RU2705237C1 - Method of neuromuscular relaxation of facial muscles - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to cosmetology, and can be used in correction and repair of skin and muscles of head, neck, as well as chest area. That is ensured by exposing the tissues and muscles of various areas of the head, neck and breast region, sequentially acting on a single muscular chain formed by facial muscles and a group of skeletal muscles of the thoracic region and neck, adhering to the principle of sequential inactivation of hypertonus of individual muscles. First exercises are performed, affecting a group of skeletal muscles of thoracic region and neck, then performing exercises affecting facial muscles. Complexes of exercises include any of six groups of exercises. First group includes exercises influencing an occipital abdomen of an occipoctoid-frontal muscle. Second group includes exercises affecting the subcutaneous muscle of the neck, a mouth angle depressor, a circular muscle of the mouth, a buccal muscle. Third group includes the exercises affecting the sternum-clavicular-mastoid muscle, the temporal muscle, the circular eye muscle. Fourth group includes exercises affecting the temporal muscle, large and small zygomatic muscles of the mouth, a circular muscle of the mouth, a muscle lowering the angle of the mouth. Fifth group includes exercises affecting the subcutaneous muscle of the neck, a mouth angle depressor, a circular muscle of the mouth, zygomatic muscles, an upper lip levator, a circular eye muscle. Sixth group includes exercises affecting hyoid bone muscles, masseter muscles, and temporal muscles. Exposure is carried out in at least 1 to 6 stages, wherein at each stage, the initial exercises of the set of exercises include the exercises affecting a group of skeletal muscles of the thoracic region and neck, the rest exercises in the complexes are selected from any exercises of the six groups in random order.

EFFECT: method provides correcting oval face and formation of its clear relief by achieving neuromuscular relaxation of facial muscles, reducing myofacial hypertonus of facial muscles and their increased bioelectrical activity, restoring common trophism of tissues, delayed age-related changes in soft tissues and underlying structures of the face, prevention of facial skeleton degradation, triggering regeneration of facial, neck and thoracic tissues, improved blood supply of various face zones, gums and dental tissues that is conditioned by definite types of sequential exposure on selected zones.

9 cl, 7 tbl, 44 dwg, 3 ex

Description

The claimed solution relates to the field of medical cosmetology intended for the correction and restoration of the skin and muscles of the head, neck, and also the chest area of a person.

BACKGROUND

Loss of physical attractiveness often leads to a decrease in self-esteem and quality of life, so people, especially women aged 35-60, are interested in improving their appearance. According to statistics, the majority of the able-bodied population assess their face condition as unsatisfactory (87.4%), which is one of the motives for visiting cosmetic clinics. The main preference of people when correcting their appearance is the elimination of wrinkles - 72.6% of women and 62.2% of men.

It is widely known that facial wrinkles are formed as a result of hypertonicity of facial muscles. Hypertonicity is a condition characterized by increased bioelectric activity, soreness when kneading, and reduced ability to stretch. Analysis of the state of the facial muscles of patients of different ages by MRI showed that they are in a state of spasm - facial muscles lose their curved contour and shorten as a result of repeated contractions, which leads to structural changes in the face. (Le Louarn C, Buthiau D, Buis J .: Structural aging: the facial recurve concept. Aesthetic Plast Surg. 2007 May-Jun; 31 (3): 213-8).

At the first stage, residual tension arises in the muscle structure, and then stable local hypertonicity. Local muscle hypertonicities can be the causes of short-term painful muscle spasms, in other cases hypertonicity leads to stable muscle tension. With prolonged fixed local hypertonicity, secondary vascular, metabolic and inflammatory disorders occur in the muscle (Autonomic disorders: Clinic, treatment, diagnostics. / Ed. By A. M. Vein. - M.: Medical News Agency, 2000).

It is believed that facial muscles are more likely to become more toned (hypertonic) in response to changes in mental status associated with mental disorders or chronic stress (Hung C.I., Liu C.Y., Yang S.N., Wang SJ Headache: an important factor associated with muscle soreness / pain at the two-year follow-up point among patients with major depressive disorder. J. Headache Pain, 2016 17:57). In recent years, a large number of publications have appeared that study the facial muscles as the most sensitive muscle structures to emotional experiences. A number of modern authors call facial muscles “emotionally significant”, “valence-sensitive” (Heller AS, Lapate RC, Mayer KE, Davidson RJ. Journal of Cognitive Neuroscience, Volume 26 | Issue 9 | September 2014, p.2102-2110) , since their innervation is largely determined by the emotional background. Among them are masticatory muscles, temporal, zygomatic, muscles of the mouth, muscle, wrinkling eyebrow.

With the long-term formation of local muscle hypertonicity, not only wrinkles are laid in the soft tissues of the face, but complex aesthetic disorders develop - swelling intensifies, nasolabial folds increase, face proportions are violated, facial expression is distorted, and facial contours are lost. This is due to the fact that other changes are accompanied by muscle hypertonicity - the number of blood vessels and the volume of the microvasculature decrease, hypoxia forms, the functioning of the fibrinolytic system worsens, and the proportion of muscle tissue decreases.

Distortions in the work of the masticatory apparatus (muscles of the lower and upper jaw, the group of muscles of the hyoid bone) lead to abrasion of the teeth, loss of support on distant teeth, imbalance in the dentofacial system and, as a result, the formation of complex age-related changes in the middle and lower part of the face.

Currently, various methods for reducing facial muscle hypertonicity are known - pharmacological therapy (the use of muscle relaxants, the introduction of local anesthetics), surgical muscle denervation. In aesthetic medicine, the local administration of botulinum toxin type A is very popular.

Facial wrinkle reduction through botulinum toxin injections has become one of the main products in the aesthetic medicine industry. The pharmacological effect of botulinum toxin is to reduce the mobility of the target facial muscles, which accordingly reduces the appearance of wrinkles. However, there is growing evidence that these treatments adversely affect the physiological and psychological responses of patients (Lewis M.V., The interactions between botulinum-toxin-based facial treatments and realized emotions. Sci Rep. 2018; 8: 14720).

Side effects associated with the use of botulinum toxin include dysarthria, dysphonia, dysphagia, respiratory failure, generalized muscle weakness, severe bilateral ptosis, pain, changes in the intestines and bladder, changes in blood circulation, changes in gait, and neurological problems (Ge-Fei Li, Shiyu Ban, Mengxing Wang et all. Brain functional changes in patients with botulism after illegal cosmetic injections of botulinum toxin: A resting-state fMRI studyPLoS One. 2018).

Baumeister, Papa & Foroni found that after treatment with botulinum toxin, the emotional response decreases. Thus, compared with the control group, participants who injected botulinum toxin into T. corrugator rated emotional sentences as less emotional (Baumeister JC, Papa G, Foroni F. Deeper than skin deep - The effect of botulinum toxin-A on emotion processing. Toxicon. 2016; 118: 86-90).

Havas D.A. et al. found that after injecting botulinum toxin into the facial muscles, patients experienced reduced emotional reactivity - the time needed to understand evil, happy, and sad stories increased (Havas DA, Glenberg AM, Gutowski KA, Lucarelli MJ, Davidson RJ. Cosmetic Use of Botulinum Toxin -A Affects Processing of Emotional Language. Psychol Sci. 2010; 21: 895-900). It has been observed that when watching films in patients with botulinum toxin injections, the strength of the emotional response to the video clips decreases compared to the control group (Davis J., Senghas A., Brandt F., Ochsner K. The Effects of BOTOX injections on Emotional Experience. Emotion. 2010; 10: 433-440). When trying to imitate. anger in patients injected with botulinum toxin in m.corrugator decreased perceptible emotions, as evidenced by lower activation in the amygdala (Hennenlotter A, et al. The Link between Facial Feedback and Neural Activity within Central Circuitries of Emotion-025EF New Insights from Botulinum Toxin-Induced Denervation of Frown Muscles. Cereb Cortex. 2009; 19: 537-542).

It has been observed that injections of botulinum toxin into the facial muscles of patients violate the neurobiology of social recognition of facial expression of other people (Oberman LM, Winklelman P, Ramachandran VS. Face to face: Blocking facial mimicry can selectively impair recognition of emotional expressions. Soc Neurosci. 2007; 2: 167- 178). Blocking facial expressions by peripheral denervation of facial muscles complicates the processing of the emotional language, its subtleties and shades, which damages the interpretation of facial expression and can lead to impaired emotional and affective communication, for example, between a baby and his mother (E.A. Simpson, L. Murray, A. Paukner, PF Ferrari The mirror neuron system as revealed through neonatal imitation: presence from birth, predictive power and evidence of plasticity (Philos. Trans. Roy. Soc., 369, 2014).

In connection with the provided scientific facts about the negative consequences of the use of botulinum toxin injections, the search for physiological non-invasive agents that help reduce the mythosocial hypertonicity of the facial muscles and improve the appearance is becoming increasingly important.

Currently, manual and medical facial massage is used in manual medicine to reduce facial myofascial hypertonicity (Furmanov A.G., Epifanov V.A., Mironova E.N., Tsipin L.L., Dubrovsky V.I., Vasichkin V. .I., Eremushkin MA), in which sequential relaxation of the muscular apparatus in the face is performed by massage techniques.

However, following the principle of body integrity, when working with facial muscles, it is not enough to work with them in isolation, without taking into account their mutual influence on each other, since the muscular system of the face is connected by the entire musculoskeletal system through chain muscular coordination.

For example, a number of authors emphasize the state of skeletal muscles in the formation of facial hypertonicity. Improper posture (especially in the cervicothoracic region), through its fascial connections, directly enhances age-related facial deformities (LeLouarn C, Buthiau D, Buis J .: Structuralaging: thefacialrecurveconcept. AestheticPlastSurg. 2007 May-June).

Other authors also analyze the relationship between the face and posture (Petrov KB, Mitichkina TV, Mioviscerofascial connections in the traditional and modern presentation, 2010, see Fig. 44).

It is known that tension from the masticatory muscles often radiates to neighboring areas of the face and neck and is localized in the parotid chewing, zygomatic, buccal, temporal, frontal areas, jaws, upper teeth, orbit (Mingazova L.R. Myofascial pain syndrome of the face, Moscow, 2013)

According to Wayne A.M., in facial muscles, myofascial disorders occur much less frequently and, as a rule, are secondary in response to hypertonicity of other muscles: sternocleidomastoid, chewing and trapezius. More commonly affected are the circular muscle of the eye, the zygomatic muscle, and platism (Autonomic disorders: Clinic, treatment, diagnosis. / Ed. By A.M. Wein. - M.: Medical News Agency, 2000).

Trapezius muscles and the occipital muscle group trigger hypertonicity of the frontal muscle and provoke frontotemporal headaches (Petrov KB, Mitichkina T.V. Myoviscerofascial connections in the traditional and modern view, 2010).

Stress of the sternocleidomastoid muscle is transmitted through chain muscle coordination to the temporal region (Thomas W. Myers. Anatomy Trains, Churchill Livingsone, 2012).

With high rigidity (fixation) of the integumentary tissues of the head aponeurosis, the process of tension of the main muscle structures of the face - the forehead, the eye area and the middle part of the face - starts (Petrov KB, Mitichkina T.V. Mioviscerofascial connections in the traditional and modern view, 2010).

The tension of the masticatory muscles is supported by the pericranial muscles, which are attached to the base of the skull (V. Osipova, pericranial muscle dysfunction in primary headache and its correction. First Sechenov Moscow State Medical University, 2010).

It is also known that in facial muscles, myofascial disorders occur much less frequently and, as a rule, are secondary in response to hypertonicity in other muscles: sternocleidomastoid, chewing and trapezius (Wayne AM, Pain disorders in neurological practice. Moscow, Medinform, 2001).

Thus, muscle hypertonicity of the facial muscles is the result of the influence of shortened, tense neck muscles, improper posture (moving the head forward, constricting the chest area, changing the contours of the spine, deviating the pelvis).

The schemes of myofascial interactions between the facial and skeletal muscles developed by scientists are called “muscle chains” or “muscle synkinesias”. Many foreign and Russian scientists - S. Paoletti, I. Rolf, T. Myers, L. Buske, F. Richter, Hapgen E., O.V. made a great contribution to the identification, specification and correlation of anatomical muscle sequences. Kuznetsov, K. B. Petrov., T.V. Mitichkina et al.

