RU2656542C1 - Method of local pressing-distraction action on deep muscular-fascial tissues and device for its implementation - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: group of inventions relates to medicine, namely to neurology and manual therapy, orthopedics, and can be used in the treatment of musculoskeletal disorders with muscular-fascial tissue damage. Method of local pressing-distraction action on deep muscular-fascial tissues is proposed. To do this, palpation reveals points that are characterized by soreness, rigidity, have a dense consistency and cause reflex reactions. In points located at a distance of at least 5 mm in the direction of the planned distraction from the previously identified points, elastic contact elements and pressing is carried out with a value of a pressing force of 2 to 20 kg and compression of the elastic contact elements to form a skin-subcutaneous fold between them. Then, using elastic contact elements, stretching of the muscle-fascial tissues is performed. Distractor containing at least two rods attached to one of the ends on the handle is also proposed, with the possibility of their angular deviation with respect to the vertical axis of the handle. Free ends of the rods are elastic contact elements for pressing-distraction action. In this case, the rods are made at least 8 cm long and are connected by an elastic hinge with the possibility of their angular deviation not less than 5° relative to the vertical axis of the handle.

EFFECT: inventions provide effective impact on muscular-fascial tissues while reducing the likelihood of their overextension and trauma, as well as simplifying the design of the device providing the implementation of the method, while reducing the physical load on the doctor, and simplifying the sanitary and hygienic treatment of the device.

4 cl, 1 dwg

Description

The invention relates to medicine and can be used to treat diseases of the musculoskeletal system, mainly pathological changes in muscle-fascial tissues.

There is a method of treating degenerative-dystrophic diseases of the spine according to the method of Kasyan N.A., which consists in applying metered strokes with the edge of the palm of the free hand to the middle phalanges of the fingers of the other hand, superimposed on a portion of the affected area of the patient’s stomach lying so that the spinous processes of the affected vertebrae between the second and third fingers at the level of the middle phalanges. At the same time, the fingers that are hit must lie on the transverse processes and fit snugly to the spine. After applying several strokes, the patient is set in an upright position and shaken for 5-10 seconds with repeated rotation up to 5 ° (see AS USSR for invention No. 1331509 SU, IPC A61H 23/00, published on 08.23.1987 g .). The disadvantage of this method is that it involves the use of predominantly methods of influencing the intervertebral discs and intervertebral joints, namely jerking pressure ("trust methods"), shock methods and non-aiming jerky traction of the spine - "shaking", but the treatment methods are not used focal pathological changes in the muscle-fascial tissues - pathological muscle-fascial loci (PMFL), among which there is a particularly important role in the formation of pain, limitations on mobilities, playing so-called trigger points (TT), painful muscle seal (BMU), local spasms, local musculo-fascial contracture foci miofibroza, fibrositis, etc. As a result of this, in chronic diseases of the musculoskeletal system, the method does not provide sufficiently stable results, and frequent exacerbations and relapses of pain syndromes and other neurological manifestations of diseases of the musculoskeletal system, due to the ongoing pathophysiological effect of unrepaired muscular-fascial changes, require repeated repeated procedures. This method also does not provide for the use of any auxiliary technical devices and is associated with a high physical load on the doctor.

There is a method of treating degenerative-dystrophic diseases of the spine, which consists in exposing the patient to the spine by manual therapy by dosed distraction of the spinal column and phased dosed transposition of the affected vertebral motor segment and / or degeneratively altered disk, followed by its fixation in a predetermined position. Stage-by-stage transposition is carried out laterally on both sides by placing the extended second finger of the right hand, which is covered by the second, third and fourth fingers of the left hand at the level of the affected vertebral motor segment or degeneratively altered disk, by deep elastic movements deepen the distal phalanges of the bent first and fifth fingers of the left hand on section of the transverse process in the direction of the intravertebral joint and extend the fingers, moving the arched joint to a predetermined position ( see RF patent No. 2245125 RU, IPC A61H 1/00, published on January 27, 2005, bull. No. 1). The known method compared with the above method due to distraction followed by a phased transposition of the affected motor segment of the element and / or degeneratively altered disk allows you to obtain a more stable therapeutic effect due to restitution of the vertebrae in the vertebral motor segment. However, the known method, as well as previously described, does not provide for the impact on local foci of pathological muscular-fascial changes, which leads to insufficient durability of the treatment results. In addition, this method does not provide for the use of any technical means and for this reason is associated with high physical stress on the doctor.

