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Exercise therapy department

Exercise therapy department.

Strictly dosed physical activities lie at the heart of revitalizing action of remedial gymnastics. Methods of treatment, preventive measures and medical rehabilitation, consisting of specially selected and methodically developed exercises refer to exercise therapy. Exercise therapy doctor is the one who should determine correctly, what form of activity your body requires now to activate the recovery and rehabilitation processes after a disease.

Applied in exercise therapy department programs using remedial gymnastics, modern computer controlled simulators, unique natural factors of the Medical Rehabilitation Center "Barviha" and a variety of other means of exercise therapy allow to deal with effective disease prevention, minimise treatment time and achieve high results in rehabilitation of our patients.

Exercise therapy department has an excellent base and all necessary equipment for treatment and rest:

  • Large gym for remedial gymnastics in groups, tennis games, volleyball and table tennis;
  • Exercise therapy rooms for individual sessions;
  • Manual therapy office;
  • Gym equipped with cardio simulators and weight machines;
  • Modern indoor tennis court with professional coating and lighting;
  • Open grass tennis courts, court with modern artificial turf;
  • Open sports ground with artificial grass for five-a-side games;
  • Indoor swimming pool,size 18x9 m with hydro massage and water jets, diving system for disabled, with saunas;
  • Finnish and infrared saunas;
  • Bike rent;
  • Boat station for those wishing to go on the boat, water bicycle;
  • Сlimatic pavilion equipped with locker rooms, canopies, and deck chairs for air and sun bathing, with steps into the water for swimming in the pond;
  • 8 massage rooms (manual classical and reflex-segmental massage);
  • Terrenkur routes from 1 to 3 km, equipped with gazebos and benches.

Exercise therapy department successfully carries out remedial treatment of the patients using modern rehabilitation programmes and author's methods, specifically developed and constantly improved, for various forms of pathology of the cardiovascular, respiratory, nervous, digestive, and genitourinary systems, and a wide range of diseases of the musculoskeletal system. The focal point of the Exercise therapy department is rehabilitation of patients, who suffered acute diseases and surgical interventions, as well as severe chronic diseases.

We developed programmes and rehabilitation methods for the following diseases:

Diseases of the cardiovascular system:

  • Patients with coronary heart disease, after acute myocardial infarction.
  • Patients with coronary heart disease, after surgery on the heart (coronary artery bypass graft surgery, balloon angioplasty, stenting, cardiac valve operations).

Respiratory system diseases:

  • Patients suffered acute pneumonia and pleurisy.
  • Patients after surgical interventions on the lungs.
  • Patients with chronic obstructive pulmonary disease and asthma.

Nervous system diseases-consequences of strokes, paralysis, paresis.

Spinal diseases – osteochondrosis with compression and pain syndromes, conditions after operations on spine.

Joints pathology – deforming arthrosis, conditions after endoprosthesis replacement of the joints.

Damages of the musculoskeletal system-recovery from injuries and fractures.

Recovery after abdominal operations and gynecological operations.

Our methods:

  • Remedial gymnastics (RG): individual, group, independent.
  • Simulator gymnastics: simulator exercises (veloergometуr, treadmill, crosstrainer, ergocycle for hands, row, stretching wall «Pioneer», complex weight machine Vectra and Compass).
  • Individual trainings with coordinator on simulator «Girotonic».
  • Individual trainings with coordinator on simulator «Power Plate».
  • Physical rehabilitation on simulator complex «Kardiomed».
  • Indoor swimming pool.
  • Remedial gymnastics in indoor swimming pool (in groups and individually).
  • Wateraerobics.
  • Terrenkur routes: 1000, 1500 m
  • Treatment in dry air sauna.
  • Medical manual massage (classical and segmental massage techniques).
  • Manual therapy.
  • Infrared sauna

In our exercise therapy department, we have developed unique complexes of remedial gymnastics, which are successfully applied. Experienced, qualified coordinators with college education give classes. They have a perfect command of modern knowledge, practical skills in exercise therapy and new wellness technologies.

