RU2387467C1 - Method for correction of muscular imbalance in children with fault in posture and scoliosis 1 and 2 degree - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: correction of muscular imbalance in children with fault in posture and scoliosis 1 and 2 degree is ensured by electromyostimulation of muscles of trunk and limbs to be corrected by the pulse low-frequency modulated electric current through electrodes applied on muscular fibers. It is precede with the classical and reflex segmental massage of muscles with reflex changes within 30-40 minutes, and starting from the 3-6th session it is supplemented with sessions of multichannel electromyostimulation with the electrodes simultaneously applied on all correction regions, thus treatment of the muscular hypotension regions is performed with average frequency 20-80 Hz, and of the evident hypertension - 100-120 Hz in the exposure rhythm consistently varying within 4, 8, 16 to 32 seconds, and duration of electromyostimulation makes 10-40 minutes. If there are observed functional or articular blocks, manipulation reflex therapy is applied after massaging. In treating fault in posture, the electrodes are simultaneously applied on the paravertebral regions along the spine exposed at average frequency 50-80 Hz, including rectus, obliques and shoulder girdle muscle at frequency 20-40 Hz. Spinal S-curvature requires application of the electrodes simultaneously on the paravertebral regions along the spine, from the evident hypotension on shoulder girdle muscles, rectus and obliques, gluteus at average frequency 20-40 Hz, and also on the regions of the evident hypertension with using the stimulation mode 100-120 Hz. The total number of sessions depends on the evidence of the reflex segmental changes and makes 10 to 20 sessions repeated every 3-4 months.

EFFECT: higher effectiveness of correction.

5 cl, 2 ex, 2 dwg

Description

The invention relates to medicine, in particular to physiotherapy, and can be used in institutions of practical health care: hospital, clinic, sanatorium, specialized boarding school.

Known methods for eliminating reflex-segmental changes and correcting muscle imbalance in violation of posture and scoliosis, which are used separately, respectively (classical massage, reflex-segmental massage and electromyostimulation, hereinafter EMC). However, the problem of creating the most effective methods of treating disorders of posture and scoliosis has not exhausted itself.

Known methods for conservative treatment of impaired posture and scoliosis in children, such as electrophoresis, ultrasound therapy, phonophoresis of drugs in the spine, electrical stimulation of the back muscles (Kots I.M. Theory and practice of physical education, 3, 4, 1971).

Physiotherapy exercises, therapeutic swimming, manual massage, wearing a corset are also used.

The disadvantage of these methods is their low therapeutic effectiveness, the need for the simultaneous use of several therapeutic methods, often expensive and scarce. And the frequent wearing of a corset leads to a restriction of the motor regime, hypotrophy of the body muscles.

A known method of treating patients with functional forms of scoliosis (p. RF No. 2063781), which consists in electrical stimulation in the rest of the paravertebral muscles on the side of the convex arch of curvature of the spine.

A known method of treating dysplastic scoliosis in children (p. Of the Russian Federation No. 21411851), in which a pulse current is applied paravertebrally with two or four electrodes.

However, the proposed methods of electrical stimulation do not give great effectiveness in the treatment of posture and scoliosis of 1 and 2 degrees.

There is a method of treating posture disorders and initial manifestations of scoliosis in children, selected as a prototype, including electromyostimulation of the muscles of the trunk and extremities in need of correction by a pulsed low-frequency modulated electric current with superimposed electrodes on muscle fibers (p. RF No. 2221601). Electrical stimulation is carried out in three stages. At the first stage, electrical stimulation of the paravertebral muscles is performed. At the second stage - electrical stimulation of the muscle group of the shoulders and at the third stage - electrical stimulation of the gluteal muscles.

The task of the invention is to provide an effective method for the comprehensive treatment of disorders of posture and scoliosis of 1 and 2 degrees in children.

