RU2592778C2 - Method of platypodia treating - Google Patents

Method of platypodia treating Download PDF

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Publication number
RU2592778C2
RU2592778C2 RU2014120783/14A RU2014120783A RU2592778C2 RU 2592778 C2 RU2592778 C2 RU 2592778C2 RU 2014120783/14 A RU2014120783/14 A RU 2014120783/14A RU 2014120783 A RU2014120783 A RU 2014120783A RU 2592778 C2 RU2592778 C2 RU 2592778C2
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foot
exercises
muscles
lower leg
normal
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RU2014120783/14A
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Russian (ru)
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RU2014120783A (en
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Светлана Александровна Егорова
Николай Алексеевич Егоров
Виктория Григорьевна Петрякова
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Светлана Александровна Егорова
Николай Алексеевич Егоров
Виктория Григорьевна Петрякова
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Abstract

FIELD: medicine.
SUBSTANCE: invention relates to methods of treating the locomotor apparatus and can be used for treating platypodia. Method is carried out in two stages: distraction-preparatory and forming - main ones. Preparatory stage lasts for three months and facilitates elimination of pathological myotonic centers in foot and leg muscles by means of physical exercises aiming at distraction, i.e. stretching muscles of foot and leg, intensified regeneration of collagen fibres in connective muscular structures, high extensibility and elasticity of the ligamentous apparatus for recovery of normal biomechanical functions of foot. Main stage lasts for 5 months and provides formation of normal muscle tone of foot and leg, recovery of normal height of foot by means of application of power and static exercises.
EFFECT: method enables the therapy with account of etiopathogenesis of platypodia.
1 cl

Description

The invention relates to medicine, namely to orthopedics, in particular to therapeutic exercises, and can be used to treat flat feet.

Flatfoot is a deformation of the foot, characterized by a flattening of the arches of the foot. Distinguish between longitudinal, transverse and combined (a combination of longitudinal and transverse) flat feet. There are a large number of reasons for the development of flat feet and many hypotheses of its occurrence. In most cases, flat feet are considered to be the result of weakness in the muscles of the foot and lower leg.

The prior art methods of treating flatfoot with an intensive effect on more weakened muscles of the foot and lower leg and their activation.

Traditional therapeutic gymnastics (analogue method) is a set of special exercises (from 15 to 20) for the muscles of the leg and foot, performed from different initial positions: lying, sitting, standing, walking, using special aids: small items, ribbed and beveled surfaces, special paths made of small stones of various sizes and configurations. All exercises are aimed at activating the muscles of the leg and foot involved in the formation of the arches. The load level is determined by the duration of the lesson, the number of exercises performed, the starting positions and the number of repetitions of each exercise [Kaptelin A.F. (Ed.) Physiotherapy exercises in the medical rehabilitation system. M .: Medicine, 1995, p. 98].

From the patent of the Russian Federation for the invention No. 2152769, publ. 07/20/2000, a method of treating flat feet is known, which includes training sessions of the deep muscles of the lower leg by flexing the foot with knee extension, while before the session, the electromyographic activity of the inner head of the calf muscle is recorded during flexion of the foot with maximum effort and thresholds are set for the maximum amplitude of the envelope of electromyographic activity , and during the session, continuing to record the electromyographic activity of the inner head of the calf muscle, conduct isometric training in deep leg muscles using biofeedback graphics computer games (analog).

There is a method of treating flat feet (patent No. 2185136, publ. 07.20.2002) using manual therapy, while warming massage of the back of the foot, kneading of the muscles forming the longitudinal arch of the foot, moreover, more weakened muscles have a more intense effect, recovery control spring function of the foot is the largest subsidence of the scaphoid of the foot of the foot when the patient transitions from a sitting position to a standing position, when the amount of subsidence does not exceed 3-4 mm, in the presence of functional blocks of joints feet eliminate them, kneading muscles is performed in several sessions until the spring function of the foot is restored.

The disadvantage of the above analogue methods is the insufficiently high efficiency of treatment for flat feet.

