Issue №6-10, 2020

The Effect of Aqua-trainings are in Fresh Water in Patients with Hypertension on the Microcirculation

¹ Lobanov A.A., ¹ Andronov S.V., ¹ Barashkov G.N., ¹ Mitroshkina E.E., ¹ Fesyun A.D., ¹ Rachin A.P., ¹ Eremushkin M.A., ² Lo Ying, ³ Sidorov V.V., ⁴ Bogdanova E.N., ¹ Zaitsev A.R., ¹ Nikitina A.M., ¹ Grishechkina I.A., ¹ Yakovlev M.Yu., ¹ Voronenko A.G., ¹ Zharkov A.I., ¹ Konchugova T.V., ¹ Samorukov A.E.

¹ National Medical Center of Rehabilitation and Balneology, Moscow, Russian Federation
² Guangdong University of Foreign Studies South China Business College, Guangdong, China
³ ”LAZMA”, Moscow, Russian Federation
⁴ Northern Arctic Federal University, Arkhangelsk, Russian Federation

ABSTRACT

Walking in water (Aquatic Physiotherapy) is a simple, reproducible and affordable method. Warm pool water reduces peripheral vascularresistance.Purpose of the study was to assess the effect of dosed physical activity in a fresh water on the microcirculation of patients with arterialhypertension (AH) when applied externally.Materials and methods. The study included 14 subjects (7 men, 7 women) aged 18 to 70, with AH stage I. The patients were administeredaqua training course in the form of walking in a fresh water for the 30 minutes duration, the course of treatment included 10procedures, the water temperature in the pool was 30–32C. Before and after the end of the intervention, several parameters weremonitored, including the assessment of microcirculation using laser Doppler flowmetry.Results: In patients receiving aquatraining in a fresh water, there was a significant decrease of arterio-venular bypass grafting by 25.0%from the initial (Wilcoxon T-test = 310.0; p = 0.004) and an increase in the muscle component of microcirculation regulation (WilcoxonT-test = 399.0; p <0.05), which indicates an improvement in microcirculation under the influence of aquatraining. The optimal durationof training in fresh water was found to be equal to five days, after which the indicators characterizing microcirculation remain at theplateau level, without significantly changing. Significantly more often, the positive effect of aquatraining was achieved in the group ofpatients with microcirculation disorders of the type of venous stasis (χ2 = 10.6; p <0.001).Conclusion. Laser Doppler flowmetry screening may be useful method to select patients with AH in a greatest need of aquatic training.

KEYWORDS: water, spa treatment, prevention, cell metabolism, microcirculation, arterial hypertension, laser fluorimetry

For citation: Lobanov A.A., Andronov S.V., Barashkov G.N., Mitroshkina E.E., Fesyun A.D., Rachin A.P., Eremushkin M.A., Lo Ying, Sidorov V.V., Bogdanova E.N., Zaitsev A.R., Nikitina A.M., Grishechkina I.A., Yakovlev M.Yu., Voronenko A.G., Zharkov A.I., Konchugova T.V., Samorukov A.E. The effect of Aqua-trainings are in Fresh Water in Patients with Hypertension on the Microcirculation. Bulletin of Rehabilitation Medicine. 2020; 6 (100): 25–32. https://doi.org/10.38025/2078-1962-2020-100-6-25-32

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Эта статья открытого доступа по лицензии CC BY 4.0. Издательство: ФГБУ «НМИЦ РК» Минздрава России.
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.