RU2605261C2 - Method of cervical osteochondrosis prevention and treatment - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, neurology, otorhinolaryngology and orthopaedics, can be used for treating cochleovestibular disorders in patients with cervical osteochondrosis. Method involves sleep on pillow with recess and elevations. At that, time, during which pillow with central recess and side elevations is used for sleeping, is distributed, at least, on two periods. In first period sleep is carried out on pillow with lower point of recess, spaced apart from pillow base at distance, equal to 0.75-0.9 of patient's cervical vertebras deviation, wherein said deviation is distance between vertical line, which is tangent to spine, and vertical line, passing along patient's head back side in sagittal plane. In next periods sleep is carried out on pillow with lower point of recess, spaced apart from pillow base with decreasing of distance from 0.75 to 0.0 of initial deviation. Duration of each of periods is equal to 10-50 days.

EFFECT: method provides attenuated technique of cervical osteochondrosis prevention and treatment with gradual extension of patient's spine, with stable result.

1 cl, 7 dwg, 1 ex

Description

The invention relates to medicine, namely to neurology, otorhinolaryngology and orthopedics, and can be used to treat cochleo-vestibular disorders in patients with osteochondrosis of the cervical spine.

It is known that a person is born with a direct spine, having a natural form due to the genome. When a child is up to one year old in an upright position, it can be seen that the entire spine from the head to the sacrum is straight and even, see photo 1 in the annex to the application materials. Obviously, this is the normal position (condition) of the spine of the child. As a result of his whole life, a man, contrary to nature, keeps his head tilted forward, while the vertebrae of the neck bend forward (especially in the region of the 7th vertebra, where the neck goes into the body), and the head turns slightly up and back. See photo 2. In this case, the deviation of the “L” of the cervical vertebrae of the head from the line of the tangent to the spine is quite large and leads to osteochondrosis.

A known method of treating osteochondrosis of the cervical spine, including the injection of drugs that improve blood circulation of the brain. See RF patent No. 2475223 M.cl A61H 1/00. Publ. 02/20/2013, After daily injections of drugs, the patient is exposed to centrifugal forces in the head-lower limbs direction in three stages: at the first stage, for 3 days, one session is performed every day by centrifugal forces for 5 minutes at a rotation speed of 28 rpm at the second stage, for 3 days, one session is carried out every day by centrifugal forces for 8 minutes at a speed of 30 rpm; at the third stage, for 4 days, one session is carried out every day by centrifugal forces for 10 minutes at a rotation speed of 30 rpm.

The disadvantages of this method include the possibility of causing a patient injury when exposed to the body by centrifugal forces, as well as the instability of the final results, leading to repeated exacerbations and repeated treatments.

Known more gentle effect on the cervical spine according to the patent of the Russian Federation No. 2324415, "Pillow under the head." M.cl. A47G 9/10, A61F 5/37, A61G 7/07 (description paragraph before industrial applicability), which, according to the authors, allows the prevention and treatment of osteochondrosis of the cervical spine and cerebral arteriosclerosis. Such a pillow will provide invaluable service to everyone who works in a sitting position or whose work requires a long stay in the same position. In such people, muscle cramps of the cervicobrachial spine are often formed, which only worsen when the head is in the wrong position during sleep. Not a single pillow available on the market today provides the correct position for the sleeping head in all positions, i.e. on the back and side.

The pillow under the head, made of elastic plastic, for example foam rubber or latex, contains a flat base and a roller located along the front longitudinal edge of the pillow, having an upper surface that repeats the anatomical structure of the cervicothoracic region, and a lower surface in the form of a cutout for the shoulder, while the roller made in the form of a flexible tongue, the upper and lower surfaces of which are located in parallel in its middle part, having a thickness of mainly 4 to 6 cm, which is half the length of the tongue, while the ratio of the thickness of the middle part of the tongue to the height of the front edge of the pillow and to the length of the base of the pillow is 1: 3: 7, respectively, the upper surface of the tongue is smoothly lowered at an angle of 35-45 ° to the plane of the base of the pillow and continued into the upper surface of the pillow, forming a recess along the entire the transverse axis of the pillow, the lower point of which is located at a height twice the thickness of the middle of the tongue, while the rising surface of the recess is presented as a counterweight, for example, the surface of the recess is brought to rhnego rear side edge of the cushion, the height greater than the height of the front edge of the cushion.

