Dosed loads have a good effect on the state of the cardiovascular system. Exercise helps to get rid of shortness of breath and normalizes the heart rhythm. With progressive angina pectoris, walking, swimming, skiing, as well as special exercises. Physical education treatment should be supervised by a physician or exercise therapy trainer with a medical background. The doctor individually selects a suitable set of exercises, corrects it if necessary, monitors the patient's well-being.

Treatment of progressive angina pectoris by non-traditional methods is practiced. These include breathing exercises, which reduce the number of seizures.

Gymnastics for angina pectoris

A set of exercises

1. Walking. Calmly walk around the room for 1-2 minutes. The pace is slow at first, then gradually increases to medium.

2. Crossing arms. Put your feet shoulder-width apart, spread your arms to the sides. Crossing your arms in front of your chest, touch your shoulders with your palms, exhaling. Spreading your arms to the sides, inhale. The pace is slow. Repeat 10-15 times.

3. Tilts to the sides. Put your feet shoulder-width apart, keep your hands behind your head. Tilt the body to the left and right, while not bending the legs. Breathe freely. The pace is slow. Repeat 5-8 times on each side.

4. Half squat. Put your feet together. Do half squats, holding on to the back of a chair. Sitting down, exhale. The pace is slow. Repeat 8-10 times.

5. Deep breathing. Put your feet together, arms down. Take a deep breath, rising on your toes, arching your back slightly and placing your hands on your belt. Then, with an exhalation, return to the starting position. Repeat 4-6 times.

6. Alternate raising hands forward. Put your feet shoulder-width apart, hands down, fingers clenched into a fist, alternately raise the right, then left hand. Breathe freely. The pace is average. Repeat 8-10 times.

7. Turns to the sides. Place your feet shoulder-width apart, feet parallel, arms down. Turn the torso to the left, moving your arms to the sides with your palms up - inhale; return to the starting position - exhale. The pace is average. Repeat 3-6 times on each side.

8. Leg curl. Standing legs together, sideways to the back of the chair, one hand rests on the back, and the other on the belt. Slowly bend one leg, raising the knee forward, then, unbending, take it to the side; then return to the starting position. Do the same with the other leg. Breathe freely. Repeat 4-5 times with each leg.

9. Breathing with the movement of the hands. Put your feet shoulder-width apart, bend your arms to your shoulders. Slowly, with a deep breath, unbend your arms up wider, slightly arching your back and moving your head back; with an exhalation, return to the starting position. Repeat 4-6 times.

10. Slow walking. Slowly walk around the room for 1-2 minutes.

11. Rest sitting with complete relaxation of the muscles for 1-2 minutes.

Cardiologist

Higher education:

Cardiologist

Saratov State Medical University. IN AND. Razumovsky (SSMU, media)

Level of education - Specialist

Additional education:

"Emergency Cardiology"

1990 - Ryazan Medical Institute named after Academician I.P. Pavlova

Diseases of the heart muscle and the heart itself are quite dangerous for everyone's health. They significantly worsen the quality of life, make a person less active, cause discomfort, severe pain. With heart disease, the patient must comply with a large number of rules, requirements and restrictions.

Now the trend is such that not only people of retirement age suffer from such ailments, as it was several decades ago. Quite often there are diseases of the heart and myocardium among young people. The main reason for this phenomenon is low level the number of children and adolescents involved in sports, their inactive lifestyle and eating low-quality, completely unhealthy foods high in sugar, animal fat, "bad" cholesterol, etc.

Angina pectoris is a consequence of ischemia. It is expressed in frequent and rather prolonged pain attacks. In order to reduce discomfort, improve the patient's well-being, a variety of therapies are used. One of them includes exercise therapy for angina pectoris.

The nature of the load in angina pectoris

Therapeutic physical culture is one of the most effective means in the fight against angina pectoris. Low activity in this disease can only worsen the patient's condition. But it is important to choose the right set of exercises. This largely depends on the degree of development of the disease. It is worth considering the nature of the loads at each stage of angina pectoris.

The diagnosis of the disease and the selection of the necessary therapy for its treatment should be carried out by a professional cardiologist. Do not try to choose a course of treatment yourself, it can be not only ineffective, but also dangerous to your health.

initial stage

At this stage of angina pectoris, patients practically do not feel discomfort and pain. The disease manifests itself quite rarely, the attacks are usually short-lived.

