RU2697000C2 - Sculpting massage method of correction of separate body parts with due allowance for metabolic processes - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to manual therapy, cosmetology, and can be used for aesthetic correction of body size and weight in females. For the purpose of intensifying the anabolic processes, the muscular tissue is exposed by means of manual therapy, which is performed in the follicular phase of the menstrual cycle. At the same time from 70 % to 80 % of the session time the exposures including kneading and kneading with burdening, performed without painful efforts. Catabolic processes are intensified by exposing subcutaneous fat to the luteal phase of the menstrual cycle. At that, from 70 % to 80 % of the session time, superficial squeezing and rubbing are performed, preventing damage of capillaries and lymphatic vessels.

EFFECT: method provides effective body and body weight correction in females by selecting certain time intervals most effective for performing sessions aimed at intensifying anabolic or catabolic processes.

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Description

The invention relates to health medicine and allows for the aesthetic correction of individual parts of the body, taking into account the metabolic processes of the body by manual techniques.

Among the large number of massage techniques, it is possible to note the following methods of manual exposure, leading to the correction of volumes of individual parts and body weight.

Lymphatic drainage. The method was proposed in 1957 by the Austrian medical scientist Emil Vodder. The method is based on therapeutic massage performed to enhance lymph flow (1). Promotes active removal of excess fluid and toxins from connective tissue. Massage movements are sliding, soft, smooth. With lymphatic drainage, the main emphasis is on squeezing techniques to remove excess water from the body. The method provides a short-term therapeutic effect.

Anticellulite massage. The basis of this technique is classic massage. This method of exposure is most effective in cases of local obesity in combination with cellulite, subject to the elimination of lymphostasis. As a rule, a course of anti-cellulite massage is performed after several sessions of lymphatic drainage. Massage is performed only locally, in areas with a pronounced cosmetic defect. In anti-cellulite massage, when exposed to subcutaneous fat, vibrational (shock techniques) are used, which helps to rupture capillaries penetrating subcutaneous fat. The procedure is quite painful and is aimed only at restoring the normal function of subcutaneous fat.

Classical massage, also enhancing metabolic processes, is able to adjust volumes and body weight. However, this method is focused mainly on a uniform decrease in the subcutaneous fat layer without taking into account the individual constitutional features, body type, and also aesthetic requirements (2).

The way to correct the figure and body weight by manual massage according to Kisselgof V.I. (RU 2219890 C2; 12/27/2003). A method of correcting a person’s figure and weight by manual massage involves visual determination of problem areas of the figure, applying a lubricant, heating a selected area of the body and intensively affecting this area. Warming up is carried out for 1-2 minutes, and intense action is carried out by the palmar surfaces and / or thumbs, while the main body position of the masseur is vertical, with slightly bent legs, shoulders and elbows lowered, the pelvis rotates with the subsequent rotation of the body strictly along the vertical axis and the transition of rotation in the movement of the upper limb, the massed tissues are pressed tightly to the bone surfaces or create an anticorrosion with the palm of the other hand, act as rubbing and avlivayuschimi movements. The criterion for proper performance is persistent edema and the development of aseptic inflammation in adipose tissue with the corresponding symptoms. The disadvantage of this method is the strong pain of exposure, the destruction of the integrity of the subcutaneous tissue and an adverse cosmetic effect (3).

The method of correction of weight and body shape by manual massage (RU 2383326 C2; 03/10/2010). Correction of the figure is carried out in 3 sequentially performed stages, and the effect is carried out at the level of subcutaneous fat. At the first stage, the effect is exerted on the local zones above the lymph nodes and / or the main lymphatic vessels, enhancing lymphatic drainage and including mechanisms for removing fluid from local places. At the second stage, they influence the previously diagnosed problem areas of the figure by means of kneading techniques. At the third stage, they have a tonic effect on the skin surface in the direction against the gravity vector in the vertical position of the patient. The disadvantage of this method is not the long-term effect of the massage effect, and in the absence of the possibility of local volume reduction (4).

