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首页> 外文期刊>Deutsche Zeitschrift fur Sportmedizin >Kardiale Bewegungstherapie auf zu neuen Grenzen
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Kardiale Bewegungstherapie auf zu neuen Grenzen

机译：Kardiale Bewegungstherapie取极限

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摘要

The increasing significance of sports and exercise therapy (SET) is discussed from qualitative and quantitative point of view using the example of cardiovascular diseases (CVD), particulary coronary artery disease (CAD) which occupy the leading position not only in the mortality but in the financial costs statistics as well in the Western industrialized countries. Whereas the increasing wave of CVD after the second world war in the beginning was treated predominantly by immobilization since the sixties the old knowledge was rediscovered that the biological structures - the diseased cardiovascular system and myocardium among them - need sensible do-sis of exercise to develop an optimum of functional capacity and structure. The beginning of this way back to the future can be seen in the introduction of the first training group for cardiac patients in 1965. Starting carefully and slowly SET for CAD now has been generally accepted. The qualitative development can be demonstrated by the fact that none of the contraindications of the early phase is still valid today. This will be discussed by the impact of SET in extreme cardiac conditions such as heart transplantation and cardiac failure. The experience which has been made with CAD meanwhile has been transferred to nonischemic CVD as well. However, there are still a lot of major gaps which challenge sports medicine. This is discussed for deficits of SET for children with congenital respectively operated cardiac conditions. In the or-ganisatoric area as well SET represents a ma- jor challenge, however opportunity as well, for sports medicine e.g. the sports physician. Keeping in mind the financial problems of health systems there may be developed new professional areas within cardiological prevention and rehabilitation. Last not least SET has also proceeded by itself. The classical limitation to callisthenics walking/jogging and playing is increasingly supplemented by a controlled access to sports such as tennis, golfing or downhill skiing which mean for the cardiac patient not only exercise therapy but life quality by themselves. The major task of sports medicine is to set up for the individual patients the sensible dose of physical activity between innecessary and potentially harmful immobilisation by overprotection and conversely the risk of exceeding the therapeutic boundaries of physical activities.
机译：越来越多的运动和锻炼的重要性治疗(组)从定性和讨论定量的角度使用的例子心血管疾病(CVD),尤其冠状动脉疾病(CAD)占据了但在领先地位不仅死亡率的金融成本统计西方工业化国家。二战后增加的心血管疾病一开始是主要由治疗自六十年代旧的固定是重新发现了生物的知识结构——心血管系统病变和心肌在内,需要明智的do-sis运动发展的最佳功能能力和结构。《回到未来》中可以看到引入第一个培训集团1965年心脏病患者。慢慢地将CAD现在已经普遍接受。没有一个证明的事实禁忌症的早期阶段今天有效。在极端的心脏条件等心脏移植和心脏衰竭。经验已经由CAD与此同时已经转移到非缺血型心血管疾病。然而,仍然有很多主要的差距运动医学的挑战。讨论了为孩子设定的赤字分别先天性的心脏条件。然而,集代表了ma -乔的挑战运动医学的机会,例如体育医生。卫生系统可能存在的问题在心脏病学的新的职业领域预防和康复。本身也开始。限制运动/慢跑和散步越来越辅以一个玩控制访问运动如网球,打高尔夫球或下坡滑雪的意思心脏病人不仅运动疗法生活质量。运动医学是建立在个人病人合理剂量的体育活动innecessary和潜在有害之间固定的过度保护和相反的风险超过了治疗的界限的体育活动。

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