A method of correcting muscle imbalance in children with impaired posture and scoliosis of the 1st and 2nd degree, including electromyostimulation of the muscles of the trunk and extremities in need of correction by a pulsed low-frequency modulated electric current with an electrode applied to the muscle fibers, according to the invention, classic and reflex-segmented muscle massage are previously applied with reflex changes within 30-40 minutes, and starting from 3-6 sessions, supplement with multichannel electromyostimulation sessions with simultaneous setting electrodes to all correction zones, while exposure to areas with muscle atrophy is carried out with an average frequency of 20-80 Hz, and to areas of pronounced hypertonicity - 100-120 Hz, with the rhythm of exposure varying from 4, 8, 16 to 32 seconds and the duration of electromyostimulation is 10-40 minutes

In the presence of functional or articular blocks, it is possible to use manipulation reflexology after massage.

In the treatment of posture disorders, electrodes are placed simultaneously on the paravertebral zones along the spine with an impact with an average frequency of 50-80 Hz, as well as on the straight, oblique muscles of the abdomen and shoulder muscles with an impact of 20-40 Hz.

With S-shaped curvature of the spine (scoliosis of 1 and 2 degrees), the electrodes are placed simultaneously on the paravertebral zones along the spine, from the side of severe atrophy, on the shoulder muscles, rectus and oblique muscles of the abdomen, gluteal muscles with an impact with an average frequency of 20-40 Hz, as well as zones of pronounced muscle hypertonicity using a stimulation mode of 100-120 Hz.

Moreover, the total number of sessions depends on the severity of reflex-segmental changes and ranges from 10 to 20 sessions with the repeatability of this procedure after 3-4 months.

Electromyostimulation has a powerful stimulating effect, however, its use only on body parts with reflex-segmental changes in case of posture disorders and scoliosis is ineffective, since

firstly, pronounced reflex-segmental changes can be eliminated only by manual exposure;

secondly, small reflex-segmental changes can disappear with the help of electromyostimulation, but this requires a longer time and an increase in the number of procedures by 2-3 times, that is, instead of 8-15 sessions, depending on the severity of the changes, it will take from 15 to 30 sessions, which does not guarantee the elimination of reflex-segmental changes.

To correct muscle imbalance in children with impaired posture and scoliosis of 1 and 2 degrees, it is necessary to eliminate pronounced reflex-segmental changes, as well as strengthen weak muscles and relax shortened muscles, which is very difficult to achieve using physical exercises, since posture is most often there is an asymmetry of the muscle corset, so this condition requires exercises that are theoretically and practically difficult to perform, especially for children.

To solve this problem, the integrated use of classical, reflex-segmental massage (PCM) and electromyostimulation in a certain sequence is necessary. Classical massage is used immediately before PCM, as a preparatory stage for the effects of PCM. At the first stage, it is necessary to eliminate reflex-segmental changes in the posterior and anterior surface of the body using classical and PCM techniques and, starting from the 3rd-6th session, depending on the severity of the reflex-segmental changes, massage should be supplemented with electromyostimulation sessions. Next, you need to combine classic massage, PCM and electromyostimulation. The combined use of certain techniques of classical massage and PCM and various schemes for setting electrodes during electromyostimulation allows eliminating reflex-segmental changes in a short time, forming the right muscle corset, as well as normalizing the metabolism, increasing the energy potential of the child’s body, which helps to eliminate posture disturbance in this categories of children and prevents the development of scoliosis or reduces the degree of scoliosis. The combination of the above methods allows you to relax or tone muscles in the shortest possible time and thereby reduce tension in some vertebral-motor segments and hypermobility in the conjugate segments.

