RU2519975C1 - Method and device for physiotherapeutic health improvement - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: patient lying flat on his/her back on the main platform (MP) turns a pelvis with a pubis upwards about a horizontal axis perpendicular to a sagittal plane until a low back touches the MP which has a socket or a hole for one or more sacral and coccygeal vertebrae. An ankle platform (AP) vertically movable and adjusted at a desired height is attached to the MP; that is used for ankles and feet and is fixed at the height wherein the patient feels the least pain. The patient performs daily 5-20-minute pelvic oscillations about its horizontal axis perpendicular to the sagittal plane at a frequency of 0.5-2 Hz, amplitude 0.001-0.020 m with background music. In a device to be used, a horizontal support consists of two movably coupled platforms: the MP and AP. Two U-bars are rigidly connected to the MP lengthwise, and two metal plates of the same length pivotally attach the vertically movable AP to the U-bar sides; the AP is provided with a metal linear spacer with catching sockets for the screw rigidly attached to the U-bar side. Support feet are attached to the U-bars from below; the support feet rotate from a non-working position when they are placed from below inside the U-bars, into a working position when back stops rigidly fixed on the feet rest against the U-bars from below.

EFFECT: method and device enable easy and comfortable health improvement both in healthcare facilities, and domiciliary, providing dynamic stimulation of lumbosacral, sacroiliac, coxofemoral and hypogastric metabolism.

3 cl, 2 dwg

Description

The method and device relates to medicine, in particular to methods and devices for treatment using physiotherapeutic procedures, including physiotherapy exercises, and can be used for the treatment and prevention of diseases of the spine of various etiologies, in particular radiculopathies and intervertebral hernias of the lumbar spine, not associated with rupture of the fibrous ring of the intervertebral disc.

Since it is assumed that readers without a medical background may be familiar with this description of the invention, in the text below the first-mentioned medical terms will be interpreted in parentheses in Russian, taken mainly from medical dictionaries [1] and [2].

Physiotherapy refers to the treatment of various diseases with the help of physical methods of exposure, which help accelerate the healing process. These methods include the use of light, infrared and ultraviolet rays, heat, electric current, massage and various manipulations, as well as physiotherapy exercises. [2], t.2, p. 459-460.

A hernia of the intervertebral disc or intervertebral hernia is understood as a hernia in which the gelatinous nucleus of the intervertebral disc protrudes through the cracks or tears in the fibrous (fibrous) ring into the spinal canal, and a hernia in which the fibrous ring protrudes into the spinal canal without leaving the nucleus pulposus . In both cases, a hernia can cause compression of the nerve roots (spinal nerves emerging from the intervertebral foramen). The fibrous ring is a dense elastic membrane of the intervertebral disc, inside which contains a gelatinous nucleus and which consists of mutually intersecting layers of strong fibers. The moisture contained in the gelatinous nucleus slowly and continuously exchanges with surrounding tissues both under the influence of chemical attraction forces and under the action of buoyancy forces that create compression (pressure) and distraction (tension) in the intervertebral disc. This moisture exchange delivers nutrients to the intervertebral disc and removes metabolic products. Metabolism (metabolism and energy) in the intervertebral disc occurs the more intensively and better, the more often the back moves, and with it the vertebrae, intervertebral discs and ligamentous muscle corset of the spine.

The most common causes of intervertebral hernia of the spine can be attributed to unsuccessful turns or inclinations, leading to twisting and bending of the spine, spinal and pelvic injuries, heavy impulse physical exertion, prolonged sitting or standing, bad habits like long smoking and excessive drinking of alcohol, dysplasia (developmental and developmental disorders) of the hip joint in childhood, osteochondrosis (dystrophic changes in bone and cartilage) of the spine, scoliosis of the spine (bent of the spine in the frontal plane), falling from the spinal damage, dystrophic (caused by metabolic disorders) changes under the influence of prolonged physical overload the spine, such as hard physical work or sports excessive loads.

In osteochondrosis, the formation of intervertebral hernias very often occurs due to the fact that the intervertebral discs lose turgor (elasticity, resilience), as a result of which the probability of the formation of an intervertebral hernia against the background of osteochondrosis is very high.

Bad habits reduce the body's immunity (the body's ability to resist infection) and make it easily susceptible to various diseases that impair the blood supply to the tissues surrounding the intervertebral discs and the ligamentous muscular skeleton of the spine. This negatively affects the metabolism in the intervertebral discs, reduces their turgor, which provokes the formation of intervertebral hernias. Improper or unbalanced and irregular nutrition also negatively affects the spine, can cause, for example, osteochondrosis of the spine and related complications.

The term radiculopathy is used to describe pain and other symptoms characterized, for example, by a decrease in sensitivity and weak muscle tone (the ability of tissues to perform their functions), severe pain sensitivity in the innervation zone (the zone of transmission of nerve impulses from the spinal nerves), radiating (spreading beyond the pathological focus) pain along the nerve trunks. This pain can be caused, for example, by compression of the nerve roots in an intervertebral hernia or as a result of the occurrence of aseptic (non-infectious) osteoarthritis (inflammation of the joint) in the arched joints (joints formed by the articular processes of the vertebrae, that is, formed by the posterior upper and lower paired spinous processes of two neighboring spinous processes of two adjacent vertebrae) with a decrease in the distance between the vertebral bodies due to a decrease in turgor and a decrease in the thickness of the dystrophic intervertebral disc, which leads to excessive the approach and pressure on each other of the posterior spinous (bone) paired processes, forming paired arched joints of two vertebrae adjacent to the dystrophic intervertebral disc. Often, radiculopathy manifests itself at the same time as a combination of pain, numbness of the skin in the area of innervation of the affected spinal nerve and weakness of the muscles innervated by the affected spinal nerve. The affected spinal nerves can be from one to several, while these symptoms can occur simultaneously in different parts of the body. They are usually treated using medical methods, a variety of physiotherapeutic procedures, physiotherapy exercises, methods of manual therapy and reflexology (acupuncture).

A sedentary lifestyle and the absence of daily feasible static and dynamic physical exertion has a large role in the formation of intervertebral hernias in the spine and, in particular, in the lumbar region. The lack of regular correctly performed physical exertion accelerates the development of osteochondrosis of the spine, and behind it the occurrence of intervertebral hernias, which, however, do not necessarily lead to back pain, as information sources based on numerous examinations of patients, as well as anatomical and pathological studies show. Indication of these sources of information is not part of the present description of the invention, although as an example, you can specify the source of information [5] in the following list of information sources.

It is important to start treatment of both lumbar intervertebral hernias and other sources of back pain in a timely manner and not to miss the moment when you can still help conservative (non-surgical) ways to avoid surgical intervention. With timely conservative, for example, physiotherapeutic treatment based on physiotherapy, it is possible to stimulate sanogenesis (mechanisms for restoring impaired self-regulation of the body), stop the progression of intervertebral hernias, eliminate radiculopathies of various etiologies, strengthen the muscle corset, eliminate subluxations (incomplete dislocation) of the vertebrae that provoke the development of intervertebral and the occurrence of pain in the arched joints, to prevent or slow down age-related and traumatic dystrophic disease, to prevent possible complications.

Currently, there are three theories that explain the occurrence of back pain and, in particular, in the lumbar region.

