title: [Effect of manual therapy on clinico-pathophysiological status and central hemodynamics in patients with ischemic heart disease].
abstract: OBJECTIVE
  To elucidate effects of manual therapy on clinical status, central hemodynamics and parameters of Holter monitoring in ischemic heart disease (IHD) patients with angina of effort.
  
  
  METHODS
  The examination of 70 IHD patients (functional class II-III) included Kubicek tetrapolar chest rheography in modification of Yu. G. Pushkar, bicycle exercise, 24-h Holter ECG monitoring. The condition of the vertebromotor segments was evaluated at manual tests.
  
  
  RESULTS
  The addition of manual therapy to combined treatment of IHD patients improves sympathetic innervation in the cervicothoracic segments, depresses myofascial hypertonicity, diminishes sympathicotonic effects on the heart, enhances myocardial, coronary and aerobic reserves.
  
  
  CONCLUSIONS
  The results of the study allow recommending adjuvant manual therapy in combined treatment of IHD.
authors.forename: T A
authors.initials: TA
authors.lastname: Kniazeva
authors.forename: R Iu
authors.initials: RIu
authors.lastname: Arutiunian
mesh_terms: D000328:Adult; D000368:Aged; D015716:Electrocardiography, Ambulatory; D005080:Exercise Test; D005260:Female; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D008297:Male; D020393:Manipulation, Spinal; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000503:physiopathology* / Q000534:rehabilitation; D016896:Treatment Outcome