eng Oriental Scientific Publishing Company Biomedical and Pharmacology Journal 0974-6242 2020-12-30 13 4 1653 1658 10.13005/bpj/2040 35994 article Svetlana Yu. Zavalishina 1 Vladimir Yu. Karpov 2 Maxim V. Eremin 3 Elena D. Bakulina 2 Alexander S. Boldov 3 Alexander V. Dorontsev 4 Department of Adaptive Physical Culture and Recreation, Russian State Social University, 129226, Moscow, Russia Department of Theory and Methods of Physical Culture and Sports, Russian State Social University, 129226, Moscow, Russia Department of Physical Culture and Fundamentals of Life Safety, Moscow State University of Psychology and Education, 127051, Moscow, Russia Department of Physical Education, Astrakhan State Medical University, 414000, Astrakhan, Russia The development of coronary atherosclerosis leads to the formation of coronary heart disease, which threatens early death or disability.  Such patients need a shunt operation to restore blood flow in the vessels of the heart.  After this operation, patients need complex rehabilitation, which has strict stages.  To expand the physical activity of patients after coronary bypass grafting, a system of motor activity consisting of 7 steps is used, modified for use in Russian clinical conditions for the rehabilitation of patients after shunting of blood vessels supplying the myocardium.  This technique involves the use of seven stages of motor activation of patients, through the use of complexes of medical-physical culture with a gradual strengthening of gymnastic exercises, through the use of training using exercise bikes and dosed walking in open areas, built on the principle of "from simple to more complex."  The first two stages of motor activation are applicable to patients immediately after coronary artery bypass grafting at the stationary stage; 3-5 stages of motor activation are physiologically justified for in-patient rehabilitation; the 6-7 steps of motor activation are applicable to patients on outpatient rehabilitation. https://biomedpharmajournal.org/vol13no4/optimization-of-physiological-processes-in-conditions-staged-activation-of-motor-activity-in-cardiac-patients/ Atherosclerosis Coronary Artery Bypass Grafting  Physiology Muscle Activity Rehabilitation