Методологический аспект реабилитации при сердечной недостаточности с помощью тренирующих мышечных нагрузок

А.Т. Быков, Т.Н. Маляренко Кубанский государственный медицинский университет

2012 №4 | Клинический обзор

Аннотация

Список литературы

В обзоре рассмотрены принципы составления программ с тренирующими нагрузками для реабилитации больных с сердечной недостаточностью и её вторичной профилактики. Проанализирована возможность использования при этом разных видов физических нагрузок. Утверждается, что аэробные тренировки с подключением, по возможности, нагрузок на сопротивление и упражнений на развитие силы мышц наиболее эффективны, они способны существенно затормозить развитие заболевания и предупредить его обострение, а у здоровых людей старше 60 лет – быть средством первичной профилактики СН.

Ключевые слова:

сердечная недостаточность, тренирующие нагрузки, реабилитация, профилактика

Methodology of rheabilitation in heart failure with help of training muscular exercises

There were considered in this review the main principles of compose programs with various training exercises for rehabilitation of patients with chronic heart failure, and secondary prevention of this disease exacerbation. The most effective are complex (aerobic and strength training exercises) programs, that may be use asone of featuresfor heart failure primary prevention in health people older than 60 yrs.

Keywords

heart failure, training exercises, rehabilitation, prevention

1. Быков, А. Т. Восстановительная медицина и экология человека. М.: ГЭОТАР-Медиа, 2009. 688 с.
2. Быков, А. Т., Маляренко Т. Н., Маляренко Ю. Е. и др. Гидротерапия: роль погружения в воду и физических упражнений в ней // Физкультура в профилактике, лечении и реабилитации. 2009. № 1 (28). № 1(28). Р. 30-42.
3. Adsett, J., Mullins R. Evidens based guidelines for exercise and chronic heart failure. Queensland Government: Queensland Health. 2010. 34 p.
4. Anagnostakou, V., Chatzimichail K., Dimopoulos S., et al. Effects of interval cycle training with or without strength training on vascular reactivity in heart failure patients // J. Card. Fail. 2011. Vol. 17. No 7. P. 585-591.
5. Beckers, P. J., Denollet J., Possemiers N. M., et al. Combined endurance-resistance training vs. endurance training in patients with chronic heart failure: a prospective randomized study // Europ. Heart J. Aug., 2008. Vol. 29. No 15. P. 1858-1866.
6. Belardinelli, R., Lacalaprice F., Ventrella C., et al. Waltz dancing in patient with chronic heart failure: new form of exercise training // Circ. Heart. Fail. 2008. No 1. Р. 107-114.
7. Benton, M. J. Safety and efficacy of resistant training in patients with chronic heart failure: research based evidence // Prog. Cardiovasc. Nurs. 2005. Vol. 20. No 1. P. 17-23.
8. Bjarnason-Wehrens, B, Mayer-Berger W, Meister ER, et al. Recommendations for resistance exercise in cardiac rehabilitation. Recommendations of the German Federation for Cardiovascular Prevention and Rehabilitation // Eur. J. Cardiovasc. Prev. Rehabil. 2004. No 11. P. 352-361.
9. Bonow, R. O., Gheorghiade M. The diabetes epidemic: a national and global crisis // Am. J. Med. 2004. Vol. 116. No 5, suppl. P. 2S-10S.
10. Cider, A., Schaufellberger M., Sannerhagen K., Andersson B. Aquatic exercise is effective in improving exercise performance in patients with heart failure and type II diabetes mellitus // Hindawi Publishing Corporation. Evidence-Based Complementary and Alternative Medicine. Vol. 2012. Article ID 349209. 8 p.
11. Cohen-Solal, F., Beauvais F., Tabet J. Y. Physiology of the abnormal response of heart failure patients to exercise // Current Cardiol. Reports. 2004. Vol. 6. No 3. P. 176-181.
12. Conraads V. M., Deaton Ch., Piotrowicz E., et al. Adherence of heart failure patients to exercise: barriers and possible solutions. A position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology // Eur. J. Heart Fail. 2012. Vol. 14. No 5. P. 451-458.
13. Delegardelle, C., Feiereisen P., Autier P. Strenght/endurance training versus endurance training in congestive heart failure // Med.Sci. Sports Exerc. 2002. Vol. 34. P. 1869-1872.
14. Dickstein, K., Cohen-Solal A., Filippatos G., et al. The task force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology // Eur. J. Heart Fail. 2008. Vol. 10. P. 933-989.
15. Downing, J., Balady G. J. The role of exercise training in heart failure // J. Am. Coll. Cardiol. August 2; 2011. Vol. 58. No 6. P. 561-569. P. 177-183.
16. Gabrielsen, A., S0rensen V. R., Pump B., et al. Cardiovascular and neuroendocrine responses to water immersion in compensated heart failure // Am. J. Physiol. 2000. Vol. 279. No 4. P. H1931-H1940.
17. Gielen, S., Adams V., Linke A., et al. Exercise training in chronic heart failure: correlation between reduced local inflammation and improved oxidative capacity in the skeletal muscle // Europ. J. Cardiovasc. Prev. 2005. Vol. 12. No 4. P. 393-400.
