RU2723220C1 - Method for reducing chewing hypertonicity - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to restorative medicine. Massage movements and gymnastics techniques are applied on anatomical structures of head, neck and shoulder girdle. Sequential action on each element of the chewing system is carried out by performing sets of exercises. Exposure covers 1 to 5 stages. Complexes are composed of five groups of exercises. Complexes include at least one any exercise of five groups of exercises, wherein exercise from group is selected in random order, and elements of chewing system are worked out sequentially.

EFFECT: method enables recovering reflex responses and normal tonus of facial muscles, reducing excitation of the central nervous system and improving the psychoemotional state, relaxing and changing the balance of tension in the masticatory fascia, articular ligaments, muscles of the cranial-mandibular system, muscles of the mouth diaphragm, contributing to the aesthetic effect.

10 cl, 32 dwg, 8 tbl, 3 ex

Description

The claimed solution relates to the field of restorative medicine and is intended for neuro-muscular relaxation of the human masticatory apparatus and reduction of post-stress neuropsychic stresses.

BACKGROUND

Numerous studies in neurology, psychology and biology stress recognized stress as the most important threat to the health and well-being of people (Lívea Dornela Godoy, Matheus Teixeira Rossignoli, Polianna Delfino-Pereira, Norberto Garcia-Cairasco, Eduardo Henrique de Lima Umeoka / A Comprehensive Overview on Stress Neuro : Basic Concepts and Clinical Implications Front Behav Neurosci. 2018; McEwen BS, Gray JD, Nasca C. 60 years of neuroendocrinology: redefining neuroendocrinology: stress, sex and cognitive and emotional regulation. J. Endocrinol. 2015, 226, T67 – T83) .

The stereotypical reaction of the body to stressful events includes an increase in anxiety and tension in response to a significant frustrating situation and the mobilization of psychological defenses. This leads to changes in the functioning of the central nervous system (neocortex, hypothalamus, formation of the limbic system), through which further psychophysiological shifts in the endocrine system are realized (noradrenaline and adrenaline in the blood increase), and in the autonomic nervous system - changes in pulse rate, respiration, temperature body, skin-galvanic reaction, change in skin resistance, sweating, heart rhythm, increased muscle tone (Lapshina T.N. Psychophysiological diagnosis of human emotions in terms of EEG, PhD thesis Moscow, 2007).

Scientific evidence from the past 20 years confirms that stressful events are a key cause of both physical illnesses and neuropsychiatric disorders (Kendler KS, Gardner CO, Prescott CA. Toward a comprehensive developmental model for major depression in women. American Journal of Psychiatry. 2002 ; 159: 1133–1145; Linda Mah, Claudia Szabuniewicz, Alexandra Fiocco. Can anxiety damage the brain? Current Opinion in Psychiatry. 29 (1): 56–63, JAN 2016).

One of the most striking markers of mental stress and emotional stress is increased tonic muscle activity, since excess muscle tension is a reflex protective reaction to psychological stress. It has been established that many human muscles are in a state of constant contraction - hypertonicity (J. Travel, L. Simons “Myofascial pains and dysfunctions”. Medicine, 2005).

Hypertonicity is an increased tonic activity of muscles, manifested by pain on palpation and muscle tightness (A. Wayne, “Pain disorders in neurological practice”, Moscow, Medpress-inform, 2010).

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.

In disciplines such as neurology, psychology, and dentistry, chewing muscles are allotted an important part in responding to emotions. (Wayne A.M., Pain disorders in neurological practice. Moscow, Medpress-inform, 2010). Chewing muscles are the four muscles of the head that provide chewing processes and include chewing, temporal, medial, and lateral pterygoid muscles.

According to a systematic review of more than 500 basic and clinical studies in psychology, neurology and biology, the leading role of stress was identified, leading to spasm in the chewing muscles of the face, which carries a physiological, anatomical and psycho-behavioral negative manifestation among modern people, which in turn, it is the most relevant medical and psychological problem (Mieszko Wieckiewicz, Marek Zietek, Joanna Smardz, Dobrochna Zenczak-Wieckiewicz, Natalia Grychowska Mental Status as a Common Factor for Masticatory Muscle Pain: A Systematic Review / Front Psychol. 2017; 8: 646 Published online 2017 May 9).

The connection between experimentally induced stress and reaction from the chewing muscles has been proved (Autonomic disorders: Clinic, treatment, diagnostics. / Ed. By A. M. Vein. - M.: Medical News Agency, 2000).

Neurological dysfunction such as myofascial facial pain syndrome (MFBL) is also closely associated with increased tonus of the masticatory muscles. It manifests itself in the form of an increase in the overall tension and tone of the masticatory muscles, with a tendency to chronicity of the process, the formation of spasms leading to pain and a decrease in the amplitude of mobility of the jaw apparatus, which currently presents a great medical and psychological problem.

Clinical data of the MBFL analysis showed a co-dependence of spasm of the masticatory muscles from recent stress in 43% of cases detected. It was found that the masticatory muscles react first to stress, after which the voltage is transmitted to other facial muscles (Mingazova L.R. Clinical and physiological analysis and treatment of myofascial facial pain syndrome, Sechenov Moscow Medical Academy, Moscow, 2005).

During the study of patients, among the negative symptoms, frequent compression of the jaws during wakefulness and at night (bruxism) was noted, which in turn was the inclusion of an adaptive reaction of the body in response to stress. (Jochum H., Baumgartner-Gruber A., Zeilhofer H., Leiggener C. Bruxism, myoarthropathy and psychosomatics Swiss Dent J. 2019 Apr 8; 129 (4): 287-292).

Despite the fact that bruxism is a regulatory mechanism for the release of negative emotions and does not have a negative impact at the time of manifestation, under prolonged stress, these reactions become pathological and significantly worsen the quality of life, leading to anatomical and neuron-physiological changes in the form of chronic facial pain of unclear genesis, decreased mobility of the jaw apparatus, tooth abrasion, a change in facial aesthetics.

It should be noted the negative influence of the state of the facial muscles on the emotional centers of the brain according to the principle of the feedback mechanism (facial feedback hypothesis, FFH) and thereby creates and maintains a “vicious emotional circle” with a mutual potentiating effect (Finzi E., Norman A., Rosenthalb E Emotional proprioception: Treatment of depression with afferent facial feedback, Journal of Psychiatric Research. Volume 80, September 2016, Pages 93-96).

Currently, the introduction of botulinum toxin has begun to be applied in the correction of negative emotional states. However, there is growing evidence that such methods of treatment affect the psychological reactions of patients ambiguously - the mechanism of neurobiological recognition among other people is violated, distortions in the interpretation of facial expression occur, and sexual function decreases (Fernandez-Dols J., Carrera P., Crivelli C. Facial Behavior While Experiencing Sexual Excitement. J. Nonverbal Behav. 2011).

Various medications are often used to eliminate myofascial pain syndrome, primarily antidepressants, muscle relaxants, etc. However, pharmacological oversaturation, high allergization of the population, problems of addiction and drug dependence lead to the fact that currently the popularity of non-drug methods of treatment is growing.

In practice to restore the tone of chewing muscles, methods of body-oriented therapy are widely used, which include massage techniques aimed at reducing chronic stress and body clamps, however, most of them are symptomatic, and the treatment efficiency is not more than 5-30%, since the mechanisms of the transition of psychoemotional stress into the somatic sphere remain unknown (Lapshina T.N. Psychophysiological diagnosis of human emotions by EEG indicators, Moscow, 2007).

Among the non-drug methods of treatment and rehabilitation correction of myofascial facial hypertonicity, physiotherapy, adhesive tape application (taping) are used.

A special place in the restoration of masticatory muscles is occupied by myofascial massage - connective tissue massage aimed at inactivating muscle excitation in the facial muscles in order to reduce pain discomfort and improve the psychoemotional state.

Currently, most massage techniques for relieving pain and tension in the chewing muscles work directly in the parotid-chewing area, acting in the projection of the superficial and chewing heads of the chewing muscles. However, it is known that the tone of the masticatory muscles is determined by the chronic stress of numerous anatomical structures directly involved in the functions of chewing and swallowing:

- muscles that ensure the position of the head, pharynx, neck and shoulder girdle (suboccipital, scalene, sublingual, sternocleidomastoid and trapezius muscles);

- ligamentous apparatus of the mandibular system (temporomandibular ligament, long ligaments);

- the muscular system of the diaphragm of the mouth (maxillo-sublingual, double-abdominal, awl-sublingual, submental hyoid, sublingual-lingual muscles);

- gums and tongue.

According to Rudolf Slavichek, isolated work on the restoration of the masticatory muscles is ineffective and it is necessary to involve the muscles of the entire masticatory system in the correction process (Rudolf Slavichek “Chewing Organ”, Publishing House “Dentist's Alphabet”, 2008).

The patent literature also describes various methods and techniques for controlling myofascial facial pain and reducing post-stress muscle tension.

For example, there is a known method of treating patients with myofascial pain dysfunction syndrome (patent RU 2284176 C2, published September 27, 2006), which includes conducting courses of manual, medical and physiotherapeutic effects on the trigger points of a patient of different localization. The active trigger zone is heated with ointment application and a hypertonic compress. After that, ischemic compression of the active trigger points for 10 minutes, passive and active muscle tension with additional traction of the joint, and physiotherapeutic effect on all trigger points with ultrasound are successively performed.

The disadvantages of this method is the limited application. So, applying a warming hypertonic compress to the parotid chewing area is not a safe procedure, since according to the WHO data, about 40% of the population aged 20 to 50 suffer from latent muscular-articular dysfunction of the temporomandibular joint, in which heating of the parotid chewing area can strengthen inflammatory processes. Diagnosis of these disorders by a manual therapist is difficult due to the variety of clinical symptoms. Despite the fact that the method is intended to eliminate myofascial pain syndrome of various localization, it becomes unclear how to inactivate trigger points with a group of hyoid bone muscles, chewing and temporal muscle, since manual work in this area requires separate instructions for execution. Work with gums, tongue, lower and upper jaw, ligamentous apparatus, which can not only support, but also provoke the development of tension in the masticatory muscles, is not disclosed.

