Chekhovska M. Physical rehabilitation of school aged children with chronic heart failure of І–ІІA stages.

The important medical and social, and scientific and practical problem of physical rehabilitation of schoolchildren with chronic heart failure of І–ІІA stages is researched in this work. The dissertation analyses national and foreign library sources, recommendations of various world and Ukrainian associations on the given problem. It is found that heart failure remains one of the most urgent problems of modern children's cardiology. It is carried out a rehabilitation examination. It made it possible to determine the functional state of the cardiovascular and respiratory systems, the state of the autonomic system, musculoskeletal system, physical development, exercise tolerance, psychological and emotional status and quality of life of schoolchildren with chronic heart failure of І–ІІA stages. This is the complex approach that has made it possible to detect various violations by different body systems and take into account the individual peculiarities of the child while sectioning means of physical rehabilitation. This approach made it possible to develop and individualize a program of physical rehabilitation for such children that lasted 28 weeks. In the process of drawing up the physical rehabilitation program for sick pupils we have taken into account the principles of physical rehabilitation and physical education. The paper presents an algorithm for the process of physical rehabilitation and a scheme for the selection of physical rehabilitation facilities for patients with chronic heart failure. This program contained practical and theoretical parts. Practical part included morning and evening hygienic gymnastics, a complex of therapeutic exercises, physiotherapy, dosed walking and walking upstairs. The practical part was supplemented by elements of hardening, following the principles of healthy nutrition and favorable psychological microclimate in the family. The practical part of the program was divided into three stages. At all stages of the implementation of the developed program of physical rehabilitation control was carried out, the results of which were corrected by the subsequent rehabilitation process. After the completion of the physical rehabilitation program, the supporting phase continues on a permanent basis. The theoretical part, in the form of interactive classes, was aimed at obtaining new information by parents, mastering vagal samples, and others like that. The results of the pedagogical experiment confirmed the effectiveness of the developed program of physical rehabilitation for schoolchildren with chronic heart failure І–ІІA stages. Found during the study the growth of functional capacity of the cardiovascular and respiratory systems, improvement of indices of the musculoskeletal system, physical development and exercise tolerance allows us to recommend the developed program of physical rehabilitation for application in the practice of hospitals and health-related institutions. Prospects for further study of the physical rehabilitation problems among school-age children with chronic heart failure of І–ІІА stages can be considered in the adaptation of the developed program of physical rehabilitation for persons of other age groups.