REHAB PROGRAMS FOR
PEOPLE WITH SPECIAL NEEDS

Programs for persons with specific needs are aimed at improving health and quality of life which is related to a specific disease, and/or secondary conditions arising from the primary condition. A short description of the most common issues related to the below mentioned diseases is provided for your better understanding of the said diseases. Program designing depends on several factors, inter alia - age, gender, history of previous physical activity and nutrition, family history, medications that are currently used to treat a certain disease.

ACUTE MYOCARDIAL INFARCTION

Myocardial infarction, or heart attack, is the result of a complete cessation of blood supply to the coronary artery or its branches. Most often it occurs rapidly and acutely due to thrombosis obstructing the coronary artery lumen and its branches and causing the heart attack. Other causes include left atrial thromboembolism, sometimes even a strong blow to the breast bone (sternum).

If the patient survives a heart attack, myocardial ischemia develops in the affected area first, followed by myocardial necrosis, which is later replaced by fibrous tissue, i.e. a scar.

Recovery is very specific, in certain cases check for other diseases or conditions.

Requirements:

1- Supply a complete health record

2- Supply your Personal Medication Record

3- Family history, particularly important for certain chronic diseases

4- Cardiorespiratory test - not always possible, e.g. because of great damage to the heart muscle

TRAINING PROGRAM FOR PEOPLE WITH ELEVATED CHOLESTEROL LEVELS

Cholesterol is an essential part of the organism required for the normal functioning of each cell. It is a structural element of cellular and intracellular membranes, and, in certain organs, it has specific roles such as:

-Bile acid synthesis in hepatocytes
-Synthesis of steroid hormones in the adrenal crust and gonads
-Transporting fat-soluble vitamins (A, D, E and K).

Harmful effects are manifested only when it is present in the blood in much higher concentrations than normal. Increase in dietary intake of cholesterol affects its level in the blood. It has been proven that a 100 mg increase in dietary intake of cholesterol results in 0.25 mmol/l increase in blood cholesterol in adults. Other factors (genetic, endocrine ...) can also significantly affect blood cholesterol levels.

Atherosclerosis. An increase in LDL, and, thus, the concentration of cholesterol in the blood plasma, leads to elevated transfer of cholesterol esters into the blood vessel cells where they get deposited; which can lead to obstruction of blood vessels, reduction in their natural elasticity, and in a later stage, the formation of a thrombus and myocardial infarction.

Requirements:

1- Supply a complete health record

2- Supply your Personal Medication Record

3- Family history, particularly important for certain chronic diseases

4- Cardiorespiratory test

PRE & POST-NATAL TRAINING PROGRAM

1-Prenatal training programmes are based on cooperation with the doctor who manages the pregnancy and his approval; and certain blood tests are required before designing a program. Features of the program change with each trimester, thus, it is required to change the exercise regime and nutrition program accordingly. Note - blood tests should be performed frequently, because you will get all valid information about nutrition through these analyzes. In certain cases, in case of negative medical history and/or the case the pregnant woman has not engaged in programmed physical activity before, the training program cannot be taken up during pregnancy.

2-Postnatal training program is, on average, taken up about 6 weeks following labor (depending on the type of delivery) and the program design depends on the delivery, hormones and blood test results. Dieting is not recommended at first, especially if there are certain problems with lactation. Note: it is not recommended to use certain diets, due to the above, before consulting a professional.

Requirements:

1- Supply a complete health record, depends on the type of delivery/ natural or cesarean

2- Supply your Personal Medication Record, if any

3- Strength test and flexibility test

4- Cardiorespiratory test

TRAINING PROGRAM FOR MULTIPLE SCLEROSIS-MS

Multiple sclerosis (MS) is a neurodegenerative disorder, and an autoimmune disease that primarily ‘’attacks’’ the white matter of the central nervous system. Multiple sclerosis affects the axons, the long extensions of nerve cells, and certain parts of the myelin sheath are inflamed and damaged. Therefore, MS is considered to be an inflammatory, demyelinating disease induced by immunological changes.

Note-training program and nutrition program are part of therapy, since this is a complicated and partially researched disease, the MSAA (Multiple Sclerosis Association of America) indicates an exercise program as a requirement for health status improvement. Of course, care should be taken in the selection of activities due to the risk of injury.

Requirements:

1- Supply a complete health record

2- Supply your Personal Medication Record

3- Family history, particularly important for certain chronic diseases

4- Strength test and flexibility test

5- Joint range of motion testing, to make it possible to measure progress in the course of recovery

6- Measure the circumference of muscles directly linked to the injured area, i.e. joint or bone - important because it indicates the degree of joint damage and predicts recovery

TRAINING PROGRAM FOR PERSONS WITH MUSCULOSKELETAL INJURIES

The most common type of injury in athletes, recreational athletes and people with specific needs is precisely the damage to the musculoskeletal system. The objective of the training program is not only recovery but also prevention of new injuries. In certain cases it is not possible to rehabilitate an injury or chronic damage but it is only possible to mitigate its effects. This is relative to the specific chronic diseases afflicting mainly the articular system. The most common injuries of the musculoskeletal system include:

-Shoulder girdle and neck injuries
-Elbow joint injuries, e.g. tennis elbow
-Hand, wrist and finger joint injuries, e.g.  chronic diseases afflicting the area
-Lumbar spine injuries, e.g. disc damage, nerve inflammation which usually starts in the lumbar area
-Hip joint injuries
-Knee injuries, e.g. injuries of cruciate ligaments and meniscus
-Ankle joint injuries

