RU2726075C1 - Method for reduction of myofascial hypertonuses of cervical muscles - Google Patents

Abstract

FIELD: medicine.SUBSTANCE: disclosed method relates to medical cosmetology and is intended for correction and recovery of skin and neck and neck muscles, as well as recovery of neck mobility. Described is a method for reducing myofacial hypertension of cervical muscles, based on restoring functionality of cervical and upper shoulder, by complex effect on tissues, muscles and other anatomical structures of different areas of head, neck and chest area of person in their various zones. Exposure is ensured by a set of exercises combined with the exercises of the three groups: groups of exercises improving muscular tissue structure, group of exercises improving muscular tissue function, and groups of exercises affecting patterns of reflected pain. Method involves exposing a single muscular chain formed by the head, neck and breast muscles, adhering to the principle of sequential inactivation of muscle hypertone of the posterior, lateral and anterior surfaces of the neck, layer by layer. Complexes of exercises include any of three groups of exercises, and exposure is carried out in at least 1 to 4 stages. Initial exercises of the set of exercises include exercises that improve the muscular tissue structure and improve the muscular tissue function; the rest exercises in the complexes are selected from any exercises of the three groups in an arbitrary order.EFFECT: method provides eliminating primary degenerative changes of muscular tissue and limitations of mobility of neck, access to deep-lying muscle layers, eliminating reflected pain, as well as reducing or eliminating negative emotional conditions, removing oedema, facial skin, wrinkles.12 cl, 36 dwg, 7 tbl

Description

The claimed solution relates to the field of medical cosmetology and is intended for the correction and restoration of the skin and muscles of the head and neck, as well as the restoration of neck mobility.

BACKGROUND

The deterioration of public health, which is observed today throughout the world, determines the relevance of the development of the rehabilitation direction in medicine. Most often seek medical help and require physical rehabilitation patients with chronic local pain muscle syndromes in the back and neck, among which two-thirds are myofascial pain syndrome, and in 75% of cases, patients aged 30-59 predominate (Osipov V. “Physical rehabilitation for myofascial pain syndrome”, Lap Lambert, 2013).

In some sectors of professional activity, the frequency of pathological lesions of muscle tissue is more than 30%, including with a temporary disability from 12 to 25%. (Zaslavsky E.S. “Painful muscular-tonic and muscular-dystrophic syndromes (etiology, pathogenesis, clinic, treatment)”, Diss. Doct. Medical Sciences. 1980. - 34 p. 7, Veselovsky V.P. “Practical vertebroneurology and manual therapy ”, Riga, 1991. - 341 p.).

Myofascial pain syndrome is addressed by specialists in more than 14 specialties. It is believed that the basis of pain in the back and neck of any nosology is most often muscle hypertonicity - increased tonic muscle activity, manifested by painful muscle tightness (AM Wayne, “Pain disorders in neurological practice”, Moscow, Medpress-inform, 2010).

Muscle hypertonicity is called a self-excited hyperactive system (trigger - the higher nervous system), supported by the principle of biofeedback from the periphery with distorted proprioception (Granite R. "Fundamentals of the regulation of movements", Moscow, publishing house "Mir", 1973.-53 S. Anokhin P. .K. “Essays on the physiology of functional systems”, Moscow, Medicine, 1975. 447 p., 1975. Kryzhanovsky GN “Determinant structures in the activity of the nervous system”, Journal of Human Physiology. - 1976. T. 2. - Issue 6. - S. 891-906).

It was noted that many human muscles are in a state of constant contraction, which largely causes their overload and contributes to the formation of myofascial trigger pain points. (J. Travel, L. Simons “Myofascial pains and dysfunctions.” Medicine, 2005).

A muscle with palpable hypertonic muscle spindle palpation is characterized by a reduced ability to stretch due to contraction of sarcomeres, as well as a decrease in strength due to the fact that sarcomeres do not meet the ideal length parameters. In patients with trigger points, the appearance of such symptoms is most likely due to weakening of blood circulation and subsequent hypoxia in the affected muscle. (Eric Hebgen "Trigger points and Muscle Chains in Osteopathy", 2009). Some people with neck pain have a reduced ability to generate and maintain cervical muscle strength in the range of contraction intensities during the study. (Higher variability in cervical force perception in people with neck pain. Musculoskelet SciPract. 2019 Apr 6; 42: 6-12 :).

Hypertonic muscle spindles recognized by palpation are rope-like muscle segments 1-4 mm thick surrounding the trigger point. Stretching or severe contraction of the spindle or pressing the trigger point in the muscle spindle can cause local pain and, in addition, after a certain period of latency, reflected pain in strictly designated areas In addition to the occurrence of a pain pattern, increased tonic muscle activity is observed in these areas causing additional discomfort. Currently, maps (atlases) of reflected pain from trigger points are widely used (see Fig. 34).

According to the schemes of reflected pain, it is possible to determine the localization of pain sensitivity from a particular muscle structure. So, for example, pain from the trigger points of the sternocleidomastoid muscle is localized in the frontal, temporal, orbital region, as well as the upper part of the chest region (J. G. Trevell, D. G. Simons “Myofascial pains, Moscow. 1995) .

