RU2389466C1 - Method for vertical reposition in patients with spinal conduction abnormality according to ag novoselov - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method refers to medicine, namely to therapeutic physical training. Vertical reposition in the patients with spinal conduction abnormality is ensured by training to supported standing, therapeutic exercises and stimulation of lower extremities. Standing is carried out daily in a knee-bent apparatus combined with physical exercises including handstand push-ups rested on the knee-bent apparatus, arm swings upwards - downwards - sideways, alternate feet lifting and squatting, imitating walking and pendulum body rocking. The lower extremities are stimulated 3 times a day before therapeutic exercises by manual warm-up of feet. In prone position, bicycling is made with using hands. Sitting right and left movements are made by one and then by the other knees with increasing set number and fixing supplementary disks to add the evening load on knee joint considering the health state. After 10 month of trainings, daily bicycling is added. With regard to the health state, there are introduced sitting lotus pose, sitting sliding motions by bare feet with using hands, prone dumbbells exercises with mental feet flexion and extension, rotation of extended legs apart, lifting of the upperparts, swimming and a nettle bath.

EFFECT: method for vertical reposition in patients with spinal conduction abnormality.

2 cl, 1 ex

Description

The invention relates to medicine, namely to physiotherapy and rehabilitation, and can be used to restore motor functions of people with disabilities with paralysis and paresis.

Known rocking exercises for the spine (method of Nikolai Mikhailov), including moderately sharp, repeated, rhythmic, swing-vibrational movements of the spine with an amplitude of deviation of 3-6 cm (RF patent No. 2112487, А61Н 1/00, publ. 06/10/1988) . This invention can only be used for the prevention and treatment of diseases of the spine such as osteochondrosis, radiculitis and strengthen the spine of athletes.

The closest technical solution to the claimed is a method of restoring an upright posture in patients with impaired conduction along the spinal cord, including learning to stand with support or external fixation of a patient, conducting gymnastics, vibration stimulation of the lower extremities (RF Patent No. 2236209, А61Н 1/00, publ. September 20, 2004).

This method is effective for restoring the vertical posture of patients with impaired conduction along the spinal cord with syndromes of lower flaccid and spastic paraplegia, deep paraparesis of various origins. In patients with lower spastic paraplegia syndrome, the use of this method contributes to the formation of extensor motor activity and training the patient to manage it. However, this method requires outside help, is applicable only in stationary conditions and is ineffective for patients with a fracture of the spine and rupture of the spinal cord.

The objective of the invention is the development of therapeutic exercises for independent use at home.

The technical result is achieved by the fact that in the method of restoring the vertical posture in patients with impaired conduction along the spinal cord, including teaching the patient to stand with support, conducting therapeutic exercises, stimulating the lower extremities, standing is carried out in the knee device daily simultaneously with a set of physical exercises consisting of push-ups on hands from the knee device, swinging arms up and down - to the sides, alternately raising legs and squats, simulating walking and rocking the body in de "pendulum". Stimulation of the lower extremities is carried out 3 times a day before therapeutic exercises by warming up the feet with the hands, then in the “lying” position with the help of the feet make a “bicycle”, then in the sitting position alternately first with one, then the other knee make movements to the right and left, increasing depending on well-being, the number of approaches and adding an evening load on the knee joints by hanging discs. After 10 months of training, daily cycling workouts are added.

Depending on how you feel, you can add exercises such as sitting in the “lotus” position, sliding movements with your bare feet with your hands in the sitting position, exercises in the supine position with dumbbells with mental flexion and extension of the feet, rotation of the knees straightened legs in different directions, lifting the upper body, swimming and a bath with nettles.

The essence of the invention is to enable both active and passive development of the knee and hip joints, as well as training the muscles of the lower extremities in a wide range of limb movements, including in the position of a fully extended limb. The given set of techniques and approaches allows you to strengthen the intervertebral structures of all parts of the spine, as well as the muscles of the hands, abdomen, intestines, pelvic organs and muscles, massage the prostate, thighs, lower leg, feet, joints of the lower extremities.

From the analysis of scientific, technical and patent literature of the claimed scheme of medical rehabilitation gymnastics is not revealed. That allows us to conclude that it meets the criteria of "novelty" and "inventive step".

