RU2701781C1 - Method of treating acquired spinal pathologies due to displacement of human center of gravity - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to manual medicine, orthopedics, physiotherapy, and can be used for improving the quality of rehabilitation of spinal osteochondrosis manifestations, diseases of connective-articular apparatus of various etiology and deformity of statics. Treatment consists of two periods. First period is aimed at eliminating muscular spasms, trigger points. In the supine position, the length of the individual's legs is compared, and if the length of the legs differs by the massage effect performed in three stages, the length of the legs is leveled. At the first stage, maximal strong pressure is applied to trigger points in gluteus muscles. Massage movements are mainly standard; however, force of exposure is 2-3 times more intense (according to subjective sensation of massage therapist) than in usual massage. Intensity of exposure is maximum strong point action on trigger points in gluteus muscles. Such action due to removal of cramps in gluteus muscle eliminating trigger points in them allows stretching muscles. At the second stage muscles are relaxed along the spine. Main techniques for relaxing the muscles along the spinal column involve the most intense pressing, displacement and stretching of the muscles along the spinal column. At the third stage, the upper back muscles are relaxed by means of deep and maximum intensive rubbing and pressing of trigger points around blades, arms, and neck. Second period consists in establishment of long wearing of heel pad in shoes. This stage is performed at the end of massage action. In shoes under heel of leg, which visually looked longer, damping heel pad is installed for fixation and stabilization of center of gravity.

EFFECT: method enables providing more effective rehabilitation of spinal osteochondrosis manifestations and eliminating the causes of the disease.

4 cl, 3 dwg

Description

The invention relates to medicine, namely to manual medicine, orthopedics, physiotherapy, and can be used to improve the quality of rehabilitation of manifestations of osteochondrosis of the spine, diseases of the ligamentous-articular apparatus of various etiologies, statics deformation.

From the patent of the Russian Federation No. 2181277 for the invention, there is known a method for treating scoliosis in children by acting on the back muscles with a physical factor, characterized in that the effect is achieved through massage in the following sequence: in the supine position, a classical classical back massage is performed for 5-6 minutes, then, with kneading techniques, massage is carried out on groups of back muscles on both sides of the spine, with relaxing movements for 4-5 minutes of muscle groups that are in good shape, and for 4-5 minutes tonic zhenii - paralyzed muscles, then for 2-3 minutes with kneading techniques, a deep massage is performed in the area of the hip joints and buttocks, then in the supine position they hold a general classical massage of the abdomen for 3-4 minutes, then for 4-5 minutes with receptions kneading - of the knee, ankle joints and feet, are treated with cycles that include a daily course of treatment for 12 procedures, followed by a break of 14 days and the number of cycles of 6 or more until the spine is completely restored.

A method for treating scoliotic posture and functional scoliosis is known from RF patent No. 2268699 for the invention, including relaxing massage of the muscles of the spine, characterized in that the body is stretched on an inclined plane to eliminate head tilt, displacement of the shoulder and pelvic girdles with the relative shortening of the length of the lower limb, eliminate the tonus muscular-ligamentous imbalance of the transverse-spinous muscles of the upper, middle parts of the curvature arc along the convex side and in the lower part on the concave side, and also, the tonus-muscular imbalance of the paravertebral muscles, against the background of the ongoing stretching of the musculo-ligamentous apparatus and their relaxation, corrects reduced chest kyphosis and lumbar lordosis to physiological values with subsequent correction of flatfoot, perform auto-mobilization of the iliopsoas muscles and gymnastics to strengthen the muscles of the back.

A disadvantage of the known methods of treating spinal deformities is their short-lived effect, elimination of the consequences of the disease, and not its cause.

The method according to the patent of the Russian Federation No. 2268699 is selected as the closest analogue (prototype).

The technical problem solved by the invention is the creation of a simple, effective, long-lasting method of treating spinal pathologies.

The technical result achieved by the invention is to increase the efficiency of the method, eliminating the cause of the disease.