Supervisors and doctors of the department have developed and introduced complexes of exercises used in a variety of diseases. For self-dependent trainings our patients receive a specially prepared memo. Thanks to the integrated approach, thousands of patients received an opportunity to improve their health and quality of life applying our individual methodology of remedial gymnastics.

We conduct therapeutic exercises in the pool due to individualized complexes, in groups and individually. Regular training will improve your metabolism, blood circulation, lymph circulation, posture, osteo-muscular system, vision, flexibility and overall physical condition.

Water aerobics is a kind of gymnastics, involving performance of exercises in water and combining physical activity of all major muscle groups; it enables high efficiency of classes. In other words, water aerobics is rhythmic water gymnastics to music. Indications for water fitness are wide. It can engage people of all ages, with different degrees of physical development, with diseases of veins, joints, spine, recovering after traumas, and people with excess weight. Already after the first trainings, you will feel a bust of energy and improved mood. Gradually muscles will strengthen, efficiency of work will increase, emotional background will improve, and vitality will enhance.

Exercises on Kardiomed simulators are ideal for implementing a healthy, diverse and fascinating system of endurance training in medicine, fitness and sport. Heart of the system is the diagnostic Kardiomed Ergometer, which allows provide several types of tests.

In addition to the diagnostic ergometer, the line presents six more cardiac simulators and treadmill. All cardio simulators have a large and clear display with a built-in smart card reader. The chip of the card can be programmed directly through the display of the simulator or on a computer using a program KardioWell Zone. Each Ergometer has nine built-in Kardiomed training programs. This line of simulators allows a doctor to pick up adequate and safe activity to any person, either a patient undergoing rehabilitation after myocardial infarction or a professional athlete.

Trainings on integrated power simulators Vectra and Compass are used for rehabilitation treatment of diseases of the musculoskeletal system and for the training of muscle strength in fitness and medicine. Our experts will recommend a course of trainings on the simulator Gyrotonic to patients with spine problems, diseases of large joints, respiratory and cardiovascular systems.

Gyrotonic - one of the new techniques in the market of health services. The method combines such directions as yoga, gymnastics, swimming, ballet, Tai Chi and exercise with resistance; it also uses elements of Pilates, stretching.

Set of exercises Gyrotonic is carried out with help of special system of simulators. The basis includes: system of exercises for the spine, stretching exercises and strengthening the lower body (muscles of the abdominals, pelvis, legs), working out and relaxation of muscles of the shoulder girdle. Great attention is paid to joints and ligaments.

This is one of the rarest training systems, which allows you simultaneously develop strength, flexibility, coordination and plastic, excluding exhausting years of training. The body of a person, who trains on the Gyrotonic system, is distinguished with vitality, dynamism and retains its youthfulness longer. Gyrotonic can be used to restore muscle balance and improve cardiovascular system. Application of the method allows you improve flexibility, muscle tone, microcirculation, increase the range and amplitude of motion, endurance, balance, blood circulation and overall effectiveness.

Manual therapy - is a system of mainly manual diagnostic and therapeutic techniques aimed at correcting or eliminating pathological manifestations caused by diseases of the spine, joints, muscle and ligaments.

At present time, method of manual therapy is very popular and widely used in the treatment of diseases of spine, joints and internal organs. This is due primarily to the use of new safe and painless soft tissue methods affecting muscles, tendons and ligaments.

If you have problems with spine, if you suffer back pain, neck pain, joint pain, headaches, numbness of hands, etc, you can apply to manual therapy office. Head of the exercise therapy department, manual therapist, having 25 years of experience, provides treatment. His skilful and sensitive hands help you to get rid of pain, to regain former slimness and improve the life quality.

Vertebral machines and simulators are used together with manual therapy in our office: vibratory massage chair, table for self-stretching, system for passive unloading of a spine Detenzor.

Kinesiological taping - is new, but already approved itself as successful and popular method of treatment and prevention of various diseases. The essence of the method consists of fixing of kinesis tapes, i.e. special stretched adhesive tapes, applied on the skin over joints, muscles and tendons, that need treatment. This method has a very wide range of indications and can be applied successfully at different stages of treatment and rehabilitation; it completes perfectly most kinds of the traditional therapy.

