Today, an important issue is the problem of the prevalence of partial or complete loss of vision of the working population and its secondary pathology. The primary involvement of the cardiovascular system in the pathological process of this contingent is manifested by functional changes in hemodynamic parameters. The negative trend is exacerbated by forced hypokinesia and overweight visually impaired people. The purpose of the study was to analyze and assess the hemodynamic parameters of middle-aged people with visual pathology, to find out the possibility of expanding the choice of special means of physical therapy that increases the functional state of the cardiovascular system. Materials and methods. The study involved 54 people of middle age with disabilities and pathologies: retinal detachment, myopia with astigmatism, cataracts and glaucoma with a visual remainder of up to 10%, and persons with absolute vision loss. Copying of data from medical documentation and the subsequent analysis of the information received, examination, collection of anamnesis, instrumental methods of studying their hemodynamic parameters and methods of mathematical data processing were used. Results and discussion. In the course of complex medical examinations, grade I arterial hypertension, which was diagnosed by specialists, was found in 14.81% of people. According to the comparison of the actual blood pressure indicators with the clinical guidelines of the International Society of Hypertension (2020), 51.85% of the contingent showed "highly normal" values towards pathological changes. The tendency of a significant decrease also related to the indicators of systolic volume and minute volume of blood circulation. A low level of the body's tolerance to physical activity was established at 62.96% due to the examined patients with complete loss of vision. Conclusion. In the sanatorium-resort conditions, the program of physical therapy of the surveyed included standard means (physiotherapy exercises, massage, mechanotherapy, spatial orientation and psychocorrection). In the course of the study, to expand the existing components of the physical therapy program, the following ones were selected: hydrokinesis therapy, special corrective exercises with "fitball-aerobics" and dance therapy, health path, Scandinavian walking

Keywords: ophthalmological pathology, hemodynamics, physical therapy, arterial hypertension

Full text: PDF (Ukr) 363K

1. Arkhipova LT. Sympathetic ophthalmia. M: Triada; 2006. 247 s. [Russian]
2. Unger Th, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. 2020 International Society of Hypertension Clinical Practice Guidelines ISH 2020. Medscape. 2020 May 29. Available from: https://www.portailvasculaire.fr/sites/default/files/docs/2020_ish_guidelines_hta_hypertension.pdf
3. Diachenko Yu, Skyba О, Kondratyuk S, Pshenychna L. Prognostic research of changes in the phenotypic features in the musculoskeletal apparatus in children with joint hypermobility that require physical rehabilitation. J Phys Educ Sport. 2018; 18(2): 921–925.
4. Khursa RV. Reograficheskie pokazateli tsentralnoy gemo dinamiki i tipyi krovoobrascheniya po dannyim lineynoy regressii parametrov arterialnogo davleniya [Rheographic indicators of central hemodynamics and types of blood circulation according to linear regression of blood pressure parameters]. Med J. 2015; 2: 96–104. [Ukrainian]
5. Troyanovsʹka MM. Adaptyvna fizychna kultura [Adaptive physical culture]. Chernihiv: Taras Shevchenko National University "Chernihiv Collegium". 2018. 104 s. [Ukrainian]
6. Korobkova YuS, Tonkopey YuL. Korektsiya suprovidnykh vehetatyvnykh staniv slabozorykh osib zasobamy fizychnoyi terapiyi ta erhoterapiyi [Сorrection of concomitant vegetative conditions of visually impaired persons by means of physical therapy and occupational therapy]. Ukr J Med Biol Sports. 2020; 2(24): 139–146. https://doi.org/10.26693/jmbs05.02.139
7. Tychsen L. Effects of Immersive Virtual Reality Headset Viewing on Young Children: Visuomotor Function, Postural Stability, and Motion Sickness. Am J Ophthalmol. 2019; 209: 151–159. https://doi.org/10.1016/j.ajo.2019.07.020
8. Périard JD, Travers GJ, Racinais S. Cardiovascular adaptations supporting human exercise-heat acclimation. Autonomic neuroscience: basic & clinical. 2016; 12: 10–16. [Holland]
9. Shahid KS, Wilkinson ME. Evaluation and management consideration for children who are visually impaired. Saudi Journal of Ophthalmology. 2020; 34(2): 124–128. https://doi.org/10.4103/1319-4534.305048
10. Baievskyi RM. Prognozirovanie sostoyaniy na grani normy i patologii [The prediction of states on the verge of the norm and pathology]. M: Meditsina; 1979. 298 s. [Russian]
11. Malikov MV, Bogdanovska NV, Svatiyev AV. Funktsionalna diahnostyka u fizychnomu vykhovanni i sporti [The functional diagnostics in physical education and sports]. Zaporizhzhya: ZDU; 2016. 227 s. [Ukrainian]
12. Bezrukykh MM, Sonkyn VD, Farber DA. Vozrastnaya fyzyolohyya (fyzyolohyya razvytyya rebenka) [Age physiology (Physiology of child development)]. M: Academy Publishing Center; 2002. 416 s. [Russian]
13. Egorova TS. Znachenie individualnoy programmy reabilitatsii (abilitatsii) dlya detey - invalidov po zreniyu [The importance value of an individual rehabilitation (habilitation) program for visually impaired children]. Rus Ophthalmol J. 2018; 11(1): 67-73. https://doi.org/10.21516/2072-0076-2018-11-1-67-73 [Russian]