The disadvantages of this method include the permanently high position of the head on the pillow, fixing the already curved shape of the spine, and the presence of a roller in its front part leads to an additional and unusual for the patient curvature of the spine during sleep.

The technical result of the invention is the creation of a sparing, without medical intervention, technology for the prevention and treatment of osteochondrosis of the cervical spine, accessible to a wide range of patients.

The technical result set by the invention is achieved by a combination of well-known essential features common with the prototype, including sleep on a pillow with a notch and elevations, and new signs, namely, that sleep during prevention and treatment of osteochondrosis is carried out on a pillow with a central notch and lateral elevations for 40 -90 days, while sleep during the entire time of prevention and treatment is distributed at least into two periods, in the first period sleep on a pillow with a lower point of the notch spaced about t of the base of the pillow at a distance equal to 0.75-0.9 deviation "L" of the cervical vertebrae of the patient from the line tangent to the spine, in subsequent periods, sleep is carried out on the pillow with a reduced distance equal to 0.75-0.0 to the initial deviation .

The duration of sleep periods is 10.0-50.0 days.

The duration of the first periods of prevention and treatment of osteochondrosis is increased by 10-20% compared with subsequent periods.

The novelty of the proposed method is the implementation of sleep during the prevention and treatment of osteochondrosis on a pillow with a central notch and lateral elevations for 40-90 days, while sleep during the entire time of prevention and treatment is distributed at least in two periods, in the first period they sleep on a pillow with a lower point of the central recess, spaced from the base of the pillow at a distance of 0.75 - 0.9 deviations of the “L” of the patient’s cervical vertebrae from the line tangent to the spine; in subsequent periods, sleep is carried out on darling with a reduced distance equal to 0.75-0.0 to the initial deviation.

Thus, the implementation of sleep during the prevention and treatment of osteochondrosis on a pillow with a central notch and lateral elevations for 40-90 days, distributed over several periods, allows you to gradually reduce the spine of the patient with a gradual decrease in the distance between the central notch located from the base of the pillow in a gentle mode , reducing the deviation of the "L" of the cervical vertebrae from the spine or from the line tangent to the spine. Reducing the distance between the Central recess and the base of the pillow is provided either by replacing the pillow, or by removing at least one of its lower layers.

Signs of fulfilling the duration of sleep periods of 10.0-50.0 days, allows you to get a stable therapeutic result.

The increased duration of the first periods of prevention and treatment of osteochondrosis compared with subsequent periods by 10-20% allows you to overcome the inconvenience arising from the patient in a more gentle mode and more reliably consolidate the growing positive effect of treatment.

According to the patent information research, no combination of known and new features of the present invention was found in the sources of patent and scientific and technical information, which makes it possible to attribute the features to novelty.

Since the proposed combination of features is not known from the existing level of technology and does not follow from it explicitly, and allows you to get a higher and even unexpected and stable result, the proposed essential features and their combination can be considered to have an inventive step.

The description of the implementation of the proposed method, including a specific example, allows it to be attributed to industrially feasible.

In FIG. 1 schematically shows a pillow under the head with several additional layers, with which the proposed method is carried out.

In FIG. 2 shows a cushion with a reduced number of additional layers.

In FIG. 3 shows a cushion with a minimum distance from the bottom of the recess to the base.

In FIG. 4 shows a pillow with a zero distance from the bottom of the recess to the base.

In FIG. 5 shows a pillow with separate lateral elevations.