18. Haykowsky, M. J., Liang Y., Pechter D., et al. A meta-analysis of the effect of exercise training on left ventricular remodeling in heart failure patients: the benefitdepends on the type of training performed // JACC. 2007. Vol. 49. No 24. P. 2329-2336.
19. Holm, B. Gateways to health: taijiquan and traditional Chinese medicine // Taijiquan J. 2002. Vol. 3. No 1. P. 8-12.
20. Hulsmann, M., Quittan M., Berger R., et al. Musclestrenght as a predictorof long term survivalin severe congestive heart failure // Eur. J. Heart Failure. 2004. Vol. 6. No 1. P. 101-107.
21. Jessup, M., Brozena S. Heart failure // N. Engl. J. Med. May 15; 2003. Vol. 348. No 20. P. 2007-2018.
22. Katz, S. D., Hrynieewicz K., Hriljac I., et al. Vascular endothelial dysfunction and mortality risk in patients with chronic heart failure // Circulation. Jan. 25; 2005. Vol. 111. No. 3. P. 310-314.
23. Lan, C., Chen S. Y., Lai J. S. The exercise intensity of tai chichuan // Med. Sport Sci. 2008. Vol. 52. P. 12-19.
24. Maiorana, A. J., Naylor L. H., Exterkate A., et al. The impact of exercise training on conduit artery wall thickness and remodeling in chronic heart failure patients // Hypertension. 2011. Vol. 57. No 1. P. 56-62.
25. McMurray, J. J. Clinical practice. Systolic heart failure // N. Engl. J. Med. Jan. 21; 2010. Vol. 362. No. 3. P. 228-238.
26. Meyer, K. Resistant exercise in chronic heart failure - Landmark studies and implications for practice// Med. Clin. Exp. 2006. Vol. 29. No 3. P. 166-169.
27. Meyer, К., Bucking J. Exercise in heart failure: should aqua therapy swimming be allowed? // Med. and Science in Sports and Exercise. 2004. Vol. 36. No 12. P. 2017-2023.
28. Miche, £., Herrmann G., Nowak M. et a!. Effect of exercise training program on endothelial disfunction in diabetic and nondiabetic patients with severe chronic heart failure // Clin. Res. in Cardiol. 2006. Vol. 96. No 1, suppl. P. 1/117-1/124.
29. Mosterd, A., Hoes A. W. Clinical epidemiology of heart failure // Heart. 2007. Vol. 93. P. 1137-1146.
30. Nilsson, В. В., Hellesnes В., Westheim A., Risberg M. A. Groupbased aerobicinterval training in patients with chronic heart failure: NorvegianUllevaal Model // Phys. Ter. 2008. Vol. 88. No 4. P. 523-535.
31. Piepoli, M. F., Conraads V. M., Corra U., et a!. Exercise training in heart failure: from theory to practice/ A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation // Europ. J. Heart Fail. Apr.; 2011. Vol. 13. No 4. P. 347-357.
32. Piepoli, M. F., Corra U., Benzer W., et al. Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation // Eur. J. Cardiovasc. Prev. Rehabil. 2010a. Vol. 17. P. 1-17.
33. Piepoli, M. F., Corra U., Benzer W. Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation // Eur. Heart. J. 2010b. Vol. 31. P. 1967-1974.
34. Pina, I. L., Apstein C. S., Balady G. J., et al. Exercise and heart failure: a statement from the Committee on Exercise, Rehabilitation, and Prevention // Circulation. 2003. Vol. 107. P. 1210-1225.
35. Pollock, M. L, Franklin B. A., Balady G. J. AHA Science Advisory. Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription: an advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association; Position paper endorsed by the American College of Sports Medicine // Circulation. 2000. Vol. 101. P. 828-833.
36. Ribeiro, J. P., Chiappa G. R., NederJ. A., Frankenstein L. Respiratory muscle function and exercise intolerance in heart failure // Curr. Heart Fail. Rep. 2009. No. 6. P. 95-101.
37. Spruit, M. A., Eterman R. M„ Heiiwig V. A., et al. Effects of moderate-to-high intensity resistance training in patients with chronic heart failure// Heart. 2009. Vol. 95. P. 1399-1408.
38. Willenheimer, R, Rydberg £., Cline C., et al. Effects on quality of life, symptoms and daily activity 6 months after termination of an exercise training programme in heartfailure patients // Int. J. Cardiol. 2001. Vol. 77. P. 2 5 - 3 1.
39. Williams, M. A., Haskal W. L, Ades P. A., et al. Resistant exercise in individuals with and without cardiovascular disease: a scientific statement from American Heart Association Clinical Cardiologyand Council on Nutrition, Physical Activity and Metabolism // Circulation. 2007. Vol. 116. No. 5. P. 572-584.
40. Wise, F. M. Exercise based cardiac rehabilitation in chronic heart failure // Australian Family Physician. 2007. Vol. 36. No 12. P. 1019-1024.
41. Wisloff, U., St0ylen A., Loennechen J. P., et al. Superior cardiovascular effect of aerobic interval training versus moderate continuous training in heart failure patients: a randomized study // Circulation. 2007. Vol. 115. P. 3086-3094.
42. Yeh, G. Y„ McCartly E. P., Wayne P. M„ et al. Tai Chi exercise in patients with chronic heart failure // Arch. Intern. Med. 2011. Vol. 171. No 8. P. 750-757.
43. Yeh, G. Y„ WangC., Wayne P. M„ Phillips R. Tai Chi exercise for patients with cardiovascular conditions and risk factors: a systematic review//J. Cardiopulm. Rehabil. Prevent. 2009. Vol. 29. No3. P. 152-160.