Along with scientific research, for a number of years, algorithms have been developed for treatment and rehabilitation measures carried out using chain myotatic synkinesias. Longitudinal and diagonal oriented chains are widely used in some areas of osteopathic medicine. Despite the fact that the restoration of the optimal functionality of the musculoskeletal complex at the level of the cervical and thoracic spine allows one to solve many problems in the aesthetic rehabilitation of the face, in the field of cosmetology and medical massage of the face these opportunities are still insufficiently applied.

Also, you can cite other sources containing information about studies in the field of reduction of myofascial hypertonicities of the facial muscles:

1. L. Buske “Muscle chains”. Moscow-Ivanovo, 2012.

2. L. Buske "Physiological chains." Moscow, 2015.

3. Paoletti Serge. Fascias. The role of tissues in the mechanics of the human body. Medic-book, 2012.

4. Petrov K.B., Mitichkina T.V. Mioviscerofascial connections in a traditional and modern view, 2010.

5. Petrov K.B. A method for the treatment of myofascial pain syndromes by the method of pneumatic destruction of trigger points. Medicine at the turn of the century, Novokuznetsk, 1999.

6. Petrov K.B. The physiology of trigger points and the pathogenesis of trigger pain // Manual Medicine. - No. 9 - Novokuznetsk-1995.

7. Richter F., Hapgen E. Trigger points and muscle chains in osteopathy. Meridian-C, 2015.

8. Travell and Simone. Myofascial pain and dysfunction. Medicine, 2005.

9. Ida P. Rolf. Rolfing and Physical Reality Inner Traditions / Bear & Co, 1990.

10. Jacobson E. Structural integration, an alternative method of manual therapy and sensorimotor education. J AlternComplementMed. 2011 Oct; 17 (10): 891-9.

11. Thomas W. Myers. Anatomy Trains, Churchill Livingsone, 2010.

12. Robert Schleip. Fascial plasticity - a new neurobiological explanation, Journal of Bodywork and Movement Therapies. Volume 7, Issue 1, January 2003, Pages 11-19.

Methods of medical facial massage and neuro-muscular relaxation of the face are also reflected in the patent literature.

So, for example, there is a known method of massage (RU 2367405 C1, published September 20, 2009) by multi-stage performing massaging movements of the face, neck and decollete with the hands of a masseur. Massaging movements are performed along the massage lines by static force acting on the massaged surfaces with simultaneous vibration exposure, performed without the formation of horizontal displacement of soft tissues relative to the bone. At the first stage, the effect is carried out with the closed index and middle fingers of both hands, at the second - with the closed index, middle and ring fingers of both hands, at the third - with the closed index, middle, ring fingers and little finger, at the fourth - with bent hands, at the fifth stage exposure is carried out with open palms, at the sixth stage - with bent hands. Rearrangement of fingers or bent hands along massage lines is carried out to the border of the previous exposure. The method ensures the achievement of stable lifting of the muscles of the face, neck and decollete, improving the functioning of blood vessels and normalizing the function of the skin.

In the proposed method, massaging movements are performed along classic massage lines, ignoring the principle of the sequential study of a chain of skeletal and facial muscles with mutual internal coordination. The specified method does not provide for massage of the anterior and posterior surface of the neck, aponeurosis of the head, pericranial muscles, muscles of the bottom of the mouth, which make a significant contribution to the formation of facial myofascial hypertones.

Also, a known method (RU 2303432 C1, published July 27, 2007) rejuvenation and healing of the skin of the head and neck of a person. The method includes twenty-one stages of massage, during which the surface of the face and neck are treated. Use special authorial techniques of rubbing, kneading, stroking. At the same time, intensive massage is performed alternating with holding the massage at a slow pace with relaxing movements. The course includes 8-20 sessions 1-3 times a week. The method increases the duration of conservation of the obtained effect of healing and rejuvenation.

The proposed method consists of massaging movements of the face, neck and shoulder girdle, in which at different stages the angle of the fingers is changed relative to the massaged surface. The disadvantage of this method is that the anatomically massaged muscle structures do not have a direct fascial connection and belong to different myofascial complexes. Another disadvantage of this method is the inability of the patient to independently massage according to the proposed method.

Known (RU 2388449 C1, published 05/10/2010) a method of non-surgical face lifting. The method includes a manual massage. They use the author's techniques of rubbing, kneading and stroking often changing tonic and relaxing movements. Each movement is performed for 5 to 20 seconds. Start the massage with the impact of the fingers of both hands on the fronto-occipital muscle. Then the chin area is treated with massage techniques, acting on the muscles lowering the angle of the mouth, lowering the lower lip, on the chin and chewing muscles. After that, an effect is made on the subcutaneous muscle of the neck, on the pectoralis major muscle. Then they act on the masticatory muscles by transverse hatching followed by circular kneading in the infraorbital, zygomatic and buccal areas. After that, they affect the parotid, chewing and zygomatic areas. Then carry out massage of the infraorbital region, nasolabial folds. After this, a massage is applied to the zygomatic region and the buccal region. Then a massage is performed on the upper and lower eyelids. On the course of 8-10 sessions, 1-2 times a week. The method can be used as an alternative method for the prompt elimination of facial defects with age-related skin aging.

In this method, primary attention is paid to massage of the facial muscles (frontooccipital, chin muscles, muscles

lowering the angle of the mouth, etc.), then work on the individual structures of the musculoskeletal complex (subcutaneous muscle of the neck, pectoralis major muscle, etc.), and then again return to massage the facial muscles (zygomatic, buccal muscles, circular muscle of the eye ) Thus, one of the disadvantages of this method is the lack of impact on a single chain of skeletal and facial muscles, i.e. violation of logic in muscle coordination between the facial and skeletal muscles. Another disadvantage is the sequence of the treated areas without regard to functional muscle compounds.

It is advisable to emphasize here that it has been scientifically proven that the formation of facial myofascial hypertones is determined by the condition of the cervical muscles, since a local spasm of muscle bundles, initiated by the primary pathological process in the cervical muscles, promotes the activation of the myotatic reflex and increase tone in subsequent parts of the head muscle chain (Petrov K.V. ., Mitichkina, T.V., Myoviscerofascial Relations in Traditional and Modern Representation, 2010. Thomas W. Myers. Anatomy Trains, Churchill Livingsone, 2012).

In the known method (RU 2578088 C1, published 03/20/2016) facial rejuvenation by resonant acoustic massage. The specialist massages the skin and muscles of a patient in a sitting position with a straight spine and an even head fit by moving the face muscles up to the top of the crown and back to the back of the head by stimulating the specialist’s fingertips with points of the lower, middle and upper parts of the facial muscles, back and the top of the head. A necklift is carried out by uniformly light pressing with the palms of the skin and muscle tissue of the front of the neck and prevention of the second chin by uniform light pressing with the palm of one hand from the bottom of the chin at the junction of the chin and neck. Lift all areas of the face by uniformly light pressing with the fingertips at a speed of 1 press per second. Each pressing in the stimulated zones the specialist carries out with simultaneous 10-15 vibratory movements per second with the fingers and palms of the patient’s hands. At the same time, an acoustic massage is performed for 15-20 minutes, which includes setting up the patient’s voice with superficial clavicular breathing with focusing the sound until overtones appear in the flight zone of 7000 Hz, and vocalizing the sound “IJ” simultaneously with the patient at the same frequency. The method provides relief of muscle tension, reduction of wrinkles, tightening of neck tissues, long-term preservation of the achieved effects, the possibility of independent performance by the patient at home, including, in addition to the face, on other parts of the body.

The disadvantages of the method include a violation of the principle of muscle coordination in working with the facial muscles, since massage movements are performed along a common vector - from bottom to top to the top of the head and back to the back of the head. Also, the method does not provide for the impact on certain facial or skeletal muscles, individual muscle groups and does not pay attention to fascial interconnections within the skeletal and facial muscles, the connection of the neck muscles with facial structures is not taken into account. The “tremolo” technique - light vibrational movements in which massage is applied, does not affect the deeper areas of the face, and therefore does not work out muscle seals, the effect of which is necessary to remove myofascial hypertones.

Also known (RU 2563593 C1, published September 20, 2015) is the face and neck rejuvenation method, which includes neck and upper back massage with relaxation of the upper portion of the trapezius muscle, followed by treatment of the basement area using the “Split technique”: tissue is taken into deep capture with both hands and pull together for 3-5 seconds, during which the tissue is rubbed against each other, performing movements from the center to the periphery. Next, deep palpation of facial tissues is performed using "Split-intake" and kneading of tissues from the center to the periphery. Methods of muscle relaxation are performed: the circular muscle of the mouth, the chin, lowering the lower lip and the corners of the mouth, by deep rubbing movements with subsequent stretching. The sides of the face are treated at the location of the masticatory muscle and temporomandibular joint by grinding tissues. The upper third of the face is relaxed by rubbing the muscles of this zone: frontal, wrinkled eyebrows, circular muscles of the eye and temporal, and correction of the position of the frontal and zygomatic bones with soft stretching movements. An intraoral relaxation of the muscles of the face is carried out, for which one hand grabs the muscle from the external and internal sides of the oral cavity, the other hand fixes the muscle externally at the attachment to the bone. Then the muscle is pulled from the side of weaving it into the circular muscle of the mouth, asking the client to smile, creating tension in the muscle. In this case, the specialist exercises resistance to the movement of the muscle, holding it from the side of the oral cavity, the patient holds up a smile, and the specialist, stretching the muscle, relaxes it. A deep horizontal capture of facial tissues in the area of the mandibular arch is carried out and their bending upward to the lower orbit, then parallel to the nose, rolling the tissue roll to the sides of the face. Then they put their hands on the lower, central and upper parts of the face alternately, in parallel, placing the thumbs in the center of the face, the little fingers on the sides, for 1-2 minutes, while the hands passively float from the center to the periphery without pressure or forced movement. The method provides a balanced distribution of tissues on the face, including a uniform distribution of fatty tissues of the face, the removal of muscle cramps, the creation of volume and fullness of the face.

Analysis of this method shows that it involves massage of the neck and upper back, after which they proceed to face treatment in the following sequence - the circular muscle of the mouth, chin, lowering the lower lip and corners of the mouth; chewing muscles, frontal. muscle, wrinkling eyebrow, circular muscles of the eye and temporal, after which they produce interoral relaxation of the muscles of the face. The basis of the method is taken "rubbing".

One of the disadvantages of the proposed method is that it lacks a detailed study of the muscular-fascial joints within a single chain between the facial and skeletal muscles. Another disadvantage of this method is the inability of the patient to independently massage according to the proposed method. In addition, the limitation of massage techniques only to the method of “rubbing” significantly reduces the effectiveness of the impact on various muscular-fascial joints.

Another analogue of the invention can be mentioned the well-known (RU 2482833 C2, published May 27, 2013) osteopathic method of facial and neck rejuvenation, including myofascial action on the muscles of the fingers, characterized in that the myofascial effect is carried out by compression with effort, which provides tissue movement with the appearance pulsations under the fingers at the end of the procedure. Carrying out an osteopathic session of rejuvenating the face and neck with soft myofascial non-invasive influences increases the effectiveness, because tissue movement during muscle contraction occurs in three-dimensional space, while not only superficial, but also deep tissues of the body are covered.

The proposed method works with myofascial hypertonicities of the face by applying pressure on the beginning and end of the facial muscle for 1-2 minutes. The main disadvantage of this method is that there is no algorithm for working with chewing muscles. Also, the disadvantage of this method is the lack of confirmation of the effectiveness of this method by any method (for example, using electromyography (EMG) of the masticatory and facial muscles or palpation diagnostics). In addition, it should be pointed out that the argument about the effect on the deep tissues is declarative, since the method provides only the principle of pressure. It should be noted that work with deep myofascial structures involves pinching or tick-borne capture (JG Trevel, DG Simone “Myofascial pains, p. 15-20).