The invention is illustrated by the following example.

Patient N., 49 years old, Diagnosis - spinal fracture with complete rupture of the spinal cord, body 7 and 8, 6 cm of the spinal cord removed during surgery, lack of sensitivity in the lower extremities, disruption of the gastrointestinal and urethra.

After the course of treatment in the hospital at home, the patient (patient) independently (without extraneous) help carries out rehabilitation therapy 3 times a day.

Getting started with training, you need to learn four basic principles:

- sequence - training should begin with simpler exercises, then move on to more complex ones;

- gradual - from small loads with a gradual transition to more complex ones;

- systematic - conduct training systematically, and not from case to case;

- consolidation of the achieved result.

The following is a set of gymnastic exercises.

1. Stimulation of the lower extremities for 10-30 minutes by warming up the feet with your hands.

2. In the “prone” position for 5-10 minutes, a “bicycle” is made with the help of the feet (hands support the feet in the popliteal zone).

3. In the sitting position, gymnastics “knee exercises”

- alternately, first with one foot, then the other alternately make movements with the knee to the right, then to the left.

(depending on well-being, increasing the number of approaches from 5 to 200 and adding an evening load from 1.5 to 4 kg (a load in the form of disks is hung on the knee joint. This exercise is performed with legs shod in felt boots with weighting insoles placed in them, to maintain the integrity of the joints of the feet).

4. Standing in the knee device - for 10-30 minutes daily simultaneously with a set of physical exercises, including:

- push-ups on the hands of the knee device,

- swing your arms up, down, to the sides,

- alternately raising legs,

- squats

- imitation of walking, rocking the body in the form of a "pendulum".

5. Depending on well-being, exercises can be added:

- sitting in the lotus position,

- sliding movements with the bare feet of both legs with the hands in the sitting position,

- in the “lying” position - exercises with dumbbells with mental flexion and extension of the feet and rotation of the legs straightened in the knees in different directions,

- exercises for the muscles of the back and abdomen - lifting the upper body from a horizontal position using the right, then the left hand with a gradual increase in the number of lifts up to 100 times, then sitting at an angle of 45 °, first without a dumbbell, and then with a dumbbell on the shoulders (dumbbell weight gradually increase to 4 kg) the rise of the upper body to a vertical position (the amount is gradually increased to 50 times),

- swimming (on the back with mandatory flexion and extension of the legs).

6. After 10-month training - additionally daily training on a bicycle for 30-40 minutes.

7. Once a week - a bath with nettles.

This invention allows the entire course of gymnastic exercises to the patient on their own, without outside help. Gradually, from day to day, there is an improvement in overall well-being, an increase in the mobility and flexibility of the spinal column, an improvement in the activity of the gastrointestinal and urethra, strengthening of the muscles of the arms, legs, abdomen, shoulder girdle, the appearance of sensitivity in the feet, increased strength in the "knee joints, decreased emotional tension.Today (after prolonged training for 2-3 years after the injury) there is strength in the legs and knee closure.

Claims (2)

1. A method of restoring a vertical posture in patients with impaired conduction along the spinal cord, including training the patient to stand with support, performing therapeutic exercises, stimulating the lower extremities, characterized in that standing is performed in the knee device daily simultaneously with a set of physical exercises consisting of push-ups hands from the knee device, swinging the arms up-down-to the sides, alternately raising legs and squats, simulating walking and rocking the body in the form of a “pendulum”, and the stimulus The lower extremities are carried out 3 times a day before therapeutic exercises by warming up the feet with the hands, then in the “lying” position with the help of the feet they make a “bicycle”, then in the sitting position alternately, first, then with the other knee make movements to the right and left, increasing depending on the well-being, the number of approaches and adding an evening load on the knee joints by hanging discs, after 10 months of training, daily cycling workouts are added. 2. The method according to claim 1, characterized in that, depending on well-being, add a seat in the "lotus" position, gliding movements with bare feet with the hands in the "sitting" position, exercises in the "lying" position with dumbbells with mental flexion and extension feet, rotation of the legs straightened in the knees in different directions, lifting the upper body, swimming and a bath with nettles.