A known method for the correction of prognathic bite according to S.N. Finchenko (patent RU 2460505 C1, published September 10, 2012), aimed at relaxing the masticatory muscles of the face and neck. At the first stage, deep tucks are performed with turns along the entire front surface of the neck for 40-45 seconds. At the second stage, frequent, streaking shifts of the platen from the massed tissue over the entire surface of the fascia over the pectoralis major and deltoid muscle 35-40 sec. At the third stage - slow pinches of massaged tissue with subcutaneous fascia of the upper quadrant of the chest 1 min. In the fourth, they massaged tissue with fascia of the upper quadrant of the chest, 2 min. On the fifth - perform frequent superficial cruciate hatching on the entire front surface of the neck for 30-40 seconds. At the sixth stage - longitudinal strokes in the upper segment of the pectoralis major muscle 20 sec. All stages of massage are performed 3-4 times per session.

The main disadvantage of this method is that all manipulations are performed by a doctor and exclude independent use by patients. In addition, the proposed method does not provide a combination of therapeutic therapy with therapeutic exercises, which prevents the formation of the correct motor stereotype and reduce mobility restrictions on the part of the cervical spine (turns, inclinations). The method is mainly aimed at the study of the cervical muscles, providing the position of the head, pharynx, neck and shoulder girdle in order to correct the prognathic bite. At the same time, the integrative approach is ignored in the process of working with other elements of the masticatory apparatus - with the ligaments of the mandibular system, the muscular system of the diaphragm of the mouth, gums and tongue, and directly the masticatory muscles. In addition, deep pinches on the front surface of the neck, performed at the first stage without preliminary preparation and heating of superficial tissues, can become painful procedures due to the chronic tension of these muscles, therefore, preliminary heating and preparation of tissues (stroking, ischemic compression, acupressure, vibration).

A known method of improving the condition of the skin of the face and neck of a person in cosmetology by the method of "volumetric relaxation" (patent RU 2245704 C2, published 02.10.2005), including psychotherapeutic effects, directed energy work and muscular-fascial practice. The therapeutic effect of deep relaxing massage and stretching of the tendon muscles is transmitted through special exercises from distant parts of the body to the muscles and fascia of the face and neck. At the stage of myofascial relaxation, a neck-collar zone massage, hand massage and facial tension mask removal, acupressure of biologically active points and linear massage with the aim of turning on and cleaning the energy channels are performed.

The specified method has the following disadvantages. It is not clear from the formula and description of the invention how the “stress masks” are removed in a specific way and what is included in this concept, as well as how the proposed method eliminates myofascial hypertonicities in the facial muscles, which require separate diagnostics and manual study (J. Travel, L. Simons, “Myofascial pain and dysfunction.” Medicine, 2005). There are no working methods to reduce the tension of the masticatory muscles, whereas it is the effect on the masticatory apparatus of the face that effectively corrects the processes of excitation and inhibition in the limbic-reticular complex and stabilizes the psycho-emotional state of patients.

A known method of correction of the psycho-emotional state using facial massage (patent RU 2691254 C1, published 11.06.2019), including neuromuscular relaxation, including massage of the soft tissues of the scalp and face. The method involves identifying foci of pathological muscle tension in the muscles and performing massage manipulations to reduce muscle tone in these areas. A course of 10-15 procedures. The method allows to reduce pathological arousal in the facial muscles, due to which the vicious circle between hyperactive facial muscles and negative emotional states of the patient is opened, which positively affects the patient's psychoemotional state.

The proposed method has the following disadvantages. The method is based on the technique of detecting and stretching sections of the tendon-muscle strand from the intermaxillary or inter-wing-shaped space in the middle and lower part of the face - in the area where the muscular base of the cheek does not have bone support. However, this work algorithm is designed to work with the muscular tissue of the cheek and does not provide for work with chewing muscles in view of their tight attachment to the zygomatic arch and the outer surface of the lower jaw branch. Therefore, in relation to the masticatory muscles, the proposed method cannot be applied. Limited attention is paid to the development of cervical and masticatory muscles - as part of the preparatory procedure to reduce fibrous adhesions and improve the lymphatic drainage effect, which is insufficient to restore the masticatory apparatus. Also, this method offers a specialist to perform the procedure and does not imply independent use due to the complexity of the presented technique for identifying tendon-muscle cords in the face.

Thus, the known methods have the following disadvantages. Firstly, there is no comprehensive approach that takes into account the work with all elements of the chewing apparatus. Secondly, the proposed massage techniques have several limitations in working with the masticatory muscles in view of their anatomical structure and depth of location. Thirdly, the disadvantage of the known methods is the general approach to restoring the functional activity of the masticatory muscles, while the masticatory apparatus requires specific and detailed work on each of its elements in order to ensure stable psycho-emotional relaxation. Fourth, the proposed methods do not imply independent use by patients, whereas during a period of negative psycho-emotional state caused by stress, the self-massage procedure can significantly facilitate the quality of life, reduce psycho-somatic stress and promote relaxation.

SUMMARY OF THE INVENTION

The proposed method of reducing the hypertonicity of chewing muscles is a myofascial massage aimed at improving the psychoemotional status of patients through a decrease in hypertonicity in the chewing muscles. The method is based on the therapeutic effect of facial feedback (muscle-brain) from the sequential implementation of techniques (exercises). The method is based on the regulation of the processes of muscle excitation and contraction of the facial muscles responsible for the formation of an imbalance in the neuromuscular system of the mandibular region. All techniques are performed in static and static-dynamic mode.

Thanks to the claimed method, the patient can achieve both physiological and psychoemotional results. Decreasing the tonus of nociceptors of chewing muscles through manual exposure leads to the restoration of its tone, improves trophism and innervation (reduction of compression of nerve processes by edematous tissues), removal of accumulated metabolic products from the muscle, thereby leveling the toxic effect of cell metabolism products on muscle tissue, and reducing the inflammatory response , and this leads to a decrease in fibrosis of the connective tissue, improves drainage, maintains healthy activity of muscle tissue and cells, mobility. The load on the capsule of the temporomandibular joint is reduced and this is a prevention of the development of its arthrosis, limitation of trophic articular surfaces of bones. By the mechanism of muscle feedback, an effect is made on the sensorimotor zones of the cerebral cortex, the limbic system, which interrupts the mechanism of their pathological activity. In turn, this activation eliminates the pathological stereotype of emotion-spasm in the area of chewing muscles and gives psycho-emotional relaxation to the patient.

Thus, the technical results are:

- restoration of reflex reactions and normotonicity of facial muscles, including improving the quality of chewing, swallowing and articulation, correction of bruxism and gritting of teeth, treatment of myofascial facial pain syndrome;

- a decrease in central nervous system arousal and an improvement in psychoemotional states, including stress relief, anxiety reduction, even breathing, and a state of relaxation;

- relaxation and changing the balance of tension in the field of chewing fascia, articular ligaments, muscles of the craniomandibular system, muscles of the diaphragm of the mouth, including relaxation of facial muscles through a decrease in primary chronic tension in the chewing muscles, restoration of the balance of the temporomandibular joints, restoration of facial proportions, correction of the position of the lower jaw.

In addition, an aesthetic effect is achieved - tissue tightening under the chin, the formation of a deep submandibular line, a decrease in edema in the mandibular region, and a more relaxed facial expression.

To achieve the indicated technical results, a method for reducing the hypertonicity of chewing muscles is implemented, which consists in applying massage movements and gymnastics to the anatomical structures of the head, neck and shoulder girdle, characterized in that they perform sequential effects on the tissues, muscles and other anatomical structures of each element of the chewing system, performing sets of exercises, consisting of five groups of exercises, which are massage movements and / or gymnastics techniques and affecting each element of the chewing system: the muscular system, which provides the position of the head, pharynx, neck and shoulder girdle, ligamentous apparatus of the craniomandibular system, muscle system the diaphragm of the mouth, gums and tongue, chewing muscles, the effect is carried out in 1 to 5 stages, while at each stage at least one exercise of any of the five groups of exercises affecting the elements of the chewing system is included in the exercise complexes, while the exercise from the group is chosen in random order, and the elements of the chewing system are worked out sequentially.

For the purposes of the present invention, five elements of the human chewing system are defined:

• the first element is the muscular system, which provides the position of the head, pharynx, neck and shoulder girdle,

• the second element is the ligamentous apparatus of the cranial-mandibular system,

• the third element is the muscular system of the diaphragm of the mouth,

• the fourth element is the gum and tongue,

• the fifth element is the chewing muscles.

Each element has a set of anatomical structures that are exposed according to the claimed method. For the first element of the masticatory system, these are the suboccipital muscles, scalene muscles, sternum-hyoid muscle, scapular-hyoid muscle, sternum-thyroid, thyroid-hyoid muscle, sternocleidomastoid muscle, trapezius muscle. For the second element of the masticatory system, such structures are the temporomandibular ligament, the sphenoid-mandibular ligament, the mandibular ligament, the winged ligament, and the alpha ligament. For the third element of the masticatory system, it is the jaw-hyoid muscle, the biliary muscle, the chin-hyoid muscle, the hyoid-lingual muscle, the stylohyoid muscle, and for the fourth element of the chewing system, the alveolar process of the upper jaw, the alveolar part of the lower jaw. The anatomical structures of the fifth element of the chewing system are: temporal muscle, chewing muscle, medial pterygoid muscle, lateral pterygoid muscle.

The complexes of exercises that affect each element of the chewing system are composed of exercises that are selected from five groups:

• the first group of exercises includes exercises to relax the group of the suboccipital muscles, receiving correction of the scalene muscles, sculpting the submandibular line, softening the sternocleidomastoid muscle, correcting the sternocleidomastoid muscle, reducing hypertonicity in the upper back,

• the second group - exercises: massage of the zygomatic arch, stress relief through the ligaments of the temporomandibular joint, correction of the temporomandibular ligament,

• the third group - exercises: relaxation of the muscles of the bottom of the mouth, correction of the double chin, elimination of muscle blocks of the bottom of the mouth, horizontal tucks of the submandibular line, massage of the jaw line,

• the fourth group - exercises: correction of the shape and volume of the upper lip, correction of the shape and volume of the lower lip, relaxation of the muscles of the tongue,

• fifth group - exercises: massage of the temporal muscles, circular muscles of the eyes, supracranial aponeurosis, relaxation of the temporal fascia, neuromuscular relaxation of the masticatory muscles, acupressure of the masticatory muscles, tissue alignment in the zygomatic region, 3-stage massage of the parotid-masticatory region, articular plastic relaxation of the masticatory muscles, massage of the masticatory muscles, alignment of the middle part of the face, tucks of the masticatory region, tissue horseshoe in the parotid-masticatory region, alignment of tissues in the zygomatic region, formation of the jaw angle, correction of neuromuscular tension.