The correction method of the figure (RU 2239406 C1; 10.11.2004). The method includes weight loss against the background of limiting the diet and conducting a manual massage to the patient at the location of fat deposits. Massage treatment is preceded by a visual division of the treated surface of the patient’s body into equal parts: the front front-facial, back, including the back, buttocks, and lateral left and right parts, and the lateral surfaces are visually limited behind by a line running along the body through the corner of the scapula, and in front - midclavicular or mid-axillary lines. Then, alternately and intensively, manual massage of all the named parts is carried out, returning to the side parts after each massage treatment of the front facade-front or back parts (5). The disadvantage of this method is the lack of a pronounced effect of tightening the skin-muscle tissue, correcting ptosis and its complexity.

The method of correction of cosmetic indicators of appearance (RU 2201739 C1, 04/10/2003). The method of correction of excess age-related changes in subcutaneous fat, which are reflected in cosmetic indicators of appearance, consists of a labile vacuum massage, after which an additional subsequent manual effect is performed by post-isometric muscle relaxation (6). The disadvantage of this method is the lack of visible correction of the body.

These methods, having an effect on the body, provide a short-term therapeutic effect. These methods do not have an accentuated effect on muscle tissue or subcutaneous fat and do not take into account the characteristics of the metabolic processes at the time of the massage course.

Closest to the proposed method is the correction of constitutional subcutaneous soft tissues of a person by the method of controlled exposure Volynkina Yu.A. "manual plastic" (RU 2411930 C2, 02.20.2011) adopted as a prototype.

For correction of subcutaneous soft tissues of a person, the method of controlled exposure is used (7). In appearance, a body section containing constitutional fibro-fatty formations is determined. It is lubricated with a fat cream, heating a selected area of the body. By palpation examination, constitutional dense fibrous-fat formations are localized and destroyed by force exposure to them, first with the first phalanges of all fingers bent and then with the second phalanges of all fingers. Then, with hands, exercise force on the identified areas in the direction of the lymph flow. The effect is repeated many times and directed to the same identified areas of the body. In each session, before exposure is carried out photographing and aesthetic examination of a person. The first session is carried out continuously for three hours. Repeated sessions are carried out after healing of the inflammation of the treated areas of the subcutaneous tissue. The number of sessions and their duration is determined depending on the cleaned volume, creating an aesthetic defect, and the presence of pain during the processing of the identified areas of the body. The method allows at each session to see an improved figure and correct the lines, proportions and forms of constitutional flaws. However, this method is very long, laborious and quickly causes fatigue of the hands of the masseur, is extremely painful for the client.

The problem to which the invention is directed is the creation of a manual massage method for the aesthetic correction of individual parts of the body, taking into account the direction of metabolic processes. The level of estrogen, progesterone and androgens in the blood, a feature of the metabolism in the menstrual cycle, allows you to create a time frame for a more effective effect of accentuated massage techniques on muscle tissue or subcutaneous fat.

In order to develop a method, studies were carried out, consisting of two stages. At the first stage, a control and experimental group of subjects was organized (women, age 23-29 years, 18 people in each group). Groups are homogeneous in composition. In the control group there were people attending classical massage sessions (twice a week, 8 procedures - course), in the experimental group there were women attending special massage sessions individually in the follicular phase of the monthly cycle (8 procedures).

Using the dynamometry technique, the strength indicators of the flexor and extensor of the shoulder, the flexor and extensor of the hip and extensor of the lower leg were studied (8). The measurements were performed using a dynamometer of the Abalakov V.M. system

To compare the strength indicators of subjects of different weights, we recalculated the data obtained in the values of relative strength by the formula:

C _o = C _a : M,

where C _o - relative strength, C _a - absolute strength, M - body weight.

A study of the level of hormones in the blood, the characteristics of metabolism in the menstrual cycle (9), allowed us to determine the most favorable periods (days) for the accentuated effect of massage techniques on muscle tissue in order to enhance the anabolic processes of a woman's body.