At this stage, exercises for angina pectoris should last about 25-30 minutes. They can be intense and dynamic, but without high loads on the heart. Such a set of exercises is selected that allows you to use and develop all muscle groups, improve the tone of internal organs.

typical stage

The typical stage appears only when physical activity sick. When walking for a long time, climbing stairs, doing intense training symptoms such as shortness of breath, dizziness, increased heart rate, etc. may appear. Deterioration is also observed during stress, emotional overstrain.

At a typical stage in the development of angina, the patient is allowed to engage in physical education, but all exercises should be performed in a less intense mode. Between approaches, it is necessary to take breaks, during which it is worth normalizing breathing, heart rate.

The duration of the complex should not be more than 15-20 minutes. During it, the patient should carefully monitor the pulse rate. If it changes by more than 15%, it is worth stopping the complex or reducing the intensity.

Pronounced stage

The pronounced stage is the most acute of all those presented above. The patient may feel discomfort even in a state of complete rest. Such a patient should be limited from high-intensity physical activity, prolonged activities.

But even with a pronounced stage, the patient can be prescribed exercise therapy. All exercises should be performed in a relaxed manner. If they are difficult and cause shortness of breath, dizziness, pain in the heart, then it is worth a little rest and reduce the amplitude of execution.

The duration of the workout should not be more than 10-15 minutes. Of these, approximately 5 minutes are allocated for rest between exercises.

When the first symptoms of an attack appear, you should immediately interrupt the training and consult a specialist.

A set of exercises

Cardiologists have developed a universal set of exercises that is suitable for the early stages of angina development. Before using it, you should definitely consult with a specialist.

Warm up

The first thing to start with is a warm-up. It will help to warm up the body a little, prepare it for the subsequent exercises, which will make them more effective.

Stand straight, place your feet shoulder-width apart. Alternately tilt the body forward, backward, right and left. Do it slowly, look straight ahead. Repeat this exercise about 10-15 times.

Raise your hands up high. Stand on your toes and stretch as high as you can. Return to starting position. Repeat this 10 times.

Lay a fitness mat on the floor. Lie on your back, spread your arms and legs as far as possible to the sides, while not straining too much. Bend alternately fingers on the upper and lower extremities. This exercise is done at an average pace, the number of repetitions is 5-6 times. When performing the exercise, try to relax as much as possible and normalize breathing.

Lying in the same position, move the toes of the lower limbs in such a way that they turn outward, then inward. Repeat the exercise 5-6 times.

Main part

Lying on your back, pull your shoulders as high as possible, trying to touch them to the tips of your ears. Do the exercise slowly and measuredly, watch your breathing. Repeat the exercise 5-6 times.

Bend the upper limbs at the elbows while lying down, and the lower limbs at the knees. Describe them one by one in a circle. Maintain a measured pace of exercise. Repeat about 5 times for each limb.

Lying on your back, perform a bridge without lifting your lower back off the floor. Raise your pelvis as high as possible. Do this exercise 3 times. Like all the previous ones, you need to do it slowly, monitor your breathing and heart rate.

And the last exercise is the breeding of the knees in the prone position. Do it 3-4 times.

Hitch

A hitch is the final part of the workout, which allows you to consolidate the effect of all previously performed exercises. The easiest type of hitch is walking in place. In the early stages, 1 minute of measured walking will be enough. After that, you can increase its duration.

These exercises must be performed several times a day, increasing the number of repetitions over time. This therapy should be strictly controlled by the attending physician.

Breathing exercises

Not less than efficient view therapy - breathing exercises for angina pectoris. It is used to treat many other diseases that are associated with overweight, disturbances in the functioning of the reproductive system, etc.

Tasks of respiratory gymnastics in angina pectoris

Breathing exercises have several tasks. Among them are:

• Strengthening and increasing the tone of the diaphragm.
• Saturation of the myocardium with oxygen.
• Proper breathing.
• Stabilization of metabolism.
• Feeling better.
• Increase immunity to various viral diseases.
• Normalization of the emotional background.
• Stabilization of the heartbeat.

