Thesis-1986-Salem.pdf (4.6 MB)
The diagnostic value of cardiac axis deviation and ventricular dimension in response to physiotherapeutic exercise procedures
thesis
posted on 2013-09-13, 10:05 authored by Naguib M.A. SalemPhysiotherapeutic treatment using passive and active
exercise was used to study changes in cardiac axis deviation and
ventricular dimension in both clinical cardiac patients and
nomal healthy people. These changes appeared to be
significantly different between these two groups of people
suggesting a simple diagnostic method by which to identify
clinical cases. Since different types of ·physiotherapeutic
exercise result in different changes in the cardiac axis
deviation and in ventricular dimension it can also be used to
guide and evaluate the progress of cardiac patients undergoing
physiotherapeutic programs.
Tests were made on 27 normal subjects as a controlled group
and 50 cardiac patients as the examined experimental group. The
results showed that the cardiac axis deviation in normal people
changes consistently and usually between 60 and 70 degrees.
Coronary patients showed relative changes of between +10 and -40
degrees and rheumatic heart disease patients showed changes of
between +30 and +140 degrees. Passive exercise caused left axis
deviation in both normal people and cardiac patients but the
effect was greater in patients. Active exercise caused right
axis deviation in nromal people but left axis deviation in
cardiac patients.
Right ventricular dimension decreased in both passive and
active exercise in normal people and cardiac patients but much
more in the patients. Left ventricular dimension decreased in
normal people and increased in cardiac patients in both types of
exercises.
The important application of this work is the design and
evaluation of appropriate therapeutic procedures for individual
cardiac patients undergoing treatment in physical therapy
departments. An important advantage is to be able to select
between passive and active therapeutic exercise routines in the
earliest stages of cardiac malfunction. Passive routines can be
used so much more safely on severe cardiac cases and yet can be
seen to give circulatory training to the cardiovascular system.
This work also shows the need to train physical therapists to use
electrocardiography and echocardiography in their evaluation of
physiotherapeutic programs for cardiac patients.
History
School
- Sport, Exercise and Health Sciences
Publisher
© NMA SalemPublication date
1986Notes
A Doctoral Thesis. Submitted in partial fulfilment of the requirements for the award of Doctor of Philosophy of Loughborough University.EThOS Persistent ID
uk.bl.ethos.587862Language
- en