Massage to enhance the anabolic processes of the body was performed individually in the subjects of the second group in the second (postmenstrual) phase of the monthly cycle, when working capacity is increased by increasing the level of estrogen and prerequisites are created for the development of speed-strength qualities.

Massage effects were carried out in the form of a set of techniques, with a predominance of kneading movements. The main object of massage was muscle tissue.

The procedure takes from 30 to 40 minutes, depending on body weight. Massage of the back, upper and lower extremities was performed. Receptions were performed at a fast pace, strongly and deeply, without pain. Both superficial and deep-lying muscles were massaged.

The procedure used stroking techniques, rubbing, shock techniques and kneading techniques. The main technique was kneading (ordinary, double annular, double ordinary, longitudinal, with one hand) and kneading with weights (double neck, circular base of the palm, circular phalanges of bent fingers).

The proportion of kneading techniques with weights increased in the second half of the course, which provided an additional, enhanced effect on muscle tissue.

Since the manifestation of muscle strength is closely related to intermuscular coordination, and depends on the activity of other muscle groups, the procedure used massage training in the ability to relax muscles. The strength of a muscle grows while relaxing its antagonist, and decreases while contracting other muscles, and also increases when the body or individual joints are fixed by antagonist muscles. The subjects, at the end of the procedure, independently alternated tension and relaxation of individual muscle groups.

To increase muscle tone, after stroking and between stroking, shock techniques were used.

Before the first procedure and after the last, eighth procedure, the strength of individual muscle groups was measured, and muscle girths were measured.

An analysis of the experimental results showed that the relative strength indices of five muscle groups in the control group changed from 2.70 ± 0.07 to 2.75 ± 0.06, and in the experimental group from 2.74 ± 0.08 to 3.25 ± 0.07. Thus, according to the level of the average group results, significant differences were noted between the control and experimental groups (p <0.05). The largest increase in the absolute strength indices of individual muscle groups was noted in the experimental group in terms of hip flexors (from 40.9 ± 2.0 to 51.2 ± 2.6) and shin extensors (from 35.5 ± 1.5 to 44.5 ± 1,2). Next, in order to reduce the increase in results in the experimental group, there are indicators of hip flexors, extensors and flexors and shoulder.

The strength indicators of individual muscle groups in the control group changed unreliably.

The average changes in muscle girth in students from the second group ranged from 1.7 ± 0.4 cm (shoulder) to 2.1 ± 0.5 cm (hip) after a special massage course in combination with aerobics, in subjects from the first group engaged only in aerobics, changes in muscle girth during the experiment are unreliable.

Thus, the combination of massage techniques used, taking into account the direction of metabolic processes, is accentuated by affecting muscle tissue in the follicular phase of the CMC, in this case, it is a specific form of muscle training, improving plastic and energy processes in muscle tissue. At the same time, massage provides selective training for both superficially located muscles and more deeply lying muscles, which leads to positive functional and structural changes in the massed tissues.

Two types of working hypertrophy of muscle fibers can be distinguished - sarcoplasmic and myofibrillar. Sarcoplasmic working hypertrophy is a thickening of muscle fibers due to a predominant increase in sarcoplasma volume. Hypertrophy of this type occurs due to an increase in the content of non-contractile (in particular, mitochondrial) proteins and metabolic reserves of muscle fibers: glycogen, without nitrogenous substances, creatine phosphate, myoglobin, etc. Working hypertrophy of this type does not significantly increase muscle strength, but increases the ability to continuous work, i.e. their strength endurance increases.

Myofibrillar working hypertrophy is associated with an increase in the number and volume of myofibrils, i.e. self-contractile apparatus of muscle fibers. At the same time, the packing density of myofibrils in the muscle fiber increases. Such working hypertrophy of muscle fibers leads to a more substantial increase in muscle strength. Fast muscle fibers are most prone to myofibrillar hypertrophy.

A significant increase in the number of capillaries as a result of massage can also cause some thickening of muscle tissue.

As a result of the massage, muscle fiber hypertrophy appears to be a combination of two types of working muscle hypertrophy, with some prevalence of myofibrillar hypertrophy.