Requirements:

1- Supply a complete health record

2- Supply your Personal Medication Record, for the injury

3- Family history, particularly important for certain chronic diseases

4- Muscle strength test and flexibility test

5- Joint range of motion testing, to make it possible to measure progress in the course of recovery

6- Measure the circumference of muscles directly linked to the injured area, i.e. joint or bone - important because it indicates the degree of joint damage and predicts recovery
Mobile: +381 64 30 52 679; +971 56 29 62 804
e-mail: milanext@gmail.com

TRAINING PROGRAM FOR ARTHRITIS AND SIMILAR DISEASES

Rheumatoid arthritis is a chronic inflammatory rheumatic disease which affects joints, but sometimes internal organs, nervous system and skin, as well. It belongs to a group of the so called systemic connective tissue diseases. Inflammation begins in the synovial membrane - the membrane that lines the inside of the joint and provides nutrition for articular cartilage and the creation of joint fluid. This leads to the formation of pannus - abnormal tissue of the inflamed synovial membrane with malignant characteristics. It is manifested in the pain, stiffness, deformation and dysfunction of affected joints.

In all chronic diseases it is necessary to make a correction in nutrition and exercise programs. It is a compulsory part of therapy which can improve the quality of life in combination with certain medications.

Requirements:

1- Supply a complete health record

2- Supply your Personal Medication Record

3- Family history, particularly important for certain chronic diseases

4- Strength test and flexibility test

5- Joint range of motion testing, to make it possible to measure progress in the course of recovery

6- Measure the circumference of muscles directly linked to the injured area, i.e. joint or bone - important because it indicates the degree of joint damage and predicts recovery

TRAINING PROGRAMME FOR OSTEOPOROSIS

Osteoporosis is a disorder characterized by bone mass loss, and it is typical for postmenopausal women and it can cause fractures. The disease occurs when osteoclasts attack and degrade a bone, and osteoblasts are not able to completely rebuild it, as is normally the case.

Note: an exercise program is essential in this case, however, certain activities such as running and jumping are discouraged, therefore care should be taken when designing the program.

Requirements:

1- Supply a complete health record

2- Supply your Personal Medication Record

3- Family history, particularly important for certain chronic diseases

4- Strength test and flexibility test

5- Joint range of motion testing, to make it possible to measure progress in the course of recovery

6- Measure the circumference of muscles directly linked to the injured area, i.e. joint or bone - important because it indicates the degree of joint damage and predicts recovery.

TRAINING PROGRAM FOR DIABETICS

Diabetes mellitus, commonly referred to as diabetes, is a chronic, incurable systemic metabolic disorder, which is characterized by hyperglycemia, i.e. sustained elevated level of glucose in the blood. It is mainly caused by hereditary factors, and it occurs due to reduced secretion or reduced biological effects of the hormone insulin, or a combination of the two factors. This deficiency interferes with carbohydrate, fat and protein metabolism in the body (which is manifested in typical complaints), and after a longer period it affects the structure and function of blood vessels, nerves and other vital organs and organ systems.

Type 1 Diabetes (insulin-dependent) - a nutrition and exercise program is only a part of the health status improvement, while in Type 2 Diabetes (non-insulin dependent, i.e. pancreas still excretes a certain amount of insulin) a nutrition and exercise program is one of the most important items for stopping the progression of this disease.

Requirements:

1- Supply a complete health record

2- Supply your Personal Medication Record

3- Family history, particularly important for certain chronic diseases

4- Strength test and flexibility test

5- Cardiorespiratory test

6- Certain blood tests

7- Determine whether diabetes caused damage of other systems in the body e.g. thyroid gland

TRAINING PROGRAM FOR PEOPLE WITH ELEVATED BLOOD PRESSURE-HYPERTENSION

Arterial blood pressure is the force per unit area exerted by the circulating blood against a vessel, which is caused by the contraction of the heart muscle and the consequent suppression of blood through the cardiovascular system. Hypertension is one of the three main risk factors for coronary heart disease together with excessive weight and smoking. In addition, complications caused by hypertension include kidney failure, stroke, dementia, impaired vision and etc.

In the case of this disease, the training programme and the nutrition programme are an integral part of recovery. If blood pressure is extremely elevated - then the above programs are complemented by certain medications.

Requirements:

1- Supply a complete health record

2- Supply your Personal Medication Record

3- Family history, particularly important for certain chronic diseases

4- Cardiorespiratory test

TRAINING PROGRAM FOR ASTHMATICS

Asthma is often a chronic inflammatory disease of the airways characterized by different and recurring symptoms, reversible airflow obstruction, and bronchospasm. The usual symptoms include wheezing, coughing, chest tightness and shortness of breath. It is believed that asthma is caused by a combination of genetic and environmental factors. Note: in certain cases phenomenal progress can be achieved, e.g. in the youths up to 18 years of age.

Requirements:

1- Supply the complete health record on the origin and type of disease

2- Supply your Personal Medication Record

3- Family history, particularly important for certain chronic diseases

4- Strength test and flexibility test

5- Cardiorespiratory test, if possible

6- Measurement of inspiratory and expiratory capacity
 
 
 
 
 
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