Varieties

There are several types of breathing exercises. They differ from each other in the technique of execution and place of origin. There are the following varieties:

• Bodyflex. This method actively used between the main exercises of therapeutic physical culture. Bodyflex is performed in several stages. It is aimed at saturating with oxygen not a single organ, but the whole organism. This method is used to get rid of a wide variety of ailments - from extra pounds to cardiovascular disease.
• Oxysize. It is used at run time exercise. The rhythm of breathing becomes more frequent, which allows you to saturate the body with oxygen as much as possible.
• Jianfei. The birthplace of this technique is China. It includes several types of exercises (“lotus”, “wave”, etc.) that everyone can perform. This technique is used both for cardiovascular diseases and for improving well-being, getting rid of extra pounds in problem areas.

Execution rules

Regardless of which type breathing training you have chosen, for each of them there are elementary rules. They allow you to achieve maximum effect from therapy. The following rules are distinguished:

• Carefully monitor the nature of the inhalation of air. It should only be done through the nose. Take a fairly quick and sharp breath.
• Exhalation is best done through the mouth. Unlike the entrance, it should be rather slow and measured. The air outlet must be as silent as possible.
• Entering can be performed both simultaneously with the exercises, and in between them.
• When doing breathing exercises, be sure to keep track of the score. You need to count to yourself so as not to choke your breath.
• It is worth choosing the most comfortable position for performing exercises. You can do gymnastics while sitting, standing or lying down.
• It is necessary to perform breathing exercises twice: in the morning before meals and in the evening 1-2 hours after.
• Breathing exercises should only be done on an empty stomach.
• In the warm season, try to exercise outdoors. This will make the exercises more effective. They can be performed both standing still and while walking slowly.
• If you are doing breathing exercises at home, carefully prepare the room for this. It must be well ventilated in advance.

Contraindications

Breathing exercises during attacks is a very effective and efficient therapy, which has practically no side effects. But there is also a group of people who should refuse it. Such people include:

• Lactating women.
• Women who are carrying a child.
• Persons with exacerbated forms of a chronic illness.
• Patients with inflammatory diseases of the large or small pelvis.
• Patients suffering from adenomyosis.

Additional physical activity and breathing exercises will help get rid of the causes and symptoms of angina pectoris, significantly improve the condition and well-being of the patient, and normalize the functioning of all organs. But such treatment should be selected with specialists.

A characteristic feature of modern society is hypodynamia - a violation of the functioning of the body due to a lack of physical activity. The development of the transport network, the automation of production and the increase in the number of "knowledge" workers led to the fact that people began to sedentary image life. Unfortunately, this factor has a negative impact on health of cardio-vascular system person. Diseases such as angina pectoris, stroke, heart attack began to occur more and more often. Therapeutic exercise for IHD is an important component of the rehabilitation of patients who have had heart disease.

Benefits of physical activity in ischemic heart disease

For physical rehabilitation, doctors prescribe light exercises at the very beginning of the post-infarction period. The purpose of such exercises is to restore breathing and bring the patient out of a difficult condition.

It must be remembered that physiotherapy with IHD, it is prescribed strictly by a specialist. Excessive physical activity and too intense loads can adversely affect the state of health and lead to a relapse of an attack.

Regular physical activity is beneficial for everyone. For healthy people, it helps to prevent the occurrence of diseases, and for those who have already suffered heart disease, physical education reduces the recovery period and prevents the development of relapse.

Physical activity in CHD helps:

• keep muscles in good shape;
• reduce the level of atherogenic lipids in the blood (cholesterol, low density lipoprotein, etc.), thereby reducing the risk of atherosclerosis;
• normalize blood pressure;
• prevent the formation of blood clots;
• improve the quality of life, improve mood;
• normalize sleep;
• prevent obesity and reduce the risk of developing diabetes.

According to medical research, people who exercise physical therapy after a heart attack, are 7 times less likely to suffer a recurrence of such a heart attack and reduce the likelihood of death by 6 times. exercise therapy at coronary disease heart can improve general state patient's health. Regular exercise improves blood flow, minimizes the effects of heart failure, and strengthens the cardiovascular system.

Features of physical education in IHD

For patients suffering from coronary heart disease, not all types of physical activity are suitable. The type of load and its intensity are determined by the attending physician based on a specific clinical picture.

For patients who have had heart disease, the nature of exercise therapy may be of decisive importance:

1. With moderate activity, the course of recovery is accelerated, the strength and endurance of the body increase.
2. With excessive exercise, angina pectoris can occur, which often leads to a second attack.

The priority areas of physical education are exercises aimed at developing endurance. These include quiet walks, cycling, housework, dancing. Loads should gradually increase. In this case, the heart rate should increase by no more than 15-20 beats per minute.