The technical result is achieved due to the fact that in the method of treating acquired pathologies of the spine due to a shift in the center of gravity of a person, including massage performed to eliminate muscle spasms and trigger points, carried out by massage movements, according to the invention in the supine position, the length of the legs of a person is compared and in case of a difference the length of the legs with massage movements equalize the length of the legs by performing a massage effect in three stages, at the first stage, a point maxim Pressing on the trigger points in the gluteal muscles, in the subsequent second stage with the most intense massage movements, consisting of pressure, displacement, stretching, relax the muscles along the spine, in the third subsequent stage through the most intensive grinding and pressing of the trigger points around the shoulder blades, shoulders, arms and neck exercise the muscles of the upper back, at the end of the massage, in shoes under the heel of the foot, which visually looked longer install shock absorbing heel to fix and stabilize the center of gravity.

The heel pad can be made of resilient material.

The heel pad can be made of polyurethane.

The heel height can be from 8 to 10 mm.

The inventive method allows you to adjust or completely eliminate the acquired displacement of the center of gravity of a person. The reasons for the shift of the center of gravity are many, the main ones are the lack of posture adjustment in childhood, the consequences of an injury to one of the legs, the influence of the profession - a long stay in an non-ergonomic position, etc.

The inventive method consists of two main periods.

The first period is auxiliary and is aimed at eliminating muscle cramps, trigger points, etc.

According to the claimed method, in the supine position, the length of the legs of a person is compared, and in the case of a difference in the length of the legs, the massage effect in three stages makes the length of the legs equal.

At the first stage, the maximum strong point pressure is applied to the trigger points in the gluteal muscles. Massage movements are mostly standard, however, the force of influence is 2-3 times more intense (according to the subjective feeling of a massage therapist) than with a regular massage. The intensity of the impact is the maximum strong point effect on the trigger points in the gluteal muscles. This effect due to the removal of spasms in the gluteal muscles, elimination of trigger points in them, allows you to straighten the muscles.

At the second stage, muscle relaxation along the spine is performed. The main techniques for relaxing the muscles along the spine are the most intense pressure, displacement, stretching of the muscles along the spine.

At the third stage, through deep and maximum intensive grinding and pressure of the trigger points around the shoulder blades, shoulders, arms and neck, the muscles of the upper back are relaxed.

The above massage techniques and movements provide the longest possible complete relaxation and stretching of the muscles, as a result of which the length of the human legs is leveled, this position of the spine, legs is fixed and stabilized for a sufficiently long period of time.

The second period of the proposed method is the main and is to establish for prolonged wearing of the heel in shoes. This stage is carried out at the end of the massage effect. In shoes under the heel of the foot, which visually looked longer, install a shock-absorbing heel to fix and stabilize the center of gravity.

The non-obviousness of the proposed method is due to the following.

As a rule, additional corrective means (in particular, the heel glands), aimed at eliminating the difference in the length of the legs, are usually placed under the heel of the leg that is visually perceived as shorter.

However, the author believes that this is incorrect in connection with the following.

After a prolonged displacement of a person’s center of gravity, motion causes fluctuations in displacement either constantly to the right or constantly to the left. The load on the joints of the legs on the side of the displacement is greater than the physiological. As a result, the joints are deformed - the leg is shortened. In the future, when walking in steps, the muscles of a shortened leg have to stretch forward to ensure that the stride length is equal to the stride length made by the other, healthy leg. This effect of the elongated muscles is observed when in a person lying down, one leg is visually perceived more pancake than the other (healthy leg). As a result of muscle relaxation, the length of the legs is leveled, the legs in the supine position look the same in length, since the relaxed muscles of the right and left legs are equal in length. However, to fully compensate for the difference in leg length under vertical load can only be achieved by installing under the heel of the leg, which looked longer, the heel.

Therefore, after a massage in shoes under the heel of the foot, which was visually perceived longer, set for long-term wear polyurethane shock absorbing heel. By installing a heel pad, the result of the massage effect is recorded - the legs are aligned, there is no displacement of the center of gravity. When walking, a polyurethane (springy) heel will soften the effect of the pulling muscles to step on the joints of the leg. The stereotype of movement (the desire to lengthen the step) will continue for some time. However, after a long (at least one month) constant wearing of the heel in one hundred percent of patients, the length of the legs is adjusted and leveled, which is recorded during subsequent examinations.

The heel of an adult patient is placed for life, since the deformation that has occurred is irreversible. In children, the use of the heel pad for a certain period is possible, but this depends on the condition of the cartilage tissue and its continuing ability to regenerate.