The closest analogue of the claimed invention is a method of rejuvenation of the face and neck (RU 2174829 C1, published October 20, 2001), according to which manual therapy relaxes the muscles of the cervical and upper thoracic spine. Carry out a helical traction of the head to the right and left with a cruciform grip on its back. Then massaged sequentially from the inside outwards, acting sequentially on the bones, muscles and skin. In this case, they begin by pressing force on the bones in the direction from the chin up and to the sides with the study of the jaw joints and muscle attachment sites. Next, they massage the muscles during their motor load. And then a kneading, twisting massage of the skin with its stretching is carried out, alternately with the point pressure of biologically active points of the face, temporal and occipital areas. Next, a smoothing massage of the skin of the face with a roller and tonic effect with a needle beam are performed. Complete the procedure with a relaxing massage. The method allows to strengthen the bone and muscle-ligamentous frame of the face and neck, improve regional blood circulation and prevent calcium loss.

The analysis of the known method shows that when it is carried out, the face and neck are worked out “in layers” - first they affect the bones and joints, then the muscles and, lastly, the skin, varying the depth of massage. The impact is carried out by a manual therapist, using professional methods of manual correction, reflexology, massage techniques in combination with therapeutic exercises. The patient’s role is passive - during the massage, he causes a static or dynamic stress, switching attention to the corresponding muscle groups.

The disadvantage of this method is the inability of the patient to independently massage according to the proposed method in view of the potential risk of injury to himself when exposed to the facial skeleton in the projection of the spinal column, lower jaw or temporomandibular joints. The patient also cannot perform helical traction of the head.

In addition, in the known method there is no detailed study of muscular-fascial connections within a single chain between the facial and skeletal muscles.

Also, it should be noted that in all the known methods described above, the effect of the applied massage techniques on muscular reflex reactions is not disclosed.

The method of neuro-muscular relaxation of facial muscles proposed in the present invention is based on sequential removal of hypertonicity within a single muscle chain, i.e. a detailed active impact on the facial and skeletal muscles of various areas of the head, neck and thoracic region of the human body, and eliminates the disadvantages of the known methods.

SUMMARY OF THE INVENTION

The technical results that can be achieved by the invention are:

снижение и повышенной биоэлектрической активности лицевых мышц и скелетных мышц;

decrease and increased bioelectric activity of facial muscles and skeletal muscles;

восстановление мышечных рефлекторных реакций;

restoration of muscular reflex reactions;

положительное изменение эмоционального фона;

a positive change in the emotional background;

улучшение эстетического вида лица - подтяжка (лифтинг) тканей разных зон лица, формирование четкого рельефа лица, разглаживание носогубных складок;

improving the aesthetic appearance of the face - tightening (lifting) of tissues of different areas of the face, the formation of a clear face relief, smoothing nasolabial folds;

восстановление общей трофики тканей: улучшение сосудистой макро- и микроциркуляции и активный лимфодренаж в зоне шеи и лица.

restoration of general tissue trophism: improvement of vascular macro- and microcirculation and active lymphatic drainage in the neck and face.

In addition, the claimed method allows to prevent and / or slow down age-related changes in soft tissues and deeper structures of the face, prevent degradation of the facial skeleton, start the regeneration of tissues of the face, neck and chest region, as well as improve blood supply to different areas of the face, as well as to the teeth. the quality of the work of the organs of speech (articulation), improve the work of the lacrimal apparatus.

To achieve the claimed technical results, a method of neuro-muscular relaxation of the facial muscles is carried out by performing complexes of exercises with deep massage movements, characterized in that they act on tissues and muscles of different parts of the head, neck and chest area in different areas of them, sequentially acting on a single muscle chain formed by facial muscles and a group of skeletal muscles of the chest region and neck, adhering to the principle of sequential inactivation of the hypertonicity of individual muscles within the framework of endogenous synkinesia of the head and face, first performing exercises affecting the skeletal muscle group of the chest region and neck, then doing exercises affecting the facial muscles, while the exercise complexes include any of the six exercise groups, the first group includes exercises that affect on the occipital abdomen of the occipital-frontal muscle: exercise 1 - softening the withers, exercise 2 - relaxing the back of the neck and occipital region, exercise 3 - head massage, exercise 4 - lifting the forehead, eyebrow and top their eyelids, exercise 5 - lifting the forehead in the horizontal region, exercise 6 - smoothing wrinkles and creases on the bridge of the nose, exercise 7 smoothing creases on the bridge of the nose, “exercise”, exercise 8 lifting the bridge of the nose, the second group includes exercises that affect the subcutaneous muscle of the neck , mouth angle depressor, circular muscle of the mouth, buccal muscle: exercise 9 - platysmoplasty, exercise 10 - smoothing the tissues of the jaw line, exercise 11 - lifting the jaw line, exercise 12 - smoothing the chin, exercise 13 - lifting the corners of the mouth, exercise 14 - correction of the upper lip, exercise 15 - correction of the lower lip, exercise 16 - lifting of the buccal region, the third group includes exercises affecting the sternocleidomastoid muscle, temporal muscle, circular muscle of the eye: exercise 17 - softening of the sternum clavicular mastoid muscle, exercise 18 - lifting the nose tissue, exercise 19 - lifting the upper eyelids, the fourth group includes exercises that affect the temporal muscle, the major and minor zygomatic muscle of the mouth, the circular muscle of the mouth, the muscle that lowers the ugo mouth: exercise 20 - relaxation of the temporal region, exercise 21 - lifting the zygomatic region, exercise 22 - lifting the middle part of the face: 50 rotations, exercise 23 - correction of the nasolabial wrinkles (tucks), exercise 24 - relaxation of the middle part of the face, exercise 25 - shape correction and volume of the lower lip, exercise 26 - correction of the shape and volume of the upper lip, exercise 27 correction of the shape and volume of the lips, exercise 28 - correction of depressors of the angle of the mouth, the fifth group includes exercises affecting the subcutaneous muscle of the neck, depressor of the angle of the mouth, circles muscle of the mouth, cheekbones, levator of the upper lip, circular muscle of the eyes: exercise 29 - relaxation of the muscles of the front surface of the neck, exercise 30 - reduction of clamps in the mouth, exercise 31 - smoothing the middle of the face, exercise 32 - lifting the zygomatic region (with one hand ), exercise 33 - warming up and kneading the nasolabial region, exercise 34 - lifting the nasolabial region (tongue), exercise 35 - restoring the eyes from the outside, exercise 36 - lifting the upper eyelid, the sixth group includes exercises that affect the muscles of dyazychnoy bone, masseter muscle, temporal muscle: exercise 37 - smoothing the jaw line, exercise 38 - Correction of double chin, exercise 39-50 rotations on the chin, exercise 40 - heating and kneading the masticatory muscles, exercise 41 - lifting head massage.

During the exercise, they are exposed to deep massage movements until discomfort and / or pain occurs, not exceeding 7 points on a 10-point scale, and / or smoothing, relaxing massage movements are performed.

As deep massage movements, warming up, kneading, softening, rubbing, pulling, stretching, rolling, rolling, shaking, shaking, vibrating, swinging, compressing, pressing, rolling, pushing, combing, razvolnaya exercises are carried out.

Massage movements can be rotational, circular, zigzag, spiral.

Technical results are also achieved by the fact that the method is carried out in at least 1 to 6 stages, and at each stage in the set of exercises as initial exercises include exercises that affect the group of skeletal muscles of the chest region and neck.

Exercises are selected into complexes in such a way that the implementation of the complexes leads to a decrease in the increased bioelectric activity of the facial muscles and skeletal muscles, the restoration of muscular reflex reactions, a positive change in the emotional background, the prevention, reduction or elimination of age-related changes in the tissues and muscles of the face, including wrinkles and creases , relieve muscle tension and swelling, restore lymph drainage to the lymph nodes and improve blood circulation, restore general trophic tissue: improve vascular macro- and microcirculation and active lymphatic drainage in the neck and face, improving skin turgor and aesthetic appearance of the face, restoration of facial expressions mobility, lifting of different areas of the face, the formation of a clear face relief, smoothing of the nasolabial folds, as well as starting the regeneration of facial tissues.

According to the claimed method, after compiling a set of exercises, all the exercises included in it are studied sequentially.

The study and implementation of exercises can be carried out through independent study of the massage offered by the video course, in which all exercises are presented, either by demonstrating the necessary movements to the patient by the clinic specialist, or by performing the necessary movements on the patient by the clinic specialist. The entire massage course according to the claimed method can be performed by the patient independently, or under the supervision of a specialist clinic, or only a specialist clinic.

The total execution time of each exercise and the set of exercises as a whole can vary depending on the individual pain sensitivity of the patient, the degree of age-related changes in the massaged area, and also the depth of the massage. Each exercise is performed from 10 seconds to 10 minutes, preferably from 30 seconds to 5 minutes, most preferably from 1 to 3 minutes. A set of exercises is performed from 1 to 10 minutes.

In another embodiment of the invention, before performing all the effects of the claimed method, primary testing of the state of tissues and muscles of different parts of the head and neck is carried out, and after the completion of the last stage, final testing of the state of tissues and muscles of different parts of the head, neck and chest area of a person is performed.

Testing includes tests to determine the state of tissues and muscles of different parts of the head and neck, and may include photographing the appearance of a person.

In yet another embodiment of the invention, the duration of each step of the claimed method can be calculated in days, weeks or months.

BRIEF DESCRIPTION OF THE DRAWINGS

In FIG. 1 presents photographs that depict the position of the hands during exercise 1 - softening the withers.

In FIG. 2 presents photographs that depict the position of the hands during exercise 2 - relaxation of the back of the neck and occipital region.

In FIG. 3 presents photographs that depict the position of the hands when performing exercise 3 - head massage "Counterflow" (head massage).

In FIG. 4 presents photographs that depict the position of the hands when performing exercise 4 - lifting the forehead, eyebrows and upper eyelids.

In FIG. 5 presents photographs that depict the positions of the hands when performing exercise 5 - lifting the forehead in a horizontal area.

In FIG. 6 presents photographs showing the positions of the hands during exercise 6 - smoothing wrinkles and creases on the nose.

In FIG. 7 presents photographs that depict the position of the hands when performing exercise 7 - "Fork" (smoothing creases on the bridge of the nose).

In FIG. 8 presents photographs that depict the position of the hands during exercise 8 - lifting the bridge of the nose.

In FIG. 9 presents photographs that depict the position of the hands when performing exercise 9 - platysmaplasty.

In FIG. 10 presents photographs that depict the position of the hands when performing exercise 10 - smoothing the tissues of the jaw line.

In FIG. 11 presents photographs that depict the position of the hands during exercise 11 - lifting the jaw line.

In FIG. 12 presents photographs showing the positions of the hands during exercise 12 — smoothing the chin.

In FIG. 13 are photographs showing the positions of the hands during exercise 13 — lifting the corners of the mouth.

In FIG. 14 are photographs showing the positions of the hands when performing exercise 14 - processing “Samurai points” (upper lip correction).

In FIG. 15 are photographs showing the positions of the hands when performing exercise 15 — relaxation of the “Cupid Arc” (lower lip correction).

In FIG. 16 presents photographs showing the positions of the hands during exercise 16 - lifting the buccal region.

In FIG. 17 are photographs showing the positions of the hands during exercise 17 — softening of the sternocleidomastoid muscle.

In FIG. 18 are photographs showing the positions of the hands during exercise 18 — lifting the nose tissue.

In FIG. 19 are photographs showing the positions of the hands during exercise 19 - lifting the upper eyelids.

In FIG. 20 presents photographs that depict the position of the hands when performing exercise 20 - "Tumbler" (relaxation of the temporal region).

In FIG. 21 are photographs showing the positions of the hands when performing exercise 21 - lifting the zygomatic area.

In FIG. 22 presents photographs showing the positions of the hands during exercise 22 - lifting the middle part of the face: 50 rotations.

In FIG. 23 shows photographs showing the positions of the hands when performing exercise 23 - correction of the nasolabial wrinkles (pinches).

In FIG. 24 presents photographs that depict the position of the hands when performing exercise 24 - relaxation of the middle part of the face.

In FIG. 25 presents photographs showing the positions of the hands when performing exercise 25 - correction of the shape and volume of the lower lip.

In FIG. 26 are photographs showing the positions of the hands during exercise 26 — correction of the shape and volume of the upper lip.

In FIG. 27 presents photographs that depict the position of the hands when performing exercise 27 - correction of the shape and volume of the lips.

In FIG. 28 presents photographs showing the positions of the hands during exercise 28 - “The Frog” (correction of depressors of the angle of the mouth).

In FIG. 29 presents photographs showing the positions of the hands during exercise 29 - “Turtle” (relaxation of the muscles of the front surface of the neck).