Analysis of the results allows us to offer this massage technique for use in sports, ballet (dance) practice, in the treatment of certain diseases as an auxiliary method for developing the strength of individual muscle groups.

At the second stage of the study, a control and experimental group of subjects was also organized (women, age 21-30 years, 18 people in each group). Groups are homogeneous in composition. In the control group there were people attending classical massage sessions (twice a week, 8 procedures - course), in the experimental group there were women attending special massage sessions individually in the luteal phase of the monthly cycle (8 procedures).

To determine the areas of the body that need correction, anthropometric measurements were performed. The indicators of the subjects were compared with ideal (model) indicators for this type of figure and the degree of deviation in one direction or another was determined.

Massage effects were carried out in the form of a set of techniques performed in a specific ratio and sequence.

The main object of the massage effect at the second stage of the study was subcutaneous fat. Massage aimed at reducing muscle girth was performed during the luteal phase of the menstrual cycle to enhance the catabolic processes of the body. A distinctive feature of the massage was the accentuated effect on subcutaneous fat. Receptions were performed gently, superficially, at an average pace, avoiding damage to capillaries and lymphatic vessels.

Massage of those parts of the body where it was necessary to make adjustments was performed. During the procedures, lubricating and warming substances were not used. In the first half of the massage course, various techniques prevailing; rubbing subcutaneous fat; rubbing techniques (alternately rubbing the skin-fat folds, shearing, sawing, combined rubbing); in the second half, deep stroking (or surface squeezing) techniques - transverse, girth, thumb pad . The proportion of kneading was not more than 20%. Whereas in all known massage techniques it ranges from 70 to 80%.

An analysis of the results at the second stage of the experiment showed that the average changes in muscle girth in students from the second group were in the range from 2.3 ± 0.5 cm (hip) to 2.8 ± 0.6 cm (waist), after a special course massage, in subjects from the first group receiving classical massage procedures, these changes were from 0.6 ± 0.3 cm (hip) to 1.0 ± 0.5 cm (waist). Two weeks after the last procedure, students from the second group experienced further shifts in the change in muscle girth to 3.3 ± 0.5 cm (hip), 3.8 ± 0.6 cm (waist).

A further change in muscle girth after the end of massage procedures indicates the delayed effect of the effect of the used massage method on the body of those involved. The results of the subjects in the first group changed unreliably in the next two weeks. The thickness of the skin-fat folds in subjects from the second group increased to 20-25% during the massage, due to softening of the adipose tissue in the areas of impact, two weeks after the end of the experiment decreased by 15% -20% compared to the initial level. The subjects from the first group had no differences in the reduction of skin-fat folds after the last training session and two weeks after the end of the examination. This decrease amounted to 5-10% of the initial level.

The total percentage of fat in subjects from the second group decreased from 34.3 ± 1.7% to 26.5 ± 1.2%, of the first group from 35.3 ± 1.5% to 33.9 ± 1.6%. The same tendency is observed in the subjects of the first and second groups with a change in body weight. In the second group, body weight decreased by 2.1 ± 0.5 kg., In the first group by 0.9 ± 0.5 kg.

Thus, according to the level of the average group results, significant differences were noted between the first and second groups (p <0.05).

The use of techniques of a special massage technique to enhance the catabolic processes performed in the luteal phase of the CMC causes the expansion of functioning capillaries, the opening of reserve capillaries in the skin and subcutaneous tissue, which improves metabolism. Massage effects have a positive effect on the formation of histamine and histamine-like substances, which, together with amino acids and polypeptides, are distributed with the flow of lymph and blood, causing an increase in the adrenaline level in the blood. Adrenaline, in turn, stimulates the release of fatty acids from adipose tissue by activating an enzyme associated with the cell membrane. There is also a change in the electric potential on the cell membrane, which leads to a redistribution of potassium and sodium ions (potassium-sodium pump). Potassium ions enter the cell, sodium ions enter the intercellular space, adding water molecules and substances dissolved in it, which, through the capillary circulatory and lymphatic systems, enter the general blood and lymphatic channels and are physiologically excreted from the body.