When muscles work under the influence of EMC, peripheral blood circulation increases by a factor of 10, and, consequently, the nutrition of the brain, muscles and organs adjacent to them. Strengthening tissue trophism contributes to the deposition of energy materials in cells: ATP, glycogen, RNA, DNA, proteins, enzymes, minerals and vitamins, etc., which ultimately leads to an increase in the overall energy potential of the body, the growth of myofibrils in muscles, and the regeneration of organs and tissues . At the same time, muscle mass grows by 20-30% per course of procedures, and the speed-strength qualities of the neuromuscular apparatus increase by 150-200% and this effect lasts 7-8 months. The load on one (out of 25) muscle mass during EMC is 5-10 kg. If you multiply these kilograms by 25 fields of influence, by 40 minutes of the procedure and 6 times per minute, you get a fantastic load on the muscles, which corresponds to a 3-hour training of a weightlifter-master of sports. Nevertheless, such a huge load is easily and comfortably tolerated by people with a weakened heart and muscles and feel well rested after the procedure. Such a positive effect during stimulation is explained by the fact that during the procedure the heart is completely unloaded, but on the contrary receives additional nutrition through the coronary vessels and heart pain can disappear in ischemic conditions.

The second positive effect of EMC is the absence of muscle pain after the procedures, despite the enormous physical exertion. This fact is explained by enhanced hemodynamics and oxygenation in the muscles, which contribute to the decomposition of lactic acid, which causes a muscle pain reaction, into the final metabolic products.

EMC causes increased lymphatic drainage in the body due to the work of skeletal muscles and smooth muscles of blood vessels. The work of the neuromuscular apparatus in EMC is the most powerful and natural stimulator and regulator of the central and peripheral nervous systems, which normalize affect all the functional systems of the body - endocrine, cardiovascular, excretory, digestive and others. As a result, carbohydrate, fat and protein metabolism improves, blood pressure normalizes, and the mental state stabilizes. Exposure to low frequencies of EMC enhances peristalsis of the smooth muscles of the hollow organs: intestines, biliary and urinary tracts, bronchi and blood vessels.

It should be noted the high therapeutic effect of the analgesic, anti-inflammatory, trophicostimulating and decongestant effects of electromyostimulation.

The essence of reflex-segmental massage (RSM) is the effect on the integumentary tissues, that is, the skin, subcutaneous tissue, muscles and periosteum in the reflex-segmental zones, which are connected with the internal organs and the musculoskeletal system (OA). The physiological effect of massage is associated mainly with three mechanisms of action: neuro-reflex, humoral and mechanical. During the massage, the vast receptor field is irritated. Sensitive endings located in the skin and subcutaneous tissue, muscles, fascia, tendons, periosteum, ligaments are excited. Nerve impulses along the sensitive fibers of the spinal and cranial nerves get into the segmental apparatus of the spinal cord and the brain stem, where the incoming signal is processed primarily, and responses to massage effects occur through the motor fibers that go to the contractile structures of the musculoskeletal system. Smooth, slow impacts with strong pressure on the underlying tissues lead to an increase in muscle tone and ligaments. The basis of this reaction may be a protective contraction of the muscle, an increase in its tone in response to mechanical irritation. It is possible that methods of squeezing, kneading, vibration with high amplitude and low frequency can cause an increase in muscle tone.

Rough, energetic effects, on the contrary, reduce the tone of muscles and ligaments. Methods of grinding, stretching, high-frequency and low-amplitude vibration lead to such a reaction. Apparently, when performing these methods, the abundant excitation of the receptors of the underlying tissues (pain, fever, vibration) leads to transcendent inhibition, i.e., in particular, muscle relaxation after short-term protective stress.

Further, the spread of excitation resulting from massage effects occurs along the afferent pathway to the subcortical structures and to the cerebral cortex.