Indications and contraindications

Ischemic heart disease is a pathological condition that is characterized by failures in the blood supply to the myocardium, due to damage to the coronary vessels. The reason for this situation is the lack of oxygen entering the heart with blood. Indications for performing therapeutic exercises are acute form of coronary heart disease (with myocardial infarction) and chronic (with periodic attacks of angina pectoris).

Contraindications of exercise therapy for coronary artery disease:

• frequent attacks of angina pectoris;
• acute disorders in the coronary circulation;
• advanced stages of heart failure;
• persistent arrhythmia;
• aneurysm of the heart.

For patients suffering from angina pectoris, doctors recommend conducting therapeutic training in between attacks. So, with a mild attack, simple exercises can be done already on the second day, with an average - on the fourth, with a severe one - on the eighth.

Rules for performing physical exercises for IHD

Physical education for patients with coronary heart disease is carried out only after the condition has been stabilized.

At first, it is advisable to engage in breathing exercises and exercises aimed at the activity of individual muscle groups. Then, in the clinic, a submaximal test is performed to identify the permissible intensity and volume of loads in the framework of post-infarction rehabilitation.

The test ends when the heart rate rises to 120 beats per minute or when there are clear signs of intolerance. The heart rate recorded at the end of testing becomes a threshold value and subsequent physical activity should not exceed 75% of the experimentally established value.

At first, the optimal loads will be: therapeutic exercises, walking, exercise bike, swimming, jogging.

Prohibited loads are marked with a “-” sign, permitted loads are marked with a “+” sign. The number of signs “+” displays the permissible intensity and volume of loads.

Daily physical activity

Types of homework

Type of activity	Function class
	I	II	III	IV
Sawing	+	-	-	-
Hand drill operation: comfortable posture uncomfortable posture	++ ++	+ -	- -	- -
Working with a vacuum cleaner	++	+	-	-
Washing vertical surfaces (windows, walls, cars): comfortable posture uncomfortable posture	++ +	+ -	- -	- -
Dusting	+++	+++	++	+
washing dishes	+++	+++	++	+
Wash: comfortable posture uncomfortable posture	++ +	+ -	- -	- -
Sewing, embroidery	+++	++	+	-

Works on the backyard

Type of activity	Function class
	I	II	III	IV
Earthworks (loosening the soil, digging the earth, digging holes)	++	+	-	-
Carrying loads by hand (water, sand, cement, bricks, fertilizers, etc., in kg)	up to 15	up to 8-10	until 3	-
Transportation of goods on a wheelbarrow (kg)	up to 20-25	up to 15	up to 6-7	-
Watering: hose large watering can (10 kg) small watering can (3 kg)	+++ +++ +++	++ ++ ++	+ - +	- - -
Landing: trees seedling	++ +++	+ ++	- +	- -
Harvesting: from the trees from the bushes	+++ +++	++ +++	+ +	- -

A set of exercises for coronary heart disease

Exercises for the treatment of coronary artery disease include a combination of breathing exercises with physical activity. Physical education can be carried out in a clinic or at home based on the recommendations of the attending physician. During classes, it is necessary to monitor breathing - it should be calm and even.

Here are some examples of exercises that speed up rehabilitation after heart disease:

1. The patient lies on a hard horizontal surface with arms and legs wide apart. Then slowly bend and unbend the fingers. The exercise is repeated 5-6 times.
2. In the supine position, the patient does breathing exercises - alternates deep slow breaths with exhalations. The number of repetitions is 3-4 times.
3. Lying on his back and stretching his legs, the patient alternately pulls the sock towards himself and away from himself. The exercise is repeated 5-6 times.
4. Sitting on a chair, the patient lowers his arms along the torso. Then, inhaling deeply, raises his hands up, exhaling - down. The number of repetitions is 5 times.
5. In the sitting position, the patient fixes his hands on his belt. Then alternately unbends his arms and returns them to their original position. The number of repetitions is 5-6 times.
6. The patient assumes a standing position and performs 3 slow head rotations in one direction and 3 in the other.
7. In a standing position, the shoulders are alternately raised and lowered. The number of repetitions is 5-6 times.
8. The patient puts his hands on his belt and makes 3 circular rotations of the body in one direction, 3 in the other.
9. The patient stands next to the chair, hands leaning on its back. Then slowly sits down on a chair when inhaling and rises to its original position when exhaling. The number of repetitions is 4-5 times.

