Physiological Mechanisms of the Effect of Modulated Kinesotherapy on the Circulatory System

A new method of modulated kinesotherapy (MK) involving foot-paced movement (walking and running) with the pace and heart rate synchronized by means of a specially developed Marafon training device is described. In healthy subjects and patients with coronary disease complicated by functional class I or II (FC I–II) angina, the heart rate (HR) decreased by 20–25% during the MK; after the MK, the period of normalization of the HR decreased by 30%, relative to the control. The double product index, an integral representation of the circulatory efficiency, decreased by 15–20%. Normalization of the systolic component (on the average, 62.4 and 64.2% increase in the stroke volume and the end-diastolic volume, respectively) and diastolic function (40 and 43% increase in the peak left ventricular early filling rate and the ratio of the peak early filling rate to the atrial filling rate, respectively) was observed. The indications for and the contraindications to the MK application are specified.