Supporters of the first of these are most practitioners. This theory is called vertebrogenic or discogenic. According to this theory, lumbar pain (like pain in other parts of the spine) occurs due to a hernia of the intervertebral disc, that is, due to a prolapsed (bulging) intervertebral disc and compression of the spinal nerves (nerve roots) emerging from the spinal cord through the intervertebral holes. So, for example, in the book [3], an article on radiculopathies is called Discogenic Radiculopathies. This article states that “disc protrusion (protrusion or hernia), as well as osteophytes, can squeeze the roots, causing radicular pain ... The first attacks of lumbar and cervical pain are apparently associated with a tear of the fibrous ring of the disc (dyscalgia) ... Only the development of a hernia a disk compressing the root leads to the formation of the radicular syndrome itself. The shape of the spinal column is such that the maximum load falls on the lower cervical, lower thoracic and lower lumbar regions, therefore, root compression at these levels most often prevails in the clinical picture. ” [3] p. 414-415.

According to the second of them, the true culprit of the disease, which the proponents of this theory call the theory of muscle blockade of the intervertebral discs, are the back muscles, not the vertebrae and intervertebral discs. Moreover, these muscles are not long back muscles, but short ones from the so-called deep back muscles. For lumbar pain, these are mainly the lateral (lateral) and medial (median) transverse muscles of the lower back and interspinous muscles of the lower back. This disease, according to these supporters, is not vertebrogenic (due to damage to the elements of the spine). The disease occurs with a spasm (prolonged involuntary muscle contraction) of one or more of these short muscles and this condition can last for a long time, even for years. Under the influence of these spastic (involuntarily contracted) short muscles, muscle block (interruption of normal physiological activity) of the intervertebral discs develops, causing them to protrude towards the spinal canal, which leads to compression of the spinal nerves and the vessels accompanying them, resulting in pain and loss of sensitivity of organs and tissues. "Our research ... allowed us to accumulate enough data not only for the fundamental condemnation of the theory of discogenic osteochondrosis, but also for the approval of a new theory of muscle blockade of the intervertebral discs." [4], pp. 33-38.

According to the third of these theories, the leading role in the appearance of pain in the musculoskeletal system and, in particular, in the lumbar region is played by muscles, tendons and ligaments with their pain receptors, and the spine is not involved in these pains. Proponents of this theory provide strong anatomical justification for the fact that neither hernias of the intervertebral discs, nor osteoporosis of the spine, nor even subluxation of the vertebrae are causes of back pain and, in particular, in the lumbar region. Based on anatomical studies and pathoanatomical data, they claim that “all the spinal nerves of the thoracic and lumbar spine exit the spinal canal through the upper half of the intervertebral foramen. "The intervertebral disc ... is located at the level of the lower half of the intervertebral foramen and therefore no protrusion and even hernias can damage the spinal nerves." [5], p. 71.

Supporters of each of these three theories offer their own non-surgical methods for treating back pain, and surgical supporters of the first, that is, discogenic theory, offer surgical treatment for back pain in order to remove the intervertebral hernia as a source of pain.

There is a method of treating radiculitis, practiced by supporters of the first (discogenic) theory, including analgesic blockades, immobilization (immobilization) of the spine, for which the patient is put into bed with a hard mattress, as well as spinal traction, back massage, physical therapy to strengthen muscles, physiotherapy procedures. In the case of prolonged intense pain, despite the full-fledged conservative therapy (3-4 months), surgical intervention should be suggested to remove the disc herniation. [3], p. 415-416.

A known method of treating muscle blockade of discs, practiced by supporters of the second of the above theories, including acupuncture (acupuncture, electro-puncture, laser puncture) or manual (electromanual) therapy, a medium-hard mattress for sleep and exercise for training the short muscles of the back and neck, the last two components Methods are also proposed as a prophylaxis of blockade of discs (“osteochondrosis”). [4], p.66, 105-114.

Known traction-pulse method of exposure to the spine, which is one of the options for manual therapy, the theoretical justification of which basically corresponds to the second of the above theories. This method for the treatment of vertebrogenic (associated with pathology of the spine) diseases, which was developed by Dr. A.I. A beaver involves palpation of a local defanation (hypertonicity) of muscles, elimination of this defunct by intermittent distraction (simultaneous stretching, pulsed) of the vertebral motor segment by manipulating the doctor on the patient’s spine in two directions: traction (stretching) of the patient’s body upward and simultaneously jerky vibration in sagittal plane, psychophysical exercises performed by the patient himself, then repeated manipulations of the doctor with the patient, [6], p.4.

A known method for the treatment of back pain, practiced by supporters of the third of the above theories, including kinesitherapy (treatment with movement), developed by Dr. S.M. Bubnovsky. This method contains an anesthetic (analgesic) blockade in the first hours after the onset of a pain attack at the most painful point in the pain zone, determined by palpation (examination by fingers). Then bed rest for 2-3 days, even if the pain disappeared, on a soft mattress, preferably anti-decubitus. Then on the mattress, which takes the form of the patient’s body, which is selected individually. The patient is given puncture therapy (any type of reflexology) during the entire period of treatment, thermal procedures using a heating pad or a sitting bath from the third or fourth for after the first anesthetic blockade. After 2-3 days of maximum rest, the patient performs gentle movements with increasing intensity for about 3 weeks, then exercises using the weight of his body, dumbbells, expanders, exercise machines with alternating tension, relaxation and muscle tension under the continuous guidance and supervision of an experienced doctor. [5], pp. 91-98, 101-118.

The disadvantages of all four of these methods is that their use is possible only with the help of highly qualified doctors and, mainly, in medical institutions with the use of expensive equipment and simulators, and the last three methods only in expensive paid medical institutions. Therefore, they cannot be used, firstly, without the participation of an experienced doctor, and secondly, at home and, thirdly, the last three methods are not available to the bulk of the population due to the high cost.

There is a method of complex non-surgical treatment of diseases of the spine, according to which daily 20-45 sessions are carried out on an outpatient basis, each of which includes several successive stages, namely: at the first stage, the spine is stretched using a manual dosed stretching mechanism in a patient’s horizontal position on a training device with an individual selection of the angle of inclination of the cervical and lumbar spine; at the second stage, a relaxation-vibrational longitudinal stretching of the ligamentous-muscular apparatus of the spine is carried out by vibration massage with dosed stretching using the "Swing Machine"; at the third stage, acupress therapy of the muscular frame of the spine with ebonite rollers is carried out along the massage lines of the back; at the fourth stage, alternating myofascial and vacuum cupping massage of the ligamentous-muscular apparatus of the spine is performed. [7].

The disadvantages of this method include the fact that the patient every day for a long time to carry out a long procedure in a medical institution (not at home) on special expensive simulators, which, as a rule, are equipped only with those medical institutions that provide paid services basis. This is far from acceptable for all patients both financially and because of the inconvenience associated with the need to conduct a course of treatment at home. Another disadvantage of this method is that when it is used, the patient is in a passive state, his muscles do not do any work, which results in inhibition of metabolism in tissues, including in the intervertebral discs, due to which the physiotherapeutic effect is reduced.

A known method for the prevention and treatment of intervertebral hernias, which is used when operating a rehabilitation vertebral stand as follows. To stretch the cervical spine, the patient is placed on two moving parts of the platform. The patient’s head is placed on the fixed part and the neck roll. Cervical emphasis shift close to the neck of the patient. A head strap fixes the patient's head from above. Using the control unit, the platform is hoisted. Two movable parts with the help of an automatic lock are connected together and do not diverge when lifting the platform. The patient’s head, fixed in the neck rests, remains motionless, and both moving parts together with the patient’s body begin to move downward under the force of their own weight. The elevation angle of the platform and the procedure time for stretching the cervical spine is determined only by the doctor. To stretch the lumbar spine, the patient with an open lumbar is placed on two moving parts of the platform. Set axillary stops to the required width across the width of the patient’s chest with an electric drive. The position of the patient's body is fixed using axillary stops. In this case, the hip portion of the patient’s body is located on the movable part of the platform farthest from the head. When lifting the platform, the separation of the moving parts occurs. The movable part closest to the head remains motionless under the patient’s body, while the movable part farthest from the head begins to move downward along with the lower part of the patient’s body. The exhaust force is set automatically and depends on the angle of the platform and the weight of the patient. The time of the procedure depends on the fatigue in the armpits of the patient. As a rule, this is 30-40 minutes. This design provides a stationary state of the patient during the procedure. The patient’s body is not fixed by any devices other than axillary stops, which is convenient for both the doctor and the patient. [8].

