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Его задача — разработать индивидуальные программы упражнений, учитывая диагноз, возраст и физическое состояние пациента [3](https://institut-medicina.ru/info/vrach-lfk-kto-eto-chto-lechit-i-kak-im-stat/). Цель — помочь восстановить подвижность, укрепить мышцы и улучшить общее состояние здоровья [3](https://institut-medicina.ru/info/vrach-lfk-kto-eto-chto-lechit-i-kak-im-stat/).\n\n## Показания\nЛФК назначают как самостоятельно, так и в комплексе с другими методами реабилитации [5](https://cmrt.ru/lechenie/lfk/). Некоторые состояния, при которых может быть рекомендована ЛФК: \n* **Заболевания опорно-двигательного аппарата**: остеохондроз, артриты, артрозы, сколиоз, плоскостопие, травмы (переломы, вывихи, растяжения) [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). \n* **Заболевания сердечно-сосудистой системы**: ишемическая болезнь сердца (стенокардия, инфаркт миокарда), гипертоническая болезнь, сердечная недостаточность, после операций на сердце и сосудах [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). \n* **Заболевания органов дыхания**: хронический бронхит, бронхиальная астма, пневмония, эмфизема лёгких [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). \n* **Заболевания нервной системы**: инсульты, черепно-мозговые травмы, детский церебральный паралич, рассеянный склероз, полинейропатии [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). \n* **Реабилитация после травм и операций**: ЛФК помогает восстановить подвижность, силу и координацию движений после переломов, растяжений, операций на суставах и позвоночнике [7](https://meddynasty.ru/uslugi/vrach-lfk).\n\n## Противопоказания\nПеред началом занятий ЛФК необходимо проконсультироваться с врачом для исключения противопоказаний и подбора оптимальной программы [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/)[7](https://meddynasty.ru/uslugi/vrach-lfk). Некоторые состояния, при которых занятия ЛФК запрещены или требуют особого подхода: \n* острые воспалительные заболевания (высокая температура, острые инфекционные заболевания) [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/); \n* острые боли, не купируемые анальгетиками [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/); \n* кровотечения и угроза кровотечения (желудочно-кишечные кровотечения, лёгочные кровотечения) [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/).\n\n## Методика\nИнструктор подбирает упражнения с учётом диагноза, стадии заболевания, возраста и уровня физической подготовки [5](https://cmrt.ru/lechenie/lfk/). Некоторые принципы методики: \n* **Последовательность и постепенность** повышения и снижения физической нагрузки [14](https://yusupovs.com/articles/rehab/formy-lechebnoy-fizkultury/). \n* **Чередование нагрузки** на все мышечные группы [14](https://yusupovs.com/articles/rehab/formy-lechebnoy-fizkultury/). \n* **Ежедневное обновление и усложнение упражнений** [14](https://yusupovs.com/articles/rehab/formy-lechebnoy-fizkultury/). \n* **Введение 10–15% уже освоенных упражнений** для закрепления двигательных навыков [14](https://yusupovs.com/articles/rehab/formy-lechebnoy-fizkultury/).