RU2648830C1 - Method of correction of muscle-ligamentous tone - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to restorative medicine, manual therapy, osteopathy, massage and can be used to treat and prevent pain symptoms caused by muscle tone disorders, and in a complex of health improvement of the human body. Method of correcting muscle-ligamentous tone to its balanced state with respect to the attachment points of the muscle is based on the mechanical manipulation of the muscles. Initially, the presence of a muscular response to the force effect of the hands of a rehabilitologist is diagnosed, which is carried from the middle of the muscle towards one and then to another place of attachment. As a result, determine to which of the attachment points the muscle is shifted with less effort. In direction of this place, a series of short exposures in the form of tremors or shifting of the muscle is carried out until equilibrium state of the muscular-ligamentous tone is established, at which the shearing of the muscle became equally amplitude, equally uniform and conducted with the same force to each place of its attachment. When changing the direction of smaller forces to the opposite effect, they also change to the opposite direction until equilibrium state is reached. In absence of changes, the reception is repeated until the equilibrium state of the muscle-ligamentous tone is reached. Additionally, joints are exerted in a series of articulations to facilitate, around its axis, to the sensation of elastic resistance.

EFFECT: method ensures achievement of sustainable rehabilitation of musculoskeletal system.

4 cl

Description

The invention relates to medicine, namely to manual therapy, osteopathy, restorative medicine, and can be used both for the treatment and prevention of pain symptoms caused by impaired muscle tone, and in the complex of therapeutic and preventive measures for improving the human body.

Massage as a method of treating and preventing the health of an organism has been known since ancient times, the current data suggest that it originated and developed in parallel in different countries and continents. Along with other means of medicine, mankind used rubbing, tapping the foci of pain, thus achieving a partial or complete recovery. Developing, massage has acquired a number of types and classifications, there are several massage techniques. There are many schools that use various methods and techniques of the procedure. The inventive method is aimed at eliminating muscle imbalance, which often occurs as a result of, for example, uneven physical exertion, a sedentary lifestyle, etc. As a result, muscles that must be in balance in strength and in terms of lengths are different in these parameters. Existing methods and methods for implementing a massage procedure to eliminate muscle imbalance are already known from patent and non-patent literature. For example, the book of I. Makarova is known. - “Massage and physiotherapy exercises”, Eksmo Publishing House, Moscow, 2009; There are also a number of patents, for example, RU 2269330 (published on 02.10.2006), RU 2387467 (published on 04.27.2010), however, with the known methods, the rehabilitation result is unstable. In particular, a method is known for correcting muscle imbalance of the spine and paravertebral regions (RF patent No. 2155571, published September 10, 2000), which consists in alternately relaxing some muscle groups and tensioning others. Selected muscle groups provide tonic tension for 7-12 s. The head, upper and lower extremities are given a certain position. They create an emphasis that counteracts the movement of segments of the musculoskeletal system.

However, the disadvantage of this method is the instability of the rehabilitation result.

The closest is a method of restoring normal muscle tone in children under the age of 5 years with a spastic form of cerebral palsy (RF patent No. 2214209, published October 20, 2003), based on mechanical manipulations with the muscles of the child. Initially, for each muscle with a pronounced high tone, the presence of its response to the force impact by the hands of a rehabilitologist is diagnosed, which manifests itself in the appearance of a sharp mechanical resistance at a certain value of the effect and is tactilely felt by the rehabilitologist, take the set value as the upper limit of the effect, then during the manipulations they are carried out repeatedly, random in the direction of force, in magnitude not exceeding the previously established mentioned in rhnego exposure limit.

The disadvantage of this method is also the instability of the rehabilitation result.

The aim of the invention is to achieve the most sustainable result of the rehabilitation of the musculoskeletal system.

This goal is achieved using a method of correcting muscle-ligamentous tone to its balanced state relative to muscle attachment sites, based on mechanical manipulations with muscles, in which the presence of a muscular response to a force action by the hands of a rehabilitologist is first diagnosed, while the force action is carried out from the middle of the muscle by towards one and then to another place of its attachment, as a result of which it is determined to which of the attachment points the muscle moves with less effort holes, and in the direction of this place, a series of short actions is performed in the form of jerks or muscle displacement up to the establishment of an equilibrium state of muscle-ligamentous tone, in which the muscle displacement becomes equally amplitude, equally uniform and carried out with the same effort to each place of its attachment, when changing directions of lesser efforts in the opposite direction - the effect is also changed in the opposite direction until an equilibrium state is reached, and in the absence of changes, the technique is repeated until reduction of the equilibrium state of muscle-ligamentous tone.

The method can be characterized by the fact that additionally carry out the impact in the form of a series of articulations of the joint to facilitate, around its axis, to the sensation of elastic resistance.

The method can be characterized by the fact that checking for changes in the state of muscle-ligamentous tone is carried out after every 9-11 exposures.

The method may be characterized in that after each series of actions, a diagnosis is made of a change in the state of the musculo-ligamentous tone.

The inventive method of correcting muscle-ligamentous tone is as follows.