The disadvantages of this method of prophylaxis and treatment of intervertebral hernias, which is used when using this stand for vertebral rehabilitation, include the complexity of the design of the stand itself and its high cost due to the need to develop design documentation for it, and then produce it in a single copy, since this stand not commercially available and therefore not available on the market for similar devices. In addition, this stand requires the implementation of a method for the treatment of intervertebral hernias with the mandatory participation of a doctor, even if this stand is used at home. In addition, another disadvantage of this method of treatment of intervertebral hernias is that the patient must be in a stationary state, in which the musculo-ligamentous frame of the spine and other muscles are inactive, resulting in lymph and blood circulation, as well as metabolism in the spine, in particular in the intervertebral disks, and its musculo-ligamentous skeleton are inhibited. This reduces the physiotherapeutic effect of this method of treatment and prevention of intervertebral hernias when it is used together with the stand.

There is a method of correcting muscle imbalance in the muscles of the axial skeleton (spine, chest and brain skull), the pelvis of the trunk and shoulder girdle, used when using special devices (training simulators). According to this method, the patient stands on all fours under a horizontal shelf with a spring-loaded load, after placing both lower legs and both forearms in trough-like supports and with back deflection down with subsequent movements of raising and lowering the back with back deflection, overcoming the physical effect on the back of the load and spring. When the spine bends from a single arch of kyphosis into a single arch of lordosis, the vertebrae undergo the full amplitude of physical forward flexion until the body is fully extended backward. By changing the points of application of force from a spring loaded load, it is possible to redistribute and vary the effort into weaker departments and thereby train them depending on strength capabilities and endurance to the number of repetitions. Before using the device, a load is established, the weight of which is determined by the gender, age and physical data of the person, namely from 5 to 100 kg. [9], [10].

The disadvantages of this method include the fact that it cannot be used if the patient has radiculopathy, including that caused by an intervertebral hernia in the lumbar region, since when the spine bends up into the kyphosis arch, the vertebrae fan out like a healthy fan, back to the intervertebral discs, in this case, not only large compressive forces act on the affected hernia, but at the same time, forces arise that push the intervertebral discs in the direction of the spinal canal and nerve roots that exit through the intervertebral nkovye holes. These increased buoyancy forces can not only increase pain by additional compression of the nerve roots by displaced intervertebral discs, but also provoke the formation of new intervertebral hernias in healthy vertebral segments (intervertebral disc and two adjacent vertebrae) due to extrusion of the fibrous ring of the intervertebral disc or its gelatinous nucleus in the direction of spinal canal. And bending the spine down into the arch of the lordosis under a power load, and sufficiently large, can lead either to an extension of the anterior longitudinal ligaments of the vertebrae or to rupture of them, which will cause additional pain syndromes in the lumbar region.

There is a method of correction and treatment of the spine, including placing the patient on the head restraint and supporting surface in the form of a profiled dorsal support with an end persistent protrusion from the side of the lower lumbar region, placing the head with the suboccipital region on the head restraint, the height and position of which is selected in accordance with the nature of the curvature of the spine in the cervical spine traction using the influence of the patient’s weight, while the head restraint moves freely in the longitudinal direction relative to hydrochloric surface. [eleven].

The disadvantages of this method include the fact that its use requires a device that, although it can be used at home, but due to the structural complexity, cost and cumbersomeness, is unacceptable for the majority of patients to use at home, and medical institutions providing services on a fee basis, if they were able to purchase such a device, are unavailable to most patients because of the high cost of services. Another disadvantage of this method is that the patient is in a passive state when drawing the spine. That is, the musculo-ligamentous frame of the spine and other muscles do not do any work, as a result of which the metabolism in the patient’s body, including the spine and its musculo-ligamentous frame, is slowed down, which generally reduces the therapeutic effect of the application of the method or requires a significant increase in the time spent procedures for obtaining the effect of healing the spine. This may be unacceptable for most patients due to concomitant discomfort with prolonged motionless lying on his back, and even under the influence of tensile forces.

A known method of passive mechanotherapy, consisting in the action of alternating loads on the musculoskeletal system of a patient at rest, while the effect is carried out in the patient's position lying on his back, or on his stomach, or on his side on a base that has a motionless support for the neck - the head part and the lodgement movable relative to the base to accommodate the upper body, pelvic region and lower extremities. Alternating loads are created by the reciprocating movement of the individual parts of the lodgement in the vertical direction with a frequency of 0.1-10 Hz and an amplitude of 0.05-0.5 m in such a way that the upper body and lower limbs perform in-phase reciprocal movements, and the pelvic region is antiphase to them, and the support for the cervical-head part is installed with the ability to maintain the natural movements of the head during the mentioned movements of the upper body. [12].

There is a method similar to the previous one, according to which the patient is laid horizontally on an electromechanical device and the shoulder joints are fixed to the first section by fixation elements. After that, using the device for axial dosed traction, axial traction is given, for example, by a force of ¼ of the patient's weight. Then the patient is fixed to the second section with fixation elements in the area of the hip joints and upper third thighs. The on / off button turns on the engine with the variator, while the number of revolutions can be equal, for example, from 10 to 30 per minute. The amplitude of movement of the two pushers, providing the rotation of the first and second sections in antiphase around a common longitudinal horizontal axis, is regulated. When the first and second sections are tilted in different directions, they automatically approach each other or diverge at a predetermined distance along the longitudinal horizontal axis. When the gap between the first and second sections increases during this movement, distraction occurs and the spinal column twists and squeezes, in connection with which the tissue fluid is squeezed out of the intervertebral discs (similar to squeezing things), and when the gap between the first and second sections decreases, it occurs compression, which creates a vacuum in the intervertebral discs and the absorption of tissue fluid, in fact due to this mainly feed on the intervertebral discs. This leads to improved nutrition of the intervertebral discs, the development of joints and ligaments of the spinal column, as well as to massage the abdominal organs. [13].

Before pointing out the disadvantages of this method, it should be noted that an error or typo has crept into the cited excerpt and the words distraction and compression must be interchanged, since distraction (distractio; lat. Stretching, stretching) is a forced simultaneous or slow gradual stretching of the affected area , for example, limbs, for therapeutic purposes, and compression (from Lat. compressio - compression) is the compression, for example, of gas. Therefore, during distraction, the spinal column cannot be squeezed, but under compression stretch, as indicated in the above passage of the description of the invention according to the source of information [13].

The disadvantage of the last two and similar methods is the passivity of the patient, whose muscles of the body and the musculo-ligamentous frame of the spine do not work during the procedure, since the electromechanical device does the job of performing reciprocal oscillatory motion of the spine, as a result of which it is not actively enough metabolism in the body and in the tissues of the spine, including intervertebral discs, which reduces the therapeutic effect and requires an increase in the time spent otsedur. Another disadvantage can be attributed to the complexity of the design of electromechanical devices by which these methods are applied, the high cost of these devices and the need for procedures under the supervision of a doctor, which virtually eliminates the possibility of their use at home.