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, pushing, combing, razvolnaya movements are carried out.

As massage movements use rotational, circular, zigzag, spiral movements.

Exercises are selected into complexes in such a way that the implementation of the complexes leads to the restoration of reflex reactions and normotonicity of the facial muscles, a decrease in the excitation of the central nervous system and an improvement in psychoemotional states. Also, the implementation of the complexes allows for relaxation and a change in the balance of tension in the area of chewing fascia, articular ligaments, muscles of the craniomandibular system, muscles of the diaphragm of the mouth, restoration of the balance of the temporomandibular joints, restoration of facial proportions, correction of the position of the lower jaw. In addition, an aesthetic effect is achieved - tissue tightening under the chin, the formation of a deep submandibular line, a decrease in edema in the mandibular region, and a more relaxed facial expression.

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

The study of exercises can be carried out through independent study of the exercises provided in 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. All sets of exercises 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 complex of exercises as a whole can vary depending on the individual pain sensitivity of the patient, the degree of age-related changes, and also the depth of the exposure. 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 yet 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, neck and chest area, including chewing muscles, is carried out, and after completion of the last stage, final testing of the state of tissues and muscles of the face is carried out, neck and chest area, including chewing muscles.

Testing includes tests to determine the state of tissues and muscles of different parts of the head, neck and chest, 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 positions of the hands, head, neck and body when performing Exercise No. 1 - Reception "Hook" (relaxation of the group of the occipital muscles).

In FIG. 2 presents photographs that depict the positions of the hands, head and neck when performing Exercise No. 2 - “Staircase” (correction of scalene muscles).

In FIG. 3 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 3 - Sculpting the submandibular line.

In FIG. 4 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 4 - Softening the sternocleidomastoid muscle.

In FIG. 5 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 5 - Correction of the sternocleidomastoid muscle displacement.

In FIG. 6 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 6 — lowering hypertension in the upper back (“Lever”).

In FIG. 7 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 7 - zygomatic arch massage (“Ironing”).

In FIG. Figure 8 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 8 - Relieving tension through the ligaments of the temporomandibular joint.

In FIG. 9 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 9 - Correction of the temporomandibular ligament.

In FIG. 10 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 10 - “Stop-forward” (relaxation of the muscles of the bottom of the mouth).

In FIG. 11 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 11 - Reception "Gimlet" (elimination of muscle blocks of the bottom of the mouth).

In FIG. 12 presents photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 12 - Correction of the Double Chin.

In FIG. 13 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 13 - Reception "Horizontal Tucks of the Submandibular Line".

In FIG. 14 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 14 - Massage "Chisel" (massage of the jaw line).

In FIG. 15 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 15 - Correction of the shape and volume of the upper lip.

In FIG. 16 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 16 - Correction of the shape and volume of the lower lip.

In FIG. 17 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 17 - Relaxing the muscles of the tongue.

In FIG. 18 presents photographs that depict the positions of the hands, head, neck and body during Exercise No. 18 - Lifting-PRO (massage of the temporal muscles, circular muscles of the eyes, transcranial aponeurosis).

In FIG. 19 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 19 - Relaxation of the temporal fascia.

In FIG. 20 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 20 - Alignment of tissues in the zygomatic area.

In FIG. 21 presents photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 21 - Neuro-muscular relaxation of the masticatory muscles.

In FIG. 22 presents photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 22 - Acupressure for the masticatory muscles.

In FIG. 23 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 23 - a 3-stage massage of the parotid-chewing area.

In FIG. 24 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 24 - Articular-plastic relaxation of the masticatory muscles.

In FIG. 25 shows photographs showing the positions of the arms, head, neck and body during Exercise No. 25 - Chewing muscles: 50 rotations (massage of the chewing muscles).

In FIG. 26 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 26 - Reception "Alignment of the middle part of the face."

In FIG. 27 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 27 - Express relaxation of the masticatory muscles (tucks of the masticatory area).

In FIG. 28 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 28 - Tissue horseshoe in the parotid-masticatory region.

In FIG. 29 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 29 - “Hypotenuse” (formation of the jaw angle).

In FIG. 30 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 30 - Correction of neuromuscular tension.

In FIG. 31 are photographs showing pretesting.

In FIG. 32 shows photographs of the final testing.

SUMMARY OF THE INVENTION

The inventive method is as follows.

The method is based on the therapeutic effect of facial feedback (muscle-brain) from the sequential implementation of techniques (exercises). The method is based on the regulation of the processes of muscle excitation and contraction of the facial muscles responsible for the formation of an imbalance in the neuromuscular system of the mandibular region. All techniques are performed in static and static-dynamic mode.

A way to reduce the hypertonicity of the chewing muscles is to influence the anatomical structures of the head, neck and shoulder girdle with massage movements and gymnastics. When exposed, massage and deep massage movements can be used.

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, pushing, combing, razvolnaya movements are carried out.

As massage movements use rotational, circular, zigzag, spiral movements.

When performing the inventive method, sequential effects on tissues, muscles and other anatomical structures of each element of the chewing system are performed.

According to the claimed method, five elements of the human chewing system are distinguished:

• the first element is the muscular system, which provides the position of the head, pharynx, neck and shoulder girdle,

• the second element is the ligamentous apparatus of the cranial-mandibular system,

• the third element is the muscular system of the diaphragm of the mouth,

• the fourth element is the gum and tongue,

• the fifth element is the chewing muscles.

Each element has a set of anatomical structures, which according to the claimed method are exposed to achieve the claimed technical result. For the first element of the masticatory system, these are the suboccipital muscles, scalene muscles, sternum-hyoid muscle, scapular-hyoid muscle, sternum-thyroid, thyroid-hyoid muscle, sternocleidomastoid muscle, trapezius muscle. For the second element of the masticatory system, such structures are the temporomandibular ligament, the sphenoid-mandibular ligament, the mandibular ligament, the winged ligament, and the alpha ligament. For the third element of the masticatory system, it is the jaw-hyoid muscle, the biceps muscle, the chin-hyoid muscle, the hyoid-lingual muscle, the stylohyoid muscle, and for the fourth element of the chewing system, the alveolar process of the upper jaw, the alveolar part of the lower jaw. The anatomical structures of the fifth element of the chewing system are: temporal muscle, chewing muscle, medial pterygoid muscle, lateral pterygoid muscle.

The claimed method of reducing the hypertonicity of chewing muscles is carried out in 1 to 5 stages.

At each stage, sets of exercises are performed, consisting of five groups of exercises, which are massage movements and / or gymnastics techniques.

The complexes of exercises that affect each element of the chewing system are composed of exercises that are selected from five groups:

• the first group of exercises includes exercises to relax the group of the suboccipital muscles, receiving correction of the scalene muscles, sculpting the submandibular line, softening the sternocleidomastoid muscle, correcting the sternocleidomastoid muscle, reducing hypertonicity in the upper back,

• the second group - exercises: massage of the zygomatic arch, stress relief through the ligaments of the temporomandibular joint, correction of the temporomandibular ligament,

• the third group - exercises: relaxation of the muscles of the bottom of the mouth, correction of the double chin, elimination of muscle blocks of the bottom of the mouth, horizontal tucks of the submandibular line, massage of the jaw line,

• the fourth group - exercises: correction of the shape and volume of the upper lip, correction of the shape and volume of the lower lip, relaxation of the muscles of the tongue,

• fifth group - exercises: massage of the temporal muscles, circular muscles of the eyes, supracranial aponeurosis, relaxation of the temporal fascia, neuromuscular relaxation of the masticatory muscles, acupressure of the masticatory muscles, tissue alignment in the zygomatic region, 3-stage massage of the parotid-masticatory region, articular plastic relaxation of the masticatory muscles, massage of the masticatory muscles, alignment of the middle part of the face, tucks of the masticatory region, tissue horseshoe in the parotid-masticatory region, alignment of tissues in the zygomatic region, formation of the jaw angle, correction of neuromuscular tension.

At each stage, at least one of any of the five groups of exercises is included in exercise complexes.

Exercises are performed as follows.

Exercise No. 1 Reception “Hook” (relaxation of the group of the occipital muscles), FIG. 1

They work with the right hand on the right side, with the left hand - on the left side. Keep your head straight. The index finger of one hand is bent in the shape of a “hook” and placed with the middle side on the cranio-vertebral transition from the same side.

Then they direct the head to the working hand and fix this position until the finger is firmly in contact with the working surface for about 5-10 seconds. Further, preserving the depth, they perform a pushing-rolling movement with a finger from the cranio-vertebral transition down the entire surface of the neck, while simultaneously directing the chin down a few centimeters.

In this way, the entire back surface of the neck is treated on the right or left side. Then they change their hands and perform the exercise from the other side.

Exercise is performed at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the superior excision line and its tendon bundles, the tendonous attachment of the muscle that raises the shoulder blade, the tendonous attachment of the small and large rhomboid muscles, the tendonous attachment of the belt muscles of the head, the major occipital nerve, and the semi-shaft muscles of the head muscles of the back of the neck.

Exercise No. 2 “Ladder” (correction of scalene muscles), FIG. 2

The head is slowly turned to the right until you feel the first discomfort. Next, fix this position for at least 15 seconds.

Next, direct the chin down, the speed of approximately 1 mm per second. When you feel the first discomfort, the movement is stopped and this position is fixed for at least 15 seconds.

Then the chin begins to move up, the speed of movement is 1 mm per second. When you feel the first discomfort, the movement is stopped and this position is fixed for at least 15 seconds. The exercise is repeated on the left side.

Exercise is performed at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: scalene (front, middle, back) muscles, sternocleidomastoid muscle, arteries, veins and lymph vessels and nodes of the posterior-lateral and lateral surfaces of the neck.