Massage. Nine highly qualified massage therapists, possessing all manual methods of classical and segmental massage work in our department.

Swimming pool, sauna, and infrared sauna will help you release tension and relax. Cycling, swimming in the lake, boating and water bicycles, sports games outdoors and in the indoor gym will surely give you cheerfulness, a lot of positive emotions and unforgetable experiences.

Method of Nordic walking includes both teaching technique and training itself. Learning and training provided for both groups and individually. Nordic walking is a kind of recreational walk. Sticks increase load on the muscles and cardiovascular system. This allows to load arm and back muscles , on the other hand to unload the joints of the feet. Sticks help develop and monitor the tempo of movement, as well as facilitate the process of walking. In average during these exercises, about 90% muscles are involved and we burn calories by 46% calories more than in regular walking. Therefore, wellness effect when walking with sticks is achieved easier, faster and without apparent effort. However, for this we need to acquire special technique: learn to put a foot properly and work with hands synchronously. Without this walking will be simply ineffective. Nordic walking practically has no contraindications, and is often used for medical purposes and for weight loss. Nordic walking is carried out in a comfort zone and without unnecessary stress. This is fitness with fun.

Come to exercise therapy department and our instructor will help you to pick up sticks, to master the technique of Nordic walking and conduct group or individual training using health promoting and treatment methods.

Osteopathy — is a manual medical system of prevention, diagnosis, treatment and rehabilitation, considering violation of structural-anatomical relationships between the various organs and body parts -"osteopathic dysfunction” as the primary cause of a disease. Manual therapy (chiropractic) is a form of osteopathy, which is truncated version of the school of T.E. Still. Despite the fact that in Russia, osteopathy is a relatively young direction of regenerative medicine, Ministry of health of the Russian Federation approved it officially only in 2003; in countries of the North America, Western Europe and Australia osteopathic method is one of the main ways to treat and prevent many diseases.

The reason for this popularity is the following:

  • Not only diseases of spine, joints, nervous system, but also many chronic diseases of internal organs can be treated effectively by osteopathic method;
  • A well-prepared osteopath is able to identify the root causes that led to the development of the disease, often veiled by different compensatory reactions of the body and syndromes such as local pain, neurological disorders. Elimination of the causes is much more effective than temporary relief;
  • Osteopathic method is based on the most advanced research in the field of anatomy, physiology, histology and biochemistry;
  • Modern osteopathy uses mostly soft, non-stress, safe methods of manual exposure when conducting osteopathic treatment;
  • A wide range of osteopathic techniques (more than three and a half thousand), allows you to pick up individual, the most effective treatment program;
  • Positive results of the osteopathic treatment are evident already after the first session. Duration of the full course hardly exceeds eight treatments at intervals not more than once a week;
  • Osteopathic impact has not only curative effect for various diseases, but in general, harmonizes the body, makes it more stress-resistant, i.e. is a preventive mean of maintaining good health. Unlike other types of manual techniques and practices, osteopathic treatment is based on the implementation of techniques only in physiological tissue barriers. Thus, osteopath affects a patient's body very softly and sparingly.

Basic postulates of osteopathy:

  • "Life is motion" — all organs, tissues of the human body normally are in physiological mobility variable by the rhythm of muscle contractions, breathing movements, pulsations of blood vessels. In response to the traumatic impact, this mobility can be disrupted, that leads to the breakdown of the fixed body function.
    • "Rule of artery is primary", it implies the importance of normal blood circulation in maintaining human health.
    • "Body is a self-regulating system", it indicates to the ability of a body to adapt to stressed conditions, including traumas.
    • "Nervous system is the basis of integration”, it determines the supremacy of nervous system in ensuring full -time job of other physiological systems of the body.

    The scope of osteopathy:

      • Elimination of back pain;
      • Consequences of birth and craniocerebral trauma;
      • Dizziness and headache;
      • Rehabilitation after surgical interventions;
      • Chronic diseases of the abdominal cavity;
      • Raising the level of human resistance to internal and external influences;
      • Psychomotor retardation, delay in speech development in children;
      • Chronic stress, psycho-emotional strain, and so on;
          At any age, at any stage of life: from the moment of conception, birth and further to extreme old age, osteopathy is an effective mean of prevention and treatment of any functional disorders and diseases.