A known method of healing a person, including the appointment of him to perform physical exercises that cause muscle tension, while lying on his back, on his stomach or on his side, and only those exercises that cause rhythmic stretching of only relaxed muscles due to longitudinal, lateral, transverse or rotational movements one or more moving parts of the body of the head, neck, hands, shoulder girdle, thoracic region, upper body, pelvis, legs - alternately in one direction, then in the opposite direction with repeated repetition by rhenium of each alternation and the movement of several parts of the body in relation to each other alternately or simultaneously, in the same or in opposite directions, with a relaxed state of the muscles that are not involved in performing the movements. Performing physical exercises that cause rhythmic stretching of relaxed muscles is prescribed on a flat or curved, horizontal or inclined surface of the support in the position of a reclining lying or reclining position on the back, abdomen or side with straightened or bent, arms and legs extended longitudinally or apart, including the position in which the legs lie on a support, but are bent at the knees so that the hands grab the feet. The implementation of physical exercises that cause rhythmic stretching of relaxed muscles, it is advisable to appoint in a free or fixed position, healed, lying on the surface of the support, actively healed or passively by moving the moving parts of the surface of the support. Performing physical exercises that cause rhythmic stretching of relaxed muscles, it is advisable to prescribe with a frequency of 0.1-10 stretching in 1 second. Performing physical exercises that cause rhythmic stretching of relaxed muscles, it is advisable to appoint against the background of rhythmic musical accompaniment or rhythmic light, or color music accompaniment. [fourteen].

It must be emphasized that this method is aimed at muscle tension and includes both active rhythmic exercise for muscle stretching, that is, the patient himself, and passive rhythmic exercise for muscle stretching, that is, using various electromechanical devices.

The disadvantages of this method include the following. Firstly, the method in question is intended for stretching the muscles of a patient using actively or passively rhythmically performed exercises, which implies performing exercises with a sufficiently large amplitude. The logical development of this method in terms of passively performed exercises was the invention by the same author of a device for passive rhythmic exercises, in the description of which the amplitude of rhythmically performed exercises is indicated explicitly and is 0.05-0.5 meters, that is, from 5 to 50 centimeters [ 12]. Such a large amplitude of oscillations aimed at achieving the goal of the invention — muscle tension, requires a sufficiently large muscle tension — agonists and antagonists directly involved in the rhythmic inclinations and turns of body parts, especially at large amplitudes, which are 5-50 centimeters, and frequencies up to 10 reciprocating or reciprocating movements of body parts per second. Moreover, in the presence of intervertebral hernias, for example, in the lumbar region, the rhythmic performance of exercises with the large amplitude of oscillations indicated above can lead to even more rhythmic compression of the nerve roots in the areas of displacement of the intervertebral discs and, as a result, to an increase in the symptoms of radiculopathy, especially if these are hernias of the intervertebral discs L4-L5 or L5-S1. Secondly, during the use of this method, due to large amplitude fluctuations in rhythmically performed exercises, the bend of the spine significantly increases in the half-period of deflection forward in the lumbar region (lordosis) and in the half-period of deflection back in the cervicothoracic region (kyphosis) on the intervertebral discs of a sufficiently large compressive force of the contracted muscles, making the corresponding additional bend of the spine in comparison with its normal state, which leads to flax pulsed increase in pressure on the vertebrae the intervertebral discs in the areas adjacent to contract the muscles and occurrence of forces ejecting the intervertebral discs in the opposite direction where the stretched muscles are relaxed and the intervertebral ligaments. As a result of this, a protrusion towards the relaxed muscles of both the fibrous ring of the intervertebral disc and its gelatinous nucleus through the outer fibrous ring, that is, the formation of an intervertebral hernia, can occur. And since during these sweeping rhythmic exercises, the spine in the lumbar region is jerkily alternately bent into reinforced lordosis and then into kyphosis, the intervertebral discs can protrude both forward and backward towards the spinal canal, and in this latter case, these intervertebral discs can compress the nerve roots emerging from the intervertebral foramen, as a result of which lumbar sciatica may occur. Thirdly, before starting to use this method, the patient must undergo a medical examination or have medical admission for physical therapy. Only after this, the doctor makes a decision about the possibility of applying this method to the patient, and the implementation of exercise complexes should be carried out under the supervision of a doctor. In most cases, this is unacceptable for patients who wish to perform procedures at home.

A known method of wellness gymnastics "Spiral", including movement to stretch and twist. Movements are carried out in waves along closed paths. The technical result of the proposed method of gymnastics is the healing effect of the body under the influence of vibrational loads on relaxed muscles during the natural movement of a person. The technical result is achieved through the use of known movements to stretch, twist and shake by rotating the hip and shoulder girdles in a wavy manner inside the body perimeter along closed paths performed on relaxed muscles from the initial position, in which the knees are bent, the pelvis is lowered, the weight on the forefoot, moreover, the movements of the hip and shoulder girdles are carried out in opposite directions, and the movement is adjusted using hand-held simulators weighing no more than ( e less) 800 g, for example in the form of sticks. All exercises are performed in an upright position while standing on one's legs. [fifteen].

The disadvantage of this method is that all the movements he makes performs standing on his feet. Therefore, the author’s assertion is incorrect that stretching, twisting and shaking movements by rotation of the hip and shoulder girdles are performed on relaxed muscles. For example, the musculo-ligamentous skeleton of the spine is in constant tension to keep the spine upright with the addition of twisting or tilted with the addition of twisting while performing wave-like movements with a stick in his hands and standing on his feet. Therefore, in addition to the weight of the upstream part of the body being healed and compressive forces from the muscles that hold the spine vertically or vertically and twisted, intervertebral discs are additionally affected by dynamic forces from shocks caused by shaking. The greatest loads from the listed forces arise in the intervertebral discs of the lumbar spine, especially in the intervertebral discs L4-L5 and L5-S1. The same large loads when performing the proposed movements act on the vertebrae, with the largest loads on the lumbar vertebrae, which becomes dangerous in the presence of osteoporosis. These large loads can lead not only to protrusion of the intervertebral disc, but also to rupture of the fibrous ring with extrusion of the gelatinous nucleus, which will provoke an acute attack of radiculopathy in the lumbosacral region of the spine, especially with shaking and twisting movements. In addition, when performing the proposed movements on the intervertebral discs, compression efforts constantly act in the absence of distraction, which inhibits the metabolism in the intervertebral discs and negatively affects their turgor.

There is a method of healing and getting rid of pain in the lumbar spine by periodically turning the pelvis in opposite directions, consisting in the fact that the well-being, standing straight, leans with his shoulders, back and buttocks against the wall, puts his feet shoulder-width apart at 20 centimeters from the wall , bends the knees slightly, strains the buttocks and pulls the stomach in, then touches the lower back to the wall by turning the pelvis with the pubis forward around the horizontal axis perpendicular to the sagittal plane (the plane passing her through the median axis of symmetry of the body and dividing it into right and left halves), then retained in this position for 6 seconds, then relax, and after a while repeating this exercise several times. [16] p.66; [17], p.205.

The disadvantage of this method is the fact that during its implementation the spine of the person being healed is in an upright position, and the muscles involved in fixing the body for 6 seconds in a static position are in a state of stress all this time. In this state, the muscles involved in the flattening of the lower back, that is, in the elimination of lordosis in the lumbar region, exert compressive forces on the intervertebral discs of the lower back and the weight of the upper half of the body being healed is joined to these forces, as a result, especially if the person being healed is overweight, either protrusion of some intervertebral disc, or increased protrusion and even extrusion of the gelatinous nucleus of a previously prolated intervertebral disc in the direction of the spinal canal, dstvie which may arise radiculopathy symptoms. In this case, the most loaded and therefore most at risk are the intervertebral discs L4-L5 and L5-S1. Another drawback is that in the case of a statically stressed and motionless state of muscles, in which the vertebrae have increased compression on the intervertebral discs, there is an increase in the outflow of moisture from the gelatinous nuclei of the intervertebral discs through the outer fibrous rings, while compression continues to appear on the intervertebral discs after muscle relaxation from the upper half of the patient’s body and the ligamentous-muscular skeleton that holds the spine upright. That is, when using the method under consideration, the compression constantly acting on the intervertebral discs does not change to distraction, in which there is an outflow of moisture from the intervertebral discs together with unnecessary metabolic products, which leads to inhibition of metabolism, which may result in dystrophy of the intervertebral discs, loss of turgor, reduction their thickness and the occurrence of osteoarthritis in the arched joints with acute pain syndromes.

