Exercise therapy and breathing exercises for angina pectoris

Angina pectoris is one of the consequences of coronary heart disease. As a rule, such a pathology is manifested by periodic attacks that occur due to an increase in the heart's need for oxygen during physical or psychological stress, during which the patient develops pain in the heart area, a feeling of discomfort in the chest and lack of air. To improve the state of health, physical education for angina pectoris is one of the available therapeutic methods for restoring and maintaining the body. Gymnastics is performed at periods of time calm from attacks, strictly following the precautionary measures.

Exercise for angina pectoris

Mild physical activity in angina pectoris can worsen the patient's condition. That is why it is so important to choose the right exercises and the level of load on the body.

The attending cardiologists are required to deal with the selection of the load and the preparation of a physiotherapy plan. When you try to independently prescribe exercises for yourself, you risk not only not achieving the desired result, but also causing serious harm to your own body.

When drawing up a training program, it is imperative to take into account the diagnosed degree of the disease.

1. Initial stage. Patients almost do not feel complications or pain. Attacks of angina are rare and short-lived. Therefore, at this stage, physical sessions can be continued for a maximum of half an hour, it is allowed to include intense, dynamic exercises, but without a strong cardio load. It is recommended to do a complex exercise immediately for all muscle groups and improve tone.
2. Typical stage (stress). Symptoms at this stage appear only with physical activity: a long walk, climbing stairs, playing sports for wear. All this can cause shortness of breath, headache, rapid heart rate. In some cases, an attack can occur with psychological stress. Doctors at this stage do not prohibit physical education, but the whole complex should be performed with a slowdown in intensity: with longer breaks, with an extension of the time for doing breathing exercises, with constant checks of the heart rate. The entire workout should not take longer than twenty minutes. If during the process the heart rate increases by 15 percent or more, you should either pause the session or reduce the intensity even more.
3. Pronounced stage. The most acute phase of angina attacks, when a feeling of discomfort appears even at rest. People with this stage of the disease should not expose themselves to high-intensity and/or prolonged physical stress. Therapeutic physical culture (LFK) in this case will be represented by a set of simple short tasks at a calm, slow pace. The duration of the lesson is no more than a quarter of an hour, of which about 4-5 minutes are spent on rest between exercises. If, even with this mode, shortness of breath and pain in the sternum appear, you need to increase the time for rest and lower the amplitude to a ratio of 50/50 - rest / load.

Whatever stage of angina pectoris you are diagnosed with, at the first symptoms of an attack, you should immediately stop any physical and emotional stress on the body and consult a doctor.

Breathing exercises for angina pectoris

It must be understood that physical education is useful if, coupled with exercises, it is correct to restore breathing to saturate the heart with enough oxygen.

• strengthening the tone;
• myocardial oxygen saturation;
• normalization of metabolic processes;
• improvement of general well-being;
• strengthening immunity;
• stabilization of the emotional state;
• normalization of heart rate.

1. Bodyflex is a method actively used during rest from physical exercises. It is carried out in several stages and is aimed at oxygen saturation not of individual organs, but of the body as a whole.
2. Oxysize is used directly during the training process and consists in increasing breathing during approaches to maximize oxygen saturation, which is so necessary for the heart, especially with angina pectoris.
3. Jianfei is a technique originally from China, which includes several types of exercises, for example, "lotus" or "wave". Everyone can master and perform such gymnastics, and it can help not only in the fight against angina pectoris, but also with other cardiovascular diseases or overweight problems, and in general, it significantly improves overall health.

Regardless of the chosen type of breathing exercises, remember the rules for performing and setting breathing so as not to harm your body.

• carefully monitor how you inhale - only with your nose, while quickly and sharply;
• exhalation, on the contrary, is performed through the mouth, while slowly and measuredly and silently, as far as possible;
• use the count (not aloud) when doing breathing exercises and follow it so that the respiratory rhythm does not go astray;
• choose the most comfortable position for doing gymnastics, in general, you can sit and stand, straightening your back, and even lying down
• gymnastics is performed for angina pectoris twice a day, in the morning before breakfast and in the evening an hour or two after dinner, the main thing is that the stomach is still or already empty;
• in comfortable weather, it is better to practice outdoors, as gymnastics in this case will become more effective.

A set of physical exercises for angina pectoris

For a patient with exertional angina, the attending physician or physiotherapist can choose to offer a whole range of exercises of varying complexity. However, this does not mean that you need to immediately perform them all and in full, especially if an untrained, unprepared person is going to do exercise therapy. At first, it is worth choosing those tasks that will surely be within your power, and then move on to more difficult ones.

Cardiologists, with the support of therapists, have developed a universal plan that suits almost everyone in the early stages. This plan includes three large stages, including a number of effective exercises:

1. Stand up straight, spread your legs shoulder-width apart. Perform alternate tilts of the body forward and backward, left and right 15 times in each direction.
2. Raise your hands up. Stand on your toes and stretch as high as possible to the ceiling without lowering your arms. Each time slowly return to the starting position. This exercise is performed ten times.
3. Lie on your back, spread your arms and legs to the sides as much as possible. Bend in turn the fingers on the upper and lower extremities. The task should be performed at a moderate pace 5-6 times. During the exercise, you need to try to bring your breathing back to normal.
4. Stay in the same position as in the previous exercise. Make rotational movements with your socks so that they first fold outward several times, then inward.

1. Lie on your back, slowly and at the same pace pull your shoulders as close to your earlobes as possible. Repeat 5-6 times.
2. In a lying position, bend your arms at your elbows, legs at your knees, describe circles in the air with your limbs, alternating upper and lower. You need to repeat the exercise five times.
3. Continuing to lie on your back, make pelvic lifts according to the “bridge” principle, trying not to tear off the upper back from the floor, and the pelvis, on the contrary, as high as possible. At the first stages, you do not need to complete the task more than three times, later, after getting used to it, you can increase it by 1-2 times. Be sure to monitor your pulse.
4. The final exercise of the main stage is to spread your knees to the sides in a prone position, perform 4 times.

The most common and simple form of exercise at this stage is walking in place. In the early days, walking for one minute at a moderate pace is enough. After getting used to, the duration can be increased, the pace is not worth it.

The presented plan of exercise therapy is recommended to be performed, gradually increasing the amount from two to several times a day and only if the patient's condition is properly controlled by the attending doctor.

Exercise therapy and risk groups

It should be noted that certain groups of people should be especially scrupulous about the choice of physical exercises and methods of restoring breathing, since in some cases, despite the fact that they are prescribed to combat angina pectoris, they can cause damage to other organs and the whole body.

• women during pregnancy and lactation;
• people in the period of exacerbation of chronic diseases;
• people with inflammatory diseases in the pelvic area;
• women diagnosed with adenomyosis (uterine disease).