In addition to the reflected pains, other changes are accompanied by muscle hypertonicity - the number of blood vessels and the volume of the microvasculature decrease, hypoxia forms, compression of nerve endings occurs, the functioning of the fibrinolytic system worsens, and the proportion of muscle tissue decreases. With the prolonged formation of local muscle hypertonicity, complex disorders develop in the soft tissues of the neck - swelling increases, outflow of lymph from the face and head is disturbed, the statics of the cervical spine is disturbed (extension of the head forward, stoop, the appearance of lymphatic fat deposits in the CVII region), increased scoliotic changes , neck pains, headaches.

Studies have shown that muscle tension correlates with headache and causes it in about 38% of adults (Rees CS, Smith AJ, O'Sullivan PB, Kendall GE, Straker LM Back and neck pain are related to mental health problems in adolescence. BMC Public Health, 2011, 11: 382).

Distortions in the work of the cervical muscles also have a complex effect on the functioning of the musculoskeletal system, create disorders in the functioning of internal organs (somato-visceral dysfunctions), muscles of the masticatory apparatus (muscles of the lower and upper jaw, a group of muscles of the hyoid bone), lead to tooth abrasion, loss of support on distant teeth, imbalance in the dentition and, as a result, the formation of complex age-related changes in the middle and lower part of the face. (F. Richter, E. Hebgen / Trigger points and muscle chains in osteopathy / Meridian-c, St. Petersburg, 2015).

According to scientific data, there are several main reasons that trigger the formation of myofascial pain syndrome:

1. Psycho-emotional stress - 63.35%,

2. Statokinetic loads - 26.4%,

3. Subcooling - general or local 7.55%,

4. Chronic visceral disease 2.7%,

5. Injuries of the musculoskeletal system 0.7%.

In 89.9% of cases, the formation of myofascial pain syndrome is caused by a combination of neuro-emotional overloads with a prolonged forced position during professional activity (Bartashevich V.V. / Cervical myofascial pain syndrome: clinic, development mechanisms, treatment. Kazan, 2005; 238 p. )

These data convincingly and documented confirm that in most cases it is stressful events and the associated negative emotional experiences (depression, anxiety, sleep disturbance, anxiety) that are a key risk factor for the occurrence of myofascial pain syndrome. Non-physiological postures and injuries of the musculoskeletal system are secondary.

It has been established that negative emotional states that manifest themselves during stressful situations are accompanied by reflex muscle spasm and are a reflex protective reaction to psychological stress (Means-Christensen AJ, Roy-Byrne PP, Sherbourne CD, Craske MG, Stein MB. Relationships among pain , anxiety, and depression in primary care. Depress Anxiety. 2008; 25: 593–600. Steptoe A, Kivimäki M. Stress and cardiovascular disease: an update on current knowledge. Annu Rev Public Health 2013; 34: 337–35. Krantz DS, Burg MM. Current perspective on mental stress-induced myocardial ischemia. PsychosomMed 2014; 76: 168–170).

It is believed that anxiety and depression can cause and increase the likelihood of muscle tension (Mongini F., Ciccone G., Ceccarelli M., Baldi I., Ferrero L. (2007). Muscle tenderness in different types of facial pain and its relation to anxiety and depression: a cross-sectional study on 649 patients. Pain 131, 106–111). It has been observed that patients complaining of muscle pain have significantly higher rates of depression (Boggero IA, Rojas-Ramirez MV, de Leeuw R., Carlson CR (2016). Satisfaction with life in orofacial pain disorders: associations and theoretical implications. J Oral Facial Pain Headache 30, 99-106).

Some authors believe that in response to emotional stress, muscle tension is localized in the muscles of the back and neck (Lichtman JH, Froelicher ES, Blumenthal JA, Carney RM, Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: systematic review and recommendations : A scientific statement from the American Heart Association. Circulation 2014; 129: 1350–1369, 2011).

According to the American Psychiatric Association, increased muscle tension is one of the criteria for generalized anxiety disorder (American Psychiatric Association, 2000).

A number of authors have pointed out that chronic muscle pain is often accompanied by symptoms of depression (Björnsdóttir SV, Jónsson SH, Valdimarsdóttir UA. Mental health indicators and quality of life among individuals with musculoskeletal chronic pain: a nationwide study in Iceland. Scand J. Rheumatol. 2014; 43: 419-423).

Shiri R. et al. Found that musculoskeletal pain and depressive symptoms are closely associated with poor physical performance (Shiri R, Kaila-Kangas L, Ahola K, Kivekäs T, Viikari-Juntura E, Heliövaara M, Miranda H, Leino-Arjas P. The relation of co-occurring musculoskeletal pain and depressive symptoms with work ability. J. Occup. Environ. Med. 2013; 55: 1281–1285).

For more than 20 years in scientific monographs the problem of psychalgia has been raised - psychogenic muscle pain, in particular, the syndrome of “laughing depression”, when muscle discomfort is the only clinical symptom of depression (Golubev VL “Pain disorders in neurological practice.” Moscow, Medinform, 2001 ) Pain in masked depression in most cases acquires a chronic nature, often migrates, is poorly localized and described by the patient.

