RU2282428C2 - Vibration exercising for talocrural articulation - Google Patents

Abstract

FIELD: medicine and therapeutic physical culture.

SUBSTANCE: method involves doing exercises in the form of rocking-vibrating motions of talocrural articulations in various directions, said exercises being initially done with relaxed articulations and said motions being done within possible limits of mobility in talocrural articulations and until appearance of feeling of moderate pain; providing exercises including inertial motions by leg, accompanied with striking of feet against floor, striking of feet against each other and against shin; doing exercises including motions directed at working out of talocrural articulation and simultaneously providing stressing and relaxation of muscles participating in said motions; doing complex of gymnastic exercises including physical action upon talocrural articulations by patient's hands and legs.

EFFECT: wider range of means for treatment and prophylaxis of arthritis and arthrosis of talocrural articulation.

Description

Description of the invention.

The present invention, based on inertial movements, relates to physical therapy (medicine) and is intended for use in the following situations:

1. In the treatment of various diseases (arthritis, arthrosis, etc.).

2. In the postoperative recovery process of the ankle joint, in connection with injuries and injuries, both in medical institutions and at home.

3. In the prevention and treatment of functional insufficiency of the ankle joint and feet.

4. To strengthen and increase the flexibility of the ankle joint, in order to fully improve.

5. To combat the debilitating pains of various forms of arthritis and arthrosis.

Currently, in physical therapy for physical treatment for the ankle joint, ordinary sports physical exercises are used, performed by smooth, swinging movements, inconvenient for use due to their severity, as they require high endurance from the performer, and moreover they are ineffective, because their physical effect on the diseased organ is weak. This, according to the author of these lines, is expressed mainly in the fact that smooth movements occur at a certain tension of the musculo-ligamentous structure, which does not contribute to the expansion of blood vessels. Such, apparently, is the mechanics of the action of smooth movements. In contrast to them, the inertial movements of body parts by nature are such that they can only be carried out with relaxed muscles, and, moreover, causing spontaneous expansion of all types of vessels (arteries, veins, capillaries). The presence of full blood in the body in full, as you know, is the main factor for treatment and recovery. Therefore, there is reason to consider inertial gymnastics a powerful tool in protecting the health of the population, even the most effective and beneficial for the people and the state as a whole.

A serious drawback of currently used therapeutic exercises is that due to the volume of movements of body parts, when the torso and limb work are performed with wide amplitudes, there is no way to perform them hundreds of times in each of 3-4 workouts per day, as required by the specifics medical gymnastics for full therapy. Similar flaws in smooth movements are more than ten (this is the opinion of the author). Along with this, the need to have a special method in the arsenal of physiotherapy exercises for use in the prevention, treatment and strengthening of the ankle joint is dictated by the fact that, both at the disposal of medical institutions and the population of Russia, there is no instructive and other literature on this topic.

So, in the textbook for higher educational institutions “Physiotherapy of Physical Education” (author V. I. Dubrovsky, publisher: Moscow, “Vlados”, 2001), physical exercises focused on the treatment of the ankle joint for diseases are generally not available.

In the "Directory:" Physiotherapy exercises "edited by V.A. Epifanov, there are also no special exercises for the prevention and treatment of ankle joints. In the scientific works of Professor Moshkov they are also not available.

In the "Complete Encyclopedia of Medical Gymnastics" (Publishing House "Owl", St. Petersburg, 2003) there are no exercises for legs and arms, in general.

In all the works mentioned above there are no physical exercises built on inertial movements, which gives the right to assert: the author of these lines is Nikolai Mikhailovich Mikhailov, the author of the discovery about the possibility of using inertial movements with body parts in therapeutic gymnastics, as well as in general strengthening physical education.

The purpose of the invention: Providing medical institutions and the population of the Russian Federation with more advanced training aids for the prevention and treatment of ankle joints, as well as to strengthen and increase their strength in physical education classes in schools, universities, in the armed forces.

The described method of “Rocking - shaking movements for the ankle joint” consists of physical exercises, the following gymnastic methods, not known to medical science.

1. The method of inertial - relaxed gymnastics. 11 exercises.

2. The method of inertial - shaking gymnastics. 11 exercises.

3. The method of inertial - shock gymnastics. 12 exercises.

4. The method of inertial - intense gymnastics. 13 exercises.

5. Auto-inertial inertial gymnastics. 5 exercises.

The essence of these methods are described below, in the section "Physical exercises of the method".

In the mechanics of the “influence” of the proposed method of therapeutic gymnastics on the ankle joint, the main therapeutic agent, as in all methods patented by me, is the inertial movements of body parts with relaxed joints involved in exercises included in the complexes of the above gymnastics methods. The moving parts of the body, in particular the feet, lower legs, knees, produce such specifically inertial, with a certain speed, movements in the ankle joint region that are accompanied by mutual collisions of the ends of the jointed joints of the lower leg and foot of the ligaments, tendons, etc. p., as well as such gymnastic phenomena as stretching and pulling in all directions (longitudinal and transverse, circular), tension and relaxation, squeezing and unclenching. One and the same exercise of the method can simultaneously become the source of several phenomena: when moving in one direction - one, and in the opposite movement - the other. With each inertial movement, some muscle group, some ligaments, tendons of the joint are stretched, and others, especially those located on the opposite side of the joint, are contracted (compressed). And with vibrational and shaking movements, when parts of the body (feet) move (right-to-left, etc.) with the same pressure on both feet (by the connecting method), rhythmically repeated contractions and stretches occur in collisions at both positions of the joint.

In the process of such repeated movements, the articular apparatus receives two mutually complementary physiological effects: massage and gymnastic effects.

The massage effect in the joints of the ankle joint is obtained as a result of mutual indentations, inertial sliding movements of the lower leg and foot, friction against each other and tremors (vibrations), as well as such types of techniques characteristic of general massage as stroking, rubbing, striking, kneading.

The gymnastic effect is created in the details of the joint as a result of the moments of tension and contraction that occur during inertial movements, tension and relaxation, which are necessary both for the general physical strengthening of the joints of the joint and for treatment.

From the point of view of the scientific approach, according to my own hypothesis, the massage and gymnastic effects described above and the therapeutic factors generated by them are primarily due to the qualitative properties of the inertial energy delivered to the joint (and in general to any diseased organ) moving in this method at a certain speed , body parts (legs, arms, torso, head). The parts of the body, sharply colliding in their movement from the resistance of the articular apparatus, create an environment in which inertial energy arises, which, penetrating the thickness of the diseased organ, into the joint mechanism, awakens the weakened vibrational energy existing in them, which in Chinese medicine is called "life energy ". All this happens, as it were, according to the law of physics on inertia. According to my experimental studies, vibrational energy, known in the art, which, by the way, destroys airplanes by being transmitted through metal, has the property of being transmitted through muscles and other human tissues, increasing their physiological activity.

Inertial shocks of body parts cause a certain force of tension in the articular cavity.

Stresses of the joint structures (tissues of any organ) - muscles, cartilage, ligaments, etc. - occur to a certain extent in all exercises of all the above gymnastics methods. This situation causes the formation of heat, promotes the activation of vibration.

The process of heat generation here contributes to an increase in the level of blood circulation, which is one of the important properties of inertial movements.

I first found out about the presence of constantly existing vibrational energy in the body by reading a book published in Japan and published in 2003 by the Nevsky Prospect Saint-Petersburg Publishing Company Katsuzo Nishi Health System. On page 175 of this book indicates:

“The whole human body is imbued with energy - to every cell. This energy must be alive, that is, mobile, fluid, in motion. The main form of energy movement is vibration. Living means vibrating ... Forcing our etheric body, its cells, its organs to vibrate, we awaken the movement of energy in it and bring back the healing powers that have fallen asleep ... Illness is nothing more than a violation of the Law of Nature. And first of all its main law - the law of energy movement. "

Along with this, on page 222 proving the concept of “Improving energy vibrations”, the book says that there are several ways to make cells vibrate.

“One of them is physical activity,” creating “tremors that make cells come to life.”

“Healing vibrations are healing and rejuvenation at the deepest, cellular level” (p. 223). “The vibration method is purification at the deep cellular level” (p. 224).

However, the author of the book did not get to the understanding of what is still the source of this energy. The exercises given in the above book, in confirmation of the above concept, are focused on the generation of vibrational energy using only the “vibrating movements” of the fingers, through prolonged self-hypnosis, without any gymnastic movements. By the way, my attempts to carry out some exercises using this method were unsuccessful.

On the mechanics of the action of the inertial energy of body parts on the body

On page 14 of the book is a brochure "Lecture No. 1, the theme of" Introduction "" Oriental medicine ", an international lecturer in phyto-directory of Bikbaeva F.R. (ed. 2002), related to the Russian corporation for the sale of food additives, in the section "Calcium", as the drug says:

The main role of calcium is when it enters the muscle cell - it contracts when it exits - it relaxes. 1% of the calcium contained in the blood is involved in this process, that is, we all live off calcium, because everything in our body is based on muscle contractions: heart, intestines, eyes, etc. Billions of Ca ions come in and out of the cell, and we live by this. 1% Ca is so small, so the body stores it in a "warehouse": in bones, teeth, nails, hair ... calcium must be replenished every day.

My assumption about the biomechanics of inertial movements

Inertial movements increase blood supply in a diseased organ and replenish calcium reserves in it. Calcium awakens muscle vibration - healing energy, contracting and relaxing muscle cells, i.e. cells are compressed and unclenched, vibrate.

My opinion: vibration, as a form of movement, should be attributed to inertial energy along with vibrational, vibrational. Vibration treatment devices operate on the principle of my inertial movements with parts of the body.

About calcium (extract from the book "Products" Tiens "):

Science knows that calcium is the most active element in the human body in such processes as: muscle reaction, blood coagulation, conglomeration of cells, nerve impulse, and heart rhythm transmission. 99% of calcium is contained in the skeleton and teeth, 1% - in human blood. An adult should receive 800 mg of calcium daily.

Calcium deficiency can cause many diseases.

