RU2477113C1 - Method of normalisation of erythrocyte cytoarchitectonics in 7-8-year old children with scoliosis - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, biology, hematology, pediatrics. Exercise therapy in lying on back, stomach position with exercises "traction", "swimming", "bicycle", "scissors", "holding", rotation of arms in standing position, squatting, bending, deep inhalations with arm lifting and exhalations with their abrupt lowering are performed for 6 months daily. Four courses of massage, with each including 25 30-minute long sessions are performed, with impact of back surface, trapezius muscles, elevation in the area of thoracic scoliosis, long muscles of back, lumbar concavity, pulling by iliac crest. Used are stroking, comb-like rubbing, pincers-like petrissage, uninterruptable labile vibration. Area of lumbar concavity, intercostal space are massaged with pulling angles of scapulas from spine concavity, shoulder girdle, muscles above scapulas, subclavicular and supraclavicular regions, area of pectoral muscles - rubbing, petrissage, interrupted vibration, percussion techniques. On anterior abdominal wall used are comb-like rubbing, petrissage, interrupted percussive vibration. Swimming is performed in the morning and in the evening daily for 30 minutes.

EFFECT: method ensures stable correction of erythrocyte cytoarchitectonics in said children to the level close to such in healthy children, reduces risk of microthrombotic manifestations, optimizes growth and development in child's organism, providing the best conditions for scoliosis correction.

5 ex

Description

The invention relates to medicine and biology, namely to hematology and pediatrics.

Analogues of the proposed method for normalizing the cytoarchitectonics of red blood cells in children 7-8 years old with scoliosis do not exist.

In the literature there are separate recommendations for the correction of scoliosis in children with the help of physical therapy (exercise therapy), massage and swimming. However, these correction tools have never been used to normalize the cytoarchitectonics of red blood cells in children 7-8 years old with scoliosis.

In preparing this application, the goal was to develop a method for normalizing the erythrocyte cytoarchitectonics in children of 7-8 years old with scoliosis, which would solve the problem of spinal curvature correction while normalizing the erythrocyte cytoarchitectonics, which would thereby greatly normalize capillary hemodynamics in this contingent of children metabolism in tissues and, as a result, the processes of repair and growth throughout the body, including bone and cartilage.

Never before has a treatment complex consisting of exercise therapy, swimming and massage been used in children 7-8 years old with scoliosis in order to normalize the cytoarchitectonics of red blood cells.

The essence of the proposed method lies in the fact that for the correction of the cytoarchitectonics of red blood cells for children 7-8 years old with scoliosis, exercise therapy, swimming and massage are prescribed for a long time.

To assess the cytoarchitectonics of red blood cells, light phase-contrast microscopy of cells was used (Pakhrova O.A., Grineva MR, Ivanov K.S. Methodology and clinical significance of the study of rheological properties of blood // Bulletin of the Ivanovo Medical Academy. - 2008. - Т .13, No. 1-2. - S.89-98).

To study the cytoarchitectonics of cells, the blood was fixed in a 1% solution of glutaraldehyde (Fluka, Switzerland) on medium 199 (pH 7.4) at a temperature of 4 ° C for one day, after which a “crushed drop” preparation was prepared. Cell counting was performed as a percentage of 200 red blood cells using a phase-contrast device of a Lumam-P1 light microscope under immersion.

Red blood cells were classified into ten classes:

1) discocytes;

2) discocytes with one outgrowth;

3) discocytes with a crest;

4) discocytes with multiple outgrowths;

5) red blood cells in the form of a mulberry;

6) domed red blood cells (stomatocytes);

7) spherocytes with a smooth surface;

8) spherocytes with spines on the surface;

9) red blood cells in the form of a "deflated ball";

10) degenerative forms of red blood cells.

The first five classes of red blood cells (with signs of echinocytic transformation) were considered reversibly deformed, since these cells are able to spontaneously restore shape. The remaining classes of red blood cells belonged to the group of irreversibly deformed or prehemolytic forms.

With a decrease in the blood of children 7-8 years old with scoliosis, the number of discocytes is lower than 80.0% and with an increase in reversibly altered forms of red blood cells above 12.0% and / or irreversibly altered forms above 8.0%, the claimed method must be applied.