Wayne A.M. notes that an increase in muscle tone and the formation of muscle spasms is characteristic not only of psychalgia, but also in people with anxiety-hysterical disorder and depressive-anxious patients (Autonomic disorders: Clinic, treatment, diagnosis. Ed. by A.M. Vein. - M.: Medical News Agency, 2000).

Thus, the reduction of myofascial pains is not only a relevant medical and social, but also a psychological problem.

It is reliably known that relaxation of the muscles of the back and neck not only reduces muscle tension, but also improves the emotional state of patients.

One of the methods for treating myofascial pain syndrome is drug therapy. 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.

Among non-pharmacological methods of medical and rehabilitation correction of myofascial cervical hypertonicity, general massage, physiotherapy exercises, physiotherapy, body-oriented therapy methods, adhesive plastering (taping) are used. A special place in therapy is occupied by myofascial massage - massage of muscle-connective tissue, aimed at reducing muscle excitation in the skeletal muscles of the upper back, chest and cervical regions.

The patent literature also describes various methods and techniques for controlling myofascial cervical muscle hypertonicity.

So, for example, there is a method of treating osteochondrosis of the cervical spine (application RU 2003103416 A, published 10.08.2004, patent RU 2243758 C2, published 10.01.2005), which includes the detection of hypertonicity of the neck muscles with its subsequent elimination by pressure on the muscles in the sagittal plane, fixation of the head and distraction of the ligamentous-muscular apparatus of the neck, characterized in that to eliminate the hypertonicity of the neck muscles, they grasp the patient’s head with one hand in the back, turn it 10-15 ° to the side and fix it until the superficial and middle muscles of the neck relax, and pressure the sagittal plane is carried out with the thumb on the occipital-vertebral muscles, as well as on the muscles located between the transverse processes C1-C7 before the patient begins to relax, after which a similar effect is exerted on the similar muscles of the other side, then the patient’s head is fixed with one hand for mastoid processes, and the other behind his shoulders and carry out traction the musculo-ligamentous apparatus of the neck by forcibly turning in different directions and bending the head until the patient appears during a cycle of exercises when the physiological angle between the neck and the body is bent, after which the patient’s shoulders are fixed in turn while bending the head in the frontal plane to form an angle with a shoulder above 30 °, then with the palm of the hand fixes the head with one hand for the mastoid processes, and with the other hand for the lower jaw, and the forearm of the hand rests on the back of the patient to create a leverage and force the head to the shoulders, while the angle of rotation at the beginning of classes is 10 -15 °, then it is increased, reaching 90 ° during the cycle of classes.

The known method contains manual therapy techniques, however, it involves narrow application - manipulations are performed on a limited area in the projection of the back surface of the neck, while the integrative approach in the process of working with the cervical muscles is ignored, important muscle structures along the side and front surfaces of the neck are excluded. In addition, turns and bending of the head are performed by a physician forcibly and exclude independent use by patients. Also, the disadvantages include the fact that the method involves the inclusion of a massage, such as pressure on the occipital-vertebral muscles and muscles between the transverse processes C1-C7, which without preliminary preparation and heating of the surface tissues is a painful procedure due to the chronic overstrain of these muscles. It is unclear how this method treats cervical osteochondrosis, since the process of restoring the height of the disk and the volume of the pulpous nucleus with cervical osteochondrosis is considered impossible in evidence-based medicine.

Also known is a method of surface balancing massage (PUMA) (application RU 2002116721 A, published January 10, 2004) in the treatment of patients with trigeminal neuralgia, with myofascial pain, with neurological manifestations of osteochondrosis, with disorders of the supporting function of the spine, with instability of the spine, with impaired posture , in the treatment of patients who underwent massive surgical intervention, which entailed dissection of the muscles responsible for posture and body shape, as well as in the recovery of women whose health deteriorated due to the reproductive process. The described method has its own prototype mini-massage method, and differs from it in that, during the massage procedure, overstressed skeletal muscles are relaxed by conventional massage techniques, and those muscles that are conveniently massaged in the patient standing position are massaged in the patient standing with the same emphasis on both legs, finally, on the day of the massage, the patient is obliged to adhere to the conditions for taking a gravitational bath. To activate the processes of biomechanical balancing in the human body, the usual massage techniques are used to normalize the tone on the peripheral and central target muscles, as well as on target muscles of the limbs. In the presence of mild soreness, numbness, itching in the upper part of the body, rubbing of skin explicit and latent hypertones is performed by tangential to the skin massage movements.

The proposed method has the following disadvantages. The proposed technique is too painful and before the "rubbing" requires preparatory massage techniques (stroking, ischemic compression, acupressure massage, vibration). The known method works with myofascial hypertones at the superficial level of access without involving the most strained deep-lying muscles, which limits the effectiveness of the massage. The proposed method does not provide a combination of massage 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). A comprehensive approach is ignored in the correction of muscle hypertonia - work with reflected pain is excluded.

A known method of therapeutic massage (patent RU 2163796 C2, published on 03/10/2001). Palpation of the spinal column reveals vertebrae with local muscle hypertonicity