The closest of the methods to the technical solution chosen for the prototype is the method of physiotherapeutic healing and getting rid of pain in the lumbar spine by periodically turning the pelvis in opposite directions, described above according to information sources [16], p.66 and [17], p. 205, but performed by the healthier not in an upright position, but in a horizontal position, that is, lying down. When using this method, the healer rests on a supporting horizontal surface, for example, on the floor or a medical couch. Then, the well-being performs a turn of the pelvis with the pubis upwards around a horizontal axis perpendicular to the sagittal plane, until the lumbar contacts the supporting horizontal surface. After that, the well-being keeps the buttocks and abdominal muscles in tension, fixing the pelvis in this turned position, for 6 seconds. Then, the well-being performs relaxation of the muscles that attract the lower back to the supporting horizontal surface, as a result of which the pelvis partially rotates in the opposite direction with the lower back moving in the direction of the initial curved state in the lower back with the formation of the lumbar lordosis in the spine. After that, the well-being rests for some time. Then this exercise, consisting of the described sequence of rotation of the pelvis, holding the pelvis in the turned position, muscle relaxation for some time, the healed man repeats several times. [17] p.206-207.

The disadvantage of this method is that the muscles of the abdomen, buttocks and musculo-ligamentous frame of the spine involved in the rotation of the pelvis, both in tension and then in a reduced state when the lower back is pulled to the supporting horizontal surface, and are in a stationary state during relaxation. At the same time, a little work is done by the muscles in the state of tension, and during relaxation the muscles do not do any work at all. The consequence of this is the inhibition of metabolism both in the muscles and tissues surrounding the spine, and in the intervertebral discs, in the capsules of the arched joints, in the sacroiliac and hip joints, which reduces the physiotherapeutic effect of the application of this method.

In addition, the disadvantage of this method can also be attributed to the fact that due to the static poses of the person being healed, both with a stressed state of the muscles involved in pulling the lower back to the supporting horizontal surface and in a state of relaxation of these muscles there is practically no stimulating dynamic effect on the improvement of metabolism in the lumbar intervertebral discs, capsules of the arched joints, in the sacroiliac and hip joints, as well as in the musculoskeletal frame of the spine in the lumbosacral howling area, muscles and internal organs of the abdominal cavity, gluteal and femoral muscles, which reduces the physiotherapeutic effect.

Another disadvantage of this method is that when it is used, it is impossible for a person with strong lumbosacral pain to lie on his back with his legs raised in a relaxed state, bent at the knees, or this requires additional means, for example, stools of different heights or pillows, or blankets and the like, which is inconvenient. And the refusal to use these additional funds causes discomfort from irreducible pain, although this particular position is desirable and helps relieve acute lumbosacral pain. [17], pp. 208-209.

The objective of the invention-method is to create a method of physiotherapeutic recovery of a person, providing technical results in the form of convenient and comfortable use, not only in medical institutions, but also at home, at work or on vacation. Another technical result is an increase in the physiotherapeutic effect both in the prophylaxis and in the treatment of radiculopathies in the lumbosacral region. Moreover, the last technical result is obtained thanks to another technical result in the form of the dynamic stimulation of metabolism that occurs when using the proposed method in the lumbosacral region of the spine, sacroiliac and hip joints, as well as in the internal organs of the hypogastric region of the abdominal cavity.

In addition, the objective of the invention-method is to expand the range of methods of physiotherapeutic recovery of a person, convenient for use at home.

The indicated objectives of the invention have been solved and the technical results are achieved by the fact that in the method of physiotherapeutic healing of a person, comprising placing a healed back on a horizontal support, turning the recovered pelvis with the pubis upward around a horizontal axis perpendicular to the sagittal plane, until the lumbar contacts the horizontal support, added that for the placement of the person being healed uses the main platform with a recess or hole, and the placement of the healed wasp with the back on the main platform It allows the location of the last one or several vertebrae of the sacrum and coccyx above the recess or opening in the main platform, to which, using the channels rigidly attached from below, the ankle platform is mounted for vertical movement and fixation at the required height for placing the legs with feet, while being healed with lumbosacral pain before turning the pelvis sets and fixes the ankle platform at the required height, at which he experiences the least e pain, then the healer performs oscillatory movements of the pelvis around its horizontal axis, perpendicular to the sagittal plane, with a frequency of 0.5-2 Hz and an amplitude of 0.001-0.020 meters for 5-20 minutes, and the healed makes oscillatory movements of the pelvis under the accompaniment of rhythmic music. Moreover, it is preferable that the healed one performs oscillatory movements of the pelvis around its horizontal axis perpendicular to the sagittal plane with a frequency of 1-1.5 Hz and an amplitude of 0.005-0.010 meters for 10-15 minutes every two hours every day.

New features form an inextricable combination, due to which the objectives of the invention are solved and the technical results of the invention are achieved by the fact that after placing on a horizontal support and turning the pelvis upwardly around the horizontal axis, perpendicular to the sagittal plane, until the lower back touches the horizontal support, healed, without tearing the pelvis from the horizontal support, makes oscillatory rotations of the pelvis around the same horizontal axis of rotation, perpendicular to the sagittal plane. The oscillatory movement of the pelvis through the vertebra of the sacrum S1 (the first vertebra of the sacrum) and the intervertebral disc L5-S1, located between the last L5 (5th) lumbar vertebra and the first vertebra of the sacrum, is transmitted to the vertebrae, intervertebral discs and arch processes of the lumbar spine. The same oscillatory movement of the pelvis is transmitted to the sacroiliac, hip and knee joints through the femurs. It should be noted that these dynamic oscillatory processes in the lumbosacral region of the spine and in these joints are performed by the person being healed without any axial load associated with the weight of the person being treated, on the vertebrae and intervertebral discs and at small amplitudes, which virtually eliminates the possibility of injuries in the vertebrae , intervertebral discs and arched joints. In this oscillatory movement created by the muscles of the person being healed, the vertebrae, intervertebral discs and spinous processes of the arch processes of the lumbar spine of the lumbar spine continuously make small reciprocating movements relative to each other in the vertical and longitudinal horizontal directions. With these small movements, distraction and compression of the intervertebral discs, bags of the arched joints, as well as the sacroiliac, hip and knee joints are carried out continuously and alternately, which stimulates an increased metabolic rate in them. As a result, the gelatinous nucleus and fibrous ring of the intervertebral disc in the lumbar region, as well as the muscular-ligamentous apparatus of the lumbosacral region of the spine, the arched, sacroiliac, hip and knee joints continuously receive dynamic impulses with a low frequency and low amplitude not only to maintain a healthy conditions in them, thereby ensuring the prevention of radiculopathies and pathologies in the lumbosacral region of the spine and the above joints, but also to restore in neither x a healthy state, that is, elimination of radiculopathies in the lumbosacral region of the spine that are not the result of irreversible pathologies, for example, rupture of the fibrous ring and protrusion of the gelatinous nucleus through the gap into the spinal canal with compression of the nerve roots. Moreover, even in the presence of lumbar radiculitis with pain, for example, in the gluteal muscles, the well-being is able to apply this method, as for movements of the pelvis to contact with the supporting horizontal surface, and for performing oscillatory rotations of the pelvis, it is necessary to perform movements with small movements and at very low frequency, which requires small tension involved in this movement of the muscles, not leading to increased pain. At the same time, the small amplitude and low frequency of rotation of the pelvis, which does not have a sharply pulsed character, under the influence of mainly the gluteal muscles of the healed one, has an active beneficial effect on the relaxation of that lumbosacral short muscle (or several short muscles), which turned out to be spastic and became a source of pain in the lumbar pelvic region. And this beneficial relaxation effect on spastic short muscles is similar to the effect of massage on them (a system of mechanical manipulation techniques) or reflexology, only it is even more effective, as it is not passively externally through a large thickness of tissues and muscles, but actively healed through the internal ones created by it mechanical impulses with a low frequency and amplitude, which increases the physiotherapeutic effect of this method both in the prevention of radiculopathies and in their treatment. In addition, when the healed oscillatory movements of the pelvis are performed, continuous alternating contraction and relaxation of the muscles of the agonists and antagonists occurs (contraction of the agonist muscle is accompanied by relaxation of the antagonist muscle opposing it) involved in providing these oscillatory movements with a frequency of 0.5-2 Hz and an amplitude of 0.001 -0.020 meters for 5-20 minutes, while the muscles perform mechanical work, which requires an increased influx of nutrients and oxygen and the removal of unnecessary body metabolic products through increased lymph and blood flow, resulting in an additional acceleration of metabolism in these muscles, surrounding tissues, in the musculo-ligamentous apparatus of the lumbosacral spine, in the intervertebral discs of the lumbar spine, as well as in the sacroiliac, hip and knee joints , which further accelerates the elimination of the pathologies present in them and increases the physiotherapeutic effect of this method. At the same time, with oscillatory rotation of the pelvis, a low-frequency with a small amplitude effect on the abdominal organs, especially the hypogastric region, is performed. This mechanical internal effect in its physiotherapeutic effect is similar to massage, which helps to increase lymph and blood circulation, accelerate metabolism, improve muscle tone, reduce or eliminate muscle spasms, as well as, for example, activate peristalsis (longitudinal wave-like contractions) of the intestine, improve men blood circulation of the prostate gland, which increases the physiotherapeutic effect of using this method for both prevention and treatment.