In FIG. 30 are photographs showing the positions of the hands when performing exercise 30 - “Crab” (reducing clamps in the mouth).

In FIG. 31 are photographs showing the positions of the hands during exercise 31 — smoothing the middle of the face.

In FIG. 32 are photographs showing the positions of the hands when performing exercise 32 - lifting the zygomatic area (with one hand).

In FIG. 33 are photographs showing the positions of the hands during exercise 33 — warming and kneading the nasolabial region.

In FIG. 34 presents photographs that depict the positions of the hands when performing exercise 34 - lifting the nasolabial region (tongue).

In FIG. 35 presents photographs that depict the position of the hands when performing exercise 35 - restoration of the eyes from the outside.

In FIG. 36 presents photographs that depict the position of the hands during exercise 36 - lifting the upper eyelid.

In FIG. 37 presents photographs that depict the positions of the hands when performing exercise 37 - the “Pinch” technique (smoothing the jaw line).

In FIG. 38 are photographs showing the positions of the hands during exercise 38 — double chin correction.

In FIG. 39 shows photographs showing the positions of the hands during exercise 39-50 rotations on the chin.

In FIG. 40 presents photographs that depict the position of the hands during exercise 4 0 - warming and kneading of the masticatory muscles.

In FIG. 41 presents photographs that depict the position of the hands when performing exercise 41 - exercise "Lifting PRO" (lifting head massage).

In FIG. 42 presents photographs showing the conduct of preliminary testing.

In FIG. 43 presents photographs showing the completion of the final test.

In FIG. 44 is a diagram showing the relationship of the face and posture: muscle synhesia of the anterior surface of the body.

SUMMARY OF THE INVENTION

The inventive method of neuro-muscular relaxation of facial muscles is as follows.

Over the course of one to six stages, tissues and muscles of different parts of the head, neck and chest area of the human body are exposed to deep massage movements. When carrying out movements, they adhere to the principle of sequential inactivation of the hypertonicity of individual muscles within the framework of muscle synkinesia of the head and face (Fig. 44).

The impact on a single muscle chain formed by the facial muscles and the group of skeletal muscles of the chest region and neck is carried out sequentially, first by performing exercises that affect the group of skeletal muscles of the chest region and / or neck, then perform exercises that affect the facial muscles.

At each stage, the complex of exercises includes an exercise aimed at influencing a group of skeletal muscles of the chest region and / or neck, for example, exercise 1 - softening the withers, exercise 9 - platysmaplasty, etc. The remaining exercises for inclusion in the complexes at all stages are selected from any exercises selected from six groups, in random order.

Six groups of exercises:

the first group includes exercises that affect the occipital abdomen of the occipital-frontal muscle:

exercise 1 - softening the withers,

exercise 2 - relaxation of the back of the neck and occipital region,

Exercise 3 - head massage “Counterflow” (head massage),

exercise 4 - lifting the forehead, eyebrows and upper eyelids,

exercise 5 - lifting the forehead in a horizontal area,

exercise 6 - smoothing wrinkles and creases on the nose,

Exercise 7 - “Little Fork” (smoothing creases on the bridge of the nose),

exercise 8 - lifting the nose bridge,

the second group includes exercises that affect the subcutaneous muscle of the neck, the depressor of the angle of the mouth, the circular muscle of the mouth, and the buccal muscle:

exercise 9 - platysmaplasty,

exercise 10 - smoothing the tissues of the jaw line,

exercise 11 - lifting the jaw line,

exercise 12 - smoothing the chin,

exercise 13 - lifting the corners of the mouth,

exercise 14 - processing “Samurai points” (upper lip correction),

exercise 15 - relaxation of the “Cupid Arc” (correction of the lower lip),

exercise 16 - lifting the buccal region,

the third group includes exercises that affect the sternocleidomastoid muscle, temporal muscle, and circular muscle of the eyes:

exercise 17 - softening of the sternocleidomastoid muscle,

exercise 18 - lifting the nose tissue,

exercise 19 - lifting the upper eyelids,

the fourth group includes exercises that affect the temporal muscle, the major and minor zygomatic muscle of the mouth, the circular muscle of the mouth, the muscle that lowers the angle of the mouth:

exercise 20 - "Tumbler" (relaxation of the temporal region),

exercise 21 - lifting the zygomatic area,

exercise 22 - lifting the middle part of the face: 50 rotations,

exercise 23 - correction of nasolabial wrinkles (pinches),

exercise 24 - relaxation of the middle part of the face,

exercise 25 - correction of the shape and volume of the lower lip,

exercise 26 - correction of the shape and volume of the upper lip,

exercise 27 - correction of the shape and volume of the lips,

Exercise 28 - “The Frog” (correction of depressors of the angle of the mouth),

the fifth group includes exercises that affect the subcutaneous muscle of the neck, the depressor of the angle of the mouth, the circular muscle of the mouth, the zygomatic muscles, the levator of the upper lip, the circular muscle of the eyes:

exercise 29 - “Turtle” (muscle relaxation of the front surface of the neck),

Exercise 30 - “Crab” (reduction of clamps in the mouth)

exercise 31 - smoothing the middle of the face,

exercise 32 - lifting the zygomatic area (with one hand),

exercise 33 - warming up and kneading the nasolabial area,

exercise 34 - lifting the nasolabial region (tongue),

exercise 35 - restoration of the eyes from the outside,

exercise 36 - lifting of the upper eyelid,

the sixth group includes exercises that affect the muscles of the hyoid bone, chewing muscles, temporal muscles:

Exercise 37 - “Pinch” technique (smoothing the jaw line),

exercise 38 - double chin correction,

exercise 39 - 50 rotations on the chin,

exercise 40 - warming and kneading of the masticatory muscles,

exercise 41 - exercise "Lifting PRO" (lifting massage of the head).

Exercises are performed as follows:

Exercise 1. Softening the withers (softening of the lymph-fat deposits in the region of the 7th cervical vertebra), FIG. one

Keep your head straight. Any fingers of the right and left hand (for example, index, middle and ring) are set at a distance of 5-7 cm to the right and left of the 7th cervical vertebra.

By rolling and forcing, they direct the fingers of both hands towards each other and compress the collected folds for 20-30 seconds, during which they continue to direct the fingers of both hands towards each other without relieving pressure. At the same time, work is done only with soft tissues of the upper back, there is no pressure on the spine. As the lymph-fat deposits soften, the fingers can approach the center of the collected fold and come into contact with each other.

Next, a corrective technique is performed - fingers rolling in and forcing movements 3-5 times to the opposite sides of the 7th cervical vertebra, kneading and leveling the relief of the working area.

Exercise 2. Relaxation of the back of the neck and occipital region, FIG. 2

Using the thumb and forefinger of both hands, create a forceps-like grip from the tissues, and form a fold on an arbitrary section of the back surface of the neck 2-3 cm long. Next, the fold is pulled up and stretched from the center to the side, performing this technique along the entire back surface of the neck, carefully kneading tense, hard and painful areas.

After processing the back surface of the neck, they proceed to processing in the specified manner in the occipital region. Massage is performed for at least 2 minutes.

The massage involves the trapezius muscles, the belt muscles of the head, the spine - the cervical region, the tendon attachment of the minor and major rhomboid muscles, the tendon attachment of the belt muscles of the head, the semi-axial muscles of the head, arteries, veins and lymph vessels and nodes of the back of the neck and upper back.

Exercise 3. Head massage “Counterflow” (head massage), FIG. 3

On an arbitrary section of the scalp with both hands, grab the hair with compressed fingers close to the roots of the hair. A slow translational displacement of the aponeurosis tissues to the “countercurrent” is performed - one arm is displaced in one direction, the other hand is in the opposite direction. The position is fixed for 3-5 seconds, after which they change directions. Reception is performed sequentially throughout the aponeurosis.

The exercise is completed by passing fingers on the tissues of the aponeurosis along the path of the lymph - from the forehead to the back of the head.

Exercise 4. Lifting the forehead, eyebrows and upper eyelids, FIG. four

Work is carried out by a small pillow at the base of the thumb with a tenar. With the right hand they work with the right half of the forehead, with the left hand - with the left half of the forehead. Press the tenar to the inside of the right or left eyebrow. The tenar is directed up 1-2 cm and the chin is lowered down. Hold the position until a tight contact of the tenar with the working surface for 5-10 seconds.

The working arm is directed upward from the inside of the eyebrow to the hairline, and then 2-3 cm beyond the hairline. Perform kneading massage movements in the form of small zigzags. The palm of the second hand is pressed against the occipital region and controlled so that the occipital region is relaxed. Reception is performed at least 1 time from the inner part of the eyebrow, the middle part of the eyebrow and the outer part of the eyebrow.

When performing the exercise, tissues and muscles of the frontal bone, metopic seam of the frontal bone, frontal muscle, muscle of arrogant (proterus), muscle, wrinkled eyebrow, epigastric aponeurosis along the headband, blood and lymph vessels of the upper third of the face are involved.

For work small heaters can be previously used. Warmers are heated to a comfortable temperature and applied to the forehead for about 3-5 minutes. It is permissible to carry out kneading movements with a heating pad over the entire surface of the forehead.

Exercise 5. Lift the forehead in a horizontal area, FIG. 5

They begin to work with the lower part of the forehead (mentally divide the entire surface of the forehead into the lower, middle and upper parts). The fingers of the right hand are placed on the center of the forehead anywhere in the lower part of the forehead (for example, on the nose), and firmly pressed to the working surface. The base of the palm of the left hand is placed close to the fingers of the right hand so that the fingers of the left hand are directed upward towards the hairline. In this position, the chin is tilted down, and fix this position until the sensation of tight contact of the tissues of the hand and forehead for 5-10 seconds.

Next, kneading massage movements in the form of small zigzags, spirals, dots or a horizontal line direct the base of the palm of the left hand from the center of the forehead to the temporal region on the left side. The reception speed is 1 cm per second. Then they change their position and work with the middle part and the upper part of the forehead using the indicated technique on the left side.

After that, change hands and perform a reception with the right side of the forehead.

When performing the exercise involved tissues and muscles of the frontal bone, muscle of pride, muscle, wrinkled eyebrow, blood and lymph vessels of the upper third of the face.

For work small heaters can be previously used. Warmers are heated to a comfortable temperature and applied to the forehead for about 3-5 minutes. It is permissible to carry out kneading movements with a heating pad over the entire surface of the forehead.

Exercise 6. Smoothing wrinkles and creases on the bridge of the nose, FIG. 6

The index finger of the right hand is placed in the center of the nose, and firmly pressed to the working surface during the entire time the reception. The index finger of the left hand is bent in the shape of a "hook" and put the side close to the index finger of the right hand. In this position, the chin is tilted down and fixed in this position until the fingers feel pressure on the work surface for about 5-10 seconds.

Then, with a twisting movement, rotate the index finger of the left hand so that it touches the nose tissue with its outer surface. Keeping the depth of pressure, a rolling-pushing movement is performed with the left finger 2-3 cm from the center of the nose bridge to the left side.

Then they change their hands and perform the exercise on the right side. Exercise is performed at least 1 time on each side.

During the exercise, a muscle is wrinkled, an eyebrow wrinkled, an arrogant muscle, an upper portion of the circular muscle of the eye.

Exercise 7. “Fork” (smoothing creases on the bridge of the nose), FIG. 7

The middle and index fingers are set in the form of the letter “V” (“forks”) in the initial position: the eyebrow is located between the middle and index fingers, while the index finger is placed behind the vertical wrinkle on the nose.

Finger pads slowly immerse inward, creating pressure on the tissue. Further, while maintaining depth, they perform a double movement - they lift the massed eyebrow up and roll out the tissue under the fingertip, while the pressure force is still maintained.

The exercise is repeated one to three times with a rolling speed of 1 mm per second. In the areas of greatest resistance and pain, the speed of exposure is slowed down, increasing the exposure time in the same area to several seconds.

Exercise 8. Lifting the nose bridge, FIG. 8

The thumb and index finger of any hand (for example, the left) are placed on the back of the nose and pressed tightly to fix to the working surface.

The thumb and forefinger move the thumb and forefinger upward from the back of the nose to the nose at a distance of about 1-2 cm. The movement is repeated at least 1-6 times, optimally 5 times. If the reception is inconvenient to perform with the thumb and forefinger, then use the side surface of the index finger of any hand.