The suprasegmental structures of autonomic regulation respond to massage by optimizing the function of all organs. Such a change in the ratio of sympathetic-parasympathetic interactions, such as an increase in vagal and a decrease in sympathetic influences, is apparently associated with adaptive responses. A significant role in them is also given to the dynamics of the activity of segmental structures of vegetative regulation, since manual effects on paravertebral structures cause pronounced changes in the functional state of organs as a result of a decrease in the activity of segmental sympathetic structures of the spinal cord. Sensory information that occurs during massage is processed by the cerebral cortex and some subcortical structures, in particular, the limbic system. It is widely known that massage has a positive effect on the psychoemotional state, increases mental performance, reduces fatigue

Indeed, already after the first massage session of certain parts of the body, when there have not yet been changes that adapt the body to manual influences, pronounced shifts in the functioning of the cardiovascular system are observed: the heart rate is getting stronger (heart rate), blood pressure decreases, contractile function is somewhat inhibited, minute volume of blood flow decreases, which is associated with a decrease in preload.

No disease can be considered as a local process. The human body is a single whole, and all its components are connected both among themselves and with the whole organism. This relationship is functional and subject to regulation. Any pathological focus causes reflex changes in organs and tissues functionally connected with it, mainly innervated by the same segments of the spinal cord, which, in turn, can affect the primary lesion, or, as an independent pathological focus, support the disease. The elimination of such changes in the skin, muscles, connective tissue and periosteum through massage helps to restore the normal state of the functional system.

The functional basis of reflex-segmental massage are viscero-cutaneous, visceromotor, cutaneous-visceral and motor-visceral neural arches. The first two cause segmental-related changes in the skin, subcutaneous tissue, muscles, fascia, etc. The skin-visceral neural arches are the basis of reflex-segmental massage. The increase in proprioreception from areas exposed to pressure in the case of reflex segmental and acupressure activates the mechanisms of the pain-relieving structures of this segment, which helps to reduce the irradiation of metamer sensory neurons.

We can assume that some parts of the body (skin, subcutaneous tissue, muscles, connective tissue, blood vessels and bones) are connected with certain internal organs through the nervous system. Therefore, in any pathological process on the surface of the body, the corresponding internal organ is also included, and, conversely, with any damage to the internal organ, tissues corresponding to a certain segment also take part in the process.

After the diagnosis, in the presence of functional or articular blocks after a massage session, the use of manipulation reflexology is possible. In this case, the normalization of extras Joint structures of the spine, eliminating the reflex blockade of the motor segments.

The use of the complex effects of classical massage and PCM in combination with electromyostimulation allows achieving significant results in a fairly short time, which is an important point for children.

Patent studies have not revealed methods for the comprehensive correction of posture and scoliosis in children characterized by the claimed combination of signs, therefore, we can assume that this method meets the criterion of "novelty."

The use of a combination of distinctive features is also not known, which indicates compliance with the criterion of "inventive step".

The inventive method can be carried out in any specialized medical institution, therefore, it meets the criterion of "industrial applicability".

The essence of the method is illustrated by diagrams, where in Fig.1 shows a diagram of the placement of electrodes in violation of posture, and Fig.2 presents a diagram of the placement of electrodes in the S-shaped curvature of the spine.

Zone setting electrodes in figure 1:

1 - paravertebral zones along the spine;

2 - shoulder area;

3 - rectus abdominis muscles;

4 - oblique muscles of the abdomen.

Zone setting electrodes in figure 2:

1 - paravertebral zones along the spine;

2 - shoulder area;

3 - rectus abdominis muscles;

4 - oblique muscles of the abdomen;

5 - zone of muscle atrophy;

6 - gluteal muscles.

The essence of the method is as follows.

The universal method of restoring all the functions and systems of the body is considered to be the method using multichannel electromyostimulation and equipment specially designed for these purposes - multichannel electromyostimulators of the Miorhythm type.

The main physiological effect is the dynamogenic effect, i.e. the ability to cause contraction of skeletal and muscle fibers and their strengthening. The advantage of the Miorhythm -040 M apparatus is the unique shape of its impulse, close to the action potential of the nerve fiber in the Ranvier interception zone, which allows maximum muscle stimulation with comfortable sensations and the most physiological effect on the body.