Known methods for the treatment of diseases of the musculoskeletal system, which consist in combining pressure and distraction by immersing directly in PMFL no more than one contact element, for example:

- Myotherapy by Bonnie Praden (see the book "Pain Erasure: The Bonnie Prudden Way" (1980);

- Compression and traction-distraction massage according to Syromyatnikov A.E. (see http://www.tk54.ru/email/2013/Archive/2013-08-08 Newsletterl3.htm);

- The method of massage of deep tissues according to Dmitry Tal (see D. Tal's article “Massage of Deep Tissues”, Journal “Massage. Body Aesthetics” No. 2, 2011, pp. 21-23, http://www.massagemag.ru/ files / 61386.pdf).

The disadvantages of these methods is that they do not provide sufficient efficiency for the distillation of PMFL, since distraction is not performed locally and targeted enough.

A known method of treating muscle pain with the hands of a doctor, carried out by pressing and distraction simultaneously at more than one point. Source: Patent of Ukraine No. 1-20367, “A Method for the Treatment of Muscular Pain”, Authors Visly Anatoly Leonidovich, Onoprienko Igor Anatolievich, Bogdanov Gennady Alekseevich, Published: 08/31/1998 (see http://uapatents.com/1-20367-sposib -likuvannya-myazovo-boli.html). The method consists in the fact that the doctor grabs the abdomen with his hands, so that the first fingers of both hands are on one side and the remaining fingers are on the other side. Then the doctor presses the muscle on the side of the myogelosis focus with the first fingers, and the rest exercises counter-directed pressure on the abdomen of the muscle. This method, in comparison with the above methods, provides targeted local exposure to PMFL. The disadvantage of this method is that it does not provide sufficient strength and duration of pressure and distraction due to the fact that the effect on PMFL is due to the strength of the fingers of the hands and does not involve the use of the doctor’s own body weight to form pressure and distraction forces, as well as the use of any technical means that can lead to overload of muscles, tendons, ligaments and joints of the fingers of a doctor’s hands.

Known devices for providing pressure and distraction effects on soft tissue containing a mechanism for converting the pressure force on the handle due to the expansion of the contact elements. These are devices containing at least two rods, on one end of which contact elements are fixed, and the other ends are kinematically connected to the handle by means of a mechanism for converting the pressure force onto the handle due to the expansion of the contact elements:

- US patent US 2819715 A Massaging roller (see https://www.google.com/patents/US2819715);

- RF patent 2008883 Massager (see http://www.findpatent.ru/patent/200/2008883.html);

- RF patent 2032395 Massager (see http://www.findpatent.ru/patent/203/2032395.html);

- RF patent 2056827 Massager (options) (see http://www.findpatent.ru/patent/205/2056827.html).

These devices can reduce the load on the doctor’s hands, since the distraction effect is carried out by applying pressure to the handle with the effective use of the doctor’s body weight. The disadvantages of the above devices is that they do not allow to separately control the strength of the pressing and distraction effects, as well as the complexity of the structures and the inconvenience of their hygienic processing.

The closest method and device to the claimed method is a method of local pressure-distraction exposure to deep muscle-fascial tissues and a device for its implementation, presented in US patent No. 5,935,151 under the name "Vertebral distraction pump", published on 08/10/1999.

(See htp: //patft.uspto.gov/netacgi/nph-Parser? Sect2 = PTO1 & Sect2 = HITOFF & p = 1 & u = / netahtml / PTO / search-bool.html & r = 1 & f = G & 1 = 50 & d = PALL & RefSrch = yes & Query = PN 5935151).