With lumbar hyperlordosis (enlarged lordosis), it may be difficult for a person to turn the pelvis and pull the lower back to the horizontal support. In addition, the pressure, quite strong, on the last S5 vertebra of the sacrum can cause discomfort and discomfort. Therefore, to eliminate these unpleasant sensations and increase comfort, as well as to facilitate the attraction of the lower back to the horizontal support and to keep the lower back in this position, a recess or hole was made in the horizontal support area of the last three vertebrae of the sacrum S3, S4 and S5, i.e. the 3rd , 4th and 5th vertebrae of the sacrum, and tailbone. Thanks to this recess or hole, healed with lumbar hyperlordosis, when placing his back on a horizontal support, has the sacrum with the last few vertebrae above a rectangular recess or hole. For example, a person places either S5 (5th), or S4 (4th) and S5 (5th), or S3 (3rd), S4 (4th) and S5 above a rectangular recess or hole of a horizontal support (5th) vertebrae of the sacrum and the coccygeal part of the spine. In this position, the clearance between the horizontal support and the lower back decreases, so less muscle effort is required to bring the lower back into contact with the horizontal support. In addition, in this case, the pressure of the horizontal support on the last S5 (5th) vertebra of the sacrum is significantly reduced or eliminated, which eliminates unpleasant sensations and increases comfort when using this method. Thus, the placement of the last few vertebrae of the sacrum and coccyx above the rectangular recess or hole of the horizontal support facilitates the rotation of the pelvis to touch the horizontal support and its further low-frequency oscillation with small amplitude, while at the same time unpleasant sensations in the S5 (5th) vertebra of the sacrum are eliminated due to the exclusion of horizontal support pressure on it, which increases the comfort of using this method.

In addition, the convenience and comfort of using the method for being healed with acute lumbosacral pains is further enhanced due to placement of the healed on two movably connected horizontal platforms - the main and ankle, due to which the healed can find a pose with his legs raised in a relaxed state, bent at the knees, which intolerable pains decrease or disappear. This also further enhances the physiotherapeutic effect of using the method.

To increase comfort, a low pillow can be placed under the head of the person being healed and rhythmic music included.

It must be emphasized that this method can be used both in medical institutions and at home, at work, on vacation, because to use it with normal lordosis it is enough to have a horizontal support, which can serve as the floor in the room, a medical couch, hard a sofa, a bed with a hard mattress, as well as a bench in the park or a sunbed on the beach with a thin mattress.

This method, being new, expands the range of methods of physiotherapeutic recovery of a person, convenient for use at home, which is one of the objectives of the invention. Thus, all these tasks of the invention-method are solved and achieved technical results when using it.

All the objectives of the invention-method are solved and technical results are achieved using all the features of the independent claim 1 of the claims. Preferred conditions for the fulfillment of certain features are indicated in dependent claim 2.

To implement this method in its entirety, including those being healed with hyperlordosis, the use of a new invention-device, which is discussed below, will be required.

A device for correcting and treating the spine is known, comprising a back support and a support node for the head with a head restraint. The back support is made in the form of a pillow profiled in longitudinal section with a persistent end protrusion from the side of the lower lumbar region of the patient. The headrest is configured to interact with the suboccipital region of the head and is mounted with the possibility of free movement in the longitudinal direction along the inclined guides under the influence of the weight of the patient's head. Inclined guides are installed on the base with the ability to adjust the height of the supports and strut. The headrest is equipped with a latch for the starting position and means for the initial straggling of the headrest. The device provides a pulling effect on the spine along the line of natural curvature. [eleven].

A known simulator for passive mechanotherapy, containing a base, a lodgement for the patient’s trunk and lower limbs, associated with a reciprocating drive, and a support for the cervical-head part. The support for the cervical-head part is mounted on the base and isolated from the lodgement, and the lodgement is made with the possibility of providing in the vertical direction antiphase movements of its middle part with respect to the peripheral parts. The simulator provides mechanical antiphase vibrations of the lodgements and transmission of vibrations to the patient’s body. [12].

Known apparatus containing the skeleton, the first section, which is designed for the upper body - the head and shoulder, the second section, which is designed for the lower body - the lower back, pelvis and legs, the drive of the controlled oscillatory movement in antiphase of the first and second sections, compression distraction device and device for axial dosed traction of the pelvis. The technical result is the ability to develop joints and tendon-ligamentous apparatus of the spine, improve the nutrition of the intervertebral discs by twisting and compressing the spinal column. [13].

A device for stimulating the body, comprising a leg support connected to two oscillation generators that are located on a carrier plate and each of which has a driven axis. The bearings are mounted on the ends of the axes with an eccentricity with respect to the axes. The plates are mounted on a leg support and have slots. The supports can be moved in the slots and, accordingly, rotated 180 ° relative to each other. The leg support during use oscillates in the form of a swing and performs a reciprocating movement in the vertical and horizontal directions. The axle bearings can be rotated relative to each other. Leg support can swing around a longitudinal axis. The guide elements are mounted on a carrier plate and can be moved in vertical guides. Vertical guides are formed by cutouts in the plates. The device allows you to transmit vibrations to the body. [eighteen].

A device for traction treatment of osteochondrosis of the spine, including located on the base of the bed with the elements of the patient’s body. The bed has a fixed and movable part with traction. The base is installed on two semicircular runners equipped with movable folding legs mounted with the possibility of displacement from the supporting surfaces of the runners and fixing to them. On the runners metric divisions are made with a mark of the angle of inclination of the base. The device can be used for more accurate dosing of the traction force of the lumbar spine. [19].