Exercise No. 3 Sculpting the submandibular line, FIG. 3

The elbow of the working hand is placed on the table, the edge of the palm of the working hand is built into the submandibular line from the same side (the right hand works with the right side), and they put pressure on the soft tissues of the submaxillary region without touching the laryngeal pharyngeal structure. With the other hand, gently press on the collarbone, creating a slight tension of the tissues between the two hands. This position is fixed for 20-30 seconds. The exercise is repeated for the other side.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: platism, sternocleidomastoid muscle, biceps muscle, maxillary hyoid muscle.

Exercise No. 4 Softening the sternocleidomastoid muscle, FIG. 4

Work with the sternocleidomastoid muscle, first from one, then from the other side. 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.

Holding the sternocleidomastoid muscle, the hands are directed towards each other and fix this position for 20-30 seconds.

The thumbs and index fingers of both hands begin to perform kneading, stretching, rubbing, and dragging massage movements aimed at softening the sternocleidomastoid muscle for 1-2 minutes.

These movements are carried out either individually or sequentially.

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

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the sternocleidomastoid muscle, indirectly the biceps and chewing muscles, lymphatic vessels and nodes of the anterolateral surface of the neck and corticosteroids, blood vessels of the anterolateral surface of the neck and corticosteroids.

Exercise No. 5 Correction of the sternocleidomastoid muscle displacement (sternocleidomastoid muscle displacement), FIG. 5

The upper portion of the sternocleidomastoid muscle is taken with two hands in a tick-borne grip with the index and thumb, and pre-massaged, warming up with kneading and shaking movements.

Then they change their position and put their hand so that the thumb of one hand with its side pressed to the front edge of the upper portion of the sternocleidomastoid muscle from the same side. The finger is fixed, and then pressure is applied to the sternocleidomastoid muscle in the direction of the mastoid process of the temporal bone. The head is lowered down. This position is fixed for 20-30 seconds. After that perform soft stretching and lengthening of the working surface.

The exercise is repeated for the other side.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the sternocleidomastoid muscle, indirectly the biceps and masticatory muscles, lymph vessels and nodes of the anterolateral surface of the neck and corticosteroids, blood vessels of the anterolateral surface of the neck and corticosteroids.

Exercise No. 6 "Lever" (lowering hypertonicity in the upper back), Fig. 6

Exercise is performed while sitting with your back or semi-side to the table, chair with back or to any high support. The exercise is performed first one (for example, the right), then the other (left) side.

The right arm is bent at the elbow joint and the palm is placed on a support. The right shoulder blade is directed to the spine. The head is laid on the right shoulder.

In this position, slowly begin to straighten the elbow of the right hand and at the same time resist the head to the sensation of compression of the upper portion of the trapezius muscle on the right. Fix this position for at least 30 seconds.

Then they perform stretching - put the fingers of both hands on the trapezius muscle, fix this position until the fingers feel pressure on the working surface for about 5-10 seconds. Fingers can be index, middle, and ring. Further, while maintaining depth, they direct their hands in different directions, by stretching the trapezius muscle for at least 30 seconds.

At the first stage, stretching is performed in large sections: the fingers of one hand are placed on the shoulder girdle, the fingers of the second hand are placed on the back of the head at the border of the hairline, and directed in different directions. At the second stage, stretching is performed in small sections - the fingers of both hands are placed on the trapezius muscle at a distance of 3-5 cm from each other and sent in different directions. At the third stage, the fingers perform kneading, rubbing, stretching massage movements aimed at softening the trapezius muscle for 1-2 minutes. The first, second and third stages of stretching can be performed together and separately, in any sequence.

Next, the exercise is performed on the left side.

Exercise is performed at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: trapezius muscles, spine - cervical spine, arteries, veins, lymphatic vessels and nodes of the back of the neck and upper back.

Exercise No. 7 “Ironing” (zygomatic arch massage), FIG. 7

The Latin letter V is formed from the index finger and thumb, placing the fingers in such a way that the zygomatic arch is between them. Fingers tightly pressed to the working surface. They begin to move from the outer corner of the eye towards the ear.

Perform pushing or vibrating movements in the place of the fingers, aimed at heating and relaxing the working surface for 10-20 seconds. Fingers tightly pressed to the massaged area and do not displace. Then, with a rolling-pushing movement, the fingers are shifted by 3-5 mm to the side of the ear and again pushing or vibrating massage movements are performed for 10-20 seconds. Thus, all tissues attached to the zygomatic arch are treated.

In painful areas, the movement is stopped for 20 seconds and reduce the load on the tissue, waiting for a decrease in pain.

At the end of the exercise, they perform a test movement - carry out a single rolling movement along the zygomatic arch at least once. The movement should be soft. Next, perform the reception on the other hand.

The following tissues, muscles, and other anatomical structures are involved in the exercise: zygomatic arch, tendon bundles of the zygomatic arch, temporomandibular ligament, chewing muscle, temporal muscle, lateral pterygoid muscle, medial pterygoid muscle.

Exercise No. 8 Relieving stress through the ligaments of the temporomandibular joint, FIG. 8

The chin is slightly lowered down. The mouth is opened in the position of the letter "O". The index and middle fingers of the working hand are placed in a recess around the head of the temporomandibular joint. Finger pads slowly immerse inward, creating pressure on the tissue. Further, preserving the depth, a rolling-pushing movement is performed with the fingers down 2-3 cm, the movement is stopped at the earlobe. Movement speed - 1 mm per second. Then the fingers are returned to their original position, and a rolling-pushing movement of the fingers forward and down by 1 cm is performed, bypassing the head of the temporomandibular joint on the other hand. At the same time, the pressure depth is still maintained.

Next, put the thumb of the working hand under the lower jaw at a distance of 2 cm from the angle of the lower jaw to a depth of 5-10 mm. Next, a rolling-pushing movement is performed in the direction of the angle of the lower jaw, around it. The movement ends near the ear.

Next, change the working arm and repeat the exercise on the other hand.

Exercise is performed at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the zygomatic bone, tendon attachment of the masticatory muscle, capsule of the temporomandibular joint, the lateral ligament of the temporomandibular joint, the sphenoid-mandibular ligament, the axillomandibular ligament.

Exercise No. 9 Correction of the temporomandibular ligament (V-lifting through the ear region), FIG. 9

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. The middle and forefinger are set in the form of the letter "V" ("fork") in the initial position so that the earlobe is located between the middle and forefinger. In this position, the head is tilted to the working hand, and this position is fixed until the fingers feel pressure on the working surface for about 5-10 seconds. Further, while maintaining depth, perform a slow rolling-pushing movement with the fingers up, along the ear. The exercise is repeated at least one to three times at a speed of 1 mm per second. In the area of greatest resistance and pain, the movement stops and fixes this position for about 15 seconds.

Exercise is performed at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the zygomatic arch, chewing muscles, own parotid-chewing fascia, parotid salivary gland, upper, back, anterior auricular muscles, temporomandibular ligament, mastoid process of the temporal bone, sternoclavicular -mastoid muscle, parotid lymph nodes, lower jaw

Exercise No. 10 “Stop-forward” (relaxation of the muscles of the bottom of the mouth), FIG. 10

The thumb is placed under the lower jaw to a depth of 5-10 mm. The finger is positioned so that its distal phalanx is pressed to the lower jaw from the inside. The remaining fingers are placed on top of the cheek, they do not participate in the reception.

Then, with the thumb, they exert mechanical pressure on the muscular tissue of the bottom of the mouth. When the movement of the thumb is limited by the strained muscles of the bottom of the mouth, the thumb is fixed in this position for 10-20 seconds, while the pressure on the tissue with the thumb is not weakened. After 10-20 seconds, by palpation tracking the therapeutic effect of muscle relaxation in the form of greater softness and elasticity of the muscles of the bottom of the mouth, the thumb is again directed upward, creating mechanical pressure on the muscle of the bottom of the mouth until the next restriction of movement by the tense muscles of the bottom of the mouth.

Thus, perform 2-3 manipulations with the thumb in one position, processing this technique with the entire submandibular region on the right and left sides.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: maxillary hyoid muscle, anterior abdomen of the bridal muscle, sublingual-lingual muscle, thyroid hyoid muscle, upper abdomen of the scapular-hyoid muscle, sternum-hyoid muscle, sternum-thyroid muscle scapular-hyoid muscle, posterior abdomen of the bridal muscle, stylohyoid muscle, chin-hyoid muscle, chin-lingual muscle, cartilaginous muscle, superficial fascia of the neck, lower jaw, hyoid bone, submandibular submandibular glands.

Exercise No. 11 Reception "Gimlet" (removal of muscle blocks of the bottom of the mouth), Fig. eleven

The thumb is lifted vertically upwards and placed under the lower jaw to a depth of 5-10 mm. Next, the thumb begins to perform circular rotational movements of a small diameter, exerting mechanical pressure on the muscular tissue of the bottom of the mouth. When the movement of the thumb is limited by the strained muscles of the bottom of the mouth, the thumb is fixed in this position for 10-20 seconds, while the thumb continues to perform circular rotational movements of a small diameter. After 10-20 seconds, by palpation tracking the therapeutic effect of muscle relaxation in the form of greater softness and elasticity of the muscles of the bottom of the mouth, the thumb is moved to another point of the submandibular region and the reception is repeated.

They process the entire submandibular region on the right and left sides with this technique.

Exercise is performed for at least 2 minutes.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: maxillary hyoid muscle, anterior abdomen of the bridal muscle, sublingual-lingual muscle, thyroid hyoid muscle, upper abdomen of the scapular-hyoid muscle, sternum-hyoid muscle, sternum-thyroid muscle scapular-hyoid muscle, posterior abdomen of the bridal muscle, stylohyoid muscle, chin-hyoid muscle, chin-lingual muscle, cartilaginous muscle, superficial fascia of the neck, lower jaw, hyoid bone, submandibular submandibular glands.

Exercise No. 12 Double chin correction, FIG. 12

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 do not weaken.

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, the following tissues, muscles and other anatomical structures are involved: a group of suprahyoid muscles.

Exercise No. 13 Reception "Horizontal tucks of the submaxillary line", Fig. thirteen

On an arbitrary section of the submandibular zone of the neck, with the thumb and forefinger of both hands, create a forceps-like grip of a horizontal fold 2-4 cm long. Next, produce 5-7 hands intercepting the fold, during which the maximum volume of tissues, veins, lumps, and densified sections are pulled , nodes, fibrous areas, adhesions of the skin with integumentary tissues, local seals, “retracts” of the muscle or its individual bundles.