The known method consists in the formation of tensile forces between at least two contact elements immersed in deep muscle-fascial tissues and held by the pressing force at the points of capture of deep tissues.

The known device contains at least two pivotally mounted one of the ends on the housing of the levers with the possibility of their angular deviation from the vertical axis of the housing. At the free ends of the levers made contact elements for pressure-distraction effects. In the gap between the axles and the contact elements on the levers fixed stops. The stops are mounted with the possibility of angular movement in the groove of the sleeve, fixed with a threaded connection on the rod passing through the through hole along the vertical axis of the housing. The bar is equipped with a special working handle-stop. The device also contains a number of additional elements that facilitate the work of the doctor and provide control of the intensity of exposure to the soft tissues of the patient. The known device allows for local pressure-distraction action, with the possibility of separate regulation of the pressure force and distraction. The disadvantage of this method is that the amplitude of the distraction of deep tissues is limited, since the extension of the contact elements is limited by the physiological limit of the extensibility of the skin-subcutaneous layer. An increase in the amplitude of distraction by exceeding the stretch limit of the skin-subcutaneous layer can cause painful sensations in the patient, leading to reflex tension of the deep muscle-fascial tissues, which reduces the efficiency of PMFL distraction. In addition, increasing the amplitude of distraction in the known method can lead to injury to the skin and subcutaneous fatty tissue along with the underlying blood and lymph vessels and superficial branches of nerves. The disadvantages of this device is that distraction is carried out only due to the efforts of the muscles of the flexors of the fingers of the hand, which can lead to overwork and overload of the muscles, tendons, ligaments and joints of the fingers of the doctor’s hands and reduce the effectiveness of distraction, especially in those cases when to obtain the proper treatment the effect is required for a long time and gradually increase the force of distraction. The known device contains various mechanisms, which greatly complicates the design, leads to its cost increase and complicates the hygienic processing of the device.

The aim of the invention is to increase the effectiveness of treatment, reducing the likelihood of overstretching and trauma to the skin-subcutaneous tissue; simplification of the design of the device, ensuring the implementation of the method, while reducing physical activity on the doctor, and simplification of the sanitary-hygienic processing of the device.

To achieve the goal in the known method of local pressure-distraction action on the deep muscle-fascial tissue, which consists in the formation of tensile forces between at least two contact elements immersed in the deep muscle-fascial tissue and held by the pressing force, first, points are revealed by palpation that characterized by soreness, rigidity, have a compacted texture and cause reflex reactions; at the points located at a distance of not less than 5 mm in the direction of the planned distraction from the previously mentioned points, elastic contact elements are installed and a pressing force of 2 to 20 kg is pressed and the elastic contact elements are compressed to form a skin-subcutaneous fold , then using elastic contact elements to stretch the muscle-fascial tissues;

in the known device for local pressure-distraction action on deep muscle-fascial tissues, containing at least two rods fixed at one end to the handle with the possibility of their angular deviation relative to the vertical axis of the handle, the free ends of the rods are elastic contact elements for pressure-distraction exposure while the rods are made at least 8 cm long and are connected by an elastic hinge with the possibility of their angular deviation of at least 5 ° relative to the vertical axis of the arm yati;

the maximum distance between the contact elements is not more than 10 cm, and corrugation zones are made on the outer surface of the rods, providing coverage, retention and movement of the rods with one hand;

its entire structure, including all its structural elements, is made in the form of a single monolithic device of complex shape from an elastic material, such as silicone or polyurethane.

The claimed effect is achieved by the fact that the proposed method allows to perform the distraction of deep tissues without wasting efforts to overcome the resistance to stretching of the skin-subcutaneous layer. In the process of distraction, the skin-subcutaneous layer does not resist the spreading of the contact elements, and the preformed skin-subcutaneous fold straightens. The likelihood of overstretching and trauma to the skin-subcutaneous tissue is reduced. The method allows to increase the amplitude of distraction by the value of the pre-formed skin-subcutaneous fold, which increases the effectiveness of the treatment. After straightening the skin-subcutaneous fold, further distraction of the deep muscle-fascial tissues can be carried out in the same way as in the known method, due to the physiological extensibility of the surface tissues.