As a result of the studies [Lukyanenko V.P., Petryakova V.G. The effect of hypotension of the leg and foot muscles on the formation of flat feet in preschool children // Adaptive Physical Culture, No. 4 (48) - 2012. P. 21-23], in 89% of cases it was found that children have myotonic foci (areas of persistent muscle tension) in the muscles of the leg. The presence of these foci in the indicated muscle group eliminates the function of the roll of the foot, causing an overstrain of the ligamentous apparatus of the lower leg and muscles of the foot. At the same time, the overwhelming task lies on the muscles to constantly be in a state of tension, contraction, to keep the longitudinal arches of the foot from spreading. Ligaments send signals about the trouble in the foot to the central nervous system. Muscles come to grips with deforming forces, but are relatively quickly depleted and stretched, unable to withstand a prolonged load, which leads to "flattening" of the foot. Any exercises aimed at training the calf muscles only increase tension in the myotonic sections of the calf muscles, thereby exacerbating the pathology.

Studies have allowed to open a new link in the etiopathogenesis of flat feet and to develop a new method of therapeutic exercises for the correction of this pathology.

Existing methods of therapeutic gymnastics with flat feet do not take into account this feature of etiopathogenesis, and therefore do not have a sufficient therapeutic effect. Also noteworthy is the fact that none of the existing programs of therapeutic physical culture or methods of therapeutic exercises have a scientific and theoretical justification for the use of physical exercises with flat feet.

In research A.V. Popkova and A.V. Osipenko [Popkov A.V., Osipenko A.V. Tissue regeneration with lengthening of limbs. - 2008. - M .: GEOTAR-Media, 240 pp.] Clinically and experimentally in laboratory animals, it was proved that only muscle distraction (stretching) leads to the elimination of pathological myotonic foci, enhances the regeneration of collagen fibers in connective tissue muscle structures, and strengthens extensibility and the elasticity of the ligamentous apparatus, thus restoring its normal biomechanical function and optimal motor stereotype.

Based on the above reasons for the development of flat feet, methods of physical impact on the muscles of the leg and foot with flat feet should be aimed primarily at the destruction of pathological myotonic foci. According to many authors [Mengin Yu.V., Mengin A.V. Health gymnastics: theory and methodology. - Rostov-on-Don: “Phoenix”. - 2004. - 382 p .; Nelson A., Kokonen Yu. Anatomy of stretching exercises, trans. from English S.A. Borich. - Minsk: Publisher: Potpourri. - 2008. - 160 p.] Pathological foci of myotonus are destroyed as a result of distraction (stretching), applied in the form of various influences.

In health-improving physical culture, medical physical culture, stretching exercises are widespread in the form of stretching [Thompson V. Stretching for health and longevity. - Rostov-on-Don, Publishing House: "Phoenix". - 2004.- 258 pp.] “Stretching” (from the English “stretch”) is a system of exercises that helps increase muscle elasticity, eliminate pathological muscle spasms, develop flexibility, stimulate the body to grow and develop, as well as prevent injuries.

An object of the invention is the development and testing of a method of therapeutic gymnastics aimed at treating flat feet, taking into account the identified features of the etiopathogenesis of this disease.

The technical result of the invention is achieved by the fact that in the method of treating flat feet, including the elimination of pathological myotonic foci of the muscles of the foot and lower leg and the formation of normal muscle tone of the lower leg and foot by applying physical exercises, according to the invention, the method is carried out in two stages: distraction (preparatory) and forming (main ), while the preparatory phase lasts three months and ensures the elimination of pathological myotonic foci of the muscles of the foot and lower leg with the help of physical exercises aimed at distraction (stretching) of the muscles of the foot and lower leg, enhancing the regeneration of collagen fibers in the connective tissue muscle structures, increasing the extensibility and elasticity of the ligamentous apparatus to restore the normal biomechanical function of the foot through the use of morning hygienic gymnastics conducted 5 times a week for 15 minutes, and classes of therapeutic gymnastics, conducted three times a week for 30 minutes, aimed at distraction (stretching) of the muscles of the leg and foot in various initial positions and including several sets of exercises used sequentially and consisting of extension, flexion, supination and pronation of the foot, deep squats without lifting the heels off the floor, bending with straight legs, lunges; the main stage lasts five months and ensures the formation of normal muscle tone of the lower leg and foot, restoration of the normal height of the arches of the foot through the use of special strength and static exercises included in morning hygienic gymnastics, conducted five times a week for 15 minutes, and in therapeutic gymnastics, conducted three once a week for 30 minutes, containing raising and lowering on toes with and without weights, exercises to maintain balance, squats with and without weights, walking on toes, rifts on foot, shallow squats on toes.

At the same time, the complex exercises are changed monthly (1 week - training in the technique of exercise, 3 weeks - the exercise), while 3 sets of exercises are successively applied, the duration of each of the complexes is 7 weeks.