    Osteopathy — is a holistic manual medical system of prevention, diagnosis, treatment and rehabilitation of consequences of somatic dysfunctions *, entailing infringement of health, aimed at restoring body's natural abilities to self-correction.

    *Somatic dysfunction is a functional violation revealing with biomechanical, rhythm gene and neural components. Biomechanical component of somatic dysfunction is a functional violation revealing itself with a violation of compliance and balance of the human body tissue. Rhythm gene component of somatic dysfunction is a functional violation, approving itself in violation of the generation and transmission of endogenous rhythms; neural component of somatic dysfunction is a functional violation causing a disturbance of the nervous regulation. Somatic dysfunction in the body can show itself at the global, regional or local levels. Thus, we can describe the patient at these three levels as per biomechanical, rhythm gene and neural disorders. Result of adaptation disorder (maladaptation) somatic dysfunction can cause clinical manifestations, which have different location. Practically the total human body including internal organs and structures of the skull are in the sphere of influence of osteopathy. Techniques used by osteopaths are constantly improved and supplemented by new methods of diagnostics and treatment. It is a live, dynamic modern system of preventive medicine.


          • Craniosacral;
          • Structural and fascial;
          • Visceral.

    Craniosacral section is based on the restoration of the micro mobility of the brain and spinal cord, as well as their surrounding membranes, sutures of the skull bones and sacrum.

    The structural section is based on the principle of unity of the functioning of the musculo-articular system. Osteopathic effect produced within the physiological barriers of each element of the system, taking into account its local, regional and global linkages. It is aimed at elimination of primary damage. The main application area of the fascial section are fascia and their structural relationship with all the tissues in the human body. Visceral section aimed at eliminating violations of mobility of internal organs, the elimination or visceral spasms of functional ptosis using specific visceral techniques.

    Unlike other methods of treatment (bone setting, chiropractic, manual therapy, massage, etc.), osteopathy employs an integrated approach to the organism as a whole. Figuratively we compare the human body with a perfect machine, reliable and delicate at the same time. When all the parts of this machine are in their places, well fitted, lubricated, the machine will work seamlessly. If any part damaged, this will manifest itself in any way. Such manifestations in the human body one calls diseases.

    Any disease has both functional and organic component. Functional component is caused by a disorder of the body without breaking its structure. The organic component vice versa is associated with damage of the structure of the body. The effectiveness of the osteopathic treatment will vary depending on the ratio of functional and organic violations. The most effective osteopathy at functional disorders is when organic violations has not developed yet (i.e. organ has not changed). In this case, the sooner you consult an ostheopath, the easier and faster he will be able to eliminate the source of the problem and get you back to a normal healthy life. At this point, you can fully restore the function of the organ and eliminate the manifestations of disease without applying to other methods of treatment (drug therapy, physiotherapy, etc.).

    >In case functional and organic violations expressed equally, osteopath will surely help a patient, but he should work together with other specialists (neurologist, surgeon, cardiologist, urologist, gynecologist, pulmonologist, etc.). The purpose of the osteopathic treatment at this stage is to improve (normalize) the function of the damaged organ, eliminate or reduce the severity of disease symptoms, reduce the duration and intensity of the drug load to achieve an early and stable remission. This joint work will bring maximum benefit to the patient.

    If a disease is caused mainly by organic pathology and functional component is extremely small, we should say honestly that in this case, the effectiveness of osteopathic therapy is low. Treatment is aimed at reducing the severity of symptoms of the disease, relief of the patient suffering; slight improvement in the quality of life and the effect will be temporary.

    Fascial unity. Osteopathic damage. Primary dysfunction. Compensation.

    The concept of fascial unity of the human body lies at the heart of the osteopathic treatment. Fascia is a connective tissue membrane, covering the organs, blood vessels, nerves, and forming muscles cases at vertebrate animals and humans; it performs supporting and trophic functions. Fascias are connected into a single fabric system, passing from one body part to another and embracing fully the anatomical elements of a body. Although different parts of the fascia have their titles, however, it is continuous, and forms the so-called system of biomechanical regulation.