Reducing the physical load on the doctor is ensured by the fact that the design of the distractor allows you to convert the pressure on the handle of the distractor into the expansion of the elastic contact elements. The implementation of the rods with a length of at least 8 cm, the presence of additional handles on them, which are installed in close proximity to the elastic contact elements, allows the doctor to cover them with his hand, free from pressurization, to set the edge of the palm holding the additional handles in close contact with the surface of the patient’s body that allows you to ensure the stability of the specified position of the distractor. The design of the distractor allows for separate regulation of the pressure and distraction forces and to control the degree of expansion of the elastic contact elements regardless of the pressure on the handle. It excludes the possibility of the start of distraction earlier than the sufficient immersion depth of the elastic contact elements and the required pressure value are achieved. The possibility of angular deviation of at least 5 ° of the device rods relative to the vertical axis of the handle, to which the doctor exerts a pressing force, as shown by the experience of operating the recommended device, allows both the preliminary formation of the skin-subcutaneous fold and the necessary degree of conversion of the pressure force into a distraction effect. The implementation of the entire design of the distractor, including all its structural elements, in the form of a single monolithic device of complex shape from an elastic material, such as silicone or polyurethane, allows to simplify the design and sanitary treatment of the distractor.

The implementation of the proposed method is as follows. The process of local pressure-distraction exposure to deep muscle-fascial tissue is performed in three stages:

Prepressure effect aimed at the formation of skin-subcutaneous folds in the area of the planned distraction;

Immersion in the capture points of deep muscle-fascial tissue in the area of PMFL;

Muscle-fascial tissue distraction.

The prepressure effect is carried out after the detection of PMFL in the deep muscle-fascial tissues and the establishment of capture points of the deep muscle-fascial tissues.

PMFL and capture points of deep muscle-fascial tissues are detected by deep palpation, focusing on:

1. soreness, which the patient reports, according to preliminary agreement;

2. compacted consistency;

3. rigidity (inflexibility);

4. reflex reactions:

a. local and regional reactions: involuntary muscle contraction, (sweating, sweating, pilomotor reflex ("goosebumps"), reflected pain, trembling, and other so-called "trigger phenomena";

b. general reflex reactions: for example, involuntary breath holding, palpitations, pallor, dilated pupils.