Before conducting massage and electromyostimulation sessions, the patient is visually diagnosed, clarifying the diagnosis, the degree of impaired posture or scoliosis, and the reactivity of the body. The examination reveals the state of soft tissues, soreness and mobility of the joints of the spine. Turgor of the skin above the spine is determined by the Kibler fold. To do this, grab a fold of skin with two hands across the spine, lift it and, fingering, perform a slide up. In places of limited mobility in the joints, skin turgor is increased, and the fold slips out of the hands. Then, the spinous processes of the spine are palpated with the thumb, fixing attention to the distance between the processes, their deviation from the midline and soreness. Identification of the reactivity of the body, as the ability to respond to therapeutic effects, is necessary to determine the volume, duration, depth and strength of the effects of massage and electromyostimulation. The reactivity of an organism depends on age, constitution, type of nervous system, etc.

Constitution. Asthenics need a strong and prolonged massage, normostenics - up to the threshold of pain sensitivity. Hypersthenics already feel pain at the first touch, they can go beyond the threshold of pain sensitivity.

Type of nervous system. For patients with a sympathotonic type of constitution, short, mild irritations of increased intensity are adequate. Patients with a parasympathetic-tonic type are shown to have strong prolonged irritations at a low intensity.

Conducting a classic and reflex-segmental massage is as follows.

Before massage, the patient needs to take a shower or wipe with a damp towel. During the massage, the entire body, especially the massed muscles and joints, should be as relaxed as possible. The most complete relaxation of muscles and joints occurs when the joints of the limbs are bent at a certain angle (average physiological position). During a back massage, the massaged one lies on the stomach, the hands are located along the body and slightly bent at the elbow joints, the face is turned towards the masseur, and a roller is placed under the shins. All this allows you to further relax the muscles of the body. When massaging the front surface of the body, a small pillow is placed under the head of the person being massaged, and a roller under the knee joints.

Massage movements are performed mainly along the lymph flow to the nearest lymph nodes. On the upper extremities, this is the direction from the hand to the elbows and axillary nodes; on the lower extremities - from the foot to the popliteal and inguinal nodes; on the chest - from the sternum in both directions to the axillary nodes; on the back - from the spine in both directions. During massage of the upper and middle parts of the body, movements are directed to the axillary nodes, while massage of the lumbar and sacral regions - to the inguinal nodes; on the neck, head, movements lead from top to bottom to the subclavian nodes. The first massage sessions should be short and not intense. The time and intensity of the massage increase gradually. The duration of the massage also depends on the massaged area (back - 20-40 minutes). The duration of the general massage increases from 15-20 to 40-50 minutes.

The intensity of the massage procedure should be structured as follows: min-max-min. With changes in connective tissue, various techniques of classical massage and PCM are used. Of the techniques of classical massage, stroking, squeezing, kneading, rubbing, vibration, shock techniques are used, the special techniques of reflex-segmental massage include the “saw” technique, stretching-stretching, intersistostroic technique, tension receiving, rubbing-shifting, pressing technique, plucking technique , displacement of the skin with friction, the technique of “drilling or screwing in”, displacement-displacement, the technique of “kneading-crushing”. So, when swelling, vibration and grinding with low pressure are preferred. When retraction takes place, stroking, rubbing and kneading techniques are used, and with strong tension, stroking, rubbing with strong pressure and “rubbing-shifting”, then squeezing, kneading, light rubbing, then proceed to the techniques of reflex-segmental massage vibration. percussion techniques. The massage procedure always ends with smoothing.

The intensity and duration of the massage depends on the age, gender, physique, as well as the condition of the patient.

Electromyostimulation is performed on a multichannel (25 channels) Miorhythm-040-M electromyostimulator, which has a certificate of conformity.