After examining and identifying indications for the correction of muscle tone, a diagnostic action is performed on the muscle, for example, in the form of a push, from its middle towards one and then another place of attachment. Thus, it is determined to which of the attachment points the muscle moves with less effort. In this direction, in the future, a series of actions is performed, for example, shocks, or muscle movements. A series of actions can consist, for example, of 9-32 cycles. After every 9-11 impacts, a check of the state change is carried out, relative to the start of the reception. If the check does not reveal a change in state, then another series of actions is carried out, also in the amount of 9-11 actions. If the check reveals a change in state to the opposite, then the direction of the rehabilitologist’s efforts also changes. If the test reveals the same amplitude of muscle shift, the same uniformity and carried out with the same effort, then the correction of the tone is considered achieved.

Also, a series of articulations of the joint, around its axis, can act as an effect. In this case, the diagnostic effect is carried out by articulating the joint from a neutral position, first to one and then to the other side, around the axis. The direction of twisting of the joint, with less effort, is identified in this direction in the future and a series of actions is carried out according to an algorithm similar to that described above. In addition, in both cases, checking the state of muscle tone can be carried out after each series of effects.

As a result of the studies, the following parameters of the stabilometric parameters are significantly changed: after a single procedure according to the method, in the Romberg test with closed eyes, the length of the statokinesiogram decreases (p <0.05) and the speed of movement of the general pressure center decreases (p <0.01). In the Romberg test with open eyes, the area of the statokinesiogram significantly increases (p <0.01).

The data indicate an increase in the quality of the motor strategy while maintaining a vertical posture due to the strengthening of the proprioreceptor ascending factor and a more rational use of energy resources. On the other hand, with open eyes, deterioration is observed. This is due to disadaptation in the urgent period after the massage between the upward signals and the signals from the visual analyzers.

The data obtained confirm the theoretical background of the method on its effect on the amplification of signals from the peripheral departments and increase the efficiency of motor strategies.

Along with this, in studies of the effect of the method on the spectral characteristics of hemodynamics, only very slow fluctuations (VLF, 0.003-0.03 Hz) on the stress test significantly changed. The remaining spectral characteristics did not significantly change. The data obtained prove the theoretical background of the massage method that it affects exclusively the structure and system of tonic balance by enhancing the importance of proprioreceptor signaling over the regulatory autonomic one. In the described massage method, unlike the classical one, there are no methods of tissue compression, and therefore no effect on the vascular bed, on the change in hemodynamics through the baroreceptor mechanism.

Significant changes in the spectrum of very slow oscillations show the effect on the hormonal and metabolic regulation of suprasegmental departments (hypothalamic and limbic NS).

The obtained data on measurements of pulmonary function and spectral analysis of heart rhythm allow us to confirm the effect of the method on local muscle tone.

So reliably obtained: a decrease in FEV1 - forced expiratory volume in the first sec (p <0.05), a decrease in FEF25 - instantaneous space velocity after expiration of 75% (p <0.05) and a decrease in PEF - peak volume expiratory flow (p <0 , 01). Those. a decrease in the tone of the bronchi and the strength of the respiratory muscles is also observed. Moreover, in preliminary studies, data were obtained on a decrease in chest volume and an increase in lung vital volume. Thus, it can be argued about a decrease in muscle tone with an increase in their elasticity.

Together with the negative data obtained on the urgent effect of the method of correcting muscle-ligamentous tone on the change in the spectral characteristics of the heart rhythm, it can be argued that there is an effect on the decrease in the tone of local muscles under the influence of the method not due to central, but due to local regulatory mechanisms.

As a result of the implementation of the proposed method, the claimed technical result is achieved, namely the achievement of the most stable result of the rehabilitation of the musculoskeletal system.

Industrial applicability

The inventive method can find application both in departments of medical institutions, and in private practice. Techniques are easily transferred to a new rehabilitologist, with simple training, special equipment is not required, since everything is based on well-known massage techniques.

Claims (4)

1. A method of correcting muscle-ligamentous tone to its balanced state relative to muscle attachment points, based on mechanical manipulations with the muscles, in which the presence of a muscle response to the force impact by the hands of a rehabilitologist is first diagnosed, characterized in that the force effect is carried out from the middle of the muscle in the direction to one and then to another place of its attachment, as a result of which it is determined to which of the attachment points the muscle moves with less effort, and in the direction of this month they carry out a series of short actions in the form of jerks or muscle displacement up to the establishment of an equilibrium state of muscle-ligamentous tone, in which the muscle displacement becomes equally amplitude, equally uniform and carried out with the same effort to each place of its attachment; when changing the direction of lesser efforts to the opposite effect, they also change to the opposite direction until an equilibrium state is reached, and in the absence of changes, the technique is repeated until the equilibrium state of the musculo-ligamentous tone is reached. 2. The method according to p. 1, characterized in that it additionally carries out the impact in the form of a series of articulations of the joint to facilitate, around its axis, to the sensation of elastic resistance. 3. The method according to p. 1, characterized in that the verification of changes in the state of muscle-ligamentous tone is carried out after every 9-11 exposures. 4. The method according to p. 1, characterized in that after each series of influences, a diagnosis is made of a change in the state of muscle-ligamentous tone.