In youth, such diseases: convulsions, poor sleep, allergies, short stature.

In middle old age: osteoporosis, weakness and numbness in the extremities, discomfort in the lumbar region, stoop, hypertension, sugar disease, constipation, drowsiness, general malaise, cramps, psychasthenia, stone disease, decreased growth, blood vessel disease of the heart and brain, dementia , vascular sclerosis, cancer.

Calcium is needed for the brain, nervous system, activates the activity of brain cells, boosts intelligence, "Brain Calcium" (Chinese product) is sold as a dietary supplement against brain aging.

The above concept of the biomechanics of the effects of inertia moving parts of the body on certain organs and on human health as a whole, if we consider the musculo-articular apparatus as a powerful reflexogenic zone, upon stimulation of which the vegetative functions of the body change, can become, in my opinion, a theoretical basis for the emergence of a new science in biology. This idea arises due to the fact that in the process of converting inertial energy into vibrational energy, there are essential signs of a regular, biological healing process that requires study for the benefit of man - unless, of course, existing science - biophysics should deal with this problem.

Convincing evidence of the scientific validity of the concept of my methods of therapeutic gymnastics "Inertia-teralia", in my opinion, is the generally recognized health-improving effectiveness of jogging. In the process of such a run, unlike the usual ones, in the same way as in the Inertiotherapy methods, the running movements of the legs and the accompanying movements of the arms, trunk, etc. occur by mutual inertial impacts and shocks of the vertebrae and articular joints with each other, i.e. in a physiological situation, causing the inertial energy, stimulating the functioning of the healing vibrational energy of the parts of the body.

By the way, we note along the way that in the Encyclopedia of Self-Healing by Meir Schneider, EKSMO - PRESS, Moscow, 2001. (translation into Russian) emphasizes the usefulness of movements with relaxed muscles. In addition, on page 317 in the chapter “Arthritis” it is said: “As long as there is at least some mobility in the joint, you can prevent not only its complete ossification, but also restore the full or almost complete mobility that it lost. For a person who is determined to restore his health with arthritis or after an injury, two factors can be remembered.

First: the range of each movement can be increased gradually, and even the smallest shift of the joint from its original position can maintain the ability of the joint to move and prevent its further degradation.

The second important factor: remember that not all your pain is directly related to the state of our tissues ... Studies have shown that pain partially depends on perception.

They constantly experience fear under the influence of memory of the past.

pain, irritation, disgust, about the limitations that the disease imposes on them ... Emotions have an instant, real, measurable and provable physical effect on your body: they can cause muscle contractions, slow down or accelerate blood circulation, change the nature of the digestive process, suppress breathing , and all other functions of the autonomic nervous system. "

About vibrations:

Above, I wrote about beneficial vibrations for the body, but, based on my life's vicissitudes, I come to the conclusion that not only useful, but also harmful vibration sources that begin to act from inertial shocks on them nest and are in the body.

The laws of therapeutic exercises of this method and the entire system "Inertiotherapy".

1. The power of the inertial-gymnastic forces of the body parts oriented to treat each other depends on the speed at which the moment they mutually collide, regardless of the magnitude of the amplitude and swing speed before this moment, because the patient can adjust the speed of the body parts in the process making movements and at the moment of completion of the movement this speed can change: either increase or decrease.

2. The therapeutic effectiveness of inertial movements depends on their quantity and quality:

- from the optimality of speed of moving parts of the body;

- from bringing movement to the optimum limit of mobility;

- from the force with which the collision of body parts occurs, the patient's sensations of “comfortable pain” are regulated.

The main therapeutic properties of the method are the following factors:

1. Delivering a diseased organ from oxygen starvation due to increased levels of blood circulation, as the main factor in recovery.

2. Cleansing the walls of blood vessels from sclerosis, in particular, from the accumulation of calcium salts, expansion of the lumen of blood vessels. Mechanical cleansing of the joint parts from slag deposits due to the sliding movements of the ends of the bones in the joint play (they smooth the joint details, scrape off the coarse granulation tissue).

3. The emergence of conditions for the development to normal functioning of all physiological systems of the joint (blood supply, nervous, endocrine, musculo-ligamentous, etc.), contributing to the activation of the processes of assimilation and dissimilation.

4. Improving the physical condition of the joint, increasing its mobility, improving the well-being and health of the patient.

5. The formation of new, healthy cells, capillaries, fibers of different tissues instead of old ones.

6. This method, as part of the new system of therapeutic gymnastics created by the author, consists of five methods of inertial gymnastics, which creates greater opportunities for versatile effects on the diseased organ.

7. In the process of training the method, the production of synovial fluid is activated; the functioning of the synovial bag improves (lubrication of the rubbing parts of the joint, decreases the friction of the tendons about the bone).

8. Increases elasticity, strength, extensibility of tendons, ligaments, cartilage, which helps to expand the range of joint mobility.

9. Better physiological conditions are created for the treatment of joint diseases as a whole, as well as for the treatment of bullet and shrapnel wounds, fractures, dislocations, sprains.

10. The number of myofibrils in muscle fibers increases, which is accompanied by an increase in muscle strength and their elasticity.

The advantages of this invention are a method compared with those used in official medicine.

1. Exercises of the method are absolutely safe if you control the degree of inertial force with the help of the "comfortable pain" feeling in collisions of body parts from inertial movements.

2. In the movements of the method with relaxed joints, due to its inertia, it is possible to bring parts of the body to the limit of articular mobility, which increases the efficiency of use.

3. The method has the ability to do the physiologically required number of movements, due to their lightness and small amplitude, hundreds of times during one training session, in 20-30 minutes.

4. The method is applicable in the earliest periods of advanced diseases and postoperative recovery, of course, subject to safety precautions.

The novelty of the method and the new terms used in the method.

1. The use of inertial movements of body parts for the first time in the history of medicine for the treatment of specific diseases, postoperative recovery.

2. The discovery of the presence in the human body of vibrational energy that heals an ailment, as a result of inertially moving parts of the body.

3. The phenomenon of "massage effect" is discovered.

4. The phenomenon of "gymnastic effect" is discovered.

5. The novelty is the structure of exercises:

a) at the same moment ("at once") all the movements listed above are carried out by parts of the body, while participating in the movement of up to ten parts of the body;

b) instructions on the moment (pause) of the “Exposure” of inertial motion in seconds after reaching the maximum mobility;

c) the concept of “fixer” in the description of exercises aims the performer to concentrate on the quality of movements, determined by self-awareness, and the meaning and purpose of this exercise.

6. All five methods of therapeutic gymnastics, which together make up this method.

In the description of this method, I used new scientific concepts:

1. "Lateral clubfoot" of the feet.

2. "Medial clubfoot" of the feet.

3. "Details" of the joint.

4. "Backlash" of the joint (instead of the gap).

5. "Fixation" (sensations of the patient at the moment of completion of the inertial movement).

6. "Quality of movement" and "Amount of movement."

7. "Comfortable pain" (as a criterion for evaluating the optimality of the amplitude and power of movements by the performer himself).

8. "Comfortable voltage" (to indicate the sensation of the performer of the exercises at the time of voltage exposure).

9. “Exposure” (this is a pause, calculated in seconds, performed after the end of the inertial movement - for self-monitoring of the quality of movement, comprehension of sensations, etc.).

10. "Knocking" (from the word knocking).

11. “Contraction” - pressure, pressing movement, opposite to “extension”.

12. "Posture of the starting position."

13. The "mechanism" of the joint (to denote everything that is in the joint: cartilage, tendons, muscles, nerves, etc.).

14. “The mechanics of the action of exercises” on the joint mechanism, - instead of the “mechanism of action” on the joint mechanism.

15. “Massage” (there is reason to believe that the “Massage” used in science to explain massage movements is not logical, because the root of the word is not “Massage”, but “Mass.” It was not for nothing that the expression was used in the war:

"Our troops made a massive artillery strike on the enemy." According to the dictionary of the Russian language: “Mass” means - the quantity, volume of the substance and, converting it to “Massage” to explain the processes of body massage, is a phenomenon that does not decorate linguists, the terms “Massage” - “Massage: are consonant and logical.

To the practice of using the feeling of “comfortable pain”.

"Comfortable pain", the performer of this method as a fleeting sensation, appears with every inertial movement, at the moment of collision of parts of the articular mechanism with each other and a sudden stop of movement. To achieve them, appropriate, specially selected by the gymnastics performer levels of movement speed of body parts and pressure on the diseased organ at different stages of treatment are needed.

At the beginning of treatment, when everything is inflamed and severe pains even at rest, the most gentle, mini-pump movements, with low speed and low pressure, with a minimum close distance are needed. As you recover, all these motion parameters should be increased. And in the stage of remission and, in general, healing, to achieve comfortable pains, already increased parameters are needed: a wider range of mobility in the joint, greater speed of movement of a part of the body, higher pressure, otherwise you can’t achieve comfortable pain, which means these movements will be ineffective.

With the onset of full recovery, inertial movements should be carried out by a feeling of comfortable stress, because the principles of movements for comfortable pain will already be ineffective.

The effectiveness of the method.

1. Stops the process of joint deformation.

2. Restores the range of joint mobility and motor functions of body parts, increases the level of flexibility.

3. Reduces the inflammatory process.

4. Smooths adhesions.

5. Eliminates dystrophic disorders of bones, muscles, cartilage, tendons, ligaments.

6. Cleans a diseased organ from slagging and microorganisms.

7. Increases the level of blood supply and microcirculation of extracellular fluid, promoting metabolism and purification.

8. Helps to deal with debilitating pain, creating relatively normal living conditions for the patient.

9. Optimizes the neuropsychic tone of the patient involved in training.

10. In addition to the ankle joint, the knee joint also receives a therapeutic effect.

11. In the process of using the exercises of the method, due to the awakening of vibrational energy, a factor in the natural stimulation of the body’s defense systems is triggered in the diseased organ through the corresponding muscle receptors. For the first time I learned about this unique physiological phenomenon from page 21 of the book by Cheboksary doctor Ismukov “Health without drugs” (published 2000, the city of Cheboksary of the Chuvash Republic).