What physical activity is optimal for patients who have had a heart attack?

In the post-infarction state, they will help to achieve a better recovery of the endurance load, in combination with exercises for flexibility and strength. So, for example, it is better to alternate walking and cycling with walking up an inclined surface, while developing strength and endurance. Work at home or in the garden can be alternated with dancing or swimming.

It should be remembered that any load is introduced gradually. An increase in motor activity must necessarily be agreed with a specialist. Otherwise, such physical education can only worsen the state of health and provoke a second attack.

Postinfarction rehabilitation should be comprehensive. This means that one increase in activity is not enough here. For a complete recovery of the body, drug therapy is additionally carried out, the patient's diet and lifestyle are adjusted. In difficult cases, rehabilitation may include surgical correction.

Gymnastics for angina pectoris is necessary, since a sedentary lifestyle contributes to an even greater disruption of cholesterol metabolism and the deposition of atherosclerotic plaques in the coronary vessels. At the same time, physical activity in angina pectoris should be dosed.

Physical activity for angina pectoris

Angina pectoris is an attack of acute sudden pain that develops against the background of ischemia. (oxygen deficiency) of the myocardium. Myocardial ischemia develops due to the narrowing of blood vessels that bring arterial blood to it - coronary arteries. The narrowing of the coronary arteries occurs due to the deposition of atherosclerotic plaques on their walls.

During physical exertion, myocardial oxygen demand increases, which leads to acute oxygen deficiency, accompanied by bouts of severe short-term pain. Angina that develops during exercise is called exertional angina. . That is why exercise with angina pectoris, a specialist should select a patient - a doctor in physiotherapy exercises.

Breathing exercises for angina pectoris

Proper conduct breathing exercises contributes to the saturation of blood with oxygen, and therefore completely or partially removes the need for oxygen in the myocardium. You can do the following breathing exercises according to the yoga system:

• sitting on a chair with a straight back, relax, think about something pleasant, inhale through the nose for a count of 1 - 2 - 3, hold the breath for a count of 1 - 2 and exhale through the mouth for a count of 1 - 2 - 3 - 4 - 5 ; together with the exhalation, you need to lightly hit with your arms bent at the elbows, like wings, on the chest; repeat the exercise 10-12 times from one to three times a day.

With angina pectoris, you should also take leisurely walks in the fresh air daily and imagine how oxygen-enriched air enters the lungs, and from there into the blood and into the heart muscle.

Therapeutic exercises for angina pectoris

Therapeutic exercises for coronary heart disease (CHD) and angina are very important. But the patient should not do the selection of exercises on his own, remembering that high physical exertion can lead to angina attacks.

Depending on the degree of exercise tolerance, stable (in which there is a clear dependence on physical activity) exertional angina is divided into four functional classes (FC). Physical exercises for angina pectoris should correspond to the FC of angina pectoris:

• I FC - habitual performance is not reduced, angina pectoris attacks occur during loads that significantly exceed the usual ones, for example, during long runs, weight lifting; such angina pectoris can be detected during stress tests in certain categories of professions; such patients can walk for a long time at any pace and run at slow pace;
• II FC - the usual performance is not reduced, angina attacks occur during loads that slightly exceed the usual, for example, fast climbing stairs, fast walking or running; the degree of load in this case largely depends on the fitness of the person; these patients tolerate walking at a moderate pace;
• III FC - a decrease in physical activity due to the fact that angina attacks can develop during normal physical exertion, such as slowly climbing stairs to one floor, walking, etc .; they can be advised to walk at a slow pace for 40-60 minutes;
• IV FC - angina attacks occur at rest or with minor physical exertion, for example, when walking at a slow pace for short distances; for such patients, long walks are suitable, but with obligatory periods of rest.

For patients with stable angina I and II FC can be recommended next complex exercise for angina pectoris.

With angina pectoris

Angina pectoris (angina pectoris)- pathology of the neurohumoral apparatus that regulates blood circulation. The disease occurs as a result of overload of various kinds, chronic stress, short-term negative emotions, overeating at night, exposure to cold, wind.

Main symptoms: periodic pain behind the sternum at rest (rest angina pectoris) or during exertion (angina pectoris). Resting angina may occur during sleep under the influence of dreams, may be accompanied by coronary thrombosis, myocardial infarction and death.