Then, with the thumb and forefinger of both hands, create a forceps-like grip of the horizontal fold on the bridge of the nose.

Next, the fold is slowly rolled up to the hairline. If the crease does not roll and slips out from under the fingers, they change their position. The thumbs of both hands are placed on the nose, index fingers are fixed at the hairline. Thumbs make a rolling-pushing movement up to the hairline. The movement is performed at least 1 time.

When performing the exercise, the frontal muscles and the arrogant muscle are involved.

Exercise 9. Platysmaplasty (correction of the subcutaneous muscle of the neck), FIG. 9

The thumb and forefinger of both hands create a forceps-like grip of a horizontal fold 2-4 cm long above the sternal edge of the clavicle. Next, produce 5-7 movements capturing the fold of the arms, during which the maximum volume of veins, lumps, densified areas, nodes, fibrous areas, skin adhesions with integumentary tissues, local seals, “retraction” of the muscle or its individual bundles is pulled into the fold. Holding the fold, vibrating, compressing, pushing, stretching, shaking, kneading, stretching movements are performed to soften them and warm the tissues inside the assembled fold.

Next, the crease is slowly rolled up 1-2 cm, after which the procedure is repeated again: sequential slow intercepting movements are performed, the maximum possible volume of tissues is pulled into the crease, massage movements are made and the crease is rolled up. Thus, the area is processed from the clavicle to the buccal region.

The exercise is completed by fixing the fold in the middle of the cheek, after which the fold is gently kneaded and stretched from the center to the sides.

Exercise 10. Smoothing the tissues of the jaw line, FIG. 10

The base of the palms of the right and left hands are pressed against each other and fixed in the center of the lower jaw.

In this position, the chin is tilted down and fixed in this position until the fingers feel pressure on the work surface for 5-10 seconds.

Then perform synchronous movement with both hands from the center of the lower jaw to its corners. The movement of the hands is slow and dense, kneading all the stress and densified areas.

Exercise 11. Lifting the jaw line, FIG. eleven

The index and thumbs of both hands create a forceps-like grip of the lower jaw in the center. The chin is directed to the chest to relieve tension in the occipital region.

Holding tightly the tissues of the lower jaw in the grip, perform synchronous movement of the hands from the center of the chin to the corners of the lower jaw. The movement of the hands is slow and dense, kneading all the stress and densified areas. The movement ends at the corners of the lower jaw.

When performing the exercise involved the tissues and muscles of the arch of the lower jaw, the subcutaneous muscle of the neck - platism; maxillary hyoid muscle; digastric; awl-hyoid muscle; chin muscle; chewing muscle; muscle lowering the lower lip; muscle that lowers the angle of the mouth (triangular muscle); blood and lymph vessels of the lower third of the face.

Exercise 12. Smoothing the chin, FIG. 12

The chin is divided in half by a horizontal mental line. Next, put the distal phalanx of the index fingers of both hands on the chin above and below this line. The chin is directed down to relax the occipital region, the jaws open.

Then, pressing the distal phalanges of the index fingers of both hands into the tissues for several seconds is performed until the fingers are firmly in contact with the working surface. Next, a finger lying above an imaginary horizontal line is directed upward, and a finger lying below is directed downward. The movement is stopped when you feel the first resistance of the tissues. This position is fixed for at least 5 seconds.

Exercise is performed at least 1 time.

When performing the exercise involved the tissues and muscles of the lower jaw, the chin, the muscle that lowers the lower lip, arteries, veins and lymph vessels of the chin area.

Exercise 13. Lifting the corners of the mouth, FIG. 13

The distal and middle phalanges of the index fingers of both hands are placed laterally on the edge of the lower jaw at the corners of the mouth and pressed tightly to the working surface throughout the entire duration of the reception. In this position, the chin is tilted down. The corners of the mouth are lowered down, as in the expression of disgust, creating pressure on the index fingers.

Keeping the depth of pressure, the index fingers of both hands slowly raise the tissues up to the corners of the mouth, overcoming the resistance of the tissues, rolling and sagging all the stressed areas. Having reached the corners of the mouth, they hold an array of collected tissues for 5-7 seconds.

Exercise is performed at least 1 time.

When performing the exercise involved the tissues and muscles of the lower jaw, chin, triangular muscle of the mouth; muscle lowering the lower lip, muscle lowering the angle of the mouth, circular muscle of the mouth, node corner of the mouth (modiolus), arteries, veins and lymph vessels of the lower third of the face.

Exercise 14. Processing “Samurai points” (upper lip correction), FIG. fourteen

The index fingers of both hands are bent in the form of “hooks” and put on the side of the chin, side by side, close to each other. In this position, the chin is tilted down and fixed in this position until the fingers feel pressure on the work surface for 5-10 seconds.

Then, turning the index fingers of both hands with a twisting movement so that they touch the tissues of the chin with the outer surface. While maintaining the depth of pressure, a horizontal rolling-pushing movement is performed simultaneously with the fingers of both hands 2-3 cm from the center of the chin. The fingers are then held in this position for at least 10 seconds.

Exercise perform at least 1 time.

When performing the exercise involved the tissues and muscles of the lower jaw, the chin, the muscle that lowers the lower lip, arteries, veins and lymph vessels of the chin area.

Exercise 15. Relaxation of the “Cupid Arc” (correction of the lower lip), FIG. fifteen

The index fingers of both hands are bent in the shape of a "hook", and put the side close to each other under the columella of the nose. In this position, the chin is tilted down, and fix this position until the fingers feel pressure on the work surface for 5-10 seconds.

Next, the index fingers of both hands are turned in a twisting movement so that they touch the tissues with the outer surface. Keeping the depth of pressure, a horizontal rolling-pushing movement is performed simultaneously with the fingers of both hands for 2-3 cm. Next, the fingers are held in this position for at least 10 seconds.

Exercise is performed at least 1 time.

When performing the exercise involved the tissues and muscles of the upper jaw, gums (peritoneal tissues), the circular muscle of the mouth. Exercise 16. Lifting the buccal region, FIG. 16

Reception is performed first on one side, then on the other side of the face. The thumb and forefinger of both hands create a forceps-like grip of a horizontal fold 2-4 cm long in the lower part of the face above the jaw line.

Next, produce 5-7 movements capturing the fold of the arms, during which the maximum volume of veins, lumps, densified areas, nodes, fibrous areas, skin adhesions with integumentary tissues, local seals, “retraction” of the muscle or its individual bundles is pulled into the fold. Holding the fold, vibrating, compressing, pressing, pulling, dragging, shaking and kneading, stretching movements are carried out, aimed at softening them and heating the tissues inside the collected fold.

Next, the fold is slowly rolled up 1-2 cm, and thus the tissues and muscles from the jaw arch to the center of the buccal region are treated.

In the center of the buccal region, trying to keep the entire assembled musculocutaneous mass in the grip, successive intercepting movements are performed, aimed at drawing out the structures of the buccal region - the muscular tissue of the cheek, fascial sheets and Bish's fat lump - from the intermaxillary or inter-wing-shaped space.

Next, the collected tissue array is gently kneaded and stretched from the center to the sides.

When performing exercises involved fascia of the buccal region, buccal muscle, chewing muscles.

Exercise 17. Softening the sternocleidomastoid muscle, FIG. 17

Work sequentially first with the sternocleidomastoid muscle on one, then the other. To locate the sternocleidomastoid muscle on the right side, the head is turned to the left side and vice versa.

The thumb and index fingers of both hands capture the upper portion of the sternocleidomastoid muscle, and create its compression for 20-30 seconds. Further, holding the sternocleidomastoid muscle, the hands are directed towards each other and fix this position for 20-30 seconds.

After that, the thumb and forefinger of both hands begin to perform kneading, stretching, rubbing, and dragging massage movements aimed at softening the sternocleidomastoid muscle for 1-2 minutes. Next, the hands are directed in different directions, by stretching the sternocleidomastoid muscle.

These movements can be carried out either individually or sequentially.

Next, the hands are directed in different directions, by stretching the sternocleidomastoid muscle.

Exercise 18. Lifting the nose tissue, FIG. eighteen

Work is carried out by a small pillow at the base of the thumb with a tenar. Press tenar of any hand to the nose. The palm of the second hand is pressed against the occipital region and controlled so that the occipital region is relaxed. The tenar is directed up 1-2 cm, and the chin is lowered down. Hold this position until the tenar feels tight contact with the working surface for 5-10 seconds.

The working arm is directed upwards from the nose to the hairline, and then 2-3 cm beyond the hairline. Perform kneading massage movements in the form of small zigzags, spirals, or perform a rolling-pushing movement from the bottom up. Reception is repeated at least 1 time.

When performing the exercise, the following muscles are involved: the muscle, the wrinkled eyebrow, the upper portion of the circular muscle of the eye and the muscle of the proud.

Exercise 19. Upper eyelid lifting, FIG. 19

Work is carried out with the right hand on the right side of the face, with the left hand - on the left side of the face. Index, middle, ring fingers and little fingers of both hands put under the right and left eyebrow. Then, with all fingers, simultaneously lift the tissues of the upper eyelids upwards. In this position, the chin is tilted down and fixed in this position until the fingers feel pressure on the work surface for 5-10 seconds.

Further, this position is maintained for at least 20-30 seconds, overcoming tissue resistance and guiding tissue upwards with your fingers. Exercise is performed at least 1 time.

During the exercise, tissues and muscles of the ligamentous and ligamentous apparatus of the eyelids, lacrimal apparatus, circular muscle of the eye, frontal muscle, muscle that raises the upper eyelid are involved.

Exercise 20. “Tumbler” (relaxation of the temporal region), FIG. twenty

The base of the palms of both hands is pressed against the temporal fossa, the middle fingers are directed to the crown. The head is tightly wrapped around with both hands. The chin is directed down to relieve tension in the occipital region. The head is tilted to the side of one of the hands, so that the weight of the head puts pressure on this hand.

Then, slowly, in a rolling-pushing movement, the temporal region tissue is shifted upwards by about 5 cm. After this, the position is changed - the head is tilted to the side to the other hand and the temporal region tissue is shifted upwards by about 5 cm in a rolling-piercing motion.

The exercise is repeated alternately on both sides for at least 1 minute.

When performing the exercise involved: temporal muscle, temporal fascia, large zygomatic muscle, small zygomatic muscle, circular muscle of the eye, muscle that raises the corner of the mouth, supracranial aponeurosis, arteries, veins and lymphatic collectors of the middle part of the face.

Exercise 21. Lifting the zygomatic area (with two hands), FIG. 21 The base of the palms of the right and left hands is pressed against the zygomatic area so that the fingers touch the temporal fossa. In this position, the chin is tilted down and fixed in this position until the pressure of the base of the palms on the work surface is felt for 5-10 seconds.

Kneading massage movements in the form of small zigzags, spirals, dots or a horizontal line guide the base of the palms of the right and left hands throughout the zygomatic region, and further along the temporal region. The reception speed is 1 cm per second.

Bringing the base of the palms of the right and left hands to the temporal fossa, fix this position for 5-7 seconds.

The exercise is repeated at least 1 time.

The exercise involves tissues and muscles of the zygomatic bone, chewing muscle, temporal muscle, lateral pterygoid muscle, medial pterygoid muscle, large zygomatic muscle, small zygomatic muscle, muscle that raises the angle of the mouth, arteries, veins, and lymphatic collectors of the middle part of the face.

Exercise 22. Lifting the middle part of the face (50 rotations), FIG. 22

The finger of one hand is placed on the center of the infraorbital edge of the upper jaw (under the pupil). The finger of the second hand is placed on the line of the nasolabial wrinkles - 5-10 mm from the wing of the nose. Fingers can be index, middle and others. Fingers fix.

After 2-3 seconds, the finger of the lower hand creates tension of the tissues down, the finger of the upper hand begins to rotate - circular kneading movements of small diameter. From 10 to 60 rotations are performed, preferably 50 rotations, after which they take their initial position.

Then, from the initial position, the tension of the tissues downward is created with the finger of the upper hand, and the rotation of the finger of the lower hand begins, as described above.

The exercise is repeated for the other side of the face.

The exercise involves tissues and muscles of the upper jaw, muscle lifting the upper lip, muscle lifting the upper lip and wing of the nose, lateral muscle of the nose, small zygomatic muscle, large zygomatic muscle, circular muscle of the mouth, arteries, veins and lymphatic collectors of the middle part of the face .

