Filonenko O. Differential approach to the choice of rehabilitation program for patients with coronary heart disease, taking into account the composition of the body, at the sanatorium stage using Nordic walking

The dissertation is devoted to improving the efficiency of rehabilitation of patients with coronary heart disease with the use of Nordic walking in the sanatorium stage of treatment by optimizing the algorithm of the physical rehabilitation program, taking into account psychological status, preliminary assessment of patterns of static and dynamic stereotypes and breathing, individual sets of exercises aimed at correcting the muscles whose work is disrupted, as well as achieving optimal biomechanics during Nordic walking. A comprehensive clinical and instrumental examination and rehabilitation course of 43 patients with coronary heart disease (men — 19, women — 24), average age — 59.7 ± 8.4 years were performed in sanatorium conditions. It is established that the use of stepwise algorithm in the application of Nordic walking in a comprehensive rehabilitation program for patients with coronary heart disease at the sanatorium stage, taking into account the individual characteristics of the patient, leads to a significant increase in the effectiveness of comprehensive rehabilitation of the latter, the formation of correct skills. The efficiency of application of the developed algorithm for Nordic walking classes at the sanatorium stage of rehabilitation in patients with coronary heart disease in comparison with patients who applied the standard approach to Nordic walking cla-sses is proved. For the first time an algorithm was developed for the use of Nordic walking at the sanatorium stage of rehabilitation for patients with coronary heart disease, taking into account the composition of the body and some components of static and dynamic stereotype and the use of functional nutrition depending on the initial biochemical analysis of blood; demonstrated the need for a step-by-step approach to Nordic walking and calculated the approximate timing of each depending on the initial characteristics of the patient.