Main direction of therapy. AT attack are prescribed: bed rest, vasodilating and sedative drugs, diet therapy. outside attack- dosed motor mode, exercise therapy and massage.

Physical exercise expand the vessels that feed the myocardium, improve its contractile function. They also calm the central nervous system, removing pathological impulses. Exercise therapy is carried out 2–3 years after an attack of pain according to an individual method in starting position, the least painful, in the form of elementary exercises for the arms and legs and breathing exercises. Particularly careful is the load during rest angina, since in this case the heart vessels are affected by atherosclerosis, they are inelastic. If there is no deterioration in the patient's condition, then more complex gymnastic exercises using projectiles, walking with lengthening the distance and changing the terrain.

Massage It is very useful, as it helps to relieve pain attacks, psycho-emotional stress, increase microcirculation, and prevent attacks of heart pain. Massage of the collar area, back (to the lower corners of the shoulder blades), chest. Apply stroking, rubbing and kneading. In the region of the heart, the palmar surface of the entire hand is vibrated (starting from the sternum, the hand slides towards the spine). The position of the patient is sitting. Techniques are excluded: chopping, tapping. The upper limbs are also massaged (first the right hand, then the left). The duration of the massage is 5-8 minutes. Course - 10-15 procedures. With a preventive purpose, 2-3 courses are carried out in the interictal period. Massage has a pronounced analgesic effect in angina pectoris.

Innovative exercise therapy complex with angina pectoris

1. "Walking" (sitting). The pace is average. 30-60 steps.

2. Sipping. I. p.- hands behind head. Hands up - inhale, hold your breath (2-4 s). I. p.- exhale. 6–8 times.

3. Turn to the right, right hand to the side - inhale, fixation in the extreme position. I. p.- exhale. 3-5 times in each direction.

4. I. p.- hold on to the seat of the chair with your hands. With an exhalation, bend either the left or the right leg, pulling the thigh to the stomach with fixation for 1–2 s. 3-5 times with each leg.

5. Thoracic breathing with a delay in inhalation for 2–4 s and subsequent stepped exhalation (4–6 s). Repeat 3-5 times.

6. Alternately raising the arms up, fixing in the extreme position - inhale; and. P.- exhale. The pace is average. 4-6 times for each hand.

7. Tilts with paradoxical breathing. Tilt to the left (forced breath), right hand up (above the head). I. p.- exhale. The same on the other side. 3-5 times in each direction.

8. Leaning on the back of the chair and holding on to the seat, slowly stretch your legs, fix in the extreme position for 2-3 seconds, straighten your torso, take a breath, and. P.- exhale (flexion-extension to perform without lifting the heels from the floor). 4-6 times.

9. Bend your arms to your shoulders, bringing your shoulder blades together, turning your chest - inhale. I. p. - exhale. 4-6 times.

10. Slowly step over with your feet in place (to a height of 5-10 cm from the floor) for 1-1.5 minutes

11. Sitting with muscle relaxation meditative relaxation 30 s.

I. p.- standing.

1. Walking 1–2 min. The pace is slow, then medium. Further, the rhythms of breathing are performed in coordination with the rhythm of movement.

2. Movements with paradoxical breathing. I. p.- legs apart, arms to the sides. Cross your arms in front of your chest, grabbing your shoulders with your palms - inhale. I. p.- exhale. The pace is slow. 10-15 times.

3. Tilts with paradoxical breathing. I. p.- legs apart, hands behind the head. Tilts to the left and right while inhaling, while straightening - exhale. The pace is slow. 5–8 times.

4. I. p. – about. with. Holding on to the back of a chair, exhale 2-3 springy semi-squats. I. p.- breath. The pace is slow. 8-10 times.

5. Rising on toes, hands on the belt, while inhaling sequential (lower, middle, upper parts) filling of the chest. I. p.- slow exhale. 4-6 times.

6. I. p.- legs apart, fingers clenched into a fist. Alternate raising hands forward. The pace is average. 8-10 times.

7. I. p.- legs apart. Turn left (right), arms to the sides, fixation in the extreme position - inhale. I. p.- exhale. The pace is average, 3-6 times in each direction.

8. I. p.- sideways to the back of the chair; one hand on the back of the chair, the other on the belt. Slowly bend one leg, lifting the knee forward, then, unbending, take it to the side. Return to and. P. Repeat 4-5 times.