Exercise 23. Correction of nasolabial wrinkles (pinches), FIG. 23

The thumb and forefinger of one hand create a tick-borne capture of the entire musculoskeletal massif over the nasolabial wrinkle area. With the right hand they work with the right nasolabial wrinkle, with the left hand - with the left nasolabial wrinkle. Then fingers are slowly directed towards each other, creating compression of the working area. Upon reaching pain sensations of 5-6 points on a 10-point scale of movement, they stop and fix this position for 15-20 seconds.

Next, a corrective movement is performed - the index fingers of the right and left hands are placed on the center of the working area, pressing deep into the tissues for 3-5 seconds. Then perform rolling-and-extending movement of the fingers from the center of the different sides, stretching the work area.

The exercise is repeated with all other nasolabial wrinkles on both sides. The number of repetitions depends on the individual length of the nasolabial wrinkle.

Exercise is performed at least 1 time.

The exercise involves tissues and muscles of the upper jaw, muscle lifting the upper lip, muscle lifting the upper lip and wing of the nose, lateral muscle of the nose, small zygomatic muscle, large zygomatic muscle, circular muscle of the mouth, arteries, veins and lymphatic collectors of the middle part of the face .

Exercise 24. Relaxation of the middle part of the face, FIG. 24

The index fingers of both hands are bent in the shape of a “hook” and set laterally along the wings of the nose. In this position, the chin is tilted down, and fix this position until the fingers feel pressure on the work surface for 5-10 seconds.

The index fingers of both hands are rotated in a twisting motion so that they touch the wings of the nose with the outer surface. Keeping the depth of pressure, a horizontal rolling-pushing movement is performed simultaneously with the fingers of both hands by 2-3 cm. Next, the fingers are held in this position for at least 10 seconds.

Exercise is performed at least 1 time.

When performing the exercise involved: the lateral muscle of the nose, the muscle that lifts the upper lip and the wing of the nose, the muscle that lifts the upper lip, arteries, veins and lymphatic collectors of the middle part of the face.

Exercise 25. Correction of the shape and volume of the upper lip, FIG. 25 The index fingers of both hands are bent in the shape of a “hook”, and they are placed with their sides close to each other under the columella of the nose. In this position, the chin is tilted down, and fix this position until the fingers feel pressure on the work surface for 5-10 seconds.

Keeping the depth of pressure, a slow rolling-pushing movement is performed simultaneously with the fingers of both hands from the center of the upper lip to the corners of the mouth.

Exercise is performed at least 1 time.

When performing the exercises involved: the circular muscle of the mouth, the large zygomatic muscle, the small zygomatic muscle, the muscle that lifts the angle of the mouth, the muscle that lifts the upper lip and the wing of the nose, the muscle that lifts the upper lip, the muscle that lowers the septum of the nose, arteries, veins and lymphatic collectors of the middle part of the face.

Exercise 26. Correction of the shape and volume of the lower lip, FIG. 2 6

The index fingers of both hands are bent in the shape of a “hook”, and they are placed with their sides close to each other on the center of the chin under the lower lip. In this position, the chin is tilted down, and fix this position until the fingers feel pressure on the work surface for 5-10 seconds.

Keeping the depth of pressure, slowly perform

horizontal rolling-pushing movement simultaneously with the fingers of both hands from the center of the chin to the corners of the mouth. Having reached the corners of the mouth, they lift the tissue. Next, the fingers are held in this position for at least 5 seconds.

Exercise is performed at least 1 time.

The exercises involved: the triangular muscle of the mouth, the muscle that lowers the lower lip, the muscle that lowers the angle of the mouth, the circular muscle of the mouth, the chin, the node of the corner of the mouth (modiolus), arteries, veins, and lymph vessels of the lower third of the face.

Exercise 27. Correction of the shape and volume of the lips, FIG. 27 The thumb and forefinger of one hand create a tick-borne grip of the entire musculocutaneous mass above the center of the upper lip. Then fingers are slowly directed towards each other, creating compression of the working area. Upon reaching pain sensations of 5-6 points on a 10-point scale, they stop and fix this position for 15-20 seconds.

Next, a corrective movement is performed - the index fingers of the right and left hands are placed on the center of the working area, pressing deep into the tissues for 3-5 seconds. Then, a rolling-extending movement is performed with the fingers from the center from different sides, stretching the working section.

The exercise is repeated, creating a tick-borne capture of the musculocutaneous massif on the right and left above the upper lip and in the center, right and left under the lower lip.

Exercise is performed at least 1 time.

The following exercises are involved in the exercise: the circular muscle of the mouth, the chin muscle, the node of the angle of the mouth (modiolus), the zygomaticus major muscle, the zygomaticus minor muscle, the muscle raising the angle of the mouth, the muscle raising the upper lip and wing of the nose, the muscle raising the upper lip, muscle, lowering the septum of the nose, the triangular muscle of the mouth, the muscle lowering the lower lip, the muscle lowering the angle of the mouth, arteries, veins and lymphatic vessels of the middle and lower third of the face.

Exercise 28. The Frog (correction of depressors of the angle of the mouth), FIG. 28

The distal phalanges of the thumbs of both hands are placed on the edge of the lower jaw at the corners of the mouth, and firmly pressed to the working surface throughout the entire duration of the reception. The distal phalanges of the index fingers of both hands are placed on the side above the upper lip. In this position, the chin is tilted down to relax the occipital region, the jaws open.

Keeping the depth of pressure, the distal phalanges of the thumbs of both hands slowly roll up to the corners of the mouth, overcoming tissue resistance, rolling out and sagging all the stressed areas. Having reached the corners of the mouth, the thumb and forefinger of both hands create a tick-borne grip of the entire musculocutaneous mass above the corners of the mouth, creating compression of the working area. This position is fixed for 5-7 seconds.

Exercise is performed at least 1 time.

The exercise involves tissues and muscles of the lower jaw, the triangular muscle of the mouth, the muscle that lowers the lower lip, the muscle that lowers the angle of the mouth, the circular muscle of the mouth, the chin, the node of the corner of the mouth (modiolus), arteries, veins, and lymph vessels of the lower third of the face.

Exercise 29. “Turtle” (relaxation of the muscles of the front surface of the neck), FIG. 29th

The exercise is performed sitting on the edge of the chair, the legs are bent at the knees at a right angle, the soles of the feet are completely resting on the floor. Both hands are straightened at the elbow joints, the palms of both hands are guided with fingers to each other at an angle of 180 degrees. In this position, the palms of the hands are placed over the knees.

Body weight is transferred to the hands, the back is rounded. The head is directed downward, completely relaxing the back of the neck. The chin produces punching movements aimed at softening the stressed structures. The face is relaxing. In this position, breathing is calm and natural.

This position is stored for at least 20-30 seconds, then take the initial position.

Exercise is performed at least 1 time.

When performing the exercise involved: subcutaneous muscle of the neck (platism), superficial fascia of the neck, biceps muscle, maxillary hyoid muscle, muscles of the back surface of the neck.

Exercise 30. “Crab” (reducing clamps in the mouth), FIG. thirty

The corners of the mouth are lowered down as if expressing disgust, or tightly compresses the lips. The index fingers of both hands are placed on the corners of the mouth, the distal phalanges of the thumbs of both hands are placed on the edge of the lower jaw at the corners of the mouth, and firmly pressed to the working surface.

Keeping the depth of pressure, the index fingers and thumbs of both hands are directed towards each other, creating a tick-borne grip of the entire musculocutaneous mass between the corners of the mouth and the edge of the lower jaw at the corners of the mouth. Then fingers are slowly directed towards each other, creating compression of the working area. When a pain sensation of 5-6 points is reached on a 10-point scale, the movement is stopped and this position is fixed until the sensation of pain reduction is approximately 50%.

Next, repeat the movement of the fingers towards to create compression of the work area at least 1 time, and again the sensations of pain reduction by about 50% are expected.

Next, a corrective massage is performed - any fingers of one hand (for example, index, middle and ring) are placed on the jaw arch at the angle of the mouth on the right side of the face, and pressed tightly to the working surface. The tongue rests on the mucous membrane of the corner of the mouth on the right side, pressing on the tissue, stretching and lengthening the working area. 2-3 fingers of the second hand are placed above the corner of the mouth to fix the working area. Corrective massage is performed for at least 5 seconds. Then repeat it on the left side of the face.

The exercise is repeated at least 1 time.

When performing the exercises involved: the triangular muscle of the chin, the lower lateral edge of the circular muscle of the mouth, the muscle lowering the lower lip and the corner of the mouth.

Exercise 31. Smoothing the middle of the face, FIG. 31

The index and middle fingers of the right hand are placed on the upper part of the left wing of the nose, and firmly pressed to the working surface during the entire time the reception is performed. The base of the palm of the left hand is pressed to the zygomatic region so that the fingers are directed horizontally to the left ear. In this position, the chin is tilted down, and fix this position until you feel the pressure of the base of the palm on the work surface for 5-10 seconds.

Next, kneading massage movements in the form of zigzags, spirals, dots or a horizontal line guide the base of the palm of the left hand throughout the zygomatic area to the ear.

Next, change hands and perform an exercise on the right side of the face. Exercise is performed at least 1 time.

The exercise involves tissues and muscles of the zygomatic bone, chewing muscle, large zygomatic muscle, small zygomatic muscle, muscle that raises the angle of the mouth, the transverse part of the nasal muscle, the wing of the nasal muscle, the muscle that lifts the upper lip and wing of the nose, the muscle that lifts the upper lip, arteries, veins and lymphatic collectors of the middle part of the face.

Exercise 32. Lifting the zygomatic area (with one hand), FIG. 32

Work is carried out with the right hand with the left half of the face, with the left hand - with the right half of the face. The base of the palm of the right hand is placed on the infraorbital region on the left so that the tenar (pad at the base of the thumb) is pressed against the wing of the nose. The fingers of the right hand are directed horizontally to the left ear. The palm of the second hand is pressed against the occipital region and controlled so that the occipital region is relaxed. The chin is directed down.

Next, kneading massage movements in the form of zigzags, spirals, dots or a horizontal line direct the base of the palm of the right hand along the infraorbital region, along the zygomatic and temporal regions. Lips create resistance, pulling them forward. The reception speed is 1 cm per second.

Next, change hands and perform a reception on the right side of the face. Exercise is performed at least 1 time.

The exercise involves tissues and muscles of the zygomatic bone, chewing muscle, temporal muscle, lateral pterygoid muscle, medial pterygoid muscle, large zygomatic muscle, small zygomatic muscle, muscle that raises the angle of the mouth, arteries, veins, and lymphatic collectors of the middle part of the face.

Exercise 33. Warming up and kneading of the nasolabial region, FIG. 33

For work, small heaters are used. Warmers are heated to a comfortable temperature and applied to the right and left of the wings of the nose for about 3-5 minutes.

Next, put the fingers of both hands to the right and left of the wings of the nose and firmly press them to the working surface throughout the entire duration of the reception. Fingers can be index, middle, and ring.

Keeping the depth of pressure, the fingers perform rotations - circular kneading movements of a small diameter, aimed at relaxing and softening the tissues of the infraorbital region.

Exercise is performed for at least 1-2 minutes.

The exercises involved: the muscle that lifts the upper lip, the muscle that lifts the upper lip and wing of the nose, the lateral muscle of the nose, the small zygomatic muscle, the large zygomatic muscle, the circular muscle of the mouth, arteries, veins, and lymphatic collectors of the middle part of the face.

Exercise 34. Lifting the nasolabial region (tongue massage), FIG. 34

Any fingers of one hand (for example, index, middle, nameless) put under the nasolabial wrinkle, any fingers of the other hand over the nasolabial wrinkle. Fingers tightly pressed to the working surface.

Further, while maintaining depth, the fingers are directed in different directions, stretching the work area. The tip of the tongue, placed in the center of the nasolabial wrinkles, is pressed onto the tissues, directing them vertically upwards for at least 10-15 seconds.

The exercise is repeated with all other nasolabial wrinkles on both sides. The number of repetitions depends on the individual length of the nasolabial wrinkle.

Exercise is performed at least 1 time.

The exercise involves tissues and muscles of the upper jaw, muscle lifting the upper lip, muscle lifting the upper lip and wing of the nose, lateral muscle of the nose, small zygomatic muscle, large zygomatic muscle, circular muscle of the mouth, arteries, veins and lymphatic collectors of the middle part of the face .

