Therapeutic exercises >>>> Physical and household stress after myocardial infarction (third stage)

Physical and household stress after myocardial infarction (third stage).

Rehabilitation after myocardial infarction (second stage) >>>

The third stage of physical activity during recovery from myocardial infarction begins from the ninth to fifteenth days after a heart muscle infarction. But the transition to the third stage of activity can be chosen individually, depending on the current state of the patient and his physical capabilities after complications, if any.

At the third stage of restorative physical and household stress after a myocardial infarction, a person is given the task of staying in a sitting or standing state without time constraints. This means that now a person can perform all household manipulations of hygiene, nutrition and going to the toilet only while sitting or standing for as long as his current state of health allows. It is allowed to walk around the room (ward), go out into the corridor, including for an independent visit to the toilet room.

The total footage of indoor walking should not exceed 656 feet in several steps (you can start within 164 feet). Walking stairs should be avoided at this stage - this is a high load on the heart muscle. It is only permissible to overcome several steps within one flight at the end of the entire term of the third step of the rehabilitation period.

At this stage of rehabilitation after myocardial infarction, physical exercises are performed mainly while sitting and some of them in a standing position. During this period, a person can practice in a group.

Exercise 1. Starting position - sitting on a chair. It is necessary to make movements with the legs as when walking, placing the sole of the foot in such a way that it passes from heel to toe - the legs should move asynchronously. The result will be an imitation of walking. This exercise is repeated for two to five minutes, adding 1-3 minutes every day, depending on the state of health.

Exercise 2. Starting position - sitting on a chair. Legs to spread to the edges of the chair, hands grab the seat of the chair on the sides (to maintain balance). By alternately shifting one leg to the side of the other and throwing it on the knee. Return the leg to its original position. If necessary, you can narrow the range of motion - reduce the distance between the apart knees of the legs. The exercise is repeated on both legs, starting from two times. Every day, you can add one at a time and increase the distance between the knees, gradually reaching the maximum leg spread (at the corners of the chair).

Exercise 3. Starting position - sitting on the edge of a chair, legs resting with feet to the floor, knees closed. Lean back, rest your back on the back of the chair and then lean forward, trying to lie on your knees with your torso (the position of the hands is free, as is convenient for performing the exercise and maintaining balance) Repeat the exercise two to five times. Double the number of inclines daily.

Exercise 4. Starting position - sitting on a chair. To make turns left and right, while unfolding the torso, but without moving the legs - you can wrap around the back of the chair to enhance the effect and reach for its sidewall. Repeat the exercise at least once, but no more than four times to begin with. Increase the number of turns by 1-2 times daily. This exercise not only loads the heart muscle, but also removes congestion in the back muscles, which get tired from a prolonged lying position of the body.

Exercise 5. Starting position - sitting on a chair. Knees are closed, hands are arbitrarily placed on the knees or hang down along the body. Alternately straighten each leg at the knee, raising it above the floor to a height of 8 inches from the floor or to the height of the knee (if the state of health and general physical fitness allows), and pull the toe (as in ballet). Lower the leg to its original position. Repeat the exercise one to six times on both legs. Add one twice daily on both legs.

Exercise 6. Starting position - sitting on a chair or bed, rest your feet on the floor. Rest your palms on the surface of a chair or bed and rise on your hands, trying to break away from the surface of the chair or bed by at least three to 2 inches, and fix in this position for a few seconds. Lower to the starting position. Repeat the exercise one to four times, adding one to two times every day.

Exercise 7. Starting position - standing, resting your hands on the back of a chair. Without removing your hands from the chair, tilt the body to the left - to the right in turn. Start six to eight times and add four times each day.

Exercise 8. Starting position - standing with hands on the back of a chair. Make one or two circles in one direction around the chair and then one or two circles in the other direction around the chair. If you feel dizzy, sit on a chair and take a break. When walking around the chair, you can always rest your hand on the back and keep your balance. Repeat the exercise every day, adding one or two circles to each side.

Exercise 9. Starting position - standing at arm's length with arms resting on the back of a chair or table. Lean forward. Trying to arch your back. Perform the exercise from two to four times, adding two inclinations daily.

Exercise 10. Group exercise or with a partner. Starting position - sitting on a chair. Use a ball or lightweight plastic ball. Kick the ball to your partner or group members and catch passes with your feet without getting up from the chair. The ball that rolled out of the field of play, getting up from the chair, to raise and return to the game. The game time is arbitrary, according to your well-being.

At the third stage of rehabilitation after myocardial infarction, it is important to consolidate motor activity while sitting and standing, to gain a slow pace of walking. At this stage, the muscles and blood vessels of the legs enter into physical activity, where especially large blood vessels are located that load the heart. This makes it possible to prepare the heart muscle for prolonged stress, which usually accompanies walking (even if it is measured).

Exercises after myocardial infarction (first stage) >>>