Thus, massage techniques, acting on subcutaneous fat, will help reduce it by removing excess water, and increasing blood circulation in adipose tissue and increasing the amount of hormones in the blood will stimulate the release of fat from the cell.

The technical result of this massage method is achieved by choosing certain time intervals that are most effective for performing sessions aimed at enhancing anabolic or catabolic processes, visually identifying problem areas of the body, accentuated effects on muscle tissue with kneading techniques or on the skin and subcutaneous fat, squeezing and rubbing techniques performed in a certain ratio.

Analysis of the results allows us to propose this method for correcting the mass and volume of individual body parts.

The proposed method of manual massage is radically different from all currently known manual massage methods in that it focuses either on muscle tissue or subcutaneous fat, taking into account the metabolic processes of the body, using a combination of stroking, rubbing, kneading techniques with an increase in specific weights of kneading techniques from 5 to 8 procedure when exposed to muscle tissue and stroking, rubbing, surface kneading and squeezing with an increase in the specific gravity of the receptions tyranny from 1 to 4 procedure and methods of squeezing from 5 to 8 procedure.

Literature:

1. Vasechkin, V. Aesthetic massage / V. Vasechkin, M. Arkhipova; Eksmo-press, 2003 .-- 528 p.

2. Eremushkin, M.A. Medical massage. Theory and practice / M.A. Eremushkin.- St. Petersburg: Science and Technology, 2009 .-- 544 p.

3. Pat. 2219890 Russian Federation, IPC A61H 7/00 C2. The way to correct the figure and body weight by manual massage according to Kisselgof V.I. / Kisselhoff V.I .; applicant and patent holder Kisselgof V.AND. - No. 2001108828/14; declared 04/02/01; publ. 07.27.03, Bull. No. 21 - 3 s.

4. Pat. 2383326 Russian Federation, IPC A61H 7/00 C2, Method for correcting weight and human figure with manual massage / Litvichenko E.M .; applicant and patent holder E. Litvichenko - No. 2006134668/14; declared 09/29/06; publ. 03/10/10, Bull No. 7 - 2 s.

5. Pat. 2239406 Russian Federation, IPC A61H 7/00 C1, Method of body correction / Roganin I.N .; Applicant and patent holder Roganin I.N. - No. 2003121104/14; declared 07/14/03, publ. 11/10/04, Bull No. 31 - 2 s.

6. Patent 2201739 Russian Federation, IPC A61H 7/00 C1, Method for the correction of cosmetic indicators of appearance / Vereshchagin S.A .; Applicant and patent holder Vereshchagin V.A. - No. 2001129338/14, declared 11/01/2001; publ. 04/10/2003, Bull No. 10 - 2 s.

7. Pat. 2411930 Russian Federation, IPC A61H 23/06 C2, Method for the correction of constitutional subcutaneous soft tissues of a person by the method of controlled exposure Volynkina Yu.A. "manual plastic" / Volynkin Yu.A.; applicant and patent holder Volynkin Yu.A. - No. 2008141930/14, declared 10/23/08; publ. 02.20.2011, Bull No. 5 - 3 s.

8. Aulik, I.V. Determination of physical performance in the clinic and sports / I.V. Aulik. - M: Medicine, 1990. - p. 86-92.

9. Balabolkin, M.I. Endocrinology. Textbook / M.I. Balabolkin. - M: Universum Publishing, 1998 .-- 416 p.

Claims (1)

A method of aesthetic correction of volumes and body weight in women by means of manual exposure, characterized in that they enhance anabolic processes by affecting muscle tissue, which is carried out in the follicular phase of the menstrual cycle, with 70% to 80% of the session time taking effects, including kneading and kneading with weights, performed without pain, and the intensification of catabolic processes is carried out by exposure to subcutaneous fat in the luteal phase of the menstrual cycle, while 70% to 80% of the session time occupy squeezing and surface rubbing, preventing damage to the capillaries and lymph vessels.