A device for stretching the lumbar spine containing a special table, a bodice for attaching to the chest, a belt for attaching to the patient’s stomach, while the straps of the bodice are attached to the special table at the head, and the load is attached to the straps of the belt using a cable thrown over the block fixed on a special table at the feet of the patient. [20] p.420.

A known apparatus comprising a skeleton, a support, a pelvic girdle, an axial traction unit and an oscillation unit with a drive. The support consists of a first section designed for the upper body - the head and shoulder, a second section designed for the lower body - the lower back, pelvis and legs, and an intermediate section designed for the middle body - the chest. The first section has clips for the patient’s shoulders. The axial traction unit contains traction, side rollers for traction and an adjustable power drive for traction with a dynamometer. The rods are attached to the pelvic girdle. The oscillation drive unit has an electric motor with a gearbox or a variator and a control panel. The support is equipped with a removable mattress that can be attached to the support. The apparatus provides the opportunity to develop the thoracic spine by giving it not only up and down movements, but also oscillatory movements relative to the axis passing along the spine, with amplitude and force acting from the side of the apparatus, both independently and together with stretching the spine. [21].

The disadvantage of all of the above (and similar) devices is the passivity of the patient, whose muscles of the body and the musculo-ligamentous frame of the spine do not work during the procedure, since they perform the work of stretching, twisting or performing the reciprocating and oscillatory movement of the spine, as a rule, electromechanical devices, as a result of which the metabolism in the body (organs, tissues, muscles, tendons, ligaments, bones, joints) is not active enough and, in particular, in vertebral discs, vertebrae and the musculo-ligamentous lumbosacral spine unit, which reduces the therapeutic effect of the use of these devices, and forcing to increase the time of the procedure.

Another drawback of these devices (except for the device according to the source of information [20], p. 420) is the complexity of their design and high cost, as a result of which they are absent in budgetary medical institutions, and in commercial medical institutions where these devices can be used, the cost of services is at a high level, as a result of which these devices are not available to the vast majority of patients.

In addition, the lack of these devices should include the fact that their use is possible only under the supervision of a doctor, which virtually eliminates the possibility of their use at home.

The closest device to the technical solution chosen for the prototype is a collapsible massage couch containing a horizontal support for placing the patient, a rectangular frame assembled with screws from the crossbars, and leg racks attached with screws to the rectangular frame, while the horizontal support from above it is covered with foam rubber, upholstered with dermatin and attached by screws to a rectangular frame. [22], p. 52-53, Fig. 22-C.

The disadvantage of this device is that the surface of the horizontal support for accommodating the well being is continuous, which does not allow it to be used to use the above-described invention, a method of healing a person with a healthy lumbar hyperlordosis or with acute pain in the lumbosacral spine . This narrows the scope of this device for healing people and reduces the physiotherapeutic effect due to the fact that the person being treated will experience unbearable discomfort when the back is placed on a horizontal support for a sufficiently long time (5-20 minutes) due to the high pressure exerted by this support on the last S5 vertebra the sacrum.

In addition, the inconvenience and lack of comfortable operation of this device can also be attributed to the fact that it does not allow a person who is being treated with acute pain in the lumbosacral region to lie on his back with his legs raised in a relaxed state, bent at the knees or requires additional funds ( for example, stools of different heights or pillows, or blankets, etc.), which is inconvenient. And the refusal to use these additional means to give the person being treated the least painful posture causes discomfort from irreducible pain, although this particular posture is desirable and helps relieve acute lumbosacral pain. [17], pp. 208-209.

Another disadvantage of this device is the inconvenience of its operation due to the high complexity of its assembly before operation and disassembly after use for storage, since without disassembling after operation it will take up a lot of space and spoil the appearance of the environment, which in most cases can become an obstacle to using it at home.

The objective of the invention, the device is to create a new device that, when used, provides technical results in the form of expanding the scope of the device, increasing the physiotherapeutic effect, as well as increasing the usability of the device.

The specified objective of the invention-device is solved and the technical results when using it are achieved by the fact that in the device for physiotherapeutic rehabilitation of a person, containing a horizontal support for accommodating the well being and supporting legs, the horizontal support is made of two movably connected parts: the main platform and the ankle platform; in the main platform, a recess or hole is made in the area of the location of the last several vertebrae of the sacrum and tailbone of the person being healed; Two channels are rigidly attached to the main platform in the longitudinal direction from below by screws and to the side of each channel using two parallel metal strips of the same length, an ankle platform is pivotally mounted with vertical movement, provided with at least one side pivotally attached in the form of a metal strips with recesses for engagement with a screw, rigidly fixed on the side of the channel; at the same time, op polar legs pivotable from an inoperative condition in which the support legs are placed inside the bottom channels, to a working condition in which the abutments are rigidly fixed to the supporting legs, to abut the bottom channels.

To increase the comfort of operation of the device for physiotherapeutic improvement of a person, the upper surface of the horizontal support for placing the person being healed can be covered with foam rubber and covered with dermatin.

New features of the invention-device in combination with the known ones allow to solve the problem of the invention-device and to use it to achieve technical results. It should be noted that these features form an inextricable combination, due to which both the technical results of the invention-device and the technical results of the above-described invention-method are achieved, which, that is, the method, can be implemented in full only when using the considered invention-device.

Indeed, the achievement of the technical results of the invention-device associated with the expansion of the scope, increase the physiotherapeutic effect and the comfort of operation of the device is ensured by the fact that in the horizontal support for accommodating the person being healed, a recess or hole is made in the region of the last several vertebrae of the person being healed. This allows the recipient with hyperlordosis to place the last few vertebrae of the sacrum, for example S3, S4, S5 along with the tailbone, or S4, S5 together with the tailbone, or S5 together with the tailbone over a recess or opening. This excludes the possibility of providing horizontal support on the last vertebra of the sacrum S5 of a well-being, having hyperlordosis, with high pressure with almost unbearable discomfort with a sufficiently long (5-20 minutes) application of the above-described invention-method. This increases the comfort of operation, expands the scope of the invention, the device due to the possibility of its use for healed with hyperlordosis and increases the physiotherapeutic effect.

EFFECT: achievement of the technical results of the invention-device related to increasing the convenience and comfort of operation of the device for physiotherapeutic healing of a person, due to the fact that the horizontal support for accommodating the person being healed is made of two separate parts: the main platform and the ankle platform, while the ankle platform is connected to the main platform with the ability to move in the vertical direction. This allows a well-being with acute lumbosacral pains, when using the invention-device together with the invention described above, to find such a relaxed position of the legs in a bent state with shins with feet placed on the ankle platform, in which severe pains are significantly reduced to easily tolerated or practically disappear. At the same time, while finding the most analgesic posture for the legs, the healer can place one or more of the last sacral vertebrae together with the coccyx above the recess or hole in the main platform, thereby facilitating the execution of the oscillatory turns of the pelvis and eliminating the unpleasant sensations of the pressure of the horizontal support on the last S5 vertebra of the sacrum for healed with acute pains. All this in aggregate additionally increases the physiotherapeutic effect of using the device.

Additionally, it is provided to increase the usability of the device for physiotherapeutic improvement of a person by the fact that the legs are connected to the horizontal support with the possibility of rotation. This allows you to significantly reduce the dimensions of the device inoperative, which facilitates its storage, as this requires significantly less space.

The invention-device is simple in design and can be made both in workshops with low-cost technological equipment in small enterprises and for individual entrepreneurs, as well as in a handicraft way at home, since all parts of the device are simple and can be made using simple and inexpensive tools made from inexpensive materials and fasteners available in stores and building materials markets.

