Physiotherapy for pneumonia

Pneumonia is an acute disease, mainly of infectious etiology, characterized by focal lesions of the respiratory parts of the lungs, the presence of intra-alveolar exudation revealed by physical and/or instrumental examination, varying degrees of severity of febrile reaction and intoxication. The sequence of disease processes includes stages of bacterial aggression, clinical stabilization, morphological and functional restoration of the bronchopulmonary system.

Complex treatment of pneumonia is carried out in inpatient (hospital) conditions. The list of physiotherapeutic procedures is very diverse and corresponds to the stage of the disease.

Among physiotherapeutic prescriptions, the most common are warm and humid inhalations of antibiotic solutions and sulfanilamide preparations, followed in the next phase of the pathological process by inhalation therapy with mucolytics.

The second most important etiopathological method is medicinal electrophoresis of the necessary medications.

At subsequent stages, UHF, UHF, and SHF therapy and inductothermy are traditionally used on the chest area.

Ultrasound therapy procedures using generally accepted methods help prevent recurrence of inflammation.

Of the light therapy methods, the most optimal are cutaneous exposure to NLI - laser (magnetolaser) therapy, as well as a course (at least 7 daily procedures) of intravenous laser irradiation of blood. More problematic is irradiation of blood with ultraviolet radiation due to undesirable consequences due to a possible overdose of the effect of the factor and damage to the cellular elements of the blood due to objective reasons for the lack of precise dosimetric control.

The corresponding hydrothermal therapy procedures are pathogenetically determined and are widely used to treat patients with pneumonia using generally accepted methods.

The task of the family doctor at the inpatient stage of supervising the patient under his care is to justify the expediency and convince the hospital doctors to carry out UHF, UHF, SHF therapy and inductothermy procedures on various areas of the patient's body in an athermic mode of action.

In most cases, patients with pneumonia in the convalescence stage, while still in hospital, require psychological rehabilitation by influencing the frontal lobes of the brain using the Azor-IK device; the technique and methods of performing the procedures are similar to those for COPD. As an alternative to psychological rehabilitation by information-wave exposure, electrosleep therapy is recommended using standard methods.

After discharge from the hospital, the family doctor is obliged to continue the treatment of patients who have had pneumonia at home, since the convalescence stage can be protracted. During this period, information-wave exposure using the Azor-IK device is indicated among physiotherapeutic procedures.

The procedures are carried out using a contact, stable technique on exposed areas of the patient’s body.

Impact fields: - on the area of the middle third of the sternum, II - on the interscapular region of the spine, III - on the projection area on the chest of the eliminated focus of inflammation of the lung tissue.

The EMI modulation frequency is 10 Hz, the exposure time per field is 20 minutes, per course 10-15 procedures daily 1 time per day in the morning (before 12 noon).

It is possible to repeat (3-5 days after discharge from the hospital) the psychological rehabilitation procedures using the Azor-IK device on the projection of the patient's frontal lobes using a combined method. The effects are carried out by contact, stably, 2 times a day.

The EMI modulation frequency is 21 Hz in the morning after waking up and 2 Hz before going to bed at night.

The exposure time on the field is 20 minutes, for a course of 7-10 strains daily.

A very effective method that promotes the functional recovery of the bronchopulmonary system is to perform daily procedures in the evening (1 hour after dinner) on the Frolov breathing simulator (TDI-01) according to the methods attached to this inhaler. It is recommended that each patient with chronic bronchopulmonary pathology have this simulator in their personal property. Procedures on the Frolov breathing simulator should be performed both in a hospital after the elimination of the active phase of the inflammatory process, and at home after discharge from the hospital. The duration of daily procedures is from 1 week to 3 months.

It is possible to carry out procedures sequentially on the same day in an outpatient and home setting after pneumonia (the interval between procedures is at least 30 minutes):

• information-wave impact using the Azor-IK device + procedures on the Frolov breathing simulator;
• psychological rehabilitation procedures using the Azor-IK device + procedures on the Frolov breathing simulator;
• information-wave impact using the Azor-IK device + psychological rehabilitation procedures using the Azor-IK device + procedures on the Frolov breathing simulator.

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