12. Provides the patient with the opportunity to bring the treatment process over the months and years of hard training to an almost healthy state - of course, with the right lifestyle and regular training 3-4 times a day. By the way, in scientific works there are glimmers of hope for victory over arthrosis, if treatment is started in the early period of the disease. But it’s quite possible to live a normal life with arthrosis, if you regularly engage in the methods of “Inertiotherapy”.

Cautions for use.

1. When performing exercises for the ankle joint, one should not allow the tension of the Achilles tendon, because this leads to a slowdown in venous and capillary circulation (see page 177 of the University Textbook, author V.N. Dubrovsky, Vlados publication, Moscow, 2001).

2. Strictly observe moderation in the selection of the speed of movements of body parts and the level of pressure on the diseased organ, as well as in the number of their accomplishments.

3. According to the theory of VLDG (strong-willed elimination of deep breathing) Buteyko harmful deep breathing, in general, and in particular because they cause tinnitus. Perhaps he is right for certain categories of patients, and this should be borne in mind.

The fact that deep breaths are harmful, I have never met in any scientific work, on the contrary, a deep breath is promoted. From the practice of training in my own ways, based on inertial movements, I come to the conclusion that they can harm the ears by causing noise, combined, combined actions of two gymnastic factors: the most abrupt movements of the head and the most abrupt deep breaths, especially yawning, repeated many times and everyday, without observing the principle of moderation.

The increased danger in this sense, in my opinion, is represented not so much by natural, prolonged deep breaths, but by artificial deep breaths that exceed natural needs, and also yawning breaths when performed in too sharp a form - and even in combination with high sharpness of movements heads. As I understand it, our medicine does not yet have effective ways to deal with tinnitus and deafness, although they seriously complicate a person’s life.

Indications for the use of the method

1. The same diseases and joint disorders that are recommended in existing textbooks and instructions, and those that are named in the description of the essence of the method (arthritis, arthrosis, dislocation, post-traumatic recovery).

2. Bullet wounds, fragmentation injuries, remission injuries, during the rehabilitation period, when the proposed exercises can be performed in compliance with the requirements for comfortable pain.

3. Impairment of joint function.

Contraindications

The general serious condition of the patient, intense pain, osteomyelitis, open wounds, furunculosis, skin diseases, diseases of the ENT organs (perforation of the eardrum, otitis media, tinnitus, frontal sinusitis, sinusitis, etc.).

The most important, common for all types of diseases, contraindication is the impossibility of inertial movements of the gym, even on the principles of using the feeling of comfortable pain from the most minimal (millimeter) distances from the place of pain localization.

Preface to the rules.

The LFK instructor, engaged in the method of treating patients with inertial movements, should be guided, first of all, by the provisions and instructions set forth in the works of Russian scientists, textbooks of therapeutic gymnastics, if they are recommended by the Ministry of Health.

These Rules set forth the provisions regarding patient training, inertial movement exercises related to the "Inertiotherapy" system.

Nevertheless, it must be borne in mind that the existing instructions for exercise therapy are designed for smooth movements, and here, in this new system of exercise therapy, we are dealing with inertial movements. However, many general principles of training are fully applicable in this new system.

Rules for applying the method.

1. More to do those exercises that cause pain (which means that a solid lesion is localized here).

2. In case of increased pain, when it is not possible to perform any exercise according to the rules of comfortable pain with inertial movements, you should conduct training of the method in a smooth movement, gentle mode, moving gradually, as the joint condition improves, to perform them inertial mode.

3. The first 2-3 movements of any exercise should be carried out as trial ones, carefully, with minimal inertia.

4. Exercises should be performed not according to the order of inertial gymnastic methods in the text describing the method and the exercises themselves in the method descriptions, but based on the principles of their gradual use, training, the patient’s health level, taking into account their age, etc.

5. One of the main points in observing safety precautions in training a method is the need to prevent overload of the joint with inertial movements. For these purposes, the patient should be very attentive to the speed of movement of parts of the body. It should only be such when, at the end of the movement, the patient feels “comfortable pain”.

6. Another most dangerous moment for the patient is an overdose of the number of movements. Rest more often, pausing between exercise sessions. The higher the level of joint pain, the fewer the number of movements and the higher their quality and the longer the rest break.

7. Treatment of arthritis and arthrosis should not be local, ie the desire to act only on the disease itself, and should include means aimed at strengthening the general condition of the body (changing the allergic setting of the lesion, increasing the general resistance of the body, increasing its protective properties).

8. Conduct 3-4 trainings daily by way: before lunch, before dinner, before bedtime, doing about 200 movements each time with the ankle joint.

9. Remember that therapeutic exercises for the treatment of joints is the main therapeutic tool. Along with therapeutic exercises, other means must also be actively used to increase efficiency and reduce treatment time.

10. Avoid too sharp movements, especially the head, causing discomfort.

11. Do not take too deep breaths, mindful of the possibility of tinnitus.

12. You should be creative, thoughtful in evaluating the results of training with inertial gymnastics exercises: if the results are good, then you can continue training at the same level, if the deterioration, reduce the level of inertia and the number of movements.

When performing the exercise, one should not succumb to the temptation to increase the power of the inertial pumping pressures on the articular mechanism, not understanding at what distance and at what speed this is done, so as not to harm the force of pressure. While maintaining the feeling of comfortable pain, it can be gradually increased only from small, centimeter, distances in parts (lower leg, foot), so that direct movements in the joint (pivoting or vertical) would occur at very small, millimeter, intervals from the border of the articular range. Along with this, the patient must remember that the pressure on the articular mechanism during any movements depends on the speed of the parts of the body.

And secondly, the initial position of the exercise for the purpose of increasing pressure at first should be as close as possible to the border of the articular range, i.e. to the level of the initial positions of minicells. As the joint is trained at the level of mini-jumpers, the distance of the starting position should be expanded.

All exercises of this method, as well as of the entire system of medical gymnastics Nikolai Mikhailovich "Inertiotherapy", should be performed with shallow breaths, because they are built on short breaths and short exhalations, with the participation of the diaphragm, intercostal muscles, collarbones and shoulders.

With regard to breathing problems, the method fits quite logically into the scientist K. P. Buteiko's "Willful elimination of deep breathing", which states that the cause of many diseases (Buteyko counts them) is: leaching of carbon dioxide from the body during deep breathing, when there is excess oxygen and a lack of carbon dioxide leads to spasms of the bronchial vessels, impaired metabolism and energy (including aching muscles in the muscles, cramps, muscle atrophy, pain in the bones).

Personally, I, as the author of the new system of therapeutic gymnastics "Inertiotherapy", recommend: rationally, within the limits of natural need, deep breathing should be used during gymnastics. And in everyday life - to breathe as you breathe - without special efforts to "strong-willed elimination of deep breathing". When the body needs it, a few deep breaths are obtained automatically, by themselves, without the will of the person. But, of course, one must keep in mind that the performance of certain physical exercises with a feeling of a certain lack of air can also be beneficial.

The question arises: how and how to determine the need for the patient to use deep breaths, you cannot live without them too?

My answer: Only health.

If during deep breaths and after the sensations remain comfortable in the head, on the heart, then it is possible within these limits. If there is a deterioration, then overdo it.

In my opinion, it should be borne in mind that the number of deep breaths, their degree of depth should not be determined by the will of a person, but spontaneously, as well as the duration of exhalation.

Rules for everyday life.

- In the process of treating advanced diseases, arthritis, arthrosis, as well as after injuries and in the postoperative period when walking, use short steps, with rolls of the feet from the heel to the sore toe. Protect foot from rotating outwards. Stop walking for rest in case of fatigue, preventing overtraining of the feet with walking movements.

As the joints are trained, physical strengthening, pain reduction, gradually increase the stride length during normal walking to triple foot length, interspersed with them wider steps within the permissible limits. At the same time, do some exercises from the method “Inertial-shock gymnastics for the ankle joint”, as well as walking with the toes of the feet turned in different directions (left, right, inward, outward).

In addition to training in medical institutions, the patient should do gymnastics 2-3 times a day at home, in accordance with the usual requirements of physical education (fresh air, a tracksuit, before meals or after, after an hour), as well as the requirements of these rules for the application of exercises of the method, especially those related to safety:

a) overloading the joint with excessive pressure when performing exercises without sensations of comfortable pain;

b) overdose by the number of movements. To avoid this, pauses should be made more often, after several movements, do not force. The higher the level of joint pain, the less inertia of movements and longer rest time.

To accelerate physical strengthening, one should practice not only walking on flat terrain, but also climbing wall stairs (stepping, first, on each step, and then through one).

In order to reduce the treatment period, as well as general physical strengthening of the joints of the ankle and other joints, it is recommended:

a) walk in moderately broad steps, often stepping on feet set with socks slightly inward, paying attention to the action of walking on the joints of the legs. This is very useful, especially for those with transverse feet. At the same time, both extensor and flexion movements should occur with wider amplitudes, contributing to the cleansing and development of joints;

b) practice walking sideways forward, doing the maximum length steps with one foot and the normal steps with the other, alternating the position of the legs.

With prolonged physical exertion on the legs (long distance walking, long standing, etc.), it is not recommended to allow overload, rest more often, in order to avoid a further increase in deformation and worsening of joint function.

Call an orthopedic surgeon immediately:

- if already in the morning the legs are very sore and the first steps are hardly taken;

- if the feet constantly hurt and during the day the pain increases.

Method No. 1: Inertial-relaxed gymnastics.

Method essence

According to its characteristics and effect on a diseased organ, including on the feet, this method of gymnastic movements differs sharply from the “general toning” physical exercises used in official medicine treatment, where they use smooth exercises of body parts (meaning without inertial energy) and they are performed with tense muscles.

In contrast to these signs of current therapeutic gymnastics, the main characteristic of physical exercises of inertia-relaxed gymnastics is the execution of movements by parts of the body (arm, leg, foot, spine, etc.) in a moderately sharp form produced with relaxed articular mechanisms ( ligaments, tendons, muscles, etc.).