In FIG. 6 shows a pillow whose lateral elevations are connected by a web.

In FIG. 7 shows a pillow with lateral elevations and an oval-shaped jumper.

The pillow with which the proposed method for the prevention and treatment of osteochondrosis of the cervical spine is carried out consists of lateral elevations 1 of various shapes (rectangular, oval, with straight or concave bevels) and a central recess 2. The pillow may have a jumper 3 in its rear part. The pillow can be made integral and having a constant distance "h" from the lower point "n" of the recess 2 to the lower plane of the pillow or a composite having several additional layers 4, forming a total height "H" between the lower point "n" of the recess and the base. Lateral elevations support the head during sleep and are designed to maintain the direct position of the spine on its side. Their height is selected individually.

The proposed method for the prevention and treatment of osteochondrosis of the cervical spine is as follows:

Initially, a pillow for sleep is selected for a particular patient.

To do this, measure the deviation "L" between the back of the patient’s head and the line tangent to the spine, see photo 2. Additionally, pillows are selected according to the depth of the notch 2, which determines the patient’s comfortable state when sleeping on his side. Having determined the deviation, a pillow for sleep with a height of "H" equal to the deviation of "L" minus 0.1-0.29 deviations of "L" is selected, and passed to the patient for sleep at home. Depending on the patient's comfort during sleep on such a pillow, the duration of the first period of prevention and treatment is determined within 10-50 days. In the event that the patient is difficult to tolerate addiction to such a pillow, the first period is divided into two, three, etc. with a smaller decrease in height "N" pillows. After the patient has become accustomed to a pillow with a certain height, “N” goes to the patient’s sleep on a pillow with a lower height and then to the final one, equal to zero, located at the same level with the spine.

A specific example of the proposed method.

Initially, for a patient “M” 47 years old, they selected a pillow for sleeping. To do this, we measured the deviation "L" between the back of the patient's head and the line tangent to the spine, which was 12 cm. Having determined this deviation, we selected a sleeping pillow with a height of "N", less than the deviation by about 11% and equal to 10 cm, and transmitted to her patient for outpatient treatment. During sleep on such a pillow, the patient did not experience any inconvenience during the first week, and the duration of the first period of prevention and treatment was determined to be 20 days. After the patient got used to the pillow with a height of 10 cm, they went to sleep on a pillow with a lower height of 6 cm for 15 days. At the third stage, they switched to a pillow with a height of 2 cm and the patient slept on it for 15 days. The last stage for 20 days was a pillow with zero height - at the same level with the spine. The total treatment period lasted 70 days. The patient did not experience any inconvenience. Pain in the cervical spine stopped by the end of the periods of prevention and treatment. The patient was recommended to continue sleeping on a pillow with zero height in its central part, opposite the notch. Re-examination of the patient was carried out after six months. The patient continues to sleep on a pillow with zero height from the recess to the base of the pillow. There were no complaints.

Currently, the proposed method has been tested on 22 patients. The results are positive. There were no complaints of pain in the cervical spine.

The decision was made. After conducting complex tests, the proposed method is used to treat patients of the Altai Territory and begin the production of pillows.

Claims (2)

1. A method for the prevention and treatment of osteochondrosis of the cervical region, including sleeping on a pillow with a recess and elevations, characterized in that the time during which a pillow with a central recess and lateral elevations is used for sleep is distributed at least in two periods, in the first period, sleep is carried out on a pillow with a lower point of a notch spaced from the base of the pillow by a distance equal to 0.75-0.9 deviation of the patient’s cervical vertebrae, where the specified deviation is the distance between the vertical line, tangent minutes to the spine, and the vertical line passing through the back of the head of the patient in the sagittal plane; in subsequent periods, sleep is carried out on a pillow with a lower notch point spaced from the base of the pillow with a decrease in distance from 0.75 to 0.0 of the initial deviation. 2. The method according to p. 1 characterized in that the duration of each of the periods is 10-50 days.

Images