and breathing exercises.

After 5-7 weeks it is necessary to pay attention to corrective exercises for the formation of a correct posture, which contributes to the physiological location of internal organs.

Exercises are carried out at a calm pace, without jerks and sudden movements. Exclude movements that cause body shakes (jumps, jumps). Massage of the abdominal muscles is also recommended.

Therapeutic exercise in chronic gastritis

The method of curative physical education depends on the nature of the secretory activity. With gastritis with a decreased secretion, moderate loading, restorative exercises, special exercises for abdominal muscles in the initial positions of sitting and lying are necessary. They use complicated types of walking. Therapeutic gymnastics is carried out for 25-30 minutes before the intake of mineral water to improve blood circulation in the stomach. Recommend walking tours, walking tours, near tourism, swimming, swimming, rowing, skating, skiing, anterior abdominal wall massage.

Therapeutic gymnastics with gastritis with normal and increased secretion in the first half of the course of treatment is aimed at strengthening the body and normalizing the increased reactivity in general and in response to the load in particular. Physical exercises perform rhythmically, at a calm pace. In the second half of the course of treatment (after 10-15 days), exercises with a higher load are used, and the pressure on the muscles of the abdominal press should be limited. The therapeutic gymnastics is conducted between a daily intake of mineral water and lunch, as mineral water, with this sequence of reception, has a retarding effect on secretion of the stomach. Recommend walking, sightseeing, swimming, swimming, skiing, skating. A massage of the back muscles is shown on the left of the lower edge of the rib arc on the left and the epigastric region.

Physiotherapy for peptic ulcer of stomach and duodenum

Therapeutic exercise with peptic ulcer contributes to the regulation of the processes of excitation and inhibition in the cerebral cortex, improves digestion, circulation, respiration, oxidation-reduction processes, positively affects the patient's neuropsychic state. When doing exercises, they spare the area of the stomach and duodenum. In the acute period, studies are not conducted. Exercise is prescribed 2-5 days after the cessation of acute pain. During this period, the procedure should not exceed 10-15 minutes. In the position of lying perform exercises for the hands and feet with limited amplitude of motion. Physical exercise is increased gradually. To prevent the adhesion process, exercises are used for the muscles of the anterior abdominal wall, diaphragmatic breathing, simple and complex walking, rowing, skiing, mobile and sports games

Contraindications to the appointment of therapeutic exercise: bleeding, penetrating ulcer, the emergence of acute pain during exercise.

Therapeutic exercise in bowel disease

Therapeutic physical culture is used for chronic colitis, enterocolitis, diseases with pronounced disorders of intestinal motility. Special exercises for the abdominal press are selected taking into account the peculiarities of the course of the pathological process.

With spastic constipation, a lot of attention is paid to the choice of the initial positions that help to relax the anterior abdominal wall (standing on all fours, lying on the back with bent legs), restrict the use of exercises with pressure on the abdominal press and exercises, where the moment of effort is expressed (raising and lowering the straight legs in lying position). Conversely, with the prevalence of intestinal atony, emphasis is placed on exercises for abdominal muscles in various initial positions with force elements and a significant load.

To increase the load increase the number of repetitions of each exercise, and then add new exercises Other forms of exercise therapy recommend walking tours, dosed cycling, ski trips. Effectively combining therapeutic exercises with massage.

Physiotherapy exercises for dislocation of bile ducts

Depending on the nature of functional disorders of the contractility of the gallbladder, dyskinesias are divided into hyperkinetic and hypokinetic. Clarification of the clinical form is necessary for a differentiated approach to the construction of the methods of therapeutic gymnastics. It is necessary to ensure the effect on the central and peripheral nervous mechanisms of the regulation of the functions of the gallbladder, improve blood circulation in the abdominal cavity, create conditions for alleviating gallbladder outflow from the gallbladder (with hypokinetic form), improve bowel function (fight with constipation), provide a restorative and health-improving effect on organism of the patient as a whole.

When hypokinetic form is recommended, the average total physical load. The starting positions are diverse. Exercises from the position of lying on the left side are prescribed to improve the outflow of bile. Torsions of the trunk forward and rotation should be used with caution, as they can cause nausea, eructation, vomiting.

At the hyperkinetic form at the first employment give a small physical load with the subsequent increase to the average. Avoid pronounced static strains of abdominal muscles. Showing breathing exercises on the right side to improve blood supply to the liver. Prior to the session, you need a passive rest for 3-7 minutes in the lying position. Resting, you can self-massage the abdominal muscles.

Medical gymnastics with chronic gastritis with secretory insufficiency

Introductory section, starting position - sitting. Elementary exercises of hands and feet in combination with respiratory (1: 3). The goal is to adapt the body to physical activity. Duration 5 minutes.

• The main section: the starting position - sitting and standing.
• Exercises for the arms and legs and trunk, breathing exercises. Duration 5 minutes.
• Walking is simple and complicated (with high hiking, skiing, etc.). Duration 3-4 minutes.
• The starting position is lying on the back with a fixed trunk. Exercises for hands and feet. Duration 10-12 minutes. The goal is to increase intra-abdominal pressure, strengthen the muscles of the anterior abdominal wall.
• Final section. Walking combined with movement of hands and breathing exercises. Duration 2-4 minutes.

Therapeutic exercises with chronic gastritis with normal and increased secretion

• Introductory section: walking with a change in tempo, movement of hands, legs and breathing exercises. The duration is 3-5 minutes. The goal is to prepare the body for physical activity.
• The main section: the starting position - sitting and standing. Exercises for the arms and legs without gymnastic projectiles and with a gymnastic stick, copper pinball. Duration 5 minutes. The goal is to increase the general tone, improve the functions of the basic systems of organs, coordinate movements. The starting position is standing at the gymnastic wall. Exercises for the hands, legs, trunk. Duration 5-7 minutes. Movable games like relay race 10-12 min. The goal is to change the emotional state of the patient.
• Final section: the starting position is sitting. Elementary exercises in combination with respiratory. Duration 2-3 min. The goal is to reduce the overall load.