A non-limiting embodiment of the present invention is a device for the physiotherapeutic recovery of a person is described with reference to the drawings as an example.

In Fig.1 shows a General view of a device for physiotherapeutic recovery of a person in a folded form, and Fig.2 shows the same in an unfolded form.

The device contains a horizontal support, consisting of an ankle platform 1 for placing the legs with feet and the main platform 2 for placing the rest of the body being treated, in which, for example, a rectangular hole 3 is made to accommodate the last few (from 1 to 3) sacral vertebrae and tailbone. The ankle platform 1 and the main platform 2 can be made of lined chipboard and have, for example, a rectangular shape with the following dimensions: total (total) length 1.9 meters, width 0.6 meters, thickness 0.03 meters. Two channels 4 with a length of 1.9 meters are rigidly attached to the main platform 2 with screws (not shown). The channels 4 are rotatably connected with metal strips 5 and 6 with screws 7 and 8, with screws 8 protruding slightly outward. The metal strips 5 and 6 at the other ends are rotatably connected by screws 9 and 10 to the ankle platform 1. The locking strips 11 with the screws 9 above the metal strips 5 are also rotatably connected with recesses 12 configured to engage the fixing strips 11 by the protruding screws 8. The support legs 15 and 16 are rotatably connected to the channels by 4 screws 13 and 14. The stops 17 and 18, which limit the rotation of the support legs 15 and 16, are rigidly connected by means of screws, for example, to the support legs 15. e legs 15 are rigidly connected to metal rails 19, and both the support legs 16 are rigidly connected to metal rails 20 by means of, for example, screws. All metal parts, except fasteners, can be made of duralumin to reduce the weight of the device. On the upper side of the ankle platform 1 and the main platform 2 can be laid with a bend along the outer edges and around the perimeter of the recess 3 foam rubber with a thickness of 0.01 meters (not shown), upholstered with dermatine (not shown).

Since the method and device for physiotherapeutic recovery of a person are functionally inextricably linked with each other, their use occurs simultaneously as follows.

Wellness brings the device to its working position. To do this, he supports the legs 15 and 16 for the metal rails 19 and 20, turns around the screws 13 and 14 outward, removing them from the grooves of the channels 4, until the upper end of the stops 17 and 18 comes into contact with the channels 4 and installs the device with the support legs 15 and 16 on the floor . If the person being healed has acute pain in the lumbosacral region, then he then moves the ankle platform 1 in a vertical direction to the height at which the relaxed position of the legs of the person being healed in a bent state with the legs with feet on the ankle platform 1 leads to a noticeable decrease in pain to easily transferable or to their practical disappearance. When moving in the vertical direction of the ankle platform 1, the metal strips 5 and 6 rotate around the screws 7.8 and screws 9.10. Upon reaching the required height, the ankle platform 1 is fixed with fixing strips 11, which for this purpose, the recesses 12, corresponding to the selected height of the ankle platform 1, are mounted on the protruding screws 8. Then he is recovering with symptoms of spinal-sacral radiculopathy (for treatment) or an almost healthy person ( for prophylaxis) rests its back on the main platform 2, and places the shins and feet on the ankle platform 1. If the person being healed has normal lordosis, then he places the sacrum and tailbone outside the limits of the rectangular opening 3. If the person being treated has hyperlordosis, then he places one or more of the last sacral vertebrae, for example, either S5, or S5 and S4, or S5, S4 and S3 and the coccyx above the rectangular opening 3 of the main platform 2, which reduces or eliminate unpleasant and sometimes intolerable sensations and discomfort from excessive pressure of the main platform 2 on the last S5 (5th) vertebra of the sacrum. After that, healed by tension of the gluteal and abdominal muscles rotates the pelvis upwardly around the horizontal axis, perpendicular to the sagittal plane, and pulls the lower back to the main platform 2. Then healed by means of muscles - agonists and antagonists of the lumbar-hip region oscillates with the pelvis around the above axis of rotation without taking the pelvis from the supporting surface, with a frequency of 0.5-2 Hz and an amplitude of 0.001-0.020 meters for 5-20 minutes. The lower boundaries of the frequency, amplitude and duration of the method are determined by the fact that with smaller values of these parameters, the healing or prophylactic effect is manifested very weakly. The upper limit of the frequency, amplitude and duration of the method is determined by the fact that with large values of these parameters, the healing and prophylactic effect does not significantly increase. The optimal parameters of the method are the frequency of 1-1.5 Hz, the amplitude of 0.005-0.010 meters, the duration of 10-15 minutes. With these parameters, the healing and prophylactic effect turns out to be quite high with fairly comfortable muscle tension and a relatively short duration of the method. The implementation of this method of healing a person is recommended in the morning, afternoon and evening, and preferably every 2 hours to a quiet rhythmic music.

As a result of the regular use of this group of inventions (method and device), pinching of the nerve roots in the lumbar spine is eliminated due to the regeneration of the prolapsed intervertebral discs and the restoration of their turgor, reduction and elimination of muscle (muscle) spasm, which is a source of pain, and lymph is intensified - and blood circulation, as a result of which the nutrition of the intervertebral discs and the musculo-ligamentous frame of the lumbosacral spine is improved, which Odita to prevent the lumbar-pelvic radiculopathy, as well as to the restoration of metabolic disease in the area. In this case, a comprehensive rehabilitation of the lumbosacral region of the spinal column, sacroiliac, hip and knee joints, internal organs of the hypogastric region of the abdominal cavity is carried out, which positively affects the sanogenesis of the organism being healed as a whole.

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Claims (3)

1. A method of physiotherapeutic recovery of a person, comprising placing a healed back on the main platform, turning the recovered pelvis with the pubis upward around a horizontal axis perpendicular to the sagittal plane, until the lumbar contacts the main platform, characterized in that the main platform is used to place the person being healed, with a recess or hole, and the backed one places the back on the main platform with the possibility of locating the last one or more vertebrae to estesa and coccyx above the recess or hole in the main platform, to which, with the help of channels rigidly attached from the bottom, an ankle platform for placing the legs with feet is vertically connected and fixed at the required height, while being healed with lumbosacral pains before turning the pelvis, sets and fixes the ankle platform at the required height, at which he experiences the least pain, then the healed man performs oscillatory movements of the pelvis around his mountain the vertical axis, perpendicular to the sagittal plane, with a frequency of 0.5-2 Hz and an amplitude of 0.001-0.020 m for 5-20 minutes, and the healed makes oscillatory movements of the pelvis under the accompaniment of rhythmic music. 2. The method according to claim 1, characterized in that preferably the oscillatory movements of the pelvis around its horizontal axis perpendicular to the sagittal plane, the recuperated performs with a frequency of 1-1.5 Hz and an amplitude of 0.005-0.010 m for 10-15 minutes every two hours daily. 3. A device for the physiotherapeutic recovery of a person, comprising a horizontal support for accommodating a well being and support legs, characterized in that the horizontal support is made of two movably connected parts: a main platform and an ankle platform; in the main platform, a recess or hole is made in the area of the location of the last several vertebrae of the sacrum and tailbone of the person being healed; Two channels are rigidly attached to the main platform in the longitudinal direction from below by screws and to the side of each channel using two parallel metal strips of the same length, an ankle platform is pivotally mounted with vertical movement, provided with at least one side pivotally attached in the form of a metal strips with recesses for engagement with a screw, rigidly fixed on the side of the channel; at the same time, op polar legs pivotable from an inoperative condition in which the support legs are placed inside the bottom channels, to a working condition in which the abutments are rigidly fixed to the supporting legs, to abut the bottom channels.

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