Exercise 35. Restoring the eyes from the outside, FIG. 35

The right hand is thrown over the head, the index, middle and ring fingers of the right hand are pressed to the outer corner of the left eye from above. The index, middle and ring fingers of the left hand are pressed against the outer corner of the left eye from below, the base of the palm is directed to the corner of the lower jaw on the left. The chin is directed down, the head is tilted to the right hand. Fix this position until you feel tight contact of the fingers with the working surface for 5-10 seconds.

Further, preserving the depth of contact, a slow rolling-pushing movement begins with the fingers of the right hand — up from the corner of the eye to the temporal region, with the fingers of the left hand — down from the corner of the eye to the corner of the lower jaw on the left. The movement takes about 1 minute.

Then they change their hands and perform the exercise on the right side. When performing the exercises involved: the circular muscle of the eye, temporal muscle, superficial chewing muscle.

Exercise 36. Upper eyelid lifting, FIG. 36

The right hand is thrown over his head and put the index, middle, ring fingers and little fingers above the left eyebrow.

All fingers simultaneously raise the left eyebrow as high as possible, and hold it in the highest position throughout the entire exercise. The middle and index fingers of the left hand are placed on the upper eyelid of the left eye under the inner part of the eyebrow. In this position, the chin is tilted down to relax the occipital region.

Then, with the middle finger of the left hand, rolling-extending massage movements in the form of circles, zigzags, spirals direct the tissues of the upper eyelid up to the left eyebrow. The index finger of the left hand holds the tissue of the upper eyelid. The exercise is performed at least 1 time under the inner part of the eyebrow, the middle part of the eyebrow and the outer part of the eyebrow.

Next, change hands and perform an exercise on the right side of the face.

When performing the exercises involved: the circular muscle of the eye and frontal muscle.

Exercise 37. Reception "Pinch" (smoothing the jaw line), Fig. 37

The distal phalanges of the index, middle and thumb fingers of both hands are folded in the form of a “pinch” and create a forceps-like grip of the lower jaw in the center. The chin is directed to the chest to relieve tension in the occipital region.

Firmly holding the tissues of the lower jaw in the grip, perform continuous or dotted movement of the fingers from the center of the chin to the corner of the lower jaw on the right. Hand movements are slow and dense, kneading all the stress and tightened areas. The movement ends at the corner of the lower jaw on the right.

Next, the exercise is repeated from the center of the lower jaw to the angle of the lower jaw on the left.

Exercise is performed at least 1 time.

During the exercise, tissues and muscles of the arch of the lower jaw, subcutaneous muscle of the neck, jaw-hyoid muscle, biceps muscle, chin-hyoid muscle, chin, chewing muscle, muscle lowering the lower lip, muscle lowering the corner of the mouth, blood and lymphatic muscles are involved vessels of the lower third of the face.

Exercise 38. Correction of the double chin, Fig. 38 The index fingers of both hands are fixed on the chin. The thumbs of both hands are placed on the center of the diaphragm of the mouth. Fingers fix.

The chin is directed down to relieve tension in the occipital region.

The thumbs of both hands exert mechanical pressure on the muscular tissue of the bottom of the mouth. When the movement is limited by the tense muscles of the bottom of the mouth, the thumbs are fixed in the current position for 10-20 seconds, while the pressure on the tissues with the thumbs is not weakened.

After 10-20 seconds, by palpation waiting for the therapeutic effect of muscle relaxation in the form of greater softness and elasticity of the muscles of the bottom of the mouth, the thumbs are again directed upward, creating mechanical pressure on the muscle sheet of the bottom of the mouth until the next restriction of movement by the tense muscles of the bottom of the mouth.

Perform at least 2-3 such movements.

When performing the exercise involved a group of supra-lingual muscles.

Exercise 39. “50 rotations on the chin”, FIG. 39

The thumb of one hand is placed under the edge of the lower jaw in the center. The index finger of the second hand is placed on the center of the chin under the lower lip. Fingers fix.

With the thumb of the lower hand they create tension of the tissues down, the index finger of the second hand begins to rotate - circular kneading movements of a small diameter.

From 10 to 60 rotations are performed, preferably 50 rotations, after which they take their initial position.

Exercise is performed at least 1 time.

When performing the exercise involved the tissues and muscles of the lower jaw, the chin, the muscle that lowers the lower lip, arteries, veins and lymph vessels of the chin area.

Exercise 40. Warming up and kneading of the masticatory muscles, FIG. 40

For work using heating pads. Warmers are heated to a comfortable temperature, and applied to the parotid chewing area on the right and left for about 3-5 minutes.

After that, any fingers (for example, index, middle, ring) or palms of both hands are fixed in the projection of the parotid chewing area under the zygomatic arch. Finger pads slowly immerse inward, creating pressure on the tissue. Jaws open, mouth slightly open.

Further, while maintaining the depth of pressure, a slow rolling movement is carried out by the fingers of both hands throughout the parotid chewing region from the zygomatic arch to the corners of the lower jaw, kneading all the dense and tense sections. In this case, the mouth is kept open, the jaw should not be compressed.

Exercise is performed for at least 1 minute.

When performing the exercise involved superficial chewing muscle.

Exercise 41. Lifting-PRO (lifting-massage of the head), FIG. 41

Starting position: the chin is tilted down, the fingers of both hands are arranged in the form of a comb and are located at the temples. Using a combing motion, drag the fingers upward over the temples, grab the hair at the roots in the projection of the temporal muscle and pull it upward perpendicularly until pain sensations 5-6 points on a 10-point scale. They fix the position until the intensity of pain decreases.

After that, the hair is pulled up again until the pain is 5-6 points. Again, they fix the position until the intensity of pain decreases.

Then carry out this exercise on the entire surface of the head. In the presence of pain discomfort, light swaying movements of the hands are added to alleviate pain.

The exercise is repeated at least 1 time.

When performing the exercise, the muscles and tissues of the temporal part of the cranial aponeurosis, temporal muscle, chewing muscle, and circular muscle of the eye are involved.

When implementing the inventive method, at the beginning of each stage, at least one of the exercises aimed at influencing the group of skeletal muscles of the chest region and neck is studied. In particular, the following are such exercises: exercise 1 - softening the withers, exercise 9 - platysmoplasty, exercise 17 - softening the sternocleidomastoid muscle, exercise 29 - “Turtle”. These exercises are included in the prepared sets of exercises as initial exercises.

Further, in the exercise complexes include any of the listed groups of exercises (exercises 1-41).

During the exercise, they are exposed to deep massage movements until discomfort and / or pain occurs, not exceeding 7 points on a 10-point scale, and / or smoothing, relaxing massage movements are performed.

When performing exercises, the effect is carried out by movements, which, in the direction of influence, are selected from circular, zigzag, spiral, diagonal, rotational movements. Deep massage movements are selected from warming up, kneading, softening, rubbing, pulling, stretching, rolling, rolling, shaking, shaking, vibrating, swinging, compressing, pressing, pushing, combing, razvolokayuschih movements.

The total execution time of each exercise and the set of exercises as a whole can vary depending on the individual pain sensitivity of the patient, the degree of age-related changes in the massaged area, and also the depth of the massage. Each exercise is performed from 10 seconds to 10 minutes, preferably from 30 seconds to 5 minutes, most preferably from 1 to 3 minutes. A set of exercises is performed from 1 to 10 minutes.

Compiled sets of exercises are studied and performed independently according to the video massage course provided, in which all exercises are presented, either the clinic specialist demonstrates the necessary movements to the patient, or the clinic specialist performs all the necessary movements on the patient. The entire course of massage carried out according to the claimed method of reducing myofacial hypertonicity of the facial muscles, the patient performs independently or under the supervision of a specialist clinic, or the entire course is performed only by a specialist clinic.

In one embodiment of the invention, before performing all actions according to the claimed method, primary testing (Fig. 42) of the state of tissues and muscles of different parts of the head, neck and chest region of the human body is carried out, and after completion of the last stage, final testing (Fig. 43) of the condition tissues and muscles of different parts of the head, neck and chest area of the human body.

Testing includes tests to determine the state of tissues and muscles of different parts of the head, neck and chest area of a person’s body, and may include photographing the appearance of the person being massaged.

The duration of each stage according to the claimed method is calculated in days, weeks or months, and the duration of each stage is calculated in minutes, hours, days or weeks.

All stages and stages are carried out sequentially or in random order.

The implementation of the proposed method allows you to:

1) reduce the increased bioelectric activity of the facial muscles and skeletal muscles;

2) to restore muscle reflex reactions;

3) change the emotional background of a person in a positive way;

4) to prevent age-related changes in soft tissues and deeper structures of the face, neck and chest, as well as to prevent aesthetic disturbances associated with age-related changes, swelling, loss of a clear face relief, the formation of lymphatic fat deposits in the region of the seventh cervical vertebra ("withers"), formation double chin, face proportions, severe motionless facial expressions, wrinkles, nasolabial folds, deformation of the tissues of the orbital region;

5) slow down age-related changes in soft tissues and deeper structures of the face, neck and chest;

6) to carry out lifting of different areas of the face (forehead, upper eyelids, nose bridge, corners of the mouth, eyebrows and upper eyelids, zygomatic region, external corners of the eyes, face oval);

7) restore the tone of muscle tissue, its anatomical parameters and the appearance of the skin of the chest area of the human body, neck, as well as start the regeneration of cells of the tissues of the face, neck and chest, smooth the relief of skin tissue and bone tissue;

8) to restore the general trophic tissue: improve vascular macro- and microcirculation and active lymphatic drainage in the neck and face, improve blood supply to different areas of the face and neck, as well as the peritoneal tissues, improve the quality of the speech organs (articulation), and also improve the work of the lacrimal apparatus .

MODES FOR CARRYING OUT THE INVENTION

Example 1

Patient Davydova E.V., 56 years old. I went to the clinic for an improvement in the aesthetic appearance. During palpation and measurement tests. and an electromyographic study revealed the presence of myofascial hypertonicity in the facial muscles. Patient Davydova E.V. a massage course was prescribed according to the claimed invention.

Before and after the massage, testing was carried out, as a result of which pain indicators were assessed in the frontal region, behind the ear, in the region of the superciliary arch, along the wing of the nose, in the parotid chewing region, in the buccal region, in the submandibular region, the lower part of the face, in the trapezius muscles, the group of the occipital muscles, sternocleidomastoid muscles (upper portion), and also measured the volume of edematous tissues in the parotid chewing region, in the buccal region, the thickness of the superciliary arches, the thickness of the tissues along the lateral surface of the nose.

During the course, the patient independently influenced the tissues and muscles of different parts of the head and neck according to the video course provided by the clinic.

The patient carried out the impact in six stages. The duration of the stages was 1 week.

Exercise complexes were composed and carried out as follows:

Testing results of the patient Davydova E.V. are among the results of testing a group of patients presented in Tables No. 5-7.

The results of the final testing of the patient Davydova E.V. come down to the fact that the patient:

1) pain in the frontal region, behind the ear, in the region of the superciliary arches, along the nasal part of the nose, in the parotid chewing region decreased by more than 30%;

2) decreased pain in the buccal region, in the submandibular region, in the lower part of the face, in the trapezius muscles, the group of the occipital muscles, sternocleidomastoid muscles (upper portion) by more than 50%;

3) the volumes of edematous tissues in the parotid chewing region decreased, in the buccal region - by 30%, the thickness of the superciliary arches, the thickness of the tissues along the lateral surface of the nose decreased by 20%;

4) The bioelectric activity in the facial muscles decreased, which was documented by electromyographic equipment (table No. 2).

Thus, the patient Davydova E.V. adjusted muscle tone (reduced hypertonicity) in the face area (most of the indicators returned to normal), reduced the size of lympho-fat deposits in the seventh cervical vertebra (withers), improved blood supply to different areas of the neck, chest and face, prevented age-related changes in soft tissues and deeper structures of the face, neck and chest.

Also, at the end of the massage course, an aesthetic result was achieved: the patient acquired a more relaxed, friendly facial expression. The patient has a significant improvement in neck statics, a decrease in the withers, the severity of the nasolacrimal groove, swelling and dark circles under the eyes have decreased. The middle part of the face relaxed, the spasm of the masticatory muscles, the circular muscle of the mouth and the muscle-depressors decreased, as a result of which the corners of the lips lifted, the nasolabial folds became less pronounced. The patient eliminated lymph-fat edema in the chin area, restored a clear oval of the face.