9. Movements with paradoxical breathing. I. p.- legs apart, hands to the shoulders. Hands up, bend over and look at them - exhale. I. p.- breath. The pace is slow. 4-6 times.

10. Slow walking. 1–2 min.

11. Rest sitting. Meditative relaxation 1–2 min.

I. p.- standing. Breathing is free.

1. Walking on toes. The pace is average. 1–1.5 min.

2. Alternate slow bending of the arms to the shoulders, fix the extreme position, return to and. P., clench your fingers into a fist for 2–3 s. The pace is average. 10-12 times.

3. I. p.- legs apart, hands on the belt. Slowly leaning forward (gradual inhalation), arching your back and fixing the extreme position, forced exhalation. I. p. - inhale.

4. I. p.- legs apart, hands forward, fingers clenched into a fist. Leaning forward to imitate repulsion ski poles on the exhale. I. p.- breath. 8-12 times.

5. Movements with paradoxical breathing. I. p.- legs apart, hands behind the head. Hands up, bend your back - exhale. I. p.- breath. The pace is slow. 6–8 times.

6. I. p. – about. with., hands down, fingers clenched into a fist. Slowly bend your arms to your shoulders and straighten them to the sides. 8-10 times.

7. I. p.- legs apart, hands behind the head. Turns to the sides, simultaneously extending the arms to the side. The pace is average. 3-5 times in each direction.

8. Rhythmic meditative breathing. On 3-4 counts - inhale, on 4-5 - exhale. 30–40 s.

9. I. p. – about. with. Lunge with the leg of the same name slightly bent at the knee joint to the side, arms to the sides. The pace is average. 3-5 times in each direction.

10. I. p.- legs apart, hands down. Slow circular motions shoulder girdle forward-up - inhale; back down - exhale. 8-10 times.

11. Walking in place with deep breathing. 1.5–2 min.

12. Meditative relaxation 2-3 minutes, sitting rest with alternate relaxing movement of the muscles of the head and neck, face, shoulder girdle, arms, torso, legs.

Innovative complex of physical exercises for angina pectoris against the background of atherosclerosis

1. I. p.- lying on your back with a high position of the head. Free flexion and extension of the arms in the elbow joints 5-6 times. When straightening your arms - inhale, do not tear your elbows from the bed. Breathing is free.

2. I. p.- too. Shifts stroking the feet against each other, without lifting the heels from the bed. 30 s. Breathing is free.

3. I. p.- too. Flexion and extension of the feet 6-8 times. Breathing is arbitrary.

4. I. p.- too. Rotational movements feet in one direction, without lifting the heels from the bed. 20 s in each direction.

5. I. p.- the same, hands in front of the chest. Spread your arms to the sides - inhale, return to and. P.- exhale. 3-4 times.

6. Lying on your back, legs bent at the knees with the support of the feet. Meditative walking lying. 10–20 times. Increase the pace and amplitude gradually. Breathing is free.

7. I. p.- too. Turning the torso in one direction, put the legs in the other (twisting). Perform without tension 4-5 times in each direction. Breathing is arbitrary.

8. I. p.- sitting on the edge of the couch, hands on the belt. Meditative breathing of medium depth 40 s.

9. I. p.- standing. Calm walking for 1.5-2 minutes.

10. I. p.- sitting on a chair with support on the back, hands on the belt. Expand your shoulders, bend in the lower back, bring the shoulder blades together - inhale; return to and. P.- exhale. 4-6 times.

11. I. p.- the same, arms to shoulders, legs straightened. Alternate slow bending of the leg with taking it to the side - inhale, and. P.- exhale. 3-4 times with each leg.

12. I. p.- sitting on a chair, legs bent and slightly apart, brushes grab the knees. After a preliminary inhalation, slowly tilt the torso forward with the elbows apart to the sides - exhale; and. P.- breath. 4-5 times. Do not take your hands off your knees.

13. I. p.- too. Walking for 10-15 minutes, alternating every 3-5 minutes (as you feel) sitting on a chair and getting up; then meditative walking with deep breathing for 15-20 minutes, rest sitting for 1-2 minutes. Depending on how you feel, the number of getting up from a chair and walking can be increased or decreased.

14. I. p.- sitting on a chair with support on the back. Rhythmic meditative breathing. Rest 2–3 min.