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состояния с помощью физических упражнений** [1](https://www.smclinic.ru/doctors/vrach-lfk.html)[4](https://evolutis.clinic/reabilitatsiya/lfk/priem-vracha-lfk/)[6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). Специалист подбирает комплексы упражнений, которые показаны при диагнозе, и контролирует результаты реабилитации [4](https://evolutis.clinic/reabilitatsiya/lfk/priem-vracha-lfk/). ЛФК назначается в качестве дополнения к медикаментозному лечению, физиопроцедурам, массажу [5](https://www.smdoctor.ru/doctors/lechebnoy-fizkultury-vrach/).\n\n## Показания\nНекоторые заболевания и состояния, при которых рекомендуется консультация врача ЛФК: \n* **Заболевания опорно-двигательного аппарата**: остеохондроз, артриты, артрозы, сколиоз, плоскостопие, травмы (переломы, вывихи, растяжения), послеоперационный период (замена суставов, операции на позвоночнике) [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* **Заболевания желудочно-кишечного тракта**: язвенная болезнь желудка и двенадцатиперстной кишки (в стадии ремиссии), хронический гастрит, колит, запоры [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). \n* **Нарушения обмена веществ**: сахарный диабет, ожирение [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). \n* **Послеоперационный период**: ЛФК способствует более быстрому восстановлению после операций, предотвращает развитие осложнений (пневмония, тромбоэмболия) [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). \n* **Беременность и послеродовой период**: ЛФК помогает подготовиться к родам, укрепляет мышцы тазового дна, восстанавливает фигуру после родов [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/).\n\n## Противопоказания\nПеред началом занятий ЛФК необходимо проконсультироваться с врачом, чтобы исключить противопоказания [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/)[10](https://smartclinicspb.ru/uslug/metody-lecheniya/lechebnaya-fizkultura-lfk/). Некоторые из них: \n* **Острые воспалительные процессы**: высокая температура, острые инфекционные заболевания (грипп, ОРВИ, пневмония), гнойные процессы [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). \n* **Острые боли**: выраженный болевой синдром, не купируемый анальгетиками [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). \n* **Кровотечения и угроза кровотечения**: желудочно-кишечные кровотечения, лёгочные кровотечения, маточные кровотечения [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/). \n* **Злокачественные новообразования**: в стадии прогрессирования [6](https://1estet.com/media/useful/pokazaniya-i-protivopokazaniya-k-lechebnoy-fizkulture/).\n\n## Методики\nВрач ЛФК может использовать различные методики ЛФК, например: \n* **Лечебную гимнастику** — комплекс специально подобранных физических упражнений, направленных на укрепление мышц, улучшение подвижности суставов [15](https://1estet.com/media/useful/sredstva-i-metody-lechebnoy-fizkultury/). \n* **Дыхательные упражнения** — улучшают функцию дыхательной системы, увеличивают жизненную ёмкость лёгких, способствуют насыщению крови кислородом [15](https://1estet.com/media/useful/sredstva-i-metody-lechebnoy-fizkultury/). \n* **Упражнения в воде (гидрокинезотерапия)** — облегчают выполнение движений, снижают нагрузку на суставы, расслабляют мышцы [15](https://1estet.com/media/useful/sredstva-i-metody-lechebnoy-fizkultury/).\n\n## Где получить\nКонсультация врача ЛФК может быть назначена как по собственной инициативе, так и по назначению лечащего врача в связи с основным заболеванием [3](https://clinica.samsmu.ru/services/konsulytativniy-priem-vrachey/konsulytatsiya-vracha-po-lechebnoy-fizkulyture/). 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