Thanks to these properties of exercises, taking into account their safety and effectiveness, the possibilities of using the method at the very early stages of the disease or treating injuries and injuries are much increased. prolonged use of physiotherapy exercises is associated in such an environment with a risk of complications of the affected organs on the basis of physical inactivity. Timely initiation of treatment with this gymnastics allows us to successfully solve such primary problems in the treatment of arthritis and arthrosis as prevention of joint deformation, expanding the range of joint mobility, cleansing joint structures of toxins and microorganisms, due to mutual collisions of joint elements among themselves, activating blood and lymph movements in joint, decreased effusion.

According to the author, this method can also be used in rehabilitation treatment after bullet and fragmentation wounds in the joints, in particular, in the ankle. They will be useful for bedridden patients, both for the purposes of direct treatment and for the purpose of enhancing neuropsychiatric tone.

The anatomical design of the ankle joint, in particular, their strength, massiveness, lack of mobility, limit the possibility of using this method, because the weight and size of the foot do not completely overcome the resistance of the massive structure of the joint, as it can be successfully done with shoulder joints.

Nevertheless, the exercises included in this method are quite sufficient to solve the tasks.

Exercises of the method of inertial-relaxed gymnastics.

Exercise number 1.1. Swinging the lower leg with the palms of your hands (to relieve tension and fatigue the joint).

Initial position. Sitting on a chair, one leg is supported on the floor, the other leg is raised with the knee up, the lower leg of which is in a free-hanging position, its ankle joint is relaxed.

Fulfillment: Perform thrashing with alternating light strokes of the palms on the left and right sides of the lower leg, bringing the foot into inertial oscillatory movements. Basting to do from the top of the leg to the bottom and back.

In the same way, do the shinning of the lower leg of the other leg.

Pounding time - 10-15 seconds, with fixing the feeling of comfort of foot movements in the ankle joint and subsequent relaxation.

Exercise number 1.2. Swinging with feet standing on heels, with toes folded outward, sitting on a chair or on the floor.

Initial position. Sitting on the edge of the chair (on the floor), the feet on the heels are shoulder-width apart, socks apart, knees and ankles slightly bent.

Performance. According to another count of movements, inertia-relaxed: swing your toes inward with your socks inward, straightening your knees inertia, avoiding tension of the ankle joints, but allowing them to fall down freely.

Exposure is 1 second, with fixation of comfort from movements in the ankle and knee joints and vibration of the leg muscles. To the sounds of "And" to return the feet to their original position. Perform 5-15 strokes (approximately one roll in 1.5 seconds).

Option. The same exercise is performed by the method of inertial-intense movements, if the condition of the joints allows you to comply with the requirements of the principles of "comfortable pain".

Exercise number 1.3. Swinging with your feet on your heels, with your toes bowed inward, sitting on the edge of a chair or on the floor.

Initial position. Sitting on the edge of the chair or on the floor, the knees are slightly bent, the feet on the heels, the width of the feet, the socks inward (thumbs touching each other), the feet and knees slightly bent.

Performance. According to another count of movements, inertia-relaxed:

- swing the socks outwards - downward, straightening the knees and feet so that the toes of the feet inertially relaxed fall in different directions.

Exposure is 1 second, with fixation of a comfortable collision of the bones of the joints (ankle, knee) and sensations of vibration in the leg muscles. To the sound of "and" return the feet to their original position. Do 5-15 strokes.

Option. If necessary, perform the exercise using the method of inertial-intense movements, avoiding pain above comfortable.

Exercise №1.4. Dropping legs from socks to heels to the bottom, sitting on a chair. Initial position. Sitting on the edge of the chair, the feet are rested with the fingers on the floor, the ankle joints are straightened and tensed.

Performance. Inertia-relaxed:

- release the legs into free fall so that the relaxed ankle joints bend under the weight of the entire leg to the maximum permissible level, but the heels would not hit the floor.

Exposure is 1 second, with a feeling of comfortable flexion of the ankle joints. Return to starting position. Repeat 5-10 times.

Options for starting positions:

- socks of feet rested on the floor with little fingers;

- socks of feet rested on the floor with thumbs.

Exercise number 1.5. Collision of the toes of the feet with the heels back and forth, on straightening, sitting on a chair or lying down.

Starting position: Sitting or lying, bent to the lower leg of the foot, are on the heels, the knees are slightly bent.

Performance. According to another count of movements, inertia-relaxed, at the same time:

- push the toes of the feet forward and down, maintaining the location of the heels and relaxing the ankle joints;

- straighten the knees and ankle joints to the optimum limit, avoiding the impact of socks on the floor.

Exposure is 1 second, with fixing a comfortable feeling of stretching of the ankle and knee joints. Return to starting position. Repeat 5-15 times.

Exercise Options:

1. Socks of both feet collide down at the same time, from the starting positions: socks - straight, socks - apart, socks - inward.

2. Socks work alternately.

Exercise number 1.6. Jumping on toes, turning the heels to the sides for landing on the relaxed ankles.

Starting position: Standing, hands in front of the chest, elbows above the shoulders, knees slightly bent, feet parallel, turned heels to the right.

Performance. Perform jumping movements on toes, turning on the heels, left - right - left, in combination with inertial turns of the arms in the same direction in front of the chest (to the maximum mobility in the joints), landing on the relaxed ankle joints, damping with the knees.

The exposure of each jump is 0.5 seconds, with fixation of comfort or comfortable pain in the joints of the legs, spine, arms. Repeat 5-10 times in each direction.

Exercise number 1.7. Jumping on the heels of the feet with the rotation of both socks in the same direction.

Starting position: The same.

Performance. Make jumping movements on the heels, doing rotational landings on both socks at the same time: right - left - right, to the maximum mobility in the joints, absorbing the load on the ankle joints with slightly bent knees.

Exposure and fixation are the same.

Exercise number 1.8. Jumping on the heels of the feet with simultaneous rotation of the socks in different directions.

Starting position: Standing, socks together.

Performance. Similar.

Exercise number 1.9. Jumping on toes with simultaneous rotation of the heels in different directions.

Starting position: The same.

Performance. Similar.

Exposure and fixation are similar.

Exercise №1.10. Extensor dropping of the toes of the feet with their turning inward, sitting on a chair.

Starting position: Sitting on the edge of the chair, on the buttocks, the legs are stretched forward, the knees are slightly bent, the heels are shoulder-width apart, the ankle joints are bent with the turn of the raised socks outwards (to the sides).

Performance. Inertia-relaxed, at the same time:

- turning the toes of the feet inward, throw them down into free fall, relaxing the ankle joints;

- straighten your knees.

Exposure is 1 second, with fixation of comfortable straightening and relaxation of the ankle mechanism and bringing its degree of mobility to the optimum limit in the extensor play of the joint. Repeat 10-15 times.

Exercise №1.11. Extension legs for the ankle on the heels of the feet, lying or sitting.

Starting position: Lying, sitting knees bend slightly. Ankle joints

bent, in tension.

Performance. Inertia-relaxed, at the same time:

- swing your feet on the extension of the ankle joint, straightening the knees.

Exposure is 1 second, with the fixation of a comfortable extension of the joints. Return to

initial position. Repeat 10-20 times.

Options for starting positions:

1. Feet - straight.

2. Feet - out.

3. Feet - inside.

Method No. 2: Inertial-shaking gymnastics for the ankle joint. The method has no analogues.

Description of the method.

The author did not find any information about the use of such a form of movement in physical therapy as shaking (shaking) in the scientific literature.

In some writings, the concept of “concussion” is used, in cases where there is a need to designate movements in the form of trembling that occur without inertial movements, or when judging massage and motor manipulations with fingers on a particular part of the body in its static position.

However, such exercises cannot be considered by the author as prototypes or as analogues of the proposed method of shaking gymnastics.

This method of the method includes seven physical exercises for the treatment of the ankle joint, for performing by bringing the lower leg and foot into a state of fine-oscillating oscillatory movements in different directions, during which the main physical, mechanical effect is received by the joints of the ankle joints, as well as the joints of the feet. Depending on the initial position of the exercise, the articular backlashes (crevices) of the ankle and foot joints and the tissue structures that make them (muscles, tendons, ligaments, vessels, etc.) undergo mainly forms of gymnastics such as stretching (rectilinear, rotary), constriction (from rectilinear and rotary shocks of the articular bones to each other).

Exercises of the method of shaking gymnastics are supposed to be used as a gentle inertial-relaxed gymnastics. In addition, foot shake can be used to relax joint mechanisms, performing shaking in a less energetic mode, with fewer vibration frequencies per second.

The sequence of the process of a single roll, which is included in the shaking, is expressed schematically in the following. A leg stretched up, to the side or to the bottom, standing, lying down, etc., being in the initial position in a slightly bent state, the patient will sharply straightens by the force of the will of the knee (not completely) and at the same time, the foot is inertia, automatically, thrown to the side or up or down, depending on the position of the body. By the inertial force received from the knee roll, the foot bounces and stretches the ankle joint with all joints, and when the knee returns to its original position, it moves the foot back to its previous position - not smoothly, but sharply, inertia, creating the effect of squeezing, tightening and producing in the joint play mechanical collision of parts of the joint with each other.

The amplitude of the shaking vibrations of the knee and heel is 4-7 cm, depending on the length of the leg. When shaking, the foot makes shaking small ellipsoid closed curves, centered in the ankle joint, which is important in the development of the ankle.

The inertial-relaxed gymnastics method included in the method, the inertial-shaking gymnastics method are complementary methods; both are performed with relaxed joints and both have basically the same properties, in the sense of the mechanics of the impact on the joint mechanism, both of the sick and practically healthy.

Signs of shaking movements in the ankle joint.

1. Shaking is a frequent movement: more often oscillatory, and vibrational - more often rocking. The frequency of shaking is 5-6 vibrations per second.

2. Shaking - this is opposite to each other rocking movements.

3. Shaking is done with quick, speedy movements, when the movement of the toe of the foot is perceived as solid ellipse curves.

