RU2158574C2 - Method of treatment of cervical and thoracal osteochondrosis with neurologic manifestations - Google Patents

Abstract

FIELD: medicine, physiotherapy and neurology. SUBSTANCE: method includes a course of 10-12 exercises which cover pressing back, exercises KHALASANA or PLOUGH; weight lifting. Then, hands with dumbbells are brought together and separated, lowering and lifting of weight or dumbbells behind the patient head. The following exercises are to be performed: pulling of block to breast from atop, pulling of dumbbell to breast by one hand; separation of hands with dumbbells to opposite sides; pulling oneself up on horizontal bar with pronouncing sound KHA. Then, pouring over oneself of water with temperature of 4-6 C is performed. VORTEX mixture is used for meals. EFFECT: provided rehabilitation of patients with pathology of cervical and thoracal parts of spinal cord, neurological disturbances with given pathology and after injury. 7 cl, 1 ex

Description

 The invention relates to medicine, more specifically to the sections of physiotherapy, neurology and physiotherapy exercises, and can be used in the treatment and rehabilitation of patients after trauma, with pathology of the spine, cervical and thoracic spinal cord, as well as for the prevention of various neurological disorders associated with pathology these departments.

 Known methods of treating cervical and thoracic osteochondrosis and the neurological pathology caused by it at any stage, even in the acute stage, require various types of physiotherapy exercises (see Kasvande Z.V. Therapeutic exercises for cervical osteochondrosis, Riga, 1976).

 Depending on the period of osteochondrosis (I-IV), which are initially characterized by cracks in the fibrous ring, disk, nucleus (II), destruction of the fibrous ring (III), rupture (IV), exercise therapy may be characterized by gentle massage in I, III and IV periods to intense exercise in the II period.

 It should be noted that all these classes are carried out against the background of drug therapy and the influence of physiotherapeutic factors (showers, swimming, magnetotherapy, etc.) (see ibid.).

 However, the known method of treatment, which we chose as a prototype, does not provide long-term remission of the disease in most patients of I-II periods, which leads to constant relapses of the disease, persistent pain, constant use of analgesics and the subsequent restriction of labor activity.

 After a severe traumatic injury to the spine, the author of the invention, a physician, was forced to develop and test first on himself, and then on patients with osteochondrosis, a course of exercise therapy exercises. The use of these exercises at the beginning of treatment even exacerbated the pain syndrome, and then came not only the disappearance of pain, but also the complete rehabilitation of the patient, and his return to full daily physical activity.

 The author proceeded from the premise that physical inactivity and hypokinesia are the trigger mechanism for most diseases of the spine. The parts of the body and vessels that are turned off from work do not pass blood through the capillaries to the tissues. Ischemia of the zone of muscles and ligaments and, as a result, a sharp decrease in the mobility of this vertebral-motor segment occur. The treatment with warming ointments and other traditional methods adopted in orthodox medicine are not only not beneficial, but often harmful, because not only do not restore the microcirculation of the ischemic zone, but also enhance interstitial swelling.

 To restore microcirculation, a shock (or submaximal) load is needed, which contributes to the inclusion of off sections in the work.

 Our practice has shown that the correct load regime allows you to get rid of the cause of the blockade. Only physical activity provides fitness.

Types of physical exertion to get rid of both cervical and thoracic osteochondrosis of the I and II periods are the same and include exercises "push-ups from the floor", exercises to raise and lower legs while lying on your back, you can yoga exercises "Halasana", or "Plow" exercises for the pectoral muscles performed on a horizontal bench: bench press, raising and lowering the arms with dumbbells, lowering and lifting the bar, back muscle exercises: pulling the block to the chest from above, pulling the block with one hand, standing on the knee on the supporting platform, and lifting hands to hand with dumbbells sitting on a reference platform; then, active traction is performed to remove the pain dominant, which is the raising of bent or straight knees in the supine position, it is possible on a platform inclined to the horizon, to the chest or behind the head while exhaling with a vowel, “XA”, followed by pouring cold water t ^o C +4 - 6 ^o , can be in the form of a stream or in the form of a shower or bath. And then they carry out psychotherapeutic measures in the form of a suggestion before developing an attitude towards the desire to do physical exercises during treatment and after treatment is completed, and between sessions, therapeutic protein nutrition can be performed using the Vortex mixture.

 The method is as follows.