The method allows you to adjust the cytoarchitectonics of red blood cells in children 7-8 years old with scoliosis for six months, stably translating it to a level close to that for healthy children of this age, which can significantly reduce their risk of microthrombotic manifestations, optimizing the growth and development processes in the child’s body providing the best conditions for the correction of scoliosis.

The first component of the claimed method is a daily therapeutic physical culture, consisting of several parts: warm-up, exercises lying on your back, lying on your stomach and standing. Rest between exercises is performed in the starting position (i.e. if the exercise was carried out while lying on your back, then rest occurs in the same position without getting up and sitting).

1. Warm up - walking in a circle for 3-4 minutes.

The child lies on his back.

2. "Traction" of the spine. The child lies on his back and heels stretch "down", the crown - "up". Performs 5-6 "traction" for 15-20 seconds.

3. Swimming. The initial position is lying on your back, legs are straight, the head in the back of the head is in contact with the plane on which the body lies. The child performs movements that simulate swimming on the back: the arms are laid to the side and make movements that simulate rowing with an amplitude of about 90 °, the legs are straightened and make light jerky movements. 2-3 sets of 30 seconds are performed with a short rest between them (5-10 seconds).

4. The bike. Lying on his back, arms behind his head or along the torso, the child makes his legs movements that simulate riding a bicycle. Most of the amplitude of leg movements should be at the level of the body, not dangling legs above the stomach and trying to straighten the leg alternately passed close to the floor. The pace is medium. 2-3 sets of 30-40 seconds are taken with rest breaks of 5-10 seconds.

5. Scissors. Lying on his back, hands behind his head or along the torso, the child performs the surrounding horizontal and vertical swings with his feet. In this case, horizontal swings must be made closer to the floor. The pace is medium. 2-3 sets of 30-40 seconds are performed.

The child turns on his stomach.

6. "Traction" of the spine. Lying on his stomach, with his socks the child stretches "down", with the crown - up. 5-6 “stretches” are carried out for 15-20 seconds with rest breaks of 5-10 seconds.

7. Swimming. The starting position is lying on the stomach, legs are straight, the head rests on the back of the palms. The child bends in the lower back (head, upper torso, arms and legs are raised, fulcrum is the stomach). Holding this position, movements imitating swimming are performed: arms forward, legs apart, then arms apart, legs joined, then arms to shoulders, legs still together. 2-3 sets of 10-15 repetitions are performed with a rest between sets of 5-10 seconds.

8. Scissors. Lying on his stomach, legs are straight, his head rests on the back of his hands. The child raises his legs and performs the surrounding horizontal and vertical swings with his feet. During this exercise, the hips must be torn off the floor. The pace is medium. 2-3 sets of 15-20 seconds are performed with a rest between them of 5-10 seconds.

9. "Traction" of the spine. Lying on his stomach, with his socks the child stretches "down", with the crown - up. 3-4 “traction” for 15 seconds are performed with a rest between them for 5-10 seconds.

10. Retention. Lying on his stomach, legs are straight, his head rests on the back of his hands. The child raises his legs and upper body, arching in the lower back (head, upper body, arms and legs raised, fulcrum belly). Legs together, arms to the sides, palms turned up. Statically, the child freezes in this position for 10-15 seconds. At the same time, it is advisable not to hold your breath and while performing this exercise, it is advisable to tear the hips off the floor. 3-4 repetitions are performed with rest between repetitions of 5-10 seconds.

The baby gets up.

11. Rotation by hand. Standing in front of the mirror to control posture, the elbows are laid aside, the fingers on the shoulders. The hands are rotated backward (clockwise) with a large amplitude of movement - the elbows should make the largest circle during rotation. The pace of execution is slow. 2-3 approaches are performed for 20-30 seconds with a rest between them for 5-10 seconds.

12. Squats. Standing in front of the mirror to control posture, arms spread out to the side, palms turned up. In this position, the child, maintaining proper posture, stands on his toes, then crouches, stands on his toes again and returns to its original position. The pace of the exercise is slow. 5-10 such squats are performed with rest between them for 5-10 seconds.

13. Tilts from a vertical position to the sides 6-7 times to the right and left. Hands on the belt.

14. Deep breaths with raising hands up and deep exhalations with a sharp lowering of them - 1-2 minutes.

The second component of the claimed method is to conduct four courses of massage. The duration of one massage session is 30 minutes, one massage course consists of 25 sessions. Within six months of correction, massage courses are carried out four times - the first immediately at the beginning of the correction, and then 3 more massage courses with an interval of 25-26 days.