4. Shaking movements are performed with great inertial force.

5. In the shaking of the foot mainly two joints are involved: the knee as active and the ankle as passive. The knee joint is the driving force of shaking, and the ankle joint is the joint treated by shaking using the knee.

6. Shaking - shallow vibrations.

7. Shakes are with foot movements: vertical, rotary, flexion, extension.

8. At moments of shaking, the knee joint, shaking the foot, simultaneously processes itself; the actions on the own joint at the knees increase in this case as the level of their pitching approaches the limit of full straightening.

9. Depending on the initial position of the leg and posture of the foot, the ankle joint feels the beneficial effects of various forms of movements in the backlash (pulling and stretching in different directions of the joint backlash) when shaking, perceiving them as unfamiliar, previously unknown sensations. But, however, finding comfortable phenomena in them, if, of course, the exercises are performed correctly. The presence of discomfort, especially unpleasant pains, should be regarded as a signal for the cessation of movements, which indicate that the inertia of shaking exceeds the level of joint health in strength.

10. When the knee rolls to straighten, the foot, spontaneously bouncing off the lower leg, straightens, extending the ankle joint and expanding its backlash from the front of the joint.

11. When rolling the knee in opposite directions, to bend its own, there is an automatic bending movement of the toe of the foot to the lower leg and some narrowing of the backlash stretched before this, the moment of the rolling to straighten. And besides this, with the flexion movement of the foot, the anterior musculo-ligamentous tissues of the ankle contract, narrowing the joint play, and its posterior tissues, together with the Achilles tendon, are stretched.

The mechanics of the method.

1. By shaking the musculoskeletal systems of the joint, the method improves the level of the general physiological process, assimilation and dissimilation in it.

2. Shaking movements of the gymnastics stretch the articular joints connecting the bones of the lower leg and foot, as well as the vessels, muscles passing through them.

3. Shaking stretches and strengthens tendons and ligaments.

4. Shaking improves blood circulation in the joint, cleansing and dilating blood vessels.

5. They make mechanical cleaning of toxins from the "parts" of the joint, due to their mutual collisions and shaking.

The effectiveness of the inertial-shaking gymnastics method for the ankle joint depends mainly on the following factors accompanying inertial movements in the joint.

1. From the speed of shuttle movements of the ends of the bones of the leg and foot during shaking in a limited interval of the joint play and the strength of mutual collisions of the joint parts and bones.

2. From the degree of slagging of articular play.

3. From the magnitude of the amplitude of the vertical and rotational movements of the ends of the bones of the leg and foot (the talus and calcaneus), within the joint play.

4. From the level of relaxation of the articular apparatus at the time of shaking movements.

However, it should be noted that the main driving force that determines the quality of these factors is the degree of inertial sharpness of the flexion and extensor movements of the knee and hip joints.

Rules for the application of the method of shaking gymnastics.

1. Training in shaking skills should begin with the production of rare vibrations corresponding to the amplitude and frequency of the shakes.

2. The first few shaking movements should be careful, as warm-up.

3. Classes with shaking exercises are more effective if the legs are shod in sneakers or weighty low shoes, to increase shaking pressure in the joint play.

4. Shaking pitching must be brought to the optimum limit of mobility in the joint play.

Exercises of the method of inertial-shaking gymnastics.

Exercise number 2.1. Vibrating shaking of legs and feet, standing.

Starting position for shaking the lower leg and foot of the right leg. Standing on the left leg, the left arm in support, the right leg in the hips, laid to the right, the feet are shod in heavy shoes, the joints of the legs are relaxed.

Performance. Performing small-frequency movements with the help of the knee and hip joints, bending and unbending the knee, shake the foot.

Exposure to the shaking session for 5-10 seconds, with interruptions of 5-10 seconds, with fixing the feeling of comfort in the joints.

Perform similar exercises for the left leg.

Shake options: foot in the front position, in the back position, the foot is set to the right, the foot is set to the left.

Exercise number 2.2. Shaking feet, standing on all fours (knees).

Starting position for shaking the foot of the right leg. Standing on all fours, the left hand is supported on the elbow, the right straightened hand is laid palm on the floor, the right leg, with relaxed joints, is laid back and the foot is lowered to the bottom directly, but is hanging (the floor does not touch).

Performance. Using small-frequency flexion-extensor swings with the knee of the leg stretched back, to make shaking rocking movements for her foot within the backlash of the ankle joint.

Exposure to a shaking session for 10-15 seconds, with fixing the feeling of comfort in the joints from vibration. Repeat 3 sessions.

Do an exercise to shake the left foot.

Execution options: socks to the left, socks straight.

Exercise number 2.3. Shaking feet lying on its side.

Starting position for shaking the foot of the right leg. Lying on its side, the left arm under the head, the left leg is slightly bent, the right leg is freely extended, the joints are relaxed, the feet are in sneakers (or boots).

Performance. Raising the right foot to the level of the height of the right shoulder, make shaking of the foot.

Exposure to a shaking session for 5-15 seconds, with fixation of the release of the ankle joint from stress. Repeat 3 sessions.

Perform the same way shaking the feet of the left leg, lying on the right side.

Exercise number 2.4. Shaking feet with torso to the sides, standing on one leg in sneakers.

Initial position. Standing on one leg, the torso is tilted to the side, the active leg, laid aside, is in weight, one arm is in the support (when tilted to the right, the left arm is in the support and vice versa).

Execution Options:

1. Shaking the feet of the left leg while tilting the body to the right, moving the lower leg to the left, standing on the right leg (the right arm is supported).

2. Shaking the feet of the left leg when tilting the body to the left, moving the leg to the right (in the support of the right hand).

3. Shaking the feet of the right leg, with the body tilted to the left, moving the lower leg to the right (the left arm is in support).

4. Shaking the feet of the right leg to the left side when the body is tilted to the left (the left arm is in support).

Exposure to shaking for 5-10 seconds, with fixation of comfortable sensations of movements in the ankle joint. Perform 1-2 sessions.

Exercise number 2.5. Shaking feet, lying on his back, with legs raised up.

Initial position. Lying on your back, legs raised vertically upward, palms under the pelvis, ankle joints relaxed.

Performance. Performing small sharp and frequent flexion-extensor movements of the knee joints, perform jolting heels with the feet.

Exposure of the session is 8-15 seconds, with fixation of the sensation of comfortable movements in the ankle joints, with a pause of rest twice the session.

Execution Options:

1. The legs are tilted to the left.

2. The legs are tilted to the right.

Foot poses in all variants.

1. Stops straight.

2. The feet are turned toes to the left.

3. The feet are turned toes to the right.

Exercise number 2.6. Shaking pitching feet with legs down, lying on his back.

Initial position. Lying on your back, palms under the pelvic ring, hips raised vertically upward, knees bent down with freely hanging legs and feet.

Performance. Using the tension of the hip joints and muscles of the thighs, to make small horizontal, swinging movements with the knees towards each other, making shaking stops of the feet.

Exposure time 10-20 seconds, with the fixation of a comfortable extension of the joints of the ankle. Do 3-4 sessions.

Exercise number 2.7. Shaking feet with energy from the hip joints, sitting on a chair.

Initial position. Sitting on a chair, legs bent at the knees are raised upwards, legs and feet are in free hanging and relaxed, hands are in support along the edges of the seat.

Performance. Performing with tension of the hip joints and hips sharp, inertial, oscillating movements of the knees towards each other, horizontally, make shaking of the feet, resulting automatically, under the influence of these forms of movements of the knees. In this case, the shaking of the feet occurs with horizontal oscillations of the knees towards each other, due to the inertia arising from an abrupt stop of the knees.

Exposure of each session for 5-10 seconds, with a feeling of relief in the joint and the feet bouncing off the lower leg (this is to release the ends of the bones of the foot and lower leg from mutual pressure, due to the expansion of the joint play from the severity of the feet). Do until pleasant fatigue with breaks of 10 seconds.

Method number 3: Inertial shock gymnastics. The method has no analogues.

Description of the method.

The anatomical structure of the ankle joint (joint strength, limited mobility, minimal backlash gap) creates favorable conditions in everyday life for the development of various arthritic and arthritic diseases. Inertial-relaxed gymnastics of the foot and lower leg, even shaking their movements, are not able to penetrate with their mechanical action to all affected areas of the ankle. Bearing this situation in mind, the “inertial-shock gymnastics method” invented by me, which was designed to “complete” with exercises everything that is impossible with the inertial-relaxed method, was invented by me.

This method is a set of physical exercises, focused on the development of joints of the ankle joint, which are in a relaxed state, using inertial movements of the foot, accompanied by blows of the feet on the floor, tapping the feet against each other, on the lower leg. Moreover, in the limited limits of the joint play of the ankle and foot, measured in millimeters, moderately sharp collisions of the musculoskeletal structures that form the joints occur. The inertial shock movements occurring in this case, as envisaged by the idea of exercises, should be carried out in all dynamic directions that the tables and legs are capable of (bending, unbending, turning the feet, vertical and lateral movements), subjecting each other to mechanical development " details of the ankle joints. First of all, during inertial shock gymnastics, the joint mechanism, being in a relaxed state, receives a massage effect, undergoing mutual friction and shock shocks. Safety measures against possible injuries during sudden jolts are ensured by the patient’s self-discipline, due to perform shock gymnastics with a feeling of comfortable pain (with moderate sharpness).

Properties of the method of inertial shock gymnastics.

1. Inertial-shock techniques of the method’s exercises, resulting in the mechanical movement of the articulation of the joint and experiencing mechanical pressure from the “parts” adjacent to them, help strengthen muscles, blood vessels, ligaments, and tendons.

2. The method expands blood vessels of all types and increases blood circulation in the joint.

3. The method cleans the limits of backlash from harmful substances accumulated on the surfaces of the talus of the foot, lower articular surface of the lower leg bones (such as layering of sclerosis, uric acid powders, deposition of various salts - calcium, phosphorus, etc.), strengthens blood vessels and improves lymphatic circulation, cleanses nerve cells from slag molecules.

The method is unique for the treatment and prevention of joint diseases and deserves recognition by its invention as having no analogues.

