Chapter-1 / Physiological Foundations - WHNLive Public Library

t48xlD J WsEhmmahooofMe ~crdieal, cardially conditioned. 25constraint ofmobilityfthrough 20"Initial mobilization" 15during the firstsessiDl1S of the work 10O 2 MT regenerationprocedure5oInitialmobilizQfionI1/2VJIfast ,Low-riskrehabil;lation(with energetic exercise training)~ S 6 .,!-/51-- . ~stlH no exhaustion ./ (mobilily no longer reslncled )hi. Iil1ldtd by IIIIStt of I-l1ec/ang,nal complaints(serell ry restrained mobill1y) ~N° of sto"ysellchofJm,climbed in theglrtn filM13in 26DS12 in 2+0$f-- 8in 160 $4 in 80 S1 in 20 s8 9 session (day)o It 8 12 16 20 24 28 32 36100'r--I--............-...........~mmHgl....-..................--"_""""--"""""-k Pa13Course of the arterial pOZIat rest, during the Oz-H7 f gOI--------+-----+----4----=-~+-----+IZregeneration procedurewith a total of 36 hours, 11here diY/ded between R 80J----+---,JC---4---+----+--~9 sessions of It hours. 02-trt(ftSfingl10Measurement 1+ daysafter entt ofcure, elercisetraining rontinued10 '---'--~__~~-~---L.-~~~---I1 Z 3 4 5 6 7 8 9 session (day)If -Fig.89 Example of risk reduction and speeding-up of rehabilitation in a 55-yr-old infarct patient through initialelimination of cardially-conditioned constraint of mobility with the aid of the 02MT procedure GK 4-1 (A). This"initial mobilization" of the patient is of principal importance for the general problem of rehabilitation and isclosely connected with the increase in the arterial resting.poz (B) and the decrease in the venous resting Pooccurring during the 02MT cure (increase of physical fitness) 21.2.4 Shock syndrome and oxygen multistep therapyShock is a clinical syndrome affecting ill personswith more or less acute onset ofcirculatoryinsufficiency; ill persons who are peculiarlydazed, sense increasing weakness, whose extremitiesare cold, and whose skin is cool anddamp, who have a fast, weak pulse, in whomthe excretion of urine decreases more andmore, and in whom a drop in the arterial bloodpressure can frequently - but not always - bemeasured. If the various causes which attackthe different sites of the circulatory system arenot eliminated in time - in other words, if the"point of no return" has been reached - thanthe causes and consequences of the acutecirculatory insufficiency superimpose: theshock becomes irreversible. Shock need timefor its development and its clinical picture idetermined by the juxtaposition of auhost's compensation mechanism and generaland local consequences, which sometime forma vicious circle. The purpose of the cir ulationis fulfilled in its periphery that is in the dirneighborhood of the respiring ell and ti u .In this respect, shock i a more or Ie a utfailure of the circulation, in which I all andpronouncedly the capillary ir ulati n dr pacut ly to below th r quir ment f th tisues,simultaneously in e ral organ . Thus thmicrocirculation b om th k t th qu litativelyand quantitativ I ntr 11 dint r-