A patient with cervical and thoracic ostechondrosis initially conducts exercises of "articular gymnastics", which includes pushing up from the floor on the exhale in series of 5-15 exercises with intervals between series of 16-60 seconds, only 10-80 series per session. Then he performs an exercise on raising and lowering the legs lying on his back on an inclined bench, you can use “Halasana”, or “Plow” in the amount of 10-15, exercises for the pectoral muscles, performed on the platform raised above the support for at least 2 series per session of 10-15 repetitions each series. First, a "barbell press" is carried out, then the arms are pulled down and brought together with dumbbells lying on the supporting platform, the pullover is lowered and lifted the barbell or dumbbell behind the head with straight arms. Next, perform exercises for the back muscles, at least from 2-6 series per session, for a total of 8-15 repetitions. Each series includes first the exercise “pull the block to the chest from above”, then pull the dumbbell with one hand to the chest, standing on the knee on the support platform, and finish the exercise by raising the arms to the sides with dumbbells, sitting on a bench with a vertical back. After that, breathing relaxation exercises are performed to remove the pain dominant, which is lying on a platform that is inclined towards the horizon, you can raise bent or straight legs in the knees to your chest or behind your head while exhaling with a vowel, “XA” , only 2-6 series per session of 5-20 repetitions each series. After physiotherapy exercises, physiotherapeutic factors are applied. To do this, pouring cold water with t ^o C +4 - 6 ^o . It is possible in the form of a shower or stream or taking a bath for 10-120 seconds. As additional therapeutic measures, at the end of the session, psychotherapy sessions of suggestion are carried out until an attitude is developed on the patient’s desire to exercise during the treatment and after the treatment is completed, and between the sessions he provides therapeutic protein nutrition, you can use the Vortex mixture.

 When carrying out exercises of joint gymnastics with an instructor, it is good to use rhythmic music at a fast pace, it is better to exhale at the top point of the exercise. When pushing up, try to strain the back muscles, as if tossing themselves with them. When pushing up, not only the muscles of the chest work, but also the back, arms, and diaphragm. By constantly training, you can bring the number of repetitions to 400-800 times.

 Exercises for raising and lowering the legs, for example, "Halasana", known as "Plow", in the amount of 10-15 repetitions provide the formation of a muscle corset.

 Breeding hands with dumbbells, lying on a horizontal bench, is difficult without preparation, but in the future, having mastered this exercise, bring from 12-15 times to 20 times in 2-6 series. For women, the weight of dumbbells is at least 4 kg, and for men 6 kg, then the weight increases.

 In the implementation of the method, the indicated sequence of methods and their quantitative value are extremely important.

 Part of the exercises can be performed on simulators. Exercises such as “pulling the block to the chest from above” are performed on the simulator as follows.

 Exercise machine "Thrust from above" to the chest, the patient is sitting. Knees are fixed with a special parallel bench.

 In the first approach, the weight of the weights is selected so that the patient can perform this exercise at least 15-20 times. When performing this movement, when the arms are at the top and the patient holds on to the handle (shoulder width), a breath is taken through the nose, shallow. At the final phase of the movement, when the handle touched the chest, and the elbows fell down - exhale "XA". In the second and subsequent two approaches, the weight of the load is selected so that the patient can perform this movement 10-12 times with the same breathing rules. In case of pain when performing this and other exercises indicated below, it must be overcome by willpower, i.e. endure. Exercise in biomechanics is correct and safe, therefore, does no harm. And soreness, as a rule, is due to damage to the muscle fibers involved in the movement, but it is these stresses that contribute to their recovery.

 The "pull" of the dumbbell is performed with one hand from the bottom to the chest, standing with one knee on the supporting platform and resting your hand behind this platform, the other leg is supported by the floor.

 In the first approach, the dumbbell is selected with a weight that allows you to lift it 15 times, then the dumbbell is heavier and the exercise is performed 10-15 times in two sets, alternately with each hand without a break. A pause only after performing movements with two hands for 2 to 3 minutes.

 For the next exercise, you also need a horizontal bench and a dumbbell or pancake from the bar, which can be held with both hands. Holding a pancake from the barbell (dumbbell) in your hands, lie on your back with your back and lower your hands with a burden behind your head, trying not to bend your arms at the elbow joints.

 For the next exercise, two dumbbells of the same weight are taken. Lying in the same way as in the previous exercise, spread your arms to the sides, while the arms are bent at the elbows by 30-40 degrees. To exhale at the moment when the hands are clasped above the head. Inhale - when raising the arms to the sides.

 Cryotherapy for discogenic radiculitis is not considered at all by modern clinical practice. cold is considered one of the causes of this disease. The author has proven by his practice and is proving the opposite. Cold water in the form of a shower, bath or dousing with a stream of water promotes a faster recovery, since dosed cold douche helps to improve the microcirculation of painful areas. Doses of taking cold water procedures can vary from 10 seconds to 2 minutes, depending on the psychological readiness of the patient.

 In addition, the reception of cold water procedures can be carried out only after a treatment session, including the simulator and articular gymnastics for 60-120 minutes.

 Auxiliary methods in the treatment of discogenic radiculitis, although well known, are nevertheless not used in modern neurology.