In the complex method 12 exercises.

Exercises of the method of "inertial-shock gymnastics".

Exercise number 3.1. Shock and jolts of the ankle by dropping the foot down on the heel, standing or sitting.

Initial position. Standing on the right leg, one arm in support, one slightly bent leg in weight in front of the patient, her foot bent up, joints are relaxed.

Performance. According to the next account of movements, inertia simultaneously:

- to throw the leg, which is on the weight down, so that the leg lands on the heel, followed by a slap hit of the toe on the floor after this moment;

- straighten the knee of the active leg;

- slightly bend the knee of the passive leg.

Exposure 1 second, with fixation of comfortable pain in the joints, repeat 10-15 times.

Run with the other leg.

Execution Options. The foot is straight, the foot is turned to the left, the foot is turned to the right.

Exercise number 3.2. Shock-jerk oscillations of the feet, lying on his back. It is performed by applying moderately sharp shocks with the foot of one foot in the foot of the other foot.

Initial position. Lying on your back, legs raised up, hands under the buttocks, feet close to each other.

Do exercises in the following poses of the starting position:

1. Lying on your back with vertical legs;

2. Lying on your back with legs tilted to 45 degrees (45 °);

3. Lying on the right side;

4. Lying on the left side.

Execution options in all poses:

- knocking heel on the heel of the other leg;

- knocking heel on the toe of the other leg;

- tapping with the heel on the middle of the medial side of the other leg.

The exposure after each stroke is 1 second, with fixation of comfortable pain.

Note.

1. Poses and options are selected depending on the nature of the disease of the ankle joint, bearing in mind that you should train more with those of them, which can cause pain.

2. The number of strokes in one approach is 5-15 times.

Exercise No. 3.3. Tapping with the foot on the shin of the other leg.

Initial position. Lying on your back (or sitting on a chair), arms along the body, ankle joint relaxed.

Performance. In the middle of the medial side of the foot of one leg, knock on the lower part of the lower leg of the other leg, so that the last shaking pitch of the foot (without injuring the lower leg) is obtained.

Exposure for 5-10 seconds, in two or three doses, with fixation of comfortable movements in the ankle joints of the leg, experiencing bumps.

Exercise number 3.4. Hopping shuttle turns of the toes of the feet on the sides.

Initial position. Standing, feet are parallel - shoulder width apart, hands on shoulders, elbows above shoulders, knees slightly bent.

Performance. According to the next account of movements, jumping slightly, inertia simultaneously:

- throw the right elbow to the left, the left elbow back, turning the right shoulder in the same direction;

- turn the socks of the feet to the right, leaving the heels in place.

According to the following count of movements, do the opposite movements in the same way:

- discard the elbows to the right (i.e., in the opposite direction), turning the left shoulder in the same direction;

- turn the socks of the feet to the left.

Perform 5-10 paired cycles of pitching turns in feet.

Exposure after each turn is 1 second, with fixation of comfortable joint pain.

Exercise number 3.5. Pounding foot on foot, lying on his stomach.

Initial position. Lying on his stomach, knees, located on the width of the pelvis, bent upwards by the feet, joints are relaxed.

Performance. Perform inertial-shock movements of the foot of one leg against the foot of the other, causing fluctuations in the ankle joints of both legs.

Execution Options.

1. Knocking the heel of the left foot on the toe of the right foot on its inner (medial) side.

2. Knocking the heel of the right foot on the toe of the left foot.

Perform 2-3 series of knocks 5-10 times in each.

Fixation - the feeling of turning movements in the ankle play.

Exercise number 3.6. Knocking on the lower leg with the foot of the other leg lying on the stomach.

Initial position. Lying on his stomach, knees the width of the pelvis, legs are raised up, joints are relaxed.

Performance. Perform rhythmic knocking with the middle of the inner (medial) side of the foot of one leg on the lower leg of the other, 1-3 series of 10 strokes each, with a frequency of once every 1-2 seconds.

Fixation: sensation of horizontal comfortable movement of the foot within the ankle play with respect to the ends of the bones of the leg of the passive leg, or of comfortable pain in the ankles.

Exercise number 3.7. Walking with imitation drill stride to correct lateral clubfoot (when the foot is turned inward).

Performance. To walk in shoes using the techniques of the army combatant step, raising legs higher than during normal walking, and stepping inertially-tense method to a full foot, extended outwards. Session exposure - 10-20 pairs of steps. Conduct 3-5 sessions, with intervals of 10-20 pairs of normal steps.

Options:

1. The left leg takes the usual steps, and the right gymnastics.

2. The left leg gymnasts, and the right one goes with the usual steps.

Exercise №3.8. Walking with imitation of a combat step to correct the turn of the toes of the feet outwards - the medial clubfoot (“transverse leg”).

Performance. Walk in sneakers or other shoes, using the techniques of the army combatant stride, stepping on the ground (floor) with a firm, tense tread of feet turned inward, i.e. in the opposite direction.

The exposure of each session is 10-20 pairs of steps, with fixing a comfortable tension in the ankle and knee joints, as well as the sensation of vibration of the foot tissue.

Conduct 3-5 walking sessions with an interval of 10-20 pairs of steps.

Note. In case of difficulty in walking with a combat drill, at the first stages of training, carry out training in the usual steps.

Exercise number 3.9. Pounding feet together, sitting on the edge of a chair.

Initial position. Sitting on the edge of the chair, on the buttocks, straight arms are rested on the corners of the seat (to maintain balance), the bent knees are raised so that the feet do not touch the floor, lower leg and foot in free hanging, the gap between the knees is 20-30 centimeters.

Performance. Producing small frequent lateral oscillatory movements of the legs (with an amplitude of about 10 centimeters), pounding one another with the inner arches, with relaxed ankle joints. Rocking of the legs is carried out due to the tension of the muscles of the knees and hips.

Exposure is 2-10 seconds per cycle, with fixation of shifts and tremors in the ankle joint and joints of the feet, as well as sensations of vibration in the muscles of the legs.

Exercise Options:

1. Knocking the middle of the inner arch on the heel of the other leg;

2. Knocking the middle of the inner arch of one leg on the toe of the other leg.

Exercise №3.10. Tapping with the foot of one leg on the lower part of the inner side of the lower leg of the other leg, sitting on the edge of the chair.

Initial position. Also.

Performance. Similar. With small oscillatory movements, make knocking with the middle of the inner arch of the foot of the right foot on the lower part of the lower leg of the left and vice versa.

Exposure is 5-10 seconds per cycle, with fixation of movements and tremors in the ankle joint.

Exercise number 3.11. Knocking the lower parts of the lower legs against each other, sitting on the edge of the chair.

Initial position. Also.

Performance. Performing frontal small, frequent oscillatory movements, knock each other with the lower parts of the lower legs, striking the front surface of the right lower leg with the rear surface of the left lower leg and vice versa.

Exposure is 5-10 seconds for each cycle, with the fixation of the oscillations of the feet and vertical tensile tremors in the backlashes of the ankle joints.

Exercise number 3.12. Free shedding of legs on toes and heels while sitting.

Initial position. Sitting on the edge of the chair, feet on all toes, under the knees, arms in support of the seat.

Performance. Raise the legs, tearing off the toes of the feet from the floor by 5-10 cm, and drop it into free fall so that the fore parts of the feet hit the floor first, and then only the heels, while achieving optimal flexion of the ankles, overcoming their spring resistance.

Options:

- feet on external arches;

- feet on the internal arches.

Exposure is 1 second, with fixation of squeezing and a feeling of comfortable pain in the ankle joint.

Run in each of the three options up to 20 times.

Method No. 4: Inertia-intensive gymnastics. The method has no analogues.

Description of the method.

The complex of this method includes 12 exercises developed by the author of this method for use in the treatment of the ankle joint in remission, as well as for prevention and maintenance therapy. Due to the exercise of parts of the body in an intense mode, the joint structures experience more powerful pressure from the exercises of this method than from exercises performed with relaxed joints. This feature of the method makes it a more effective and practical means of treatment in remission than all others.

A distinctive feature of the method compared to the existing ones is that the movements of body parts (knees, feet) in exercises occur in a stressed state and with a certain increased speed, capable of introducing inertial energy into the joint cavity, which is necessary for joint joints in treatment. The tension in this situation serves to fulfill the task of enlarging and strengthening the vessels of the musculoskeletal tissues, as well as mechanical cleaning of the articular links from toxins.

Another component of the movement of this technique, inertia, serves to more fully develop the deep areas of the articular structures by colliding them, in which the ankles, parts of the tibia, tibia, and foot bones are involved.

The main goal of inertial-intense gymnastics is to bring the energy included in the processes of various movements (for flexion, extension, turns, twisting, pushing) to the deep areas of the joint cavity, where the disease is usually localized.

Mutual squeezing of the details of the articular mechanism occurs in the limited intervals of its play (gap), measured practically in millimeters. This process is carried out under the influence of muscle groups and bones of the foot and lower leg.

The pressure in the joint during gymnastics depends on the speed of the lower leg, foot and the degree of tension of their muscles. In order to avoid elements of the joint by excessive pressure, it should be proportionate to the pain and condition of its elements, and therefore the movement should be performed at a moderate speed. And the criterion that determines this moderation is the perception of the exercise performer in the form of comfortable pain. Movements exceeding the level of such pain are harmful, but at the same time, movements with a pain level below comfortable are not very useful.

The main task of all the gymnastics techniques included in the method is to perform the movements of the exercises in such a way that, by mutual compression, sliding movements of the opposite bones, those links and those parts of the joint that are not subjected to the influence of movement under normal everyday conditions and therefore undergo physical inactivity, turning into a nesting site for arthritis and other joint diseases.

The movements of the method in exercises are not voluminous, i.e. with a small scope of body parts. Basically, these are short, rocking movements of the foot, focused on the development of the ankle, can be performed both strictly from the initial position, and from some interval of the swing amplitude. One of the important conditions for exercise is a rational combination of tension and relaxation of the muscles involved in the movement. Muscle tension originates from the starting position and ends at the end of the movement, after the patient has exercised moments of exposure and fixation.