A child with scoliosis lies on his stomach, a massage therapist stands on the side of chest scoliosis. At the beginning, a general stroking of the entire surface of the back is performed (planar, grasping, rake, ironing), then a sedative, relaxing effect on the upper part of the trapezius muscle is performed (stroking, rubbing, labile continuous vibration), rubbing, kneading, vibration on the eminence in the chest area are done scoliosis (comb-like grinding, striking, chopping, kneading the forceps along the long muscles of the back). After this, the area of lumbar concavity is massaged (techniques for relaxation, stretching, sedative-stroking, rubbing, vibration are only labile, continuous).

The child turns on his left side. In this position, methods of pulling the right iliac crest are used.

The child turns on his right side. In this position, pulling the left iliac crest is performed.

The child turns back on his stomach. Continues massage of the scoliosis area in the lumbar region, in the area of convexity (methods of stimulation, toning - kneading and intermittent vibration to strengthen muscles). Then, the subscapular region is relaxed and stretched, massaging the intercostal space (rake-stroking, rubbing, labile vibration) with pulling the corners of the shoulder blades from the concavity of the spine, are massaged, stimulating and toning the shoulders, the muscles above the shoulder blades, the upper parts of the trapezius muscles (grinding, kneading, kneading, kneading, shock techniques).

The child rolls onto his back. In this position, massage the front surface of the chest. In the subclavian and supraclavicular areas, as well as in the area of the pectoral muscles, in order to stimulate, strengthen the muscle corset, rubbing, kneading, intermittent vibration and shock techniques are performed. On the anterior abdominal wall, methods of stimulation and toning are performed (comb-shaped rubbing, kneading, intermittent vibration, shock).

The third component of the claimed method is the daily swimming of the child in the sea, river or pool 2 times a day in the morning and evening for 30 minutes.

Example 1. A group of healthy children 7-8 years old (n = 42) were examined during a routine examination. Children took blood in plastic tubes followed by a study of the cytoarchitectonics of red blood cells. The results obtained (discocytes 86.1 ± 0.012%, reversibly altered forms 8.5 ± 0.09%, irreversibly altered forms 5.4 ± 0.12%) indicated its normal state.

After 8 months. the whole group was routinely re-examined for the state of red blood cell cytoarchitectonics (discocytes 85.3 ± 0.14%, reversibly altered forms 7.9 ± 0.11%, irreversibly altered forms 6.8 ± 0.10%), which remained normal.

Example 2. A group of children 7-8 years old with scoliosis of the I-II degree (n = 24) was examined during a routine medical examination. Blood was taken from children in plastic tubes followed by a study of the cytoarchitectonics of red blood cells. The results of its assessment (discocytes 74.3 ± 0.17%, reversibly altered forms 15.4 ± 0.15%, irreversibly altered forms 10.3 ± 0.12%) indicated its increase.

To correct scoliosis, all children of this group in the clinic at the place of residence spent 8 months. standard, 5 times a week, exercise therapy, swimming in the pool 3 times a week and five standard massage courses for scoliosis for 10 sessions lasting 20 minutes. After 8 months. correction against the background of pronounced positive dynamics of scoliosis in children, weakening of disorders was noted, but not normalization of the cytoarchitectonics of red blood cells (discocytes 76.8 ± 0.12%, reversibly altered forms 13.8 ± 0.11%, irreversibly altered forms 9.4 ± 0, 09%).

Example 3. A group of children 7-8 years old with scoliosis of the I-II degree (n = 28) was examined in a children's clinic at the place of residence during a routine medical examination for scoliosis. Blood was taken from children in plastic tubes followed by a study of the cytoarchitectonics of red blood cells, which showed an increase in them (discocytes 72.8 ± 0.14%, reversibly altered forms 14.8 ± 0.13%, irreversibly altered forms 12.4 ± 0 , 08%).

The children were recommended the daily exercise therapy standard for scoliosis, six standard ten-day massage courses of 20-30 minutes with a visit to the pool in the nearest sports complex 6 times a week for 8 months.