When using the patient’s heel, the scoliotic arch bends in the opposite direction from the shift of the center of gravity, thereby creating a counterbalance, thus aligning the center of gravity. After 6-8 months of using the heel, the spine becomes level. This method is a true treatment for scoliosis. After 6-8 months of wearing the heel, the scoliotic arch corresponding to stage I and II of scoliosis is leveled. Diseases caused by a shift in the center of gravity go away or are in the stage of prolonged remission. At subsequent examinations, the muscles of the back and buttocks are soft and relaxed, without trigger points.

The heel pad shape can be any convenient. The heel height varies from 8 to 10 mm - this is enough to shift the center of gravity to the axis of the spine. It is not possible to precisely set the center of gravity - it constantly fluctuates.

The heel does not allow the leg, which looked longer, to fall through, it equalizes the length of the legs. The center of gravity of a person is shifted to the axis of the spine. Body weight is evenly distributed on both legs.

The inventive method eliminates not only the effects of a shift in the center of gravity of a person, expressed in curvature of the spine, a change in the length of the legs, but also eliminates the cause of such a shift, stabilizing and fixing for a long period of time the correct physiological position of the human body.

In FIG. 1 depicts the legs before treatment.

In FIG. 2 shows legs after treatment.

In FIG. 3 shows the heel pad.

The inventive method is as follows.

In the supine position, the length of the legs is compared. We fix the difference in the length of the legs, reveal the leg, which looks longer.

Start the massage with relaxation of the gluteal muscles. The method of exposure is ischemic compression (the most intense effect). Alternately, a point is pressed as intensely as possible on the trigger points for 1 minute and each muscle on the right leg, namely:

- on the tensioner of the wide fascia of the thigh;

- on the middle and small gluteus maximus;

- on the gluteus maximus muscle.

The same effect is carried out on the left leg.

Then, for 10 minutes, the longest muscle of the back is rubbed and stretched.

Then, for 5 minutes, the method of ischemic compression is alternately pressed on the trigger points on the muscles from the right shoulder to the neck:

- on the posterior bundles of the deltoid muscle;

- on the infraspinatus muscle;

- on the big round muscle;

- on the upper bundles of the trapezius muscle.

The same actions are carried out for 5 minutes from the left shoulder to the neck.

Then, for 2 minutes, alternately on the right and left hand, deep trimming work out (act on) the triceps (lateral and long heads).

Then, for 10 minutes in the patient’s supine position, knead simultaneously at the right and left in sequence:

- front bundles of the deltoid muscle;

- pectoralis major muscles;

- upper bundles of the trapezius muscle;

- sternocleidomastoid muscles.

End the massage effect by softly stretching the neck muscles for 15 minutes.

After the massage is applied, the patient is transferred to an upright position, while the heel is placed in the patient’s shoes for prolonged (at least 1 month) wear. The heel is placed under that leg, which initially looked longer. The heel height is 8 to 10 mm. The heel pad serves as a shock absorber, so it must be made of an elastic material, such as polyurethane.

Claims (4)

1. A method of treating acquired pathologies of the spine due to a shift in the center of gravity of a person, including massage performed to eliminate muscle cramps and trigger points, carried out by massage movements, characterized in that when lying down, the length of the legs of a person is compared and, in case of a difference in the length of the legs, massage movements are performed aligning the length of the legs by performing a massage effect in three stages, at the first stage, the point maximum pressure is applied to the trigger points in the buttocks the joints, in the subsequent second stage, with the most intense massage movements, consisting of pressure, displacement, stretching, relax the muscles along the spine, in the third subsequent stage, by means of the most intense rubbing and pressure of the trigger points around the shoulder blades, shoulders, arms and neck, the muscles of the upper section are relaxed back, at the end of the massage, in the shoes under the heel of the foot, which visually looked longer, set shock absorbing heel for fixation and the center of gravity and stabilize. 2. The method according to p. 1, characterized in that the heel is made of an elastic material. 3. The method according to p. 2, characterized in that the heel is made of polyurethane. 4. The method according to p. 1, characterized in that the height of the heel is from 8 to 10 mm.

Images