The return of parts of the body to its original position is performed in a smooth mode, to the sounds of "II", where the number of "AND" means seconds of rest pause for the joint.

Along with one-way movements, part of the exercises of the inertial-intense method can be used in another embodiment - shuttle movements, i.e. when on both sides of the range of motion in the joint are produced intense pitching.

From his experience in the development of joints, the author came to the conclusion that the most useful are not rectilinear inertial movements, but rotational movements, screw-like, twisting, like covering entire sections of the joint with their influence, than the rectilinear pressures carried out at one point in the exercises for contraction and stretching - by acting only on individual muscles, ligaments, cartilage.

All gymnastics methods included in the method are suitable for performing with weights, especially with dumbbells. It seems to the author of the method, this increases the efficiency of the method.

Body massage with tense muscles is more effective than with relaxed ones, there is such an opinion.

There is a need to transfer this idea to your system of therapeutic gymnastics "Inertiotherapy".

Inertia-intensive gymnastics is present in the method both in stretching and pulling movements. The width of the range of articular backlash subjected to the development of exercises is determined in many respects by the magnitude of the amplitude of the swing of the parts of the body. Therefore, the results of joint treatment largely depend on the physical state of the body parts, or rather, on their ability to bring the opposite movements (extension and bending, turns to the left, turns to the right) to the optimal limit within the joint play.

The author’s opinion on the use of inertia-intensive exercises is that if inertial-relaxed exercises should be performed only within the framework of comfortable pain, then exercises of the method of inertial-intense gymnastics are permissible to perform and accompanied by moderate pain with each movement.

Why? Because at the same time muscles are tensed and injury to the joint does not occur, as with exercises with relaxed joints. Tense muscles will not allow collision of articular bones or rotation of the joint, stretching it before injury, of course, with some precaution, while avoiding severe pain in movements, which in themselves are harmful for psycho-nervous reasons.

Along with the usual movements with tension, exercises with mini-stress stresses can appear in this method. The need to have such a variant of strenuous movements follows from the principles of safety, - in the presence of pain, when performing normal strenuous movements carries a risk of injury.

Such mini-jumpers are performed from the initial position, as close as possible to the border of the range of articular mobility. At the same time, for example, the end of the big toe in this method can perform pitching in the interval of only 2-3 centimeters, with a voltage withstand of 2-5 seconds at each pitch and spending twice as much time between movements.

In practice, the exercises included in this method of inertial-intense gymnastics can be performed with a mini-pump form of stress, with concentration on the diseased organ.

Exercise number 4.1. Movement of body weight from the heels to the toe of the foot, standing on its lateral, little finger, side.

Initial position. Standing on the heel of the lateral side of the feet, one arm in support, the knees slightly bent, the body slightly inclined forward.

According to the next count of movements inertia simultaneously:

- straighten the knees, giving the pelvis forward;

- transfer the severity of the body to the front of the lateral side of the foot, pumping on its outer arches.

Exposure 1 second with fixing the feeling of comfortable pressure on the little side of the socks.

To the sounds of "And" return to its original position. Repeat until a slight loss of comfort.

Exercise number 4.2. Moving the body's gravity from the toes of the feet to the heels, standing on the medial sides of the feet (if necessary, one arm in support).

Initial position. Standing, the feet are placed further than the width of the shoulders, the trunk and knees are straight, the heels are raised, the weight of the body is on the big toes.

According to the next count of movements inertia, at the same time:

- transfer the weight of the body from the joints of the thumb to the medial side of the heels;

- raise socks up;

- tilt the body forward;

- bend your knees and arms at the elbows slightly.

Exposure is 1 second with fixation in the foot and ankle sensation of comfortable pressure (without excessive pain). To the sounds of "And" - return to its original position. Repeat 10 times.

Exercise No. 4.3. Jumping movements of the feet with Christmas tree patterns, right - left - right ("Intriguing" figure in the national dances of the Chuvash girls).

Initial position.

No. 1. To move to the right. Standing, socks apart, heels together, elbows pressed to the sides, forearms spread out to the sides, knees slightly bent and prepared for small springy jumps.

According to the “Times” account, jumping slightly, inertia simultaneously:

- turn the toe of the left foot on the heel to the right, i.e. to the toe of the right foot;

- move the heel of the right foot to the right, leaving the socks in place;

- to throw the hands to the middle of the body (hands together), (the speed of the forearm oscillation automatically affects the inertial force of the feet during their turns).

No. 2. At the same time, the initial position arises, the opposite of the first: standing, socks together, heels apart, hands together.

According to the account of the next movement - slightly jumping, inertia, at the same time:

- toss the heel of the left foot to the heel of the foot of the right foot;

- turn the toe of the foot of the right leg to the right;

- Forearms to part on the sides.

Similarly, the movements of the feet and hands are performed while moving the feet to the left. Perform exercises to pleasant fatigue, at a dance pace, creating an atmosphere of fun and joy of movement.

Exercise №4.4. Inertial walking of the toes of the feet on the sides of the quadrangle sitting (lying).

Initial position. Sitting or lying down, legs are freely extended, heels on the floor, the width of the feet (the position of the heels in the exercises does not change).

Execution in options:

1. Inertial turns of the elongated toes of the feet left - right - left.

2. Inertial turns of the toes of the feet, bent to the knees: left - right - left.

3. Flexion and extension of the feet, turned toes to the left.

4. Flexion and extension of the feet, turned toes to the right.

The number of movements in options 2-5.

Exposure is 1 second with fixing the sensation of contractions and sprains in the ankle joints.

Note 1. The movement of the feet must be brought to the limit of mobility of the joints, avoiding excessive pain and overwork.

Note 2. If there is pain in the joints in the initial stage of training, it is possible for other reasons, bringing movements to the maximum limit is not necessary.

Exercise number 4.5. Straightening the feet while standing.

Initial position. Standing on the heels, one arm in support, the pelvic ring extended back, knees slightly bent (in a light squat).

According to the next account of movements, inertia - tense, simultaneously:

- rise to the toes, straightening the knees and the pelvic ring, bowing the head and upper chest forward - down.

Exposure is 1 second, with fixation of a feeling of comfortable pain in a sore joint.

To the sounds of "And - And" return to its original position. Repeat 5-15 times.

Exercise №4.6. Transshipment vibrations of feet from socks to heels and back, standing.

Initial position. Standing on socks (you can hold your hand on a support).

According to the next account of movements, inertia, simultaneously:

- down on your heels, lifting your socks up, bending them to the legs;

- move the weight of the body to the heels, slightly bending the knees.

According to the account "And" - in the starting position. Repeat 5-10 times.

Execution Options:

- the foot is straight;

- feet socks - inward;

- feet socks - out.

Exposure 1 second with fixation of a feeling of comfort.

Exercise number 4.7. Longitudinal stretching of the ankles while sitting on the floor.

Initial position. Sitting on the floor (on the chair), the knees are slightly bent, the feet in the support on the floor with heels and bent (to the knees), the shoulders are deployed, the hands on the shoulders, the head is thrown back, looking to the sky.

According to the next account of movements inertia, simultaneously:

- straightening the knees, push the feet down to straighten along the shin line;

- bend your spine, bending the upper body forward and tilting your head and elbows down.

Exposure 1 second with fixation of comfortable tension and a feeling of stretching in the joints and spine. Return to starting position.

Run 5-10 times.

Exercise number 4.8. Spring pitching for ankle joints, sitting on the heels of the feet and knees.

Initial position. Sitting on the heels of the feet and knees. The feet are extended back with the fingers to the floor, the arms are lowered along the body, the hands are clenched into fists, which are lightly supported on the floor, the elbows are bent to the sides, the weight of the body falls to the knees and feet, regardless of whether the buttocks reach the heels or no (due to soreness of the knee joints).

According to the next account of movements:

- by the effort of the knee joints and by straightening the arms with the lowering of the shoulder joints downward, raise the body upwards, tearing the buttocks off the heels by 1-2 cm (for starters), and immediately release it into a free fall to its original position.

Exposure is 1 second with fixation of comfortable compressive tension in the ankle and knee joints.

Perform several series of strokes 5-10 times each. If you have comfort in the sensations - gradually increase the height of the fall of the body on the heels. After each series of strokes, you should conduct exercises to relax and rest your joints, stand up and shake your feet, or do this walking on all fours.

Exercise number 4.9. Ankle extension standing on all fours.

Initial position. Standing on all fours hands on the hands (or on fists), legs on the knees, feet at the tips of the fingers, the spine is bent upward.

According to the next account of movements inertia, simultaneously:

- throw one leg back to straighten the knee and extension of the ankle joint and flexion of the foot; leaving the foot at a high weight;

- strain your body, straightening the spine, straighten the hip joint with all the force.

Exposure 1-2 seconds with the fixation of comfortable movements in the ankle joints and joints of the feet.

Return to starting position.

Run 5-10 times.

Exercise number 4.10. Swinging the heels of the toes of the feet inward, bending them to the legs, sitting on a chair or on the floor.

Initial position. Sitting on the edge of a chair or lying, knees straight, feet shoulder width apart, freely straightened, socks apart (on the sides).

According to the next account of movements, inertia - tense:

- swing the toes of the feet inward (to each other), bending tightly to the legs;

- straighten the foot with her fingers;

- bend your knees slightly.

Exposure is 1 second with fixation of the comfortable tension of the Achilles tendons (calcaneus) and muscles adjacent to the ankle, with a feeling of optimally complete flexion of the joint in the backlash.

To the sound of “And”, return the feet to their original position, for relaxation.

Run 5-10 times.

Exercise number 4.11. Horse races in place with stop turns with socks on the sides, bouncing on the heels.

Starting position for the jump to the right. Standing, feet shoulder-width apart, their socks turned to the left, arms raised above the shoulders, turned to the right, knees bent.

Performing inertia-stress, simultaneously:

- bouncing in place, sharply turn the socks of the feet to the right, i.e. in the opposite direction, throwing his hands also in the opposite direction to the left.