The method is as follows. The state of the arches of the feet is determined by the methodology of complex plantography developed by G.G. Potikhanova, S.F. Godunov and N.P. Chernina. Electroneuromyography is performed using the Neuroman apparatus before the experiment and after the first stage of the experiment.

The structure of the proposed method of therapeutic exercises consists of two stages.

Stage I - distraction (preparatory). This stage is aimed at distraction (stretching) of the muscles of the foot and lower leg with the aim of eliminating pathological myotonic foci, enhancing the regeneration of collagen fibers in the connective tissue muscle structures, increasing the extensibility and elasticity of the ligamentous apparatus, which should lead to the restoration of normal biomechanical function of the foot. This stage is the basis for the successful implementation of the second (main) stage of the methodology, as It is aimed at restoring normal neuromuscular transmission in the muscle fibers of the foot and lower leg, which suggests the effect of special physical exercises.

The stage lasts 3 months. and consists of morning hygienic gymnastics, conducted 5 times a week for 15 minutes, and classes in therapeutic gymnastics, conducted three times a week for 30 minutes. Stage I exercises are aimed at stretching the muscles of the lower leg and foot in various initial positions and include extension, flexion, supination and pronation of the foot, deep squats without lifting the heels off the floor, bending with straight legs, lunges. In this case, 3 sets of exercises are successively applied, the duration of each of the complexes is 7 weeks.

Stage II - formative (main). This stage is aimed at the formation of normal muscle tone of the lower leg and foot, restoration of the normal height of the arches of the foot through the use of special strength and static exercises. The stage lasts 5 months and consists of morning hygienic gymnastics, conducted 5 times a week for 15 minutes, and classes in therapeutic gymnastics conducted three times a week for 30 minutes. Stage II exercises are aimed at training the muscles of the lower leg and foot in various initial positions and include lifting and lowering on toes with and without weighting, exercises to maintain balance, squats with and without weighting, walking on toes, rolls on the foot, shallow squats on socks. The change of exercises occurred monthly (1 week - learning the technique of exercise, 3 weeks - doing the exercise).

The study involved 186 children 6-7 years old from preschool institutions in the city of Stavropol.

The experiment was conducted for 3 years on the basis of the MOU DOD CRR No. 1 of the city of Stavropol. Three groups of children directly involved in the experimental work were formed: the first control (physical education was carried out according to standard methods), the second control (physical education included corrective exercises in accordance with generally accepted methods), the experimental group (classes were conducted according to the developed new method of therapeutic gymnastics).

When examining the condition of the arch of the feet in preschoolers, the following data were obtained. At the beginning of the study, the physiological norm of the state of the arch of the foot in the experimental group was recorded in 23% of preschool children, in the first control group in 29% and in the second control group in 26% of children. Flatfoot of the first degree in the experimental group was noted in 35% of cases, in the first and second control groups 36% and 37%, respectively. Flattening of the foot of the second degree in the experimental group was 30%, in the first control group in 23% of preschool children, in the second control group in 22% of the subjects. The frequency of occurrence of the third degree flatfoot was 12% in the experimental and first control groups and 15% in the second control group.

An electroneuromyographic study conducted at the beginning of the experiment revealed the presence of myotonic foci in the calf muscles and muscle imbalance in 89% of children in all three groups of the study.

After the end of the first stage of the experiment, an electroneuromyographic study conducted in the experimental group showed a decrease in muscle tension in the calf muscles in all the children studied, who initially had increased muscle tone.

In both control groups, these changes were not detected.

After using flatfoot treatment measures, the following data were noted. In the experimental group, the percentage of children with flat feet of the first degree increased significantly due to the fact that the number of preschoolers with flat feet of the second degree decreased (18%) and cases of the third degree of development of this pathology were practically excluded. In the control groups, improvement in the condition of the arches of the feet of children was observed, but this trend had less distinct shifts in the percentage of the occurrence of flat feet of different degrees of severity. So in the first control group the number of subjects with flat feet of the first degree remained the same as before the experiment (36%), but the cases of fixing flat feet of the second degree decreased to 19%. In the second control group, the percentage of flat feet of the first decreased to 33% and the third degree to 12%.

An electroneuromyographic study conducted at the end of the experiment revealed that in all children of the experimental group, the muscle tone of the legs came back to normal, myotonic foci were not detected, while in both control groups muscle imbalance was noted, areas of muscle tension were detected in 82% of children.