The thumbs and index fingers are placed on the center of the collected folds and perform a squeezing movement from the center in different directions. In this way, they work along the entire perimeter of the submandibular zone on the left and on the right side.

When performing the exercise, the following tissues and muscles are involved: maxillary hyoid muscle, anterior abdomen of the bridal muscle, sublingual-lingual muscle, thyroid hyoid muscle, upper abdomen of the scapular-hyoid muscle, sternum-hyoid muscle, sternum-thyroid muscle, lower abdomen , posterior abdomen of the bridal muscle, awl-sublingual muscle, chin-hyoid muscle, chin-lingual muscle, cartilage muscle, superficial fascia of the neck, lower jaw, hyoid bone, submandibular lymph nodes, submandibular salivary.

Exercise No. 14 Massage "Chisel" (massage of the jaw line), Fig. 14

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.

Movement starts from the center of the lower jaw towards the ears. The fingers of one hand fix tissue. The fingers of the second hand (working) actively knead all tense or densified areas along the jaw line.

The movements are carried out with two fingers: the thumb kneads the tissues, softens them, slides tightly under the jaw line, the index finger smoothes, shifts, kneads swollen and strained tissues.

Next, the fixing and working hands are changed and the exercise is performed on the other side of the face.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: arch of the lower jaw, subcutaneous muscle of the neck, jaw-hyoid muscle, biceps muscle, stylohyoid muscle, chin-hyoid muscle, chin muscle, chewing muscle, muscle lowering the lower lip, lowering the angle of the mouth, blood and lymph vessels of the lower third of the face

Exercise No. 15 Correction of the shape and volume of the upper 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.

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.

The following tissues, muscles, and other anatomical structures are involved in the exercise: circular muscle of the mouth, large zygomatic muscle, small zygomatic muscle, muscle that lifts the angle of the mouth, muscle that lifts the upper lip and wing of the nose, muscle that lifts the upper lip, muscle that lowers the septum nose, arteries, veins and lymphatic collectors of the middle part of the face.

Exercise No. 16 Correction of the shape and volume of the lower lip, Fig. fifteen

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 a 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 following tissues, muscles, and other anatomical structures are involved in the exercise: 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 No. 17 Relaxation of the muscles of the tongue, FIG. 17

The thumb and forefinger of both hands create a tick-borne grip on the top of the tongue. Then fingers are slowly directed towards each other, creating compression of the working area. When pain is achieved in 5-6 points out of 10, this position is fixed for about 15-20 seconds. Then fingers are moved to another part of the tongue and the manipulations are repeated. This technique is used to process the entire surface of the tongue from the apex to the root.

Exercise is performed at least 1 time.

The following tissues, muscles and other anatomical structures are involved in the exercise: body, apex and root of the tongue, chin muscle, styloid muscle, upper longitudinal muscle of the tongue, lower longitudinal muscle of the tongue, hyoid muscle, palatine muscle, palatopharyngeal muscle, arteries , veins and lymphatic collectors of the lower part of the face.

Exercise No. 18 Lifting-PRO (massage of the temporal muscles, circular muscles of the eyes, transcranial aponeurosis), FIG. eighteen

Starting position: the chin is tilted down, the fingers of both hands are placed in the form of a comb and placed at the temples. Using a combing motion, move the fingers upward over the temples and grab the hair at the roots in the projection of the temporal muscle and stretch perpendicularly up to the appearance of pain 5-6 points out of 10.

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 following tissues, muscles and other anatomical structures are involved: the temporal muscle, the temporal part of the cranial aponeurosis, the chewing muscle, and the circular muscle of the eye.

Exercise No. 19 Relaxation of the temporal fascia (50 rotations at the attachment points of the temporal muscle), FIG. nineteen

The pads of two or three fingers (fingers can be index, middle or ring) of the working hand are placed over the zygomatic arch of the corresponding side of the face (left hand - left side, right hand - right side), and firmly pressed to the tissues. The second hand is thrown over the head, and the index, middle, ring fingers and little fingers are placed on the temporal region above the working arm, and then the tissues of the temporal region are lifted upwards and fixed in this position throughout the entire reception. The fingers of the working hand perform massaging kneading circular motion - rotation. From 10 to 60 rotations are performed, preferably 50 rotations, after which the fingers of the working hand are placed on another section above the zygomatic arch, and again 10 to 60 rotations are performed in circular massage movements. Thus, the entire area is processed over the zygomatic arch. Next, the fixing and working hands are changed, and the reception is performed on the other side of the face.

Exercise is performed at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the zygomatic bone, temporal muscle, tendon attachment of the temporal muscle, temporal muscle fibers from the zygomatic bone to the angle of the lower jaw, chewing muscles.

Exercise No. 20 Alignment of tissues in the zygomatic region, FIG. twenty

The elbow of the working hand is put on the table. The chin is lowered to relax the suboccipital region.

The index finger of the working hand is bent in the shape of a “hook” and placed sideways on the zygomatic arch. This position is fixed for about 5 seconds until the sensation of tight contact with the tissues. Keeping depth, perform a slow rolling-pushing movement towards the ear. In places where movement is difficult or there is pain, the movement is stopped for about 10-15 seconds until pain is reduced. The movement is repeated at least 1 time.

Next, change the working arm and perform the exercise on the other side of the face.

The exercise is repeated at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the zygomatic arch, chewing muscle, temporal muscle, lateral pterygoid muscle, medial pterygoid muscle, tendon bundles of the zygomatic arch.

Exercise No. 21 Neuro-muscular relaxation of the masticatory muscles, FIG. 21

Exercise is performed in the parotid chewing area on the right and left sides. The thumb and forefinger of both hands create a forceps-like grip of a horizontal fold 2-3 cm long at the outer corner of the eye. Next, the grip is pulled vertically upwards to the maximum lifting height and 5-7 hand movements are taken that intercept the fold, during which the maximum volume of fibrous areas, skin adhesions with integumentary tissues, “retraction” of the muscle or its individual bundles are pulled. In places of strong adhesions of the skin with integumentary tissues, where the fold is difficult to keep, the movement is stopped and vibrating, compressing, pressing, relaxing, shaking, stretching and kneading massage movements are performed, aimed at softening and warming the tissues inside the fold.

Next, the fold is stretched in the direction from the center to the sides, and slowly rolled diagonally downwards towards the jaw angle by 1-2 cm, after which the procedure is repeated - 5-7 hand movements intercepting the fold are made, corrective massage movements are performed, the fold is stretched in the direction from the center to the sides and roll 1-2 cm down to the corner of the jaw.

Thus, the entire lateral part of the face is treated from the outer corner of the eye to the angle of the lower jaw.

The following tissues, muscles and other anatomical structures are involved in the exercise: chewing muscle, temporal muscle, lateral pterygoid muscle, medial pterygoid muscle, tendon bundles of the zygomatic arch.

Exercise No. 22 Acupressure of the masticatory muscles, FIG. 22

Parotid-chewing area is conventionally divided into three portions - upper (under the zygomatic arch), middle (at the level of the tragus of the ear) and lower (at the level of the earlobe). Start to work with the middle portion of the parotid-chewing area. The elbow of the working hand on the same side is put on the table. The chin is slightly lowered down. The mouth is opened in the position of the letter "O".

Choose one of the options for the starting position, based on the comfort of the reception. Starting position No. 1 - the index finger of the working hand, bent by a “hook”, is placed at the inner edge of the lower jaw branch, the thumb of the working hand is placed opposite the index on the outer edge of the lower jaw and capture the edge of the lower jaw.

Starting position No. 2 - expand the palm of the working hand so that the inner surface of the thumb is located at the inner edge of the lower jaw branch, and the other fingers of the working hand (these can be index, middle or ring fingers) capture the outer edge of the lower jaw.

From the starting position, the thumb and forefinger are directed towards each other, creating compression until pain occurs 5-6 points out of 10.

They fix the position until the intensity of pain decreases by half. After that, the large and the index are again directed towards each other, creating compression until pain sensations 5-6 points out of 10, fixing the position until the intensity of pain decreases. Next, the exercise is repeated with the lower and upper portions of the parotid chewing area.

Next, change the working arm and repeat the reception on the other side of the face.

The exercise is repeated at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the zygomatic arch, lower jaw, chewing muscle, temporal muscle, lateral pterygoid muscle, medial pterygoid muscle, arteries, veins and lymphatic collectors of the middle part of the face.

Exercise No. 23 3-stage massage of the parotid-chewing area, FIG. 23

Parotid-chewing area is conventionally divided into three portions - upper (under the zygomatic arch), middle (at the level of the tragus of the ear) and lower (at the level of the earlobe). The chin is lowered down to relieve tension in the occipital region. Reception is performed with the lower jaw lowered, but if discomfort occurs, the reception is performed with the mouth closed or ajar.

Start to work with the upper portion of the parotid chewing area.

Any fingers of the left hand (for example, index, middle and ring) are set on the border of the parotid-chewing and buccal areas on the right side of the face at the inner edge of the lower jaw branch, and are pressed tightly to the working surface throughout the entire duration of the reception. The index finger of the right hand is bent in the shape of a “hook” and put on the side close to the fingers of the left hand. This position is fixed for about 5 seconds until the sensation of tight contact with the tissues. Keeping depth, perform a slow rolling-pushing movement towards the ear. In places where movement is difficult or there is pain, the movement is stopped for about 10-15 seconds until pain is reduced. The movement is repeated at least 1 time, preferably 3-5 times.

Then fingers are rearranged on the middle and lower portions of the parotid-chewing area, and the movements are repeated.

Next, the fixing and working hands are changed, and the exercise is performed on the other side of the face.

The following tissues, muscles and other anatomical structures are involved in the exercise: chewing muscle, temporal muscle, lateral pterygoid muscle, medial pterygoid muscle, tendon bundles of the zygomatic arch.

Exercise No. 24 Articular-plastic relaxation of the masticatory muscles (Articular-plastic exercise "BA"), Fig. 24

The back of the palms of both hands set on the parotid-chewing area on the right and left under the zygomatic arch. Slowly open the mouth with the sound "Ba", and at the same time perform a rolling-pushing movement with the backs of the palms from the zygomatic arch to the angle of the lower jaw. The movement is performed for at least 5-7 seconds. Next, the palms are returned to their original position. The exercise is repeated for at least 1 minute.