Return to starting position by bouncing in place in the same way. The pace of one jump cycle is 1-1.5 seconds. Repeat until pleasant leg fatigue.

Exercise number 4.12. Flexion of the ankle joints, standing.

Initial position. Standing on the toes of straightened feet (fingers and feet extended), the knees are straight.

Performing inertia-stress, simultaneously:

- Sinking down on the heels, raise the socks up, bending your fingers and feet;

- bend your knees, making a light sit down.

Exposure to stress 1 second with fixing sensations of comfortable vibration in the joints of the legs. Return to starting position. Repeat 3-5 times.

Additional options for starting position.

1. Socks of the feet on the joints of the toes.

2. Socks of the feet on the joints of the little finger.

Exercise number 4.13. Extension of the ankle joints while standing.

Initial position. Standing, feet shoulder-width apart, full foot, knees slightly bent.

Performing inertia-stress, simultaneously:

- to rise on the toes, straightening and straightening the ankle joints and knee joints.

Exposure 1 second with fixation of tension in all joints of legs and feet. Return to starting position.

Do 5-10 times.

Other options for starting positions.

1. Stops on internal arches.

2. Stops on the outer arches.

Reference. The method of inertial-intense gymnastics has no analogues in the world, this is the opinion in Cheboksary.

Method number 5. Automanual gymnastics of the ankle joints (ankle). The method has no analogues.

The term "Automanual", used by the author of the method, consists of two concepts: "Auto" - himself, "Manual" - hand movements. The method is a set of gymnastic exercises focused on the physical impact of sick ankle joints with the help of the arms and legs - the patient himself, through various movements of the foot. The need to include automanual gymnastics, a method that is not yet available in medical practice, is dictated by certain adverse circumstances that arise during the treatment process, when it is advisable to use unusual gymnastics, and creating conditions for the indifferent, passive attitude of the diseased organ to the gymnastics, which includes manual therapy.

These circumstances include the following practical situations that could entail a deterioration in the patient’s health by using regular gymnastics:

- severe pain in the joint, especially in the initial period of treatment, and there is a danger of damage to the joint;

- the risk of injury after surgery;

- in the presence of akinesia, rigidity, contracture, ankylosis of the joints, when it is difficult for the patient to measure the rational inertial speed of the active movement of body parts aimed at his diseased joint;

- in cases where a part of the body (foot, foot in general, knee, arm) "does not obey", does not perform its active movements properly;

- with stiffness, - to further clean the edges of the joint range of play, which is difficult to do with active movements without automanual intervention;

- moderate and weak pains that interfere with work, sleep and, in general, live. The author noted: such pains soften or disappear altogether with automanual gymnastics, and this state of rest is maintained after training with automanual gymnastics for a long time - almost all night;

- to increase the optimistic mood, the patient’s enthusiasm in the struggle for his recovery;

- to impart diversity to the treatment process (psychological factor);

- to increase the level of vital energy and physiological state of a bed patient, especially in conditions when he needs manual therapy by a doctor.

ESSENCE OF THE METHOD

As you know, currently in medical practice for the physical impact on the diseased joint, the following gymnastics methods are used.

1. Active exercises adopted from ordinary physical education, in which, as a rule, parts of the body adjacent to the diseased joint are involved. For example, the ankle joint is gymnastic by the mutual actions of the lower leg and foot articulated with it; or: the hip joint - with movements of the hip and trunk. This is a universally recognized method of therapeutic gymnastics, in which both the joint itself and the parts of the musculoskeletal system mating with them are actively working, and moreover, this is due to the patient’s neuropsychic will. This is an active gymnastics.

2. Manual therapy performed by a doctor in conditions of patient passivity.

3. Mechanotherapy - treatment with physical exercises performed using special instruments and devices. This is also passive gymnastics.

Based on the above critical circumstances during the course of the disease, the author proposes the fourth method of mechanical therapeutic treatment of a diseased organ (joints, head, internal organs, etc.) - automanual gymnastics for the feet.

The essence of the method is as follows:

Therapeutic gymnastics of a diseased joint by this technique is carried out not with the energy of the body parts adjacent to the joint, as is done in ordinary active physical exercises, but with the help of the patient’s hands and feet. Thus, the patient himself, if necessary, can perform many of the movements needed for the treatment of a particular organ of motion for a diseased joint, creating physiological and mechanical prerequisites for healing in its mechanism. For these purposes, the patient can use such forms of gymnastics as flexion, extensor, rotary, helical, rectilinear movements in the joint, creating the effects of stretching, pulling, squeezing, tension, relaxation in it.

However, for the sake of this passivity, when using this technique, the joint must have certain functions that restrain its "host". They are as follows: to maintain their relaxation, not to resist the actions of the hands when they do not allow excessive stress and increased pain. Based on these situations, the patient should conduct gymnastic movements with his own hands and feet in a sparing mode, avoiding pain intensification, adjusting the number and speed of swinging movements with his hands and feet, with a feeling of comfortable pain in the sore joint. This is especially important for the initial treatment period. However, in the treatment of chronic diseases that have undergone multiple cases in life associated with increased pain, a slight increase in the level of pain that does not threaten trauma is acceptable. This is necessary, first of all, in order to expand the range of motion of the joint to the physiological limit.

As for the mechanics of the action of the method, it is essentially similar to the therapeutic properties that my other methods possess, in which gymnastic exercises are performed with relaxed joints (mechanical effects on the internal and external spheres of the tissues of the articular "parts", vasodilation, blood circulation lymph flow, activation of metabolism, strengthening the muscular tissue structure of the joint, expanding the range of motion in the joint, etc.).

Assessing the above in comparison with the physical exercises used in official medicine (unfortunately, there are no methods and methods of therapeutic gymnastics in it), there is reason to argue that this method deserves recognition as unparalleled.

The following exercises from the series of the method “Automanual gymnastics” are included in the method “Oscillatory training for the ankle joint”.

5-1. Automanual gymnastics of the ankle joint of the right leg with one right hand.

Initial position. Sitting on a chair, the foot of the right foot in the heel support against the upper part of the left knee cup (or in the support about the knee with the ankle), the wrist of the right hand in the girth of the toe of the right leg.

Perform the following exercises with moderate sharp movements:

a) flexion of the foot to the lower leg;

b) extension of the foot (down);

c) turns of the foot to the left (to the right);

d) circular motion of the foot in both directions.

Exposure is 1-3 seconds, with fixing the sensation of comfortable movement in the joints of the ankle and foot.

Repeat 5-10 times.

In a similar way to conduct gymnastics for the left leg.

5-2. Automanual gymnastics of the ankle joint of the right leg with an interacting pair of hands.

Initial position. Sitting on a chair, the foot of the right foot in the heel support against the knee of the left foot, the right hand in the girth of the toe of the right foot, the left hand in the girth of his heel.

Perform the following exercises with moderately sharp movements of both hands:

a) turns the sock to the left (right);

b) rectilinear flexion of the foot to the lower leg;

c) rectilinear extension of the foot from the lower leg;

d) diagonal flexion of the foot to the lower leg (to the right of the lower leg, to the left of the lower leg);

e) diagonal extension of the foot from the lower leg to the bottom (to the right of the lower leg, to the left of the lower leg).

Exposure for severe pain for 2-3 seconds, for weak - 1 second, with the fixation of a feeling of comfortable movement in the joints of the ankle and foot.

Repeat 5-10 times.

Similarly, do gymnastics for the left foot.

Exercise number 5-3. Stretching turns of the feet inward with the other leg, lying or sitting on a chair.

Initial position. Lying or sitting on a chair, the legs are freely extended, the heel of the right foot rests on the base of the little finger of the left leg.

According to the next account of movements, inertia:

- Using the power of the right straightened leg, move the toe of the left leg to the right to the limit.

Exposure is 1-2 seconds, with fixing the sensation of rotation of the ankle joint of the left leg inward.

To the sounds of "II" return to its original position. Run 5-10 times.

Similarly, make turns inward with the left foot of the foot of the right foot.

Exercise number 5-4. Stretching turns of the feet outward with the toe of the other leg, lying or sitting on a chair.

Initial position. Lying or sitting on a chair, the legs are freely extended, the foot of the left foot is bent to the lower leg, the toe of the foot of the right foot with its outer side is abutted on the inner side of the toe of the left foot above the metatarsophalangeal joint of the first finger.

According to the next account of movements, inertia:

- Using the right foot, move the toe of the left foot to the left - down (to the limit of the natural rotation).

Exposure is 1-2 seconds, with fixation of the sensation of rotation of the ankle joint of the left leg outward (i.e. to the left).

Exposure is 1-2 seconds, fixing the sensation of rotation of the ankle joint of the left leg outward (i.e. to the left).

To the sounds of "And - And" return to its original position.

Run 5-10 times.

Similarly, perform turns outside the foot of the right leg.

Exercise number 5. Extension of the foot of the left leg under the pressure of the right leg, sitting on the floor.

Initial position. Sitting on the floor, hands in a support behind the back, the left leg is slightly bent at the knee, her foot is fully bent to the lower leg, the right leg rested with the heel on the toe of the left leg.

According to the next account, inertia:

- relax the ankle joint of the left leg and release it downward to extend and stretch under pressure of the right leg.

Exposure 1-2 seconds, with the fixation of the feeling of stretching in the ankle joint.

Run 5-10 times.

Using similar techniques, perform extension of the foot of the right leg.

Claims (1)

The method of therapeutic exercises for the prevention and treatment of arthritis and arthrosis of the ankle joint, including physical exercises, characterized in that the exercises are first performed with relaxed joints in the form of oscillatory-oscillatory movements of the ankle joints in different directions, while movements are carried out to possible limits of mobility in the ankle joints and sensations of moderate pain in them, then carry out exercises, including inertial movements of the foot, accompanied by blows of the feet to the floor, pounding of the feet a friend about each other and about the lower leg, after which they perform exercises that include movements aimed at developing the ankle joint with simultaneous tension and relaxation of the muscles involved in the movement, after which they perform a set of gymnastic exercises that include physical impact on the ankles with the hands and feet the patient.