Based on the foregoing, we can conclude that the claimed method of physical impact on the muscles of the leg and foot with flat feet, which is aimed at the destruction of pathological myotonic foci and the removal of pathologically increased tone in the muscles of the leg and foot, made it possible to further use physical exercises aimed at the formation of normal muscle tone of all muscle groups and ligaments that ensure the normal functioning of the foot.

With prolonged static and dynamic overloads, muscles with flat feet are in a state of excessive compensatory stress. In the future, muscle tension causes vasospasm and tissue hypoxia, which causes a prolonged decrease in muscle tone and exacerbation of the clinical manifestations of flat feet. Thus, a set of physical exercises with flat feet should consist of two stages. At the first stage, it is necessary to pay attention to reducing the pathologically increased tone of the feet and lower legs so that at the second stage it becomes possible to use corrective and training exercises aimed at forming the arches of the feet and normal muscle tone of the lower extremities.

Claims (2)

1. A method of treating flat feet, including the elimination of pathological myotonic foci of the muscles of the foot and lower leg and the formation of normal muscle tone of the lower leg and foot through the use of physical exercises, characterized in that the method is carried out in two stages: distraction - preparatory and forming - the main, while the preparatory stage lasts three months and ensures the elimination of pathological myotonic foci of the muscles of the foot and lower leg with the help of physical exercises aimed at distraction, i.e. stretching the muscles of the foot and lower leg, enhancing the regeneration of collagen fibers in the connective tissue muscle structures, increasing the extensibility and elasticity of the ligamentous apparatus to restore the normal biomechanical function of the foot through the use of morning hygienic gymnastics conducted 5 times a week for 15 minutes, and exercises in therapeutic gymnastics conducted three times 30 minutes per week, aimed at the distraction of the muscles of the lower leg and foot in various initial positions and including several sets of exercises, with Consisting of extension, flexion, supination and pronation of the foot, deep squats without lifting the heels off the floor, bending with straight legs, lunges; the main stage lasts five months and ensures the formation of normal muscle tone of the lower leg and foot, restoration of the normal height of the arches of the foot through the use of strength and static exercises included in morning hygienic gymnastics, conducted five times a week for 15 minutes, and in therapeutic gymnastics, conducted three times 30 minutes per week, containing raising and lowering on toes with and without weights, exercises to maintain balance, squats with and without weights, walking on toes, rolls on the foot, not Lubok squats on your toes.
2. A method of treating flat feet according to claim 1, characterized in that the change of exercises in the therapeutic gymnastics complex is carried out monthly, with 1 week learning the technique of exercise, 3 weeks performing the exercise.
RU2014120783/14A 2014-05-22 2014-05-22 Method of platypodia treating RU2592778C2 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2696059C1 (en) * 2018-11-07 2019-07-30 Федеральное государственное автономное учреждение "Национальный медицинский исследовательский центр здоровья детей" Министерства здравоохранения Российской Федерации (ФГАУ "НМИЦ здоровья детей" Минздрава России) Method of foot arch correction during flatfoot

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2152769C1 (en) * 1999-11-10 2000-07-20 ЗАО "Биосвязь" Method for treating the cases of platypodia
US6544151B2 (en) * 2000-11-02 2003-04-08 Dean Tornabene Exercise apparatus

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2152769C1 (en) * 1999-11-10 2000-07-20 ЗАО "Биосвязь" Method for treating the cases of platypodia
US6544151B2 (en) * 2000-11-02 2003-04-08 Dean Tornabene Exercise apparatus

Non-Patent Citations (2)

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Title
YANG Y. et al. Diagnosis and treatment of post traumatic spasmodic flat foot. Zhongguo Gu Shang. 2008 Dec;21(12):917-8 (Abstract) PMID:19146162[PubMed - indexed for MEDLINE]. *
ПОГОСЯН К. Комплекс упражнений при продольном плоскостопии. http://lifeinsoul.ru/read/kompleks-uprazhneniy-pri-prodolnom-ploskostopii/, 29.09.2013, дата подтверждена по адресу Интернет-архива http://web.archive.org/web. *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2696059C1 (en) * 2018-11-07 2019-07-30 Федеральное государственное автономное учреждение "Национальный медицинский исследовательский центр здоровья детей" Министерства здравоохранения Российской Федерации (ФГАУ "НМИЦ здоровья детей" Минздрава России) Method of foot arch correction during flatfoot

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