\n\n## Эффективность\nЗанятия ЛФК под руководством инструктора помогают: \n* восстановить подвижность суставов [19](https://www.kb85.ru/services/reabilitacziya/lfk-lechebnaya-fizkultura/); \n* укрепить мышечный корсет [19](https://www.kb85.ru/services/reabilitacziya/lfk-lechebnaya-fizkultura/); \n* улучшить работу вестибулярного аппарата [19](https://www.kb85.ru/services/reabilitacziya/lfk-lechebnaya-fizkultura/); \n* стимулировать процессы регенерации мягких и костных тканей [19](https://www.kb85.ru/services/reabilitacziya/lfk-lechebnaya-fizkultura/); \n* ускорить восстановительные процессы после травм и хирургических вмешательств [19](https://www.kb85.ru/services/reabilitacziya/lfk-lechebnaya-fizkultura/). \n\n**Самостоятельно начинать занятия ЛФК не следует**, так как это может привести к ухудшению состояния [16](https://irbis.amursu.ru/DigitalLibrary/AmurSU_Edition/9783.pdf).","linksData":[{"sourceId":1,"url":"https://www.smclinic.ru/doctors/vrach-lfk.html","shownUrl":"https://www.smclinic.ru/doctors/vrach-lfk.html","title":"Врач ЛФК в Москве: цены на услуги, записаться на платную консультацию к врачу в «СМ-Клиника»","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":2,"url":"https://dpoaps.ru/blog/kak-stat-instruktorom-lfk-s-medicinskim-obrazovaniem/","shownUrl":"https://dpoaps.ru/blog/kak-stat-instruktorom-lfk-s-medicinskim-obrazovaniem/","title":"Как стать инструктором ЛФК с медицинским образованием - Блог \"Академии профессиональных стандартов\"","shortUrl":"dpoaps.ru","isTranslated":false,"description":"","greenUrl":"dpoaps.ru"},{"sourceId":3,"url":"https://institut-medicina.ru/info/vrach-lfk-kto-eto-chto-lechit-i-kak-im-stat/","shownUrl":"https://institut-medicina.ru/info/vrach-lfk-kto-eto-chto-lechit-i-kak-im-stat/","title":"Врач ЛФК: кто это, что лечит и как им стать?","shortUrl":"institut-medicina.ru","isTranslated":false,"description":"","greenUrl":"institut-medicina.ru"},{"sourceId":4,"url":"https://smartclinicspb.ru/uslug/metody-lecheniya/lechebnaya-fizkultura-lfk/","shownUrl":"https://smartclinicspb.ru/uslug/metody-lecheniya/lechebnaya-fizkultura-lfk/","title":"Врач ЛФК - лечебная физкультура в СПб - занятия ЛФК для взрослых у реабилитолога в Санкт-Петербурге | Смарт Клиник","shortUrl":"smartclinicspb.ru","isTranslated":false,"description":"","greenUrl":"smartclinicspb.ru"},{"sourceId":5,"url":"https://cmrt.ru/lechenie/lfk/","shownUrl":"https://cmrt.ru/lechenie/lfk/","title":"Лечебная физкультура (ЛФК) в Москве — запись на занятия и консультации | Сеть клиник ЦМРТ","shortUrl":"cmrt.ru","isTranslated":false,"description":"","greenUrl":"cmrt.ru"},{"sourceId":6,"url":"https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/","shownUrl":"https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/","title":"Показания и противопоказания к лечебной физкультуре: кому показаны занятия ЛФК - Первый Профессиональный Институт Эстетики","shortUrl":"1estet.com","isTranslated":false,"description":"","greenUrl":"1estet.com"},{"sourceId":7,"url":"https://meddynasty.ru/uslugi/vrach-lfk","shownUrl":"https://meddynasty.ru/uslugi/vrach-lfk","title":"Врач ЛФК в СПб — лечебная физкультура, диагностика и лечение в клиниках Династии","shortUrl":"meddynasty.ru","isTranslated":false,"description":"","greenUrl":"meddynasty.ru"},{"sourceId":8,"url":"https://medudp.ru/?page=det_otd_menu_new&det_department_name=det_fiz_kult","shownUrl":"https://medudp.ru/?page=det_otd_menu_new&det_department_name=det_fiz_kult","title":"Медицинская помощь детям - ФГБУ 'Поликлиника №4'","shortUrl":"medudp.ru","isTranslated":false,"description":"","greenUrl":"medudp.ru"},{"sourceId":9,"url":"https://www.klinikantm.ru/services/restoration/lechebnaya-fizicheskaya-kultura","shownUrl":"https://www.klinikantm.ru/services/restoration/lechebnaya-fizicheskaya-kultura","title":"Спортивная медицина (ЛФК) – Клиника НТМ","shortUrl":"klinikantm.ru","isTranslated":false,"description":"","greenUrl":"klinikantm.ru"},{"sourceId":10,"url":"https://centrrechi.com/novosti/kogda-neobhodimy-zanyatiya-lechebnoy-fizkulturoy","shownUrl":"https://centrrechi.com/novosti/kogda-neobhodimy-zanyatiya-lechebnoy-fizkulturoy","title":"Когда необходимы занятия лечебной физкультурой? 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