RU2356523C1 - Therapy of pain syndrome in cervical spine - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to exercise therapy and sports medicine. In a therapeutic pool, the patient body is fixed while lying with hands open at 90° and legs shoulder-width apart. Thus the patient is dressed with a support plastic belt covering axillary creases to sacrum joint. Shoulder reduin is covered with air cuffs. And cervical spine rests on a flat rubber ring with occipital region being immersed. Duration of stay in fixed position is increase 5 to 10 minutes by 7-10 procedure, while therapeutic course is 30 days.

EFFECT: method allows for fast pain syndrome relief, normalised physiological bow and locomotor pattern of cervical spine.

1 ex

Description

The invention relates to medicine, namely to exercise therapy and sports medicine.

Pain syndromes of the cervical spine are a multidisciplinary problem and are an urgent task of modern medicine due to the large economic losses associated with their high prevalence among people of the most working age. In recent years, there has been a growing tendency in the world to increase chronic pathology of the spine, disability of patients and their rejuvenation. Pain syndrome is detected in 30-80% of the adult population, mainly aged 25-55 years, reaching 90% in the general structure of neurological diseases.

Recent studies of the pathogenesis of pain in the cervical spine showed that its formation is based on dysfunction of the muscle system. Existing methods of treating and preventing pain in osteochondrosis of the cervical spine have a mainly symptomatic focus on reducing the intensity of pain, because drug treatment is still leading, that is, the pathogenetic mechanism of its formation is not taken into account (V.A. Epifanov. Physiotherapy and physical therapy . - M.: “Medicine”, 2001. - S.115-117).

The combination of therapeutic effect (relaxation of spasmodic muscles) on the muscle involved in the pathological process with additional methods of correcting the motor stereotype (DS) is the only pathogenetically substantiated method for the treatment of pain in the cervical spine.

Known methods of exercise therapy aimed at relaxing the muscles and correcting the motor stereotype in the aquatic environment:

- a correction method that includes performing a set of swimming exercises in the style of crawl and breaststroke, with a gymnastic stick, a hoop and on a rubber shock absorber in a horizontal position with an elongated pause of sliding (Pat. No. 2281745 of the Russian Federation, IPC A61H 1/00, A61H 33 / 00, A63B 69/08, A63B 23/03. A method of health-improving hydrocorrection of a person with impaired posture. Rybjakova T.V., Baranova T.I., Baskova G.N. / St. Petersburg State University, published on 08.20.2006) ;

- a method using means that support the body on the surface of the water to perform physical exercises using devices that increase the load on the human muscles (US Pat. No. 2225191 of the Russian Federation, IPC A61H 1/00. Method for correcting a human figure. Frolov SV / Frolov Sergey Valerevich, publ. 10.03.2004);

- a method for restoring motor disorders in newborns using a bathing cap, during which the child’s body is placed on the doctor’s hand and dipped in water strictly horizontally to perform various exercises (US Pat. No. 2199993 of the Russian Federation, IPC A61H 1/00. The method of restoring motor disorders in newborns with pathology of the spine (Rozina L.V., Mikhailov V.P. / Rozina Larisa Vladimirovna, publ. 10.03.2003);

- a method in which the patient is in the water in an upright position and performs exercises for the upper extremities using devices to increase the load on the muscles of the shoulder girdle and the fixing corset to hold the body on the surface of the water (V.A. Epifanov, I.S. Rolik, A.V. Epifanov, Osteochondrosis of the spine, Moscow: CJSC Academic Printing House, 2000. - P.207);

- a method of treating pain of the cervical spine, which consists in the fact that the patient, fixing his feet on the pool handrail, performs exercises at the side, which are aimed at stretching the spine, he makes an attempt to "swim away" by hand stroke, with further "sliding" into water from a kick from the pool side (A.F. Kaptelin. Hydrokinesiotherapy in orthopedics and traumatology. - M .: "Medicine", 1986. - P.128).

A known method of treating pain of the cervical spine using a preparatory exercise in the aquatic environment to master the horizontal position of the body, in which the patient freely holds on the water lying on his back, with a change in position of the arms and abduction and reduction of legs (L.A. Borodich, R. D. Nazarova. Swimming lessons in scoliosis in children and adolescents. M: "Education", 1988. - P.18). This method is selected for the prototype.