Prepressure exposure is as follows. Set the capture points of deep muscle-fascial tissue in the area of location of PMFL. Then, points of prepressure exposure are placed on the skin, spaced from the normal projections on the skin of the capture points of deep muscle-fascial tissues at a distance of at least 5 mm. At the points of the prepressure impact, the elastic contact elements are pre-pressed into the surface tissues perpendicular to the body surface, until the elastic contact elements are immersed to the depth of the skin-subcutaneous layer, until the surface fascia is reached, and the elastic contact elements are displaced with each other to the projections of the capture points of the deep muscle-fascial tissue to the skin. The contact elements can be shifted with each other also by changing the indentation angle. The indentation angle of the elastic contact elements is changed and oriented along straight lines inclined to the patient’s body in the PMFL localization zone, at an angle of preliminary indentation. The tangential forces from the elastic contact elements pressed into the patient’s body at an angle to the surface of the patient compress the skin-subcutaneous layer and shift the points of prepressure to the points of planned distraction (projections of the points of capture of deep muscle-fascial tissues on the skin). A skin-subcutaneous fold is formed. The doctor determines the value of the preliminary indentation angle and the value of the prepressure distance from the starting points in the direction of the planned distraction, the value of which is at least 5 mm, taking into account the individual characteristics of the thickness and elasticity of the patient’s skin and subcutaneous fatty tissue. The angle of pre-indentation of the elastic contact elements is determined by the angle of deviation of the direction of indentation of the elastic contact elements from the normal to the skin of the patient in the direction to the capture points of deep muscle-fascial tissues. The value of the angle of preliminary indentation of the elastic contact elements, based on the experience of treating patients accumulated by the author of the present invention, should be at least 1 °. At the recommended value of the angle, directed towards each other due to the tangential components of the vectors of the prepressure pressure on the elastic contact elements during their preliminary pressing into the patient's body, stable compression of the skin-subcutaneous tissue throughout its depth is ensured, and a skin-subcutaneous fold is formed. The value of the prepressure pressure is determined by the doctor depending on the thickness and elasticity of the skin of the subcutaneous tissue of the patient from 2 to 20 kg, which is not more than 50% of the value of the final pressure force. Parts of the doctor’s hands can be used as elastic contact elements, and, depending on the area of distraction performed, these can be the pads of the crossed thumbs, the back surface of the bent proximal interphalangeal joints of the third fingers, the back surface of the metacarpophalangeal joints, hypotenar, or elbows . As elastic contact elements can also be used end parts of specially manufactured devices, made, for example, in the form of conventional rods. Moreover, the radius of the end surface of specially made devices in contact with the skin of the patient, in order to avoid damage to the skin of the patient should be at least 3 mm.

Immersion in deep muscle-fascial tissue in the area of PMFL is carried out after completion of the preliminary indentation process and the formation of the skin-subcutaneous fold. The elastic contact elements are oriented to a position normal to the patient’s body, and then they are pressed into the patient’s body by the full pressing force until the elastic contact elements are immersed to the depth of the PMFL and the elastic contact elements are introduced into the PMFL.

Muscle-fascial tissue distraction is as follows. Between the elastic contact elements held by the pressurized pressure deep in the muscular-fascial tissue of the patient, a tensile force is created. Since the elastic contact elements are held deep in the muscle-fascial tissue, they carry it in the direction of their movement, and the distraction of the muscle-fascial tissue is carried out. The position of the elastic contact elements relative to the patient’s body during the formation of tensile forces can be changed from a vertical position to an inclined position. The pressure force in this case, if it is necessary to maintain the value of the normal component of the force, can be increased. The direction of the angle of inclination of the elastic contact elements is set in the direction opposite to the direction of the angle of pre-indentation of the elastic contact elements. As a result of the inclination of the elastic contact elements, the pressure force will be directed along the lines diverging from the PMFL, and the tangent components of the pressure force vectors on the elastic contact elements will be directed towards the distraction. Most of the tangent component of the pressure force in the proposed method is not spent on stretching the skin-subcutaneous layer, but is used to perform a distraction effect, which allows to reduce the values of the tensile forces aimed at pushing the elastic contact elements and facilitate the work of the doctor. Since the increase in the distance between the elastic contact elements on the skin of the patient is provided by the expansion of the previously formed skin-subcutaneous fold, during the distraction process, the proposed method significantly reduces the risk of overstretching and damage to the skin-subcutaneous tissue. The value of the total pressing force and the depth of immersion of the elastic contact elements in the deep muscle-fascial tissues in the PMFL zone is determined by the doctor’s experience from the condition of their sufficiency to hold the elastic contact elements in a given layer of deep muscle-fascial tissue during the entire process of the planned distraction. After straightening the skin-subcutaneous fold, an increase in the amplitude of distraction is possible until the physiological limit of tissue extensibility is reached. The volume of the formed skin-subcutaneous fold should be chosen no more than the maximum value acceptable for each particular patient, based on the conditions of exclusion of injury to his tissues during the prepress treatment.

In fig. 1 shows a diagram of a distractor for local pressure-distraction action on deep muscle-fascial tissue, allowing to implement the proposed method.