In children with impaired posture or scoliosis of the 1st degree, the electrodes are superimposed paravertebrally along the spine, and the electrodes are placed on muscles that are both in a state of hypotension (atrophy) and muscles of the same name located on the symmetrical side of the body, in a state of normal tone. At the same time, electrodes are superimposed on the muscles of the shoulders and oblique and rectus muscles of the abdomen, buttocks.

The number of procedures is at least 10. From 10 to 20, depending on the severity of the changes. The duration of the procedure increases from 10 to 40 minutes.

A session of electrical stimulation is carried out as follows: before starting electromyostimulation, a current tolerance test is performed.

After fixing the electrodes with a wet pad using elastic bandages, the active electrodes are connected to the corresponding channels of the electromyostimulator. For each structure, the optimal current strength is established, providing a sensation of vibration and muscle contraction. The stimulation mode gradually increases from moderate to maximum, as addiction to sensations develops (in order to avoid pain). The rhythm (sending a pause) was 4, 8, 16, 32 seconds. Low frequencies (20 - 40 Hz) were used when placing electrodes on the rectus oblique muscles, shoulder muscles. The most effective in the treatment of smooth muscles are considered and the average frequencies from 50-80 Hz, used in the treatment of skeletal muscles, when applying electrodes paravertebrally (figure 1).

With an S-shaped curvature of the spine, the electrodes are also superimposed paravertebrally along the spine, and the electrodes are placed on the muscles that are both in a state of hypotension (muscle atrophy) and on the muscles of the same name located on the symmetrical side of the body, in a state of normal tone. At the same time, the electrodes are superimposed on the muscles of the shoulders and oblique and rectus muscles of the abdomen (figure 2). However, from the side of the back where muscular atrophy is observed, a threshold to moderate stimulation mode is used at a frequency of 20-40 Hz; on the opposite side of the shoulder girdle, a stimulation mode with a frequency of 120 Hz is always used, which provides a mechanism of vasomotor effect, which is very important for relaxation of tense muscles, exposure time from 5 to 20 minutes. The electrodes are also superimposed on the rectus and oblique muscles of the abdomen, using a frequency of 20-40 Hz, and on the side of the gluteus muscles, on the side where atrophy is observed, a threshold to moderate stimulation mode is used - 8 and 16 seconds. At a frequency of 20-40 Hz from the side of severe hypertonicity, a stimulation mode is used with a frequency of 100 to 120 Hz, exposure time from 5 to 20 minutes. Atrophied muscles need to be strengthened, and muscles with severe hypertonicity need relaxation. The total duration of the electromyostimulation procedure is from 10 to 40 minutes. Thus, the duration of the massage procedure and electromyostimulation is 20-90 minutes. After this procedure, the patient needs rest for 15-30 minutes.

We give examples of specific treatment for patients.

1. Eugenia M., born 1995, complained about 05/12/2008 with complaints of undifferentiated back pain, fatigue of back muscles during sitting, stoop.

Clinical examination revealed: stoop, displacement of the spinous processes to the left, muscle contracture with mild pain on the right is detected by palpation, hypertonicity of the trapezius muscle on both sides, the rectifier of the spine, is most pronounced in the thoracic region, reflex-segmental changes are observed on the skin, in the connective tissue and muscle, from the nervous system complaints of a quick change of mood, irritability, tearfulness.

Diagnosis: impaired posture 3 degrees, suboptimal motor stereotype, mild neurosis.

The treatment was carried out: classic and reflex-segmental massage - 17 sessions, electromyostimulation - 12 sessions.

During a repeated clinical examination, 06/22/2008 complaints of back pain became much less frequent, stoop was less pronounced, muscle contracture with moderate pain on the right was not detected by palpation, hypertonicity of the trapezius muscle on both sides, reflex segmental changes in the skin, in the connective tissue significantly decreased , there are no displacements of the spinous processes, the patient has a “muscle corset”, on the part of the nervous system - stabilization of mood, the disappearance of tearfulness, the appearance of self-confidence.

Diagnosis: violation of posture 1 degree.