After 8 months. Correction signs of scoliosis in children 7-8 years old were minimized. Moreover, the erythrocyte cytoarchitectonics in the observed children (discocytes 76.8 ± 0.18%, reversibly altered forms 13.3 ± 0.19%, irreversibly altered forms 9.9 ± 0.07%) did not reach the level of cytoarchitectonics in their healthy peers.

Example 4. A group of children 7-8 years old with scoliosis of the I-II degree was examined during the clinical examination for scoliosis. Blood was taken from plastic bottles in children and each cytoarchitectonics of erythrocytes was found to be elevated (discocytes 74.7 ± 0.11%, reversibly altered forms 14.6 ± 0.21%, irreversibly altered forms 10.7 ± 0.08 %).

Children were recommended for 8 months. standard exercise therapy every day, seven days a week, 2 times a day, swimming in the clinic’s pool for 30 minutes and six standard massage courses with standard techniques for 15 sessions, session duration 30 minutes.

After 8 months. Correction signs of scoliosis in children were completely eliminated, however, the cytoarchitectonics of red blood cells (discocytes 78.5 ± 0.06%, reversibly altered forms 13.0 ± 0.08%, irreversibly altered forms 8.5 ± 0.04%) remained higher values characteristic of healthy children 7-8 years old.

Example 5. A group of children of 7-8 years old with scoliosis of the I-II degree (n = 45) was examined in the clinic at the place of residence during the clinical examination for scoliosis. Blood was taken from children in plastic tubes with the study of spontaneous cytoarchitectonics of red blood cells (discocytes 73.0 ± 0.11%, reversibly altered forms 16.2 ± 0.14%, irreversibly altered forms 10.8 ± 0.07%), which turned out to be elevated.

The children were recommended a combination of exercise therapy, swimming and massage according to the claimed method.

Already after 6 months. correction, according to the claimed method, the signs of scoliosis were completely eliminated, and the cytoarchitectonics of erythrocytes in all children of this group returned to normal (discocytes 84.6 ± 0.09%, reversibly altered forms 11.4 ± 0.07%, irreversibly altered forms 4, 0 ± 0.03%).

The control of the cytoarchitectonics of red blood cells in children of this group after another 6 months. even when they stopped using all the elements of the claimed method, they showed the preservation of its normal state.

Using the proposed method for the correction of erythrocyte cytoarchitectonics in pediatrics and hematology will help optimize blood rheology in primary school children with scoliosis, normalizing their metabolism and growth and repair processes in tissues, which provides the basis for eliminating the manifestations of spinal curvature.

Claims (1)

A method of normalizing the cytoarchitectonics of red blood cells in children 7-8 years old with scoliosis, which includes 6 months of daily use of therapeutic physical culture, consisting of warm-up, lying exercises on the back - "stretching", "swimming", "bicycle", "scissors", lying on abdomen - “traction”, “swimming”, “scissors”, “traction”, “retention”, consisting in holding the child while bending in the lower back in a position with the head, upper body, arms and legs resting on the stomach, and standing - arms rotation, crouching, vertical bends th position in hand, deep breaths with raising arms up and deep exhalations with a sharp lowering; four massage courses of 25 sessions, the duration of one massage session is 30 minutes in the supine position with first stroking the entire surface of the back - planar, wrapping, rake, ironing, then massage the upper part of the trapezius muscle - stroking, rubbing, continuous labile vibration , then massage the elevation in the area of thoracic scoliosis - comb-like grinding, striking, chopping, kneading the forceps along the long muscles of the back, then massage the lumbar concave region ti - stroking, rubbing, labile vibration, continuous when turning on one, then on the other side, pulling techniques for the iliac crest on the opposite side are used, while turning the child on the stomach continue to massage the scoliosis region in the lumbar region in the bulge area - kneading and vibration are intermittent , then massage the intercostal space - rake stroking, rubbing, labile vibration with pulling the corners of the shoulder blades from the concavity of the spine, then massage the shoulders, muscles above the shoulder blades, upper asthma of the trapezius muscles - rubbing, kneading, intermittent vibration, shock techniques, after turning the child on his back, massage in the subclavian and supraclavicular areas, rubbing, kneading, intermittent vibration and shock techniques in the area of the pectoral muscles, stimulation techniques are performed on the anterior abdominal wall, toning - comb-like rubbing, kneading, intermittent vibration, shock; daily swimming 2 times a day in the morning and in the evening for 30 minutes.