The distractor is made in the form of a compass and contains at least two legs 1 connected by an elastic hinge 2 on the inner surface of the supporting arm 3 with the possibility of their angular deviation (in Fig. 1. angle α) relative to the vertical axis of the supporting arm 3. Elastic hinge 2 with the possibility of angular deviation can be made in the form of a conventional known elastic articulation of the legs 1 with the supporting handle 3 (see, for example, RF patent No. 2481503 RU). In fig. 1, the elastic hinge 2 is presented in the form of an integral structure element made of an elastic material connecting the legs 1 to the supporting handle 3. The free ends of the legs 1, which are the elastic contact elements 4 of the proposed device, are rounded with a radius of R≥3 mm and spaced from the vertical axis supporting handle 3 at a distance of not less than 10 mm (δ≥10 mm). The connection of each leg 1 is made inclined relative to the vertical axis of the handle 3 (angle of at least 5 °). The legs 1 and their connection with the supporting handle 3 must withstand an axial load of at least 100 kg. The legs 1, as well as the elastic hinges 2, can be made of an elastic material, for example, polyurethane, which allows the entire device, including the supporting handle 3, to be made in the form of a monolithic structure of elastic material, for example, polyurethane, which simplifies the design and significantly simplify its hygienic treatment. The length of the legs 1 L should be at least 8 cm, and on the outer surface of the rods in the area directly adjacent to the contact elements, corrugation zones are made in the form of additional side arms that provide coverage, retention and movement of the rods with one hand.

For example, a notch 5 can be made along their entire length for conveniently holding the device in the doctor’s hand. The depth of the notch (~ 1 mm), the pitch of the notch (~ 5 mm) are selected based on the convenience of their coverage by the doctor’s hand. The transverse dimensions of the device (the distance between the outer surfaces of the legs 1) should allow them to be covered by one doctor’s hand when performing work and should not exceed 10 cm (B≤10 cm). The gap between the legs 1 (the distance between the inner surfaces of the legs 1) is made variable, diverging from the place of their connection on the inner surface of the supporting handle 3. The gap between the legs 1 and the stiffness of their elastic connection are made from the condition of the possibility of pressing the legs 1 to each other by the compressive force of the doctor’s hand (not more than 30 kg) and the approach of the elastic contact elements of the device to each other at a distance of not less than 20 mm. The supporting handle 3 according to its ergonomic characteristics should provide the convenience of holding the proposed device in one hand of a doctor. The strength characteristics of the supporting arm 3, the elastic hinge 2 and the legs 1 must withstand the vertical load applied to the supporting arm 3 of the device installed by the legs 1 on a rigid base, not less than 100 kg

The distractor operates as follows.