 Thus, the rejection of rest, thermal and radiation methods of treatment, analgesia of anti-inflammatory therapy and hormonal drugs, simple and underwater traction in the patient's passive state fundamentally distinguishes the proposed technique. In addition, the existing methods of treatment do not have a concept, therefore, they are applied haphazardly, by trial and error, which as a result leads to serious consequences for the patient. The method of Bubnovsky S.M. is conceptual, consistent and has a prepared methodological and theoretical basis, therefore, as a result of treatment using this methodology, patients not only recover and return to normal life without any prohibitions, but also feel better than sometimes before the illness.

 Example.

 Patient R-s A.V., driver, Moscow region, 30 years.

 Repeatedly treated, including in a hospital.

 Complaints of pain in the cervical spine with radiation to the hands.

Obno: in the roentgenogram, the shift of the vertebrae C ₄ - C ₅ , C ₅ - C ₆ , TH ₂ - TH ₃ more than 3-4 mm relative to each other. Hypesthesia of the hands.

 Diagnosis: osteochondrosis of the cervical and thoracic, spondylolisthesis of the cervicothoracic, cervicothoracic sciatica.

 The patient spent 12 lessons. Each session included push-ups from the floor in series of 10-12 exercises with breaks between series of 20-30 seconds. Only 20-25 series at the beginning of the course and 30-32 at the end. After that, he performed the yoga exercises “Halasana” or “Plow” - only 15 repetitions in each approach.

 Then exercises on a horizontal bench in 3 series per session of 10-15 exercises. First, the "bench press", then the breeding and flattening of the arms, lowering and lifting the barbell or dumbbell behind the head with straight arms.

 Then exercises for back muscles from 5 series per session of 12 repetitions each series. To do this, the exercises were “pull the block to the chest” from above, then pull the dumbbell with one hand to the chest, standing on the knee, and the exercises ended by raising the arms to the sides with dumbbells, lying on a horizontal bench. To remove the dominant pain, an active traction was performed by gymnastics while lying on an inclined bench by lifting bent at the knees or straight legs to the chest or behind the head on the exhale with the uttering of the sound "XA" for only 2 series of 6-7 repetitions.

After that, the patient was doused with cold water with t 5 ^o C in the form of a stream for 90 seconds. At the end of the classes, relaxation psychotherapy was carried out with the development of an attitude on the patient's desire to engage in exercise therapy after the end of the course. Moreover, between the sessions and after treatment was taken protein preparation "Vortex".

 At the end of 12 lessons, the patient completely disappeared pain, restored sensitivity.

 Observations after 18 months did not reveal a relapse of the disease.

Claims (7)

 1. A method of treating cervical and thoracic osteochondrosis by means of physiotherapy exercises and additional therapeutic measures, including physiotherapeutic ones, characterized in that as “physiotherapy exercises” exercises of “joint gymnastics” are carried out, including push-ups from the floor on the exhale in series of 5-15 exercises with breaks between series 10-60 s, a total of 10 - 80 series per session, exercises for raising and lowering the legs lying on the back, exercises for the pectoral muscles, performed on a platform raised above the support: first, "barbell press ", then raising and lowering the arms with dumbbells lying on the supporting platform, lowering and lifting the barbell or dumbbell behind the head with the hands, then perform exercises for the back muscles, including first the pull block to the chest from above exercises, then pull the dumbbell with one hand to the chest, standing on a knee on the supporting platform, and complete the exercises "raising arms to the sides with dumbbells, sitting on the supporting platform", after which they perform active traction to remove the pain dominant, which is a lifting in a prone position on an area tilted to the horizon Adjection of bent or straight knees to the chest or behind the head at the exit with a vowel sound is only 2-6 series per session of 5-20 repetitions, as physiotherapy after exercise therapy, they are exposed to cold water.  2. The method according to claim 1, characterized in that it is exposed to water in the form of a shower, or stream, or bath. 3. The method according to PP.1 and 2, characterized in that the exposure to water is carried out at t ^o = (4 - 6) ^o C, as additional therapeutic measures at the end of the session, the patient is undergoing psychotherapeutic suggestion before he develops an attitude toward the desire to engage in physical exercises during the treatment and after completion of the course of treatment, and between the sessions carry out therapeutic protein nutrition.  4. The method according to claim 3, characterized in that the protein nutrition is carried out with a mixture of "Vortex".  5. The method according to claim 1 - 4, characterized in that the exercises for the pectoral muscles perform at least 2 series per session of 10 to 15 repetitions of exercises in each series.  6. The method according to claim 1 - 5, characterized in that the exercises for the back muscles are performed from 2 to 6 series per session of 8 to 15 repetitions of exercises in each series.  7. The method according to claims 1 to 6, characterized in that the initial stage of the exercises is performed against a background of pain.