    Without interruption, fascias stay in communication within and between the bones. Penetrating into all body structures, fascias not only wrap every structure, muscle, organ, nerve, vessels, but also penetrating inside, forming a matrix and support. Thus, the fascia is such a case, which is also a model and anatomical form. Its presence interrupted only at the cellular level, although the cell itself (its membrane) is steeped in this basic substance. One can claim that, being a shell and starting from the level of the superficial fascia, it splits many times to become more differentiated and more profound. Penetrating deeper and deeper, fascia is attached to the bone, not by a simple link, but penetrating into the bone trabeculae via fibers. From the point of spatial structure and mechanics, to cope with loads fascias organize into "fascial chains". Thanks to this, our body can be compared to architectural Tensegrity system.

    The word Tensegrity was offered by an architect, engineer, scientist R. Buckminster Fuller. He described it as a combination of integrity of tension (Tensegrity = tensional integrity)-the forces involved in the structure formed by a complete network of solid elements, interconnected by elastic, associated elements; and where such completeness of connections gives the structure integrity. Thanks to the elasticity of those links when one element of the structure shifts, the shift is reported to the whole structure, and all other elements move after it or adapt to the new configuration, succumbing to these shifts and without breaking.

    The human body/skeleton and its separate parts are built upon this Tensegrity principle.

    In such a system with a shift or tension (even very small) of one structure, all relationships change, that is, compensatory load redistribution takes place.

    The most obvious reasons of tension/shift in the fascial system are effects of the mechanical, chemical and thermal injuries, scars, including postoperative stitches, adhesions and fibertization of the internal organs because of inflammation. All these are examples of primary osteopathic dysfunctions.

    Compensatory tensions apparent with chronic pain syndromes and dysfunctions of organs (for example, violation of intestinal motility or drainage function of the bronchial tree) are called compensations. The task of osteopath is to identify correctly primary damages and treat them, after that, compensations generally disappear independently and forever. Therefore, if a patient has injuries, acute inflammatory diseases of the internal organs and surgical interventions in his history it is a direct indication for a visit to osteopath.

    Pachymeninx. Another important field of attention of osteopath is pachymeninx system.

    Pachymeninx (LAT. dura mater) is a solid connective-tissue formation, which is one of the three membranes covering the brain and spinal cord. It is superficialis over the pia mater of brain and the arachnoid. It is rich in blood vessels.

    In some parts, pachymeninx penetrates into fissures of brain in the form of apendages. In the place of junction of apendages brain tunic splits and forms triangular shaped channels lined with epithelium - sinus of pachymeninx. The walls of the sinuses are tight, they have no valves, they do not collapse, even when cut. Sinuses contain venous blood, flowing off from the veins of the brain, from pachymeninx, the orbit and the cranial bones. From sinus, blood arrives in the internal jugular; in addition, there is a link between sinuses and outer surface veins of the skull through the venous reserve emissarium.

    Pachymeninx' apendages:

        • Big falciform process or falciform process of the cerebrum (Sickle of the brain) is located between the hemispheres of the brain;
        • Small falciform process or falciform process of cerebellum penetrates into the crack between the hemispheres of the cerebellum by attaching itself to the occipital bone from the internal occipital protrusion to the great foramen;;
        • Cerebellar tentorium (cerebellar tent) is located between the end lobe of the great brain and the cerebellum;
        • Tentorium of hypophysis is strained over the Turkish saddle; there is a hole in the centre through which a funnel passes.
        • That is, pachymeninx is a sort of inner frame of the central nervous system, continuously extending from pelvis to the top of the head and having protective, anchor and trophic functions. Its damage in any part (e.g. trauma of the coccyx/sacrum) creates tension in the whole system, appearing often distantly (headaches).

          Soft osteopathic techniques allow repair damage of the pachymeninx, it restores the nutrition of the central nervous system, the process of CSF circulation and helps to eliminate stress in cases where medicines are ineffective.

          Thus, trauma of the pelvis/tailbone, skull (concussions and contusions of the brain) is another direct indication for a visit to osteopath.