RU2614523C1 - Method for kyphotic posture disorder treatment and prevention for children and adolescents - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: I-shaped application of a pair of kinesio tapes on the back deep muscles projection is performed paravertebrally at maximum flexion of the lumbar spine. Y-shaped kinesio tape application is also performed on the gluteus medius muscle projection on the side of pelvis rotation direction in the side position of the patient on a hard surface, opposite to the direction of pelvis rotation, in the position of maximum tension of this muscle on the side of pelvis rotation direction. Kinesio taping is performed three times for five days on the first, the eighth and the fifteenth day.

EFFECT: increased efficiency of posture correction due to the impact on the deep back muscles of these patients.

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Description

The invention relates to medicine, namely to restorative medicine and rehabilitation, and can be used in orthopedics for the treatment of two-plane spinal deformity (impaired posture) and the prevention of further progression of spinal deformity (development of three-plane spinal deformity - scoliosis) in children and adolescents.

The closest in technical essence to the claimed method is a method for the treatment and prevention of dorsopathy of the spine in dentists (RF Patent 2428148 from 03/18/2010) using kinesiotape application.

The disadvantages of this invention include the low efficiency of the method due to the lack of a differentiated approach to the effect on the deep back muscles (semi-axial muscles, multiple muscles, rotator muscles of the lower back) involved in the development of multiplanar spinal deformity (scoliosis): rotation of the vertebrae and torsion of the spine; high consumption of material implementing the claimed method (kinesiotape).

Effect: increase the efficiency of posture correction by acting on the deep back muscles.

This result is achieved by applying kinesiotape, characterized in that the patient is applied kinesiotape on the projection of the deep muscles of the back and gluteus maximus muscle on the side of the direction of rotation of the pelvis three times for five days for 19 days on the first, eighth and fifteenth days.

The invention is illustrated by drawings, where:

In FIG. Figure 1 gives a general view of the projections of the application of kinesiotape in violation of posture in children and adolescents with a right-hand direction of rotation of the pelvis;

In FIG. Figure 2 shows a general view of the projections of the application of kinesiotape in violation of posture in children and adolescents with a left-side direction of pelvic rotation, where

1 - projection of the I-shaped application of the first kinesiotape;

2 - projection of the I-shaped application of the second kinesiotape;

3 - projection of the V-shaped application of the third kinesiotape.

The method is as follows. After conducting a clinical orthopedic examination, the direction of rotation of the pelvis is determined: right- or left-sided.

Then the skin of the lumbar spine of the patient is degreased and dried. Then, I-shaped application of the first and second kinesiotopes is performed (for example, “INTRARICH”, Atex Medical Co., Ltd, Republic of Korea) in the position of maximum flexion of the patient’s body in the lumbar region. The “anchor” of the first kinesiotape, after exposing its adhesive surface, is applied to the projection of the left wing of the sacrum in a bottom-up direction relative to the patient’s spinal column, then the therapeutic part of the first kinesiotape is exposed and, slightly stretched in the longitudinal direction, it is applied paravertebral to the left in the lower direction up. Then the sticky surface of the second “anchor” of the first kinesiotape is exposed and it is paravertebral from the left in the bottom-up direction at the level of the upper edge of the left transverse process of the third lumbar vertebra. In the same way, the application of the second kinesiotape on the right side is performed.

Then the patient is laid on a hard surface on his side, opposite the direction of rotation of the pelvis, in the position of maximum tension of the middle gluteal muscle on the side of the direction of rotation of the pelvis.

Then the skin of the gluteal region on the side of the direction of rotation of the pelvis of the patient is degreased and dried.

Then produce the Y-shaped application of the third kinesiotape on the projection of the posterior part of the middle gluteal muscle on the side of the direction of rotation of the pelvis as follows. The “anchor” of the third kinesiotape located on its uncut end, after exposing its adhesive surface, is applied to the projection of the greater trochanter of the femur on the side of the pelvic rotation direction, then the adhesive surface of the therapeutic part of the third kinesiotape is exposed and, slightly stretched in the longitudinal direction, is applied to bottom-up direction relative to the patient’s vertebral column so that the dissected portions of the third kinesiotape limit the projection of the posterior part of the middle jug wild muscle on the side of rotation of the pelvis. Then the sticky surface of the “anchors” is exposed from the dissected end of the third kinesiotape and applied to the skin.

Kinesiotape in case of violation of posture in children and adolescents is performed three times within 19 days, kinesiotape applications are performed on the first, eighth and fifteenth days, while kinesiotape is recommended to be removed by the patient after five days after their application, providing a break in kinesioteiping for two days. First, they ask the patient not to expose the surface of the kinesiotape application to mechanical stress (friction), prolonged exposure to water (bathing, visiting pools, swimming in water bodies).

Case Studies

Example 1

Patient O., 10 years old.

Nosological diagnosis: violation of posture (biplane deformity of the spine), "round back".

After conducting a clinical orthopedic examination, the right direction of rotation of the pelvis was established.

Kinesiotape was performed three times within 19 days, I-shaped application of kinesiotape on the projection of the deep back muscles on both sides was made, Y-shaped application of kinesiotape on the projection of the back of the right middle gluteus muscle on the first, eighth and fifteenth days for a period of five days.

Conclusion: Clinical and instrumental orthopedic examination showed a decrease in the severity of breast kyphosis with a simultaneous decrease in the severity of other symptoms of the disease. Subjectively, the patient notes a decrease in the severity of stoop.

Example 2

Patient T., 9 years old.

Nosological diagnosis: violation of posture (biplane deformity of the spine), "flat back".

After conducting a clinical orthopedic examination, the right direction of rotation of the pelvis was established.

Kinesiotape was performed three times within 19 days, I-shaped application of kinesiotape on the projection of the deep back muscles on both sides was made, Y-shaped application of kinesiotape on the projection of the back of the right middle gluteus muscle on the first, eighth and fifteenth days for a period of five days.

Conclusion: Clinical and instrumental orthopedic examination showed an increase in the severity of breast kyphosis with a simultaneous decrease in the severity of other symptoms of the disease. Subjectively, the patient notes a feeling of “lightness” in the back, a decrease in fatigue.

Example 3

Patient G., 12 years old.

Nosological diagnosis: violation of posture (biplane deformity of the spine), "round back".

After conducting a clinical orthopedic examination, the left-side direction of pelvic rotation was established.

Kinesiotape was performed three times during 19 days, I-shaped application of kinesiotape on the projection of the deep back muscles on both sides was made, Y-shaped application of kinesiotape on the projection of the back of the left middle gluteus muscle on the first, eighth and fifteenth days for a period of five days.

Conclusion: Clinical and instrumental orthopedic examination showed a decrease in the severity of breast kyphosis with a simultaneous decrease in the severity of other symptoms of the disease. Subjectively, the patient notes a decrease in the severity of stoop.

Claims (1)

A method for the treatment and prevention of kyphotic posture disorder in children and adolescents by applying kinesiotape, characterized in that the patient is given an I-shaped application of a pair of kinesiotape on the projection of the deep back muscles paravertebrally in the position of maximum flexion in the lumbar region and a Y-shaped application of kinesiotape on the projection gluteal muscle on the side of the direction of rotation of the pelvis in the position of the patient on a rigid surface on the side opposite to the direction of rotation of the pelvis in the maximum position zheniya this muscle on the side of the direction of rotation of the pelvis, and kinezioteypirovanie produce three times for five days on the first, eighth and fifteenth day.

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