One of the hands (hereinafter referred to as the right hand), the doctor holds the distractor by the supporting handle 3 and sets it vertically on the surface of the patient’s body in the area of PMFL so that the free ends of the legs 1 with their elastic contact elements 4 are installed at the points of prepress. To combine the elastic contact elements 4 of the device with the points of prepressure, the doctor uses the second hand (hereinafter referred to as the left hand). With his left hand, the doctor pre-compresses or extends the ends of the legs 1 until the distance between the elastic contact elements 4 of the distractor and the points of the prepress action are equal. This overcomes the force of the elastic hinge 2 connecting the legs 1. For the convenience of fixing the device on the patient’s body, the edge of the palm of the left hand, the doctor tightly presses against the patient’s body. The position of the elastic contact elements 4 of the distractor at the points of prepressure is stabilized. After the device is installed and fixed, the doctor presses the right arm 3 with the right hand and slowly immerses the elastic contact elements 4 to the entire depth of the skin-subcutaneous layer, while holding the device’s left legs 1 to maintain the previously set distance between the elastic contact elements 4. Holding the distractor with the right with the hand in the position of its elastic contact elements 4 immersed in the patient’s body, the doctor squeezes the legs 1 with his left hand and brings their elastic contact elements 4 together, overcoming the force of the elastic joint 2, with connecting legs 1. After combining the elastic contact elements 4 with the points of the planned distraction and the formation of skin-subcutaneous folds in the area of the planned distraction, the doctor with his right hand increases the load on the supporting handle 3 of the distractor. Elastic contact elements 4 slowly (depending on the patient's testimony, up to 1 minute) are immersed in the muscle-fascial tissue of the patient. The squeezed legs 1 are thus held by the doctor’s left hand. After pressing the elastic contact elements 4 to the desired depth in the patient's muscle-fascial tissue, the doctor, while holding the force on the supporting handle 3 of the distractor, smoothly reduces the force of the left hand, which provides compression of the legs 1. Under the action of the forces of the elastic hinge 2 of the distractor, the pressed legs 1 are moved apart, moving elastic contact elements pressed into the muscle-fascial tissue. There is a distraction of the muscle-fascial tissue in the area of PMFL. The skin-subcutaneous fold straightens. The elastic forces of the previously compressed skin-subcutaneous layer of the patient are combined with the forces of the elastic hinge 2 and contribute to the implementation of distraction. If there is a lack of elastic forces for the implementation of the planned level of distraction, the doctor increases the pressure on the supporting handle 3 of the distractor. Since the legs 1 of the distractor are connected to the supporting handle 3 obliquely relative to its vertical axis, the increased pressure of the doctor will form tangential forces that will increase the amplitude of the conducted distraction. The amplitude of the performed distraction during the entire work process is controlled by the doctor with his left hand, holding the legs of the distractor 1 and preventing their uncontrolled divergence, which reduces the likelihood of injury to the patient. The proposed device allows the doctor to adequately dose the force of distraction, not only by sensing a change in the resistance of deep tissues, but also by visually monitoring the condition of the cutaneous-subcutaneous fold, followed by adjusting the speed and amplitude of the distraction by adjusting the force of the left hand holding the extensible legs 1 and adjusting the pressure right hand on the supporting handle 3 of the distractor.

While the known design allows you to realize the force of distraction only by the compression force of the fingers, the proposed design of the distractor allows you to generate the force of distraction by almost the entire body weight of the doctor. Physical activity on the doctor is reduced due to a more efficient use of a body weight by a specialist, and the efficiency of distraction is increased. The ability to perform the proposed distractor in the form of a single product can significantly simplify and reduce the cost of construction and reduce the cost of its hygienic processing.

Thus, the proposed distractor, thanks to new, previously unknown features, allows to achieve the goal of the invention.

Claims (4)

1. A method of local pressure-distraction action on deep muscle-fascial tissue, which consists in the formation of tensile forces between at least two contact elements immersed in deep muscle-fascial tissue and held by pressure force, characterized in that the points are first revealed by palpation, which are characterized by soreness, rigidity, have a thickened texture and cause reflex reactions; at the points located at a distance of not less than 5 mm in the direction of the planned distraction from the previously mentioned points, establish elastic contact elements and press in with a pressure force of 2 to 20 kg and compress the elastic contact elements with the formation of a skin-subcutaneous fold between them, then, with the help of elastic contact elements, stretching of muscle-fascial tissues is carried out. 2. A distractor for local pressure-distraction action on deep muscle-fascial tissue, containing at least two rods fixed at one end to the handle with the possibility of their angular deviation relative to the vertical axis of the handle, characterized in that the free ends of the rods are elastic contact elements for pressure-distraction effects, while the rods are made at least 8 cm long and are connected by an elastic hinge with the possibility of their angular deviation of at least 5 ° relative to the vertical Second handle axis. 3. A distractor for local pressure-distraction action on deep muscle-fascial tissues according to claim 2, characterized in that the maximum distance between the contact elements is not more than 10 cm, and corrugation zones are made on the outer surface of the rods, providing coverage, retention and shear rods with one hand. 4. A distractor for local pressure-distraction action on deep muscle-fascial tissue according to claim 2, characterized in that its entire structure, including all its structural elements, is made in the form of a single monolithic device of complex shape from an elastic material such as silicone or polyurethane.

Images