The following tissues, muscles, and other anatomical structures are involved in the exercise: chewing muscle, temporal muscle, lateral pterygoid muscle, medial pterygoid muscle, tendon bundles of the zygomatic arch, arteries, veins, and lymphatic collectors of the middle part of the face

Exercise No. 25 Chewing muscles: 50 rotations (massage of the chewing muscles), FIG. 25

The pads of the index, middle and ring fingers of the working hand are set under the zygomatic arch of the corresponding side of the face (left hand is the left side, right hand is the right side) and pressed tightly to the tissues. The fingers of the other hand fix the chewing muscles in the lower part of their fastening.

The fingers of the working hand perform massaging kneading circular motion - rotation. From 10 to 60 rotations are performed, preferably 50 rotations, after which they put their hands in front of the tragus of the ear and again perform 10 to 60 rotations in circular massage movements.

Reception is performed with the lower jaw lowered, but if discomfort occurs, the reception is performed with the mouth closed or ajar. Next, the reception is performed on the other side of the face.

Then, with a tight movement of the palms, the chewing muscles are stroked from top to bottom from the zygomatic arch to the angle of the lower jaw.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the zygomatic bone, tendon attachment of the chewing muscle, temporal muscle fibers from the zygomatic bone to the angle of the lower jaw, salivary gland, capsule of the temporomandibular joint, bundles of fibers of the superficial neck muscle.

Exercise No. 26 Reception "Alignment of the middle part of the face", Fig.26

Starting position: the elbow of the working hand is placed on the table. The chin is slightly down. The mouth is ajar in the position of the letter "O". If there is discomfort, the reception can be performed in the closed mouth position. The index finger of the working hand, bent "hook", put under the zygomatic arch. The thumb of the working hand is placed on the jaw angle.

In a rolling-pushing movement, they direct the index finger down towards the thumb, flexing and smoothing the masticatory muscles.

Reception is performed until a slight hyperemia and sensation of tissue warming up occur.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: chewing muscles, medial muscles, pterygoid muscles, blood and lymph vessels of the middle part of the face.

Exercise No. 27 Express relaxation of the masticatory muscles (tucks of the masticatory area), FIG. 27

Exercise is performed in the parotid chewing area on the right and left sides. The index fingers of both hands are placed under the zygomatic arch on the right and left. The thumbs of both hands are placed near the corner of the lower jaw on the right and left. Then the fingers are directed towards each other, creating a forceps-like grip of the horizontal fold. Then open the mouth, while the folds should slip out of the grip.

Next, take the starting position and repeat the exercise.

Exercise is performed for at least 30 seconds (preferably 1 minute).

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the zygomatic bone, tendon attachment of the chewing muscle, salivary gland, capsule of the temporomandibular joint, chewing muscles, medial muscles, pterygoid muscles, blood and lymph vessels of the middle part of the face.

Exercise No. 28 Tissue horseshoe in the parotid-masticatory region (dynamic tissue horseshoe in the parotid-masticatory region), FIG. 28

Exercise is performed in the parotid chewing area, alternately on the right and left sides. The thumbs and index fingers of both hands create a forceps-like grip of a vertical fold 3-4 cm long at the border of the parotid-chewing region and the buccal region at the inner edge of the lower jaw branch, while the thumbs are placed on the side of the buccal region.

Next, the grip is pulled vertically upward to the maximum lifting height, and 5-7 hand movements are taken that intercept the fold, during which the maximum volume of fibrous areas, skin adhesions with integumentary tissues, “retraction” of the muscle or its individual bundles are pulled.

Then, with the thumbs of both hands, they press deep into the folds, giving it the shape of an arc (“horseshoe”), the outer part of which is directed towards the ear. The index fingers of both hands stretch the crease from the outside from the center to the sides. Performing intercepting movements, they roll the crease towards the ear. Exercise is performed at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: masticatory muscles, medial muscles, pterygoid muscles, blood and lymph vessels of the middle part of the face.

Exercise No. 29 “Hypotenuse” (formation of the jaw angle), FIG. 29th

Work with the right side of the face. Mentally draw a diagonal line from the tragus of the right ear to the center of the lower jaw. Work with tissues located between this line and the angle of the lower jaw on the right. The thumb and forefinger of both hands create a forceps-like grip of the diagonal fold. Next, the grip is pulled vertically upwards to the maximum lifting height and 5-7 hand movements are taken that intercept the fold, during which the maximum volume of fibrous areas, skin adhesions with integumentary tissues, “retraction” of the muscle or its individual bundles are pulled. Next, the fold is slowly rolled in the direction of the angle of the lower jaw.

Next, the exercise is repeated on the left side of the face.

Exercise is performed at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the lower jaw, chewing muscle, lateral pterygoid muscle, medial pterygoid muscle, arteries, veins, and lymphatic collectors of the middle part of the face.

Exercise No. 30 Correction of neuromuscular tension (BOS correction of the mandibular system), FIG. thirty

The palms of both hands are placed on the parotid-chewing area on the right and left, and fix this position for about 1 minute until the sensation of tissue warming up.

At the 1st stage, the lower jaw begins to slowly lower, the speed of movement is 1 mm per second. Attention is directed to the motion vector of the lower jaw, evaluating the synchronism of the movement of the lower jaw to the right and left, the presence of a displacement of the lower jaw to the right or left, the mobility of the temporomandibular joints to the right and left, the presence of clicks, crunching and pain during movement. Next, take the starting position.

At the 2nd stage, the lower jaw begins to slowly lower, the speed of movement is 1 mm per second, while adjusting the movement of the lower jaw based on the assessment performed at the 1st stage. The palms of both hands are used to control the correction.

The exercise is repeated for at least 5 minutes.

The following tissues, muscles and other anatomical structures are involved in the exercise: masticatory muscle, temporal muscle, lateral pterygoid muscle, medial pterygoid muscle, tendon bundles of the zygomatic arch, arteries, veins and lymphatic collectors of the middle part of the face, lower jaw, temporomandibular joint, ligamentous apparatus of the temporomandibular joint.

Exercise from each group is chosen in random order, and the elements of the chewing system are worked out sequentially.

Exercises are selected into complexes in such a way that the implementation of the complexes leads to the restoration of reflex reactions and normotonicity of the facial muscles, a decrease in the excitation of the central nervous system and an improvement in psychoemotional states. Also, the implementation of the complexes allows for relaxation and a change in the balance of tension in the area of chewing fascia, articular ligaments, muscles of the craniomandibular system, muscles of the diaphragm of the mouth, restoration of the balance of the temporomandibular joints, restoration of facial proportions, correction of the position of the lower jaw. In addition, an aesthetic effect is achieved - tissue tightening under the chin, the formation of a deep submandibular line, a decrease in edema in the mandibular region, and a more relaxed facial expression.

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

The study of exercises can be carried out through independent study of the exercises provided in 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. All sets of exercises 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 complex of exercises as a whole can vary depending on the individual pain sensitivity of the patient, the degree of age-related changes, and also the depth of the exposure. 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 yet another embodiment of the invention, before performing all actions according to the claimed method, primary testing (Fig. 31) of the state of tissues and muscles of different parts of the head, neck and chest area, including chewing muscles, is carried out, and after the last stage is completed, the final test ( Fig. 32) the state of the tissues and muscles of the face, neck and chest area, including chewing muscles.

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

MODES FOR CARRYING OUT THE INVENTION

Example 1

Patient Yudochkina E.E., 35 years old. I went to the clinic for an improvement in the aesthetic appearance. The following symptoms were identified during palpation and measurement tests: pain in the masticatory muscles during palpation, pain when opening the mouth, limitation of the mobility of the lower jaw. The average amplitude of the interference electromyogram of the masticatory muscles was at rest: 12.65 μV on the right and 15.45 μV on the left, while normally the bioelectric activity of the muscles at rest should either not be recorded at all or not exceed 8 μV (Nikolaev S.G. Atlas electromyography ”, 2015). Patient Yudochkina E.E. a massage course was prescribed according to the claimed invention.

Before and after the course, according to the claimed method, testing was carried out, as a result of which pain indicators were evaluated in the parotid-masticatory region, the volume of edematous tissues in the parotid-masticatory region was measured, and the mobility / rigidity of tissues in the parotid-masticatory region was evaluated, and measured the bioelectric activity of the masticatory muscles.

Testing results of the patient Yudochkina E.E. are among the results of testing a group of patients presented in Tables No. 3-8.

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

The patient effected in five stages. The duration of the stages was 1 week.

Exercise complexes were composed and carried out as follows:

Table number 1

Stage 1 1. Reception "Hook" (relaxation of the group of the occipital muscles)
2. Reception "Ladder" (correction of scalene muscles)
3. Massage of the zygomatic arch "Iron"
4. The elimination of tension through the ligaments of the temporomandibular joint
5. Relaxation of the muscles of the bottom of the mouth "Stop-forward"
6. Double chin correction
7. Correction of the shape and volume of the upper lip
8. Relaxation of the muscles of the tongue
9. Lifting PRO
10. 50 rotations in places of attachment of the temporal muscle
11. Neuro-muscle relaxation of the masticatory muscles
12. Acupressure of the masticatory muscles Stage 2 1. Sculpture of the submandibular line
2. Softening of the sternocleidomastoid muscle
3. Massage of the zygomatic arch "Iron"
4. The elimination of tension through the ligaments of the temporomandibular joint
5. V-lifting through the ear region
6. Elimination of muscle blocks of the bottom of the mouth "Gimlet"
7. Horizontal pinches of the submaxillary line
8. Correction of the shape and volume of the lower lip
9. Relaxation of the muscles of the tongue
10. Lifting PRO
11. Alignment of tissues in the zygomatic region
12. 3-stage massage of the parotid chewing area Stage 3 1. The sternocleidomastoid muscle displacement (correction of the sternocleidomastoid muscle)
3. 2. Massage of the zygomatic arch "Iron"
4. The elimination of tension through the ligaments of the temporomandibular joint
5. V-lifting through the ear region
6. Elimination of muscle blocks of the bottom of the mouth "Gimlet"
7. Massage "Chisel" (massage of the jaw line)
8. Correction of the shape and volume of the upper lip
9. Relaxation of the muscles of the tongue
10. Lifting PRO
11. Relaxation of the temporal fascia
12. Articular-plastic exercise "BA"
13. Exercise "50 rotations" (massage of the masticatory muscles) Stage 4 1. Reception "Hook" (relaxation of the group of the occipital muscles)
2. Reception "Ladder" (correction of scalene muscles)
3. Massage of the zygomatic arch "Iron"
4. The elimination of tension through the ligaments of the temporomandibular joint
5. Relaxation of the muscles of the bottom of the mouth "Stop-forward"
6. Double chin correction
7. Correction of the shape and volume of the upper lip
8. Correction of the shape and volume of the lower lip
9. Relaxation of the muscles of the tongue
10. Lifting PRO
11. Relaxation of the temporal fascia
12. Alignment of the middle part of the face
13. Express relaxation of the masticatory muscles (tucks of the masticatory area)
14. Dynamic tissue horseshoe in the parotid chewing region Stage 5 1. Sculpture of the submandibular line
2. Softening of the sternocleidomastoid muscle
3. Massage of the zygomatic arch "Iron"
4. The elimination of tension through the ligaments of the temporomandibular joint
5. V-lifting through the ear region
6. Elimination of muscle blocks of the bottom of the mouth "Gimlet"
7. Horizontal pinches of the submaxillary line
8. Correction of the shape and volume of the upper lip
9. Correction of the shape and volume of the lower lip
10. Relaxation of the muscles of the tongue
11. Lifting PRO
12. Alignment of tissues in the zygomatic region
13. The formation of the jaw angle "Hypotenuse"
14. Correction of neuromuscular tension