It is recommended that the child engage in physical exercises (an individual complex is composed), supplementing with sessions of recreational swimming.

Re-examination is scheduled after 3-4 months.

2. Oksana S., born in 1998, complained on 15.04.2008 with complaints of pain in the thoracic back on the right, fatigue of the back muscles during sitting, muscle contracture with mild pain on the right is revealed by palpation, hypertonicity of the trapezius muscle on the left, reflex-segmental changes are observed in all departments, in the standing and lying position the “arc bend” practically does not change, on the part of the cn.s. — irritability.

On the roentgenogram - right-sided thoracolumbar scoliosis of the 2nd degree.

The treatment was carried out: classic and reflex-segmental massage - 20 sessions, electromyostimulation - 16 sessions. Diagnosis: myopathic scoliosis of the 2nd degree.

During a repeated clinical examination, May 17, 2008, complaints of back pain disappeared, muscle contracture on the right decreased by palpation, reflex-segmental changes on the skin, in the connective tissue and muscles decreased significantly, displacements of the spinous processes, no shift of the spinous processes in the supine position, in the patient has formed a “muscle corset”, there are no complaints from the nervous system.

It is recommended that the child engage in physical exercises (an individual complex is composed), supplementing with sessions of recreational swimming.

With repeated treatment, after 3 months, a stable state is observed.

Conducted planned treatment: 15 massage sessions and 12 sessions of electromyostimulation.

September 25, 2008, on the roentgenogram, 1 degree of lumbar scoliosis is ascertained.

The child is recommended to continue treatment and exercise regimen.

Thus, the use of this technique in children with impaired posture with scoliosis of 1-2 degrees is an effective treatment method, as it provides an integrated approach to all systems of a growing organism. This technique provides:

- correction and stabilization of the arc of curvature of the spine;

- Strengthening and creating a “muscle corset” both to improve performance and to form correct posture;

- improving the functional ability of the external respiration system, cardiovascular and nervous system;

- improving the physical development of children;

- a general strengthening effect on the body of children and a positive effect on their psychoemotional state, as well as the education of vital motor skills.

Claims (5)

1. A method of correcting muscle imbalance in children with impaired posture and scoliosis of the 1st and 2nd degree, including electromyostimulation of the muscles of the trunk and extremities that need correction with a pulsed low-frequency modulated electric current with an electrode applied to the muscle fibers, characterized in that classic and reflex segmental muscle massage with reflex changes for 30-40 minutes, and starting from 3-6 sessions, supplement with multichannel electromyostimulation sessions with simultaneous setting electrodes to all correction zones, while the impact on areas with muscle hypotonicity is carried out with an average frequency of 20-80 Hz, and on the zones of pronounced hypertonicity - 100-120 Hz, with the rhythm of exposure, sequentially changing from 4, 8, 16 to 32 s and the duration of electromyostimulation is 10-40 minutes 2. The method according to claim 1, characterized in that in the presence of functional or articular blocks after massage, manipulative reflexology is used. 3. The method according to claim 1, characterized in that in the treatment of posture disorders, electrodes are placed simultaneously on the paravertebral zones along the spine with an average frequency of 50-80 Hz, as well as on the rectus oblique muscles and shoulder muscles with exposure to frequency of 20-40 Hz. 4. The method according to claim 1, characterized in that in the case of an S-shaped curvature of the spine, the electrodes are placed simultaneously on the paravertebral zones along the spine, from the side of pronounced hypotension, on the shoulder muscles, rectus and oblique muscles of the abdomen, gluteal muscles with medium frequency effects 20-40 Hz, as well as zones of pronounced muscle hypertonicity using a stimulation mode of 100-120 Hz. 5. The method according to claim 1, characterized in that the total number of sessions depends on the severity of the reflex-segmental changes and ranges from 10 to 20 sessions with the repeatability of this procedure after 3-4 months.

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