However, this method relaxes only large muscle groups, which does not allow to achieve complete deep relaxation of all muscle groups of the neck. A study of 30 patients showed that the pain syndrome reappears 2-3 weeks after the patient returns to his daily activities, as the pathological motor stereotype and cervical bending of the patient remained unchanged. The pain syndrome is reduced due to the relaxing effect on the muscles of a warm aqueous medium (28 ° -30 ° C) and the horizontal position of the patient's body, which creates the conditions for relaxation of large muscle groups.

The objective of the invention is to increase the effectiveness of treatment by quickly relieving pain through deep relaxation of the muscles of the neck.

The technical result consists in normalizing the physiological bending and motor stereotype of the cervical spine.

This is achieved due to the fact that the patient is placed in a fixed position, in which the arms are 90 ° apart, the legs shoulder width apart, while a supporting plastic belt is put on the lumbar spine from the axillary hollows to the sacral joint, on the shoulder area - inflatable cuffs, lay a flat rubber ring under the cervical spine, the occipital region of the head is immersed in water, the residence time in a fixed position is gradually increased from 5 to 10 minutes by 7-10 procedures, and the course of treatment It lasts 30 days.

The initial position of the patient on the back with supporting devices allows you to achieve complete deep relaxation of the neck muscles, in addition, the proposed position of the arms and neck create the conditions for physiological relaxation of all the muscle groups of the neck, which is enhanced by the warm water environment (28 ° -30 ° C) of the treatment pool, which provides deeper muscle relaxation, removal of psycho-emotional stress. The physiological cervical bend is also achieved by corrective position of the neck with the help of a rubber ring. Supportive devices provide conditions for complete physiological relaxation and allow this method of treatment to patients who cannot swim. The length of stay in a fixed position “lying on your back” is increased gradually to avoid reflex muscle tension, the patient’s stay in a fixed position from 5 minutes to 7-10 procedures is increased to 10 minutes as optimal muscle tone and physiological bending are restored. The recommended 30 days of treatment using the position on the back allow you to record the deep relaxation of all muscle groups of the neck and physiological cervical bending. According to the study, the pain syndrome disappears in the 3-5th procedure, causing persistent remission (6 months or more) due to the formation of a physiological bend, in contrast to the prototype, where the intensity of the pain syndrome decreases by the 10th procedure, but upon cessation of treatment and return to everyday life through 2-3 weeks intensifies.

A method of treating pain of the cervical spine is as follows.

The patient is placed in a fixed position, in which the arms are 90 ° apart, the shoulders shoulder-width apart, while a supporting plastic belt is put on the lumbar spine from the armpits to the sacral joint, and inflatable cuffs are placed on the shoulders, under the cervical spine put a flat rubber ring, the occipital region of the head is immersed in water, the time spent in a fixed position is increased from 5 to 10 minutes by 7-10 procedures, and the course of treatment is 30 days.

Clinical example. Patient B. And / b No. 23868. Diagnosis: Osteochondrosis of the cervicothoracic spine. Complaints of aching pains at rest and when moving in the neck, restriction of head movement to the right.

The patient was treated according to the proposed method: the patient in the treatment pool was placed in a fixed position, in which the arms were spread apart by 90 °, the legs were shoulder width apart, and a supporting plastic belt was put on the lumbar spine from the axillary hollows to the sacral joint, shoulder areas - inflatable cuffs, a flat rubber ring was placed under the cervical spine, the occipital region of the head was immersed in water, the residence time in a fixed position was gradually increased from 5 to 10 minutes: the first 4 procedures - 5 minutes, 5-7 procedure - 7 minutes, 8-9 procedure - 8 minutes, from 10 procedures - 10 minutes. The course of treatment was 30 days.

Claims (1)

A method of treating pain of the cervical spine in water in a horizontal position "lying on the back", characterized in that the patient is placed in a fixed position, in which the arms are spread apart 90 °, legs - shoulder width, while on the lumbar spine from armpits to the sacral joint put on a supporting plastic belt, on the shoulder area - inflatable cuffs, lay a flat rubber ring under the cervical spine, the occipital region of the head is immersed in water, residence time in a fixed position increase from 5 to 10 minutes to the 7-10 procedure, and the course of treatment is 30 days.