Results of final testing Yudochkina E.E. come down to the fact that the patient:

1) decreased pain in the parotid chewing region by more than 40%;

2) the volume of edematous tissues in the parotid chewing region decreased by 58%;

3) increased tissue mobility in the parotid chewing region by more than 30%;

4) the bioelectric activity in the masticatory muscles decreased and amounted to a state of rest: 0.00 μV on the right and 0.00 μV on the left, which is normal.

Thus, the patient Yudochkina E.E. corrected the muscle tone of the masticatory muscles, significantly reduced pain in the masticatory muscles, increased the mobility of the lower jaw, reduced pain when opening the mouth, improved blood circulation to different areas of the neck, head and face, restored facial proportions, prevented age-related changes in soft tissues and deep-lying neck structures and faces.

Also, at the end of the course, an aesthetic result was achieved: the patient acquired a more relaxed, calm facial expression. The patient achieved a reduction in the spasm of the chewing muscles, as a result of which wrinkles in the cheeks decreased, and the nasolabial folds became less pronounced. The patient significantly improved the neck statics, lengthened the neck, improved turgor and aesthetic appearance of the skin of the neck and face. The patient eliminated lymph-fat edema in the chin area, restored a clear oval of the face.

At the end of the course, the patient also noted significant improvements in the psycho-emotional sphere - a decrease in anxiety and symptoms of depression, a decrease in fatigue, an improvement in memory and attention, and an increase in vital activity.

As a result of the application of the claimed method, the removal of muscle tension and the reduction of swelling of the tissues, lifting the face shape.

Example 2

Patient Dorofeeva I.A., 47 years old. I went to the clinic for an improvement in the aesthetic appearance. During palpation and measurement tests and electromyographic studies, the following symptoms were found: pain during chewing, involuntary clenching of the teeth. The average amplitude of the interference electromyogram of the masticatory muscles was at rest: 12.3 μV on the right and 12.5 μV on the left, while normally the bioelectric activity of muscles at rest should either not be recorded at all or not exceed 8 μV (Nikolaev S.G. Atlas electromyography ”, 2015). Patient Dorofeeva I.A. a massage course was prescribed according to the claimed invention.

Before and after the course, according to the claimed method, testing was carried out, as a result of which pain indicators were evaluated in the parotid-masticatory region, the volume of edematous tissues in the parotid-masticatory region was measured, and the mobility / rigidity of tissues in the parotid-masticatory region was evaluated, and measured bioelectric activity in the masticatory muscles.

Test results of the patient Dorofeeva I.A. are among the results of testing a group of patients presented in Tables No. 3-8.

During the course, the patient influenced tissues, muscles and other anatomical structures of different parts of the neck, head and face. The entire course was performed by the patient under the guidance of a specialist clinic.

The patient effected in five stages. The duration of the stages was 1 week.

Exercise complexes were composed and carried out as follows:

Table number 2

Stage 1 1. Reception "Hook" (relaxation of the group of the occipital muscles)
2. Reception "Ladder" (correction of scalene muscles)
3. Massage of the zygomatic arch "Iron"
4. The elimination of tension through the ligaments of the temporomandibular joint
5. Relaxation of the muscles of the bottom of the mouth "Stop-forward"
6. Double chin correction
7. Correction of the shape and volume of the upper lip
8. Relaxation of the muscles of the tongue
9. Lifting PRO
10. 50 rotations in places of attachment of the temporal muscle
11. Neuro-muscle relaxation of the masticatory muscles
12. Acupressure of the masticatory muscles Stage 2 1. Sculpture of the submandibular line
2. Softening of the sternocleidomastoid muscle
3. Massage of the zygomatic arch "Iron"
4. The elimination of tension through the ligaments of the temporomandibular joint
5. V-lifting through the ear region
6. Elimination of muscle blocks of the bottom of the mouth "Gimlet"
7. Horizontal pinches of the submaxillary line
8. Correction of the shape and volume of the lower lip
9 Muscle Tongue Relaxation
10. Lifting PRO
11. Alignment of tissues in the zygomatic region
12. 3-stage massage of the parotid chewing area Stage 3 1. The sternocleidomastoid muscle displacement (correction of the sternocleidomastoid muscle)
2. Exercise "Lever" (lowering hypertonicity in the upper back)
3. Massage of the zygomatic arch "Iron"
4. The elimination of tension through the ligaments of the temporomandibular joint
5. V-lifting through the ear region
6. Elimination of muscle blocks of the bottom of the mouth "Gimlet"
7. Massage "Chisel" (massage of the jaw line)
8. Correction of the shape and volume of the upper lip
9. Relaxation of the muscles of the tongue
10. Lifting PRO
11. 50 rotations in places of attachment of the temporal muscle
12. Articular-plastic exercise "BA"
13. Exercise "50 rotations" (massage of the masticatory muscles) Stage 4 1. Reception "Hook" (relaxation of the group of the occipital muscles)
2. Reception "Ladder" (correction of scalene muscles)
3. Massage of the zygomatic arch "Iron"
4. The elimination of tension through the ligaments of the temporomandibular joint
5. Relaxation of the muscles of the bottom of the mouth "Stop-forward"
6. Double chin correction
7. Correction of the shape and volume of the upper lip
8. Correction of the shape and volume of the lower lip
9. Relaxation of the muscles of the tongue
10. Lifting PRO
11. 50 rotations in places of attachment of the temporal muscle
12. Alignment of the middle part of the face
13. Express relaxation of the masticatory muscles (tucks of the masticatory area)
14. Dynamic tissue horseshoe in the parotid chewing region Stage 5 1. Sculpture of the submandibular line
2. Softening of the sternocleidomastoid muscle
3. Massage of the zygomatic arch "Iron"
4. The elimination of tension through the ligaments of the temporomandibular joint
5. V-lifting through the ear region
6. Elimination of muscle blocks of the bottom of the mouth "Gimlet"
7. Horizontal pinches of the submaxillary line
8. Correction of the shape and volume of the upper lip
9. Correction of the shape and volume of the lower lip
10. Relaxation of the muscles of the tongue
11. Lifting PRO
12. Alignment of tissues in the zygomatic region
13. The formation of the jaw angle "Hypotenuse"
14. BOS correction of the mandibular system

Results of final testing Dorofeeva I.A. come down to the fact that the patient:

1) decreased pain in the parotid chewing region by more than 50%;

2) the volume of edematous tissues in the parotid chewing region decreased by 30%;

3) increased tissue mobility in the parotid chewing region by more than 30%;

4) the bioelectric activity in the masticatory muscles decreased and amounted to 5.85 μV on the right and 5.05 μV on the right.

Thus, the patient Dorofeeva I.A. restored muscle tissue tone (reduced hypertonicity) in the parotid chewing region, reduced the risk of bruxism, reduced pain during chewing, improved blood supply to different areas of the neck and face, restored facial proportions, prevented age-related changes in soft tissues and deep-lying structures of the neck and face, held a lifting of various areas of the face.

At the end of the course, an aesthetic result was also achieved: the patient acquired a more calm, relaxed facial expression. Due to a decrease in the hypertonicity of the masticatory muscles, the muscle base of the cheek was leveled and its young appearance was restored. The patient decreased swelling in the mandibular region, the submandibular line became more pronounced, deep. The patient's neck statics improved, neck elongation occurred.

At the end of the course, the patient noted significant improvements in the psycho-emotional sphere - a decrease in situational and personal anxiety, a decrease in symptoms of depression, and an increase in self-esteem.

As a result of the application of the claimed method, muscle tension was relieved and tissue swelling was reduced, skin turgor improved, and various face zones were lifted.

Example 3 (total)

In total, the course according to the claimed method was carried out by 50 patients aged 34 to 47 years.

At the same time, 34 people carried out the method as described in Example 1, 12 people - as in Example 2. For 3 people out of 34, the duration of each stage was 5 days. For 4 people, the method was selected as described in Example 1, but the course was carried out by a clinic specialist in 4 stages.

All patients completed:

1. Palpation testing before and after the course for pain in the parotid chewing area. Testing specialists put pressure on the tissues of the parotid-chewing area of patients with a certain load. Patients rated pain according to the YOUR scale (visual analogue scale) from 1 to 10, where 1 is no pain, 10 is debilitating pain. When calculating the shift, the maximum possible level according to YOUR (10) was taken as 100%.

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 Status as a Common Factor for Masticatory Muscle Pain: A Systematic Review”. A decrease / increase in pain in the muscles during palpation indicates a decrease / increase in muscle tension.

2. The study of the degree of swelling of the tissues in the parotid chewing region. The clinic specialists measured the thickness of the folds in the parotid-chewing area. When calculating the shift, the initial level of the crease thickness was taken as 100%. A positive shift was considered when lowering the values.