As a result of the application of the claimed method, there was an improvement in skin turgor, restoration of facial expressions mobility, relieving muscle tension and reducing tissue swelling.

Example 2

Patient Ksenofontova I.V., 35 years old. I went to the clinic for an improvement in the aesthetic appearance. During palpation and measurement tests and EMG studies, the presence of myofascial hypertonicity of the facial muscles was found. The patient Ksenofontova I.V. was prescribed a massage course according to the claimed invention.

Before and after the massage, testing was carried out, as a result of which pain indicators were assessed in the frontal region, behind the ear, in the region of the superciliary arch, along the wing of the nose, in the parotid chewing region, in the buccal region, in the submandibular region, the lower part of the face, in the trapezius muscles, the group of the occipital muscles, sternocleidomastoid muscles (upper portion), and also measured the volumes of edematous tissues in the parotid chewing region, in the buccal region, the thickness of the superciliary arches, the thickness of the tissues along the lateral surface of the nose.

During the course of the massage, various parts of the head and neck were exposed to tissues and muscles. The entire massage course was performed by the patient under the guidance of a specialist clinic. The impact was carried out in six stages. The duration of the stages was 1 week.

Exercise complexes were composed and carried out as follows:

Testing results of the patient Ksenofontova I.V. are among the results of testing a group of patients presented in tables No. 5-7.

The results of the final testing of the patient Ksenofontova I.V. come down to the fact that the patient:

1) pain in the frontal region, behind the ear, in the region of the superciliary arch, along the wing of the nose, in the parotid chewing region decreased by more than 30%;

2) in the buccal region, in the submandibular region, in the lower part of the face, in the trapezius muscles, the group of the occipital muscles, sternocleidomastoid muscles (upper portion) - by more than 50%;

3) decreased volumes of edematous tissues in the parotid chewing region, in the buccal region - by more than 30%, the thickness of the superciliary arches, the thickness of the tissues along the lateral surface of the nose - by 20%;

4) The bioelectric activity in the facial muscles decreased, which was documented by electromyographic equipment.

Thus, the patient Ksenofontova I.V. prevented age-related changes in soft tissues and deeper structures of the face, neck and chest, restored muscle tone in the neck, chest, and face areas, improved blood circulation to different areas of the neck, chest and face, and lifted various face areas.

At the end of the massage course, an aesthetic result was also achieved: the patient acquired a more calm, harmonious expression on her face. The patient's neck statics improved, neck elongation occurred. Muscle tension in the forehead and nose area decreased, as a result of which wrinkles in the forehead and nose were significantly reduced. Due to a decrease in the hypertonicity of the masticatory muscles, the muscular base of the cheek was leveled and its young appearance was restored. The lower part of the face relaxed - the circular muscle of the mouth, the chin area.

As a result of the application of the claimed method, there was an improvement in skin turgor, restoration of facial expressions mobility, relieving muscle tension and reducing tissue swelling, as well as lifting of different areas of the face.

Example 3 (summary).

In total, the massage according to the claimed method was carried out by 59 patients aged 30 to 65 years.

At the same time, 42 people performed the massage as described in Example 1, 14 people - as in Example 2. For 3 people, the method was selected as described in Example 1, but the number of stages was 5, and only the clinic specialist conducted the massage.

All patients completed:

1. Complete palpation and measurement testing before and after massage for pain in the muscles. Testing specialists put pressure on the tissues of the face, neck and chest of patients with a certain load. Patients rated pain according to the YOUR scale (visual analogue scale) from 1 to 10, where 1 - no pain, 10 - debilitating pain.

It is widely known that prolonged myofascial hypertonicity leads to an increase in the intensification of pain symptoms (MieszkoWieckiewicz, MarekZietek, JoannaSmardz, Dobrochna Zenczak-Wieckiewicz, NataliaGrychowska "Mental Statusus a Common Factor for Masticatory Muscle Pain 2017 A Systematic). A decrease / increase in muscle pain during palpation indicates a decrease / increase in muscle tension.

2. The study of the degree of swelling of the tissues. The clinic’s specialists measured the thickness of the folds in certain areas of the patient’s face. When calculating the shift, the initial level of the crease thickness was taken as 100%.

With the long-term formation of local muscle hypertonicity in the soft tissues of the face, the number of blood vessels and the volume of the microvasculature decrease, hypoxia forms, and swelling increases. On this basis, a decrease in the volume of edematous tissues over various parts of the skeletal and facial muscles is regarded as a predictor of positive changes (Bartashevich V.V. “Cervical myofascial pain syndrome” 2005).

3. Electromyographic indicators for assessing the bioelectric activity of facial muscles.

The relationship between facial muscle activity and emotions was also proved by numerous studies using electromyography, which allowed us not only to document but also to quantify the state of the muscle tone regulation system depending on the mental state (Heller AS, Lapate RC, Mayer KE, Davidson RJ. Journal of Cognitive Neuroscience Volume 26 | Issue 9 | September 2014, p. 2102-2110).

The research results are presented in Tables No. 5-7.

In addition, it was found that when using the claimed invention, the psychoemotional state of patients is corrected through the mechanism of facial feedback.

The results shown in tables No. 5-7 show that:

у 86,7% пациентов зафиксировано уменьшение болевых ощущений в трапециевидных мышцах (при этом 22,1% пациентов сократили болезненные ощущения в 2 раза); у 93,5% пациентов зафиксировано уменьшение болевых ощущений в группе затылочных мышц (при этом 35,7% пациентов сократили болезненные ощущения в 2 раза); у 78,2% пациентов зафиксировано уменьшение болевых ощущений в верхней порции грудинно-ключично-сосцевидных мышц (при этом 17% пациентов сократили болезненные ощущения в 2 раза);

86.7% of patients recorded a decrease in pain in the trapezius muscle (while 22.1% of patients reduced pain by 2 times); 93.5% of patients recorded a decrease in pain in the group of the occipital muscles (while 35.7% of patients reduced pain by 2 times); 78.2% of patients recorded a decrease in pain in the upper portion of the sternocleidomastoid muscle (while 17% of the patients reduced pain by 2 times);

у более 70% пациентов уменьшились боли в лицевых мышцах (в лобной области, заушной области, вдоль крыльной части носа, в околоушно-жевательной области, в щечной области, в подчелюстной области). При этом более 20% пациентов сократили болезненные ощущения вдвое;

in more than 70% of patients, pain in the facial muscles decreased (in the frontal region, behind the ear, along the wing of the nose, in the parotid chewing region, in the buccal region, in the submandibular region). Moreover, more than 20% of patients halved the pain;

83% пациентов замедлили возрастные изменения в мягких тканях и глубжележащих структурах лица, шеи и груди;

83% of patients slowed age-related changes in soft tissues and deeper structures of the face, neck and chest;

74,8% пациентов предотвратили дальнейшее образование отека в щечной области, при этом 18,7% сократили объем отечных тканей в 2 раза;

74.8% of patients prevented further formation of edema in the buccal region, while 18.7% reduced the volume of edematous tissue by 2 times;

76,5% пациентов предотвратили дальнейшее образование отека в околоушно-жевательной области, при этом 23,8% сократили объем отечных тканей в 2 раза;

76.5% of patients prevented further formation of edema in the parotid chewing region, while 23.8% reduced the volume of edematous tissue by 2 times;

53,2% пациентов восстановили тонус мышечной ткани, ее анатомические параметры и внешний вид кожи области груди, шеи и лица;

53.2% of patients restored muscle tissue tone, its anatomical parameters and appearance of the skin of the chest, neck and face;

94,3% пациентов улучшили кровоснабжение разных зон лица и шеи, а также околозубных тканей.

94.3% of patients improved blood supply to different areas of the face and neck, as well as to the teeth.

Thus, the evidence indicates that the patients showed a positive trend, which allowed to achieve the above stated technical results.

Claims (9)

1. The method of neuromuscular relaxation of the facial muscles by performing sets of exercises with massage movements, characterized in that they act on the tissues and muscles of different parts of the head, neck and chest area, sequentially acting on a single muscle chain formed by the facial muscles and the group of skeletal muscles of the chest region and neck, adhering to the principle of sequential inactivation of the hypertonicity of individual muscles, while doing the exercises that affect the group of skeletal muscles of the chest region and neck, first m perform exercises that affect the facial muscles, the complexes of exercises include any of the six groups of exercises, while the first group includes exercises that affect the occipital abdomen of the occipital-frontal muscle, the second group includes exercises that affect the subcutaneous muscle of the neck , mouth angle depressor, circular muscle of the mouth, buccal muscle, the third group includes exercises that affect the sternocleidomastoid muscle, temporal muscle, circular muscle of the eyes, the fourth group includes exercise the exercises affecting the temporal muscle, the major and minor zygomatic muscle of the mouth, the circular muscle of the mouth, the muscle that lowers the angle of the mouth, the fifth group includes exercises that affect the subcutaneous muscle of the neck, the angle of the mouth depressor, the circular muscle of the mouth, the zygomatic muscles, the upper levator lips, circular muscle of the eyes, the sixth group includes exercises that affect the muscles of the hyoid bone, chewing muscles, temporal muscles, the effect is carried out in at least 1 to 6 stages, with each stage as the initial exercises in Plex exercises include exercises that affect the group of skeletal muscles of the chest area and neck, the rest of the exercises in the complexes are selected from any exercises of the six groups in random order. 2. The method according to p. 1, characterized in that the first group of exercises includes softening lymph fat deposits of the upper back, relaxing the back of the neck and occipital region, massage the head, lifting the forehead, eyebrows and upper eyelids, lifting the forehead in a horizontal area, smoothing wrinkles and creases on the bridge of the nose, smoothing creases on the bridge of the nose, lifting the nose with fingers, the second group includes exercises: correction of the subcutaneous muscle of the neck, smoothing the tissues of the jaw line, lifting the jaw line, smoothing the mole, lifting of the corners of the mouth, correction of the upper lip, correction of the lower lip, lifting of the buccal region, the third group - exercises: softening the sternocleidomastoid muscle, lifting the nose tissue with tenar, lifting the upper eyelids, fourth group - exercises: relaxing the temporal region, lifting zygomatic area, lifting the middle part of the face: lifting the middle part of the face, correcting nasolabial wrinkles (pinches), relaxing the middle part of the face, correcting the shape and volume of the lower lip, correcting the shape and volume of the upper lip, correcting the shape and volume and lips compression and stretching, correction of depressors of the angle of the mouth, the fifth group - exercises: relaxing the muscles of the front surface of the neck, reducing clamps in the mouth, smoothing the middle part of the face, lifting the zygomatic area with one hand, warming and kneading the nasolabial area, lifting the nasolabial area with the tongue, restoration of eyes from the outside, upper eyelid lifting, sixth group - exercises: smoothing the jaw line, double chin correction, circular kneading movements to the chin, warming the masticatory mice warmers, warmed to a comfortable temperature, and kneading the masticatory muscles, lifting head massage. 3. The method according to p. 1, characterized in that during the exercise they are affected by massage movements until discomfort and / or pain occurs that do not exceed 7 points on a visual-analogue scale, and / or smoothing, relaxing massage movements are performed. 4. The method according to p. 1, characterized in that as a deep massage movements carry out warming up, kneading, softening, rubbing, pulling, stretching, rolling, rolling, shaking, shaking, vibrating, swinging, compressing, pressing, pushing, combing, swirling movements. 5. The method according to p. 1, characterized in that the rotational, circular, zigzag, spiral movements are used as massage movements. 6. The method according to p. 1, characterized in that before performing all the effects, primary testing of the state of tissues and muscles of different areas of the human head is carried out, and after the completion of the last stage, final testing of the state of tissues and muscles of different areas of the human head is performed. 7. The method according to p. 1, characterized in that the duration of each stage is calculated in days, weeks or months. 8. The method according to p. 1, characterized in that all movements are carried out independently, either under the supervision of a specialist clinic, or only a specialist clinic. 9. The method according to p. 1, characterized in that each exercise is performed from 10 seconds to 10 minutes, preferably from 30 seconds to 5 minutes, most preferably from 1 to 3 minutes.

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