It is known that with the prolonged formation of local muscle hypertonicity in the soft tissues of the neck, 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 VV "Cervical myofascial pain syndrome" 2005).

3. Palpation testing for the dynamics of changes in mobility / rigidity of tissues in the parotid chewing area. Tissue mobility was estimated from 0 to 3 points, where: 0 - moving tissues, 1 - medium-mobility tissues, 2 - tight tissues, 3 - complete blocking of movement.

4. Measurement of electromyographic indicators to assess the dynamics of changes in the bioelectric activity of the masticatory muscles in a state of rest and tension. When calculating the shift, the initial level (up) was taken as 100%.

At the first stage, the activity of the masticatory muscles at rest was recorded. At the second stage, arbitrary activity of the masticatory muscles was recorded by the test method with maximum voltage.

Normally, the bioelectric activity of muscles at rest either should not be recorded at all, or should not exceed 8 μV. 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).

5. The psychological study included:

• Assessment of the presence and degree of subjective severity of depression on the Beck Depression Scale (21 points).

The technique allows us to determine not only the severity level of depressive disorder, but also to identify somatic (sleep disturbance, loss of appetite) and affective-cognitive symptoms (increased anxiety, fatigue, impaired memory and perception). The results were evaluated as follows: 0-9 points - the absence of depressive symptoms, 10-15 points - mild depression (subdepression), 16-19 points - moderate depression, 20-29 points - severe depression (moderate), 30-63 points - severe depression.

• Measurement of the level of neuropsychic stress using the questionnaire Ch.D. Spielberger in the modification of Yu.A. Hanina.

The study assessed the level of situational and personal anxiety. Situational anxiety is characterized by tension, anxiety, nervousness at a given time. Personal anxiety characterizes a person’s persistent ability to perceive a wide range of situations as threatening and to respond to such situations with a state of anxiety. The questionnaire consists of 2 parts, separately assessing situational (statements 1–20) and personal (statement No. 20–40) anxiety. The results were interpreted as follows: 0-30 points - low anxiety, 31-45 points - moderate anxiety, more than 46 points - high anxiety.

• Dynamics of indicators of self-esteem on the scale YOUR

The technique allows you to independently evaluate such relatively general concepts as health, well-being at the moment, success with the opposite sex, appearance, authority among others, self-confidence. Women noted on a vertical scale the level of development / severity of the studied indicators (Appendix 2). The height of each scale was 100 mm, each millimeter of the scale was considered for 1 point. The results were evaluated in dynamics before and after correction.

The research results are presented in Tables No. 3-8

Table number 3

The dynamics of changes in pain in the parotid chewing region

(Assessment of pain in the parotid chewing area by deep palpation)

The average pain indicator for the group BEFORE the study (scores for YOUR) The average pain indicator for the group AFTER the study (YOUR scores) Pain in the parotid chewing area 8.04 ± 1.6 4.28 ± 2.4

Table number 4

The dynamics of changes in tissue volume in the parotid chewing region

The average indicator for the group before the study Group average AFTER research The volume of edematous tissues in the parotid chewing region, mm 27.96 ± 12.2 18.6 ± 5.1

Table number 5

Distribution of patients depending on the degree of mobility / rigidity of tissues in the parotid chewing region

0 - labile (moving tissue)
people /% 1 - tissue medium mobility
people /% 2 - tight fabrics
people /% 3 - complete blocking of movement
people /% Before research 1 (2.0%) 3 (6.0%) 8 (16.0%) 38 (76.0%) After research 8 (16.0%) 25 (50.0%) 13 (26.0%) 4 (8.0%)

Table number 6

Dynamics of changes in bioelectric activity in masticatory muscles at rest and tension, mKV

The average indicator for the group before the study Group average AFTER research m. masseter alone 10.11 ± 12.3 4.56 ± 6.8 m. masseter in tension 112.45 ± 99.7 69.25 ± 55.1

Table number 7

Dynamics of indicators of neuropsychic stress according to the Beck and Spielberger-Khanin scale.

Index Before After Depression 9.0 ± 6.4 4.9 ± 5.2 Situational anxiety 24.2 ± 11.8 20.3 ± 11.4 Personal anxiety 47.5 ± 6.7 44.1 ± 7.6

Table number 8

Dynamics of indicators on the YOUR scale

Index Before After Health 89.3 ± 17.1 92.7 ± 10.4 Feeling well 70.9 ± 21.7 80.3 ± 14.7 Success in men 72.5 ± 21.7 82.6 ± 13.1 Assessment of appearance 67.0 ± 20.9 75.1 ± 20.9 The authority of others 65.9 ± 21.2 77.1 ± 17.3 Self-confidence 72.6 ± 18.9 79.6 ± 16.7

Analysis of the results of a group of patients who underwent a massage course according to the claimed method showed that the number of patients with pain in the parotid chewing region decreased. In the group, there was a qualitative leap in all patients with elevated bioelectric activity in masticatory muscles to normal values. It is possible to note positive reliable dynamics, which is expressed in a decrease in the number of patients with swelling of tissues in the parotid chewing region, as well as with rigidity of tissues in the parotid chewing region. A decrease in the number of patients with various depressive symptoms, with personal and situational anxiety, with self-esteem problems was noted.

Namely:

• 88% of patients decreased pain in the parotid-masticatory region, while 66% of patients decreased pain in the parotid-chewing region by more than 30%, and 36% of patients decreased pain in the parotid-masticatory region by more than fifty%;

• in 82% of patients, the volume of edematous tissues in the parotid-masticatory region decreased, while in 44% of patients the volume of edematous tissues in the parotid-masticatory region decreased by more than 30%, and in 24% of patients the volume of edematous tissues in the parotid-masticatory region decreased more than 50%;

• 92% of patients increased tissue mobility in the parotid-masticatory region, while 68% of patients showed a qualitative leap from complete immobility (rigidity) of parotid-masticatory tissues to mobile tissues;

• 56% of patients decreased bioelectric activity in masticatory muscles at rest, 70% of patients decreased bioelectric activity in masticatory muscles, while more than 35% of patients decreased bioelectric activity in masticatory muscles by half;

• 78% of patients prevented further formation of edema in the mandibular region;

• in 48.3% of patients there was an improvement in the quality of chewing, swallowing and articulation;

• 52.3% of patients reduced bruxism and grit;

• more than 75% of patients regained facial proportions;

• 88% of patients slowed age-related changes in soft tissues and the underlying structures of the neck and face;

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

• 100% of patients achieved results in the correction of psycho-emotional state - reducing personal and situational anxiety, depressive states, improving self-esteem.

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

Claims (10)

1. A method of reducing the hypertonicity of chewing muscles, which consists in the impact of massage movements and gymnastics on the anatomical structures of the head, neck and shoulder girdle, characterized in that they carry out sequential effects on the tissues, muscles and other anatomical structures of each element of the chewing system, performing sets of exercises, composed of five groups of exercises, which are massage movements and / or gymnastics techniques and affecting each element of the chewing system: muscles of the cranial-mandibular system, ensuring the position of the head, pharynx, neck and shoulder girdle - the first element, the ligamentous apparatus of the cranial-mandibular system - the second element, the muscles of the bottom of the mouth - the third element, the alveolar process of the upper jaw, the alveolar part of the lower jaw and the tongue - the fourth element, and the masticatory muscles - the fifth element, the effect is carried out in 1 to 5 stages, while at each stage the exercise complexes include at least at least one exercise from five groups of exercises that affect the elements of the chewing system, while the exercise from the group is chosen in an arbitrary order, and the elements of the chewing system are worked out sequentially. 2. The method according to p. 1, characterized in that the anatomical structures of the first element of the masticatory system are the suboccipital muscles, scalene muscles, sternum-hyoid muscle, scapular-hyoid muscle, sternum-thyroid, thyroid-hyoid muscle, sternocleidomastoid muscle , trapezius muscle, the second element of the masticatory system - temporomandibular ligament, the sphenoid-mandibular ligament, the pylomandibular ligament, the pterygo-maxillary ligament, the alpha ligament, the third element of the masticatory system - the maxillary-hyoid muscle, the biliary muscle, the submental muscle muscle, stylohyoid muscle, the fourth element of the chewing system - the alveolar process of the upper jaw, the alveolar part of the lower jaw, tongue, the fifth element of the chewing system - the temporal muscle, chewing muscle, medial pterygoid muscle, lateral pterygoid muscle. 3. The method according to p. 1, characterized in that the first group of exercises includes exercises: relaxing the group of the suboccipital muscles, receiving correction of the scalene muscles, sculpting the submandibular line, softening the sternocleidomastoid muscle, correcting the sternocleidomastoid muscle, reducing hypertonicity in the upper back, the second group - exercises: massage of the zygomatic arch, stress relief through the ligaments of the temporomandibular joint, correction of the temporomandibular ligament, the third group - exercises: relaxation of the muscles of the bottom of the mouth, correction of the double chin, elimination of muscle blocks of the bottom of the mouth, horizontal pinches of the submandibular line, massage of the jaw line, the fourth group - exercises: correction of the shape and volume of the upper lip, correction of the shape and volume of the lower lip, relaxation of the muscles of the tongue, fifth group - exercises: massage of the temporal muscles, circular muscles of the eyes, cranial aponeurosis, relaxation of the temporal fascia , neuro-muscular relaxation of the masticatory muscles, point mass masticatory muscles, tissue alignment in the zygomatic region, 3-stage massage of the parotid-masticatory region, articular-plastic relaxation of the masticatory muscles, massage of the masticatory muscles, alignment of the middle part of the face, tucks of the masticatory region, tissue horseshoe in the parotid-masticatory region, tissue alignment in zygomatic area, the formation of the jaw angle, the correction of neuromuscular tension. 4. The method according to p. 1, characterized in that during the exercise they are exposed to deep massage movements until discomfort and / or pain occurs, not exceeding 7 points on a visual-analogue scale, and / or smoothing, relaxing massage movements are performed. 5. 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. 6. The method according to p. 1, characterized in that the rotational, circular, zigzag, spiral movements are used as massage movements. 7. 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 performed, including chewing muscles, and after completion of the last stage, final testing of the state of tissues and muscles of different areas of the human head is performed , including chewing muscles. 8. The method according to p. 1, characterized in that the duration of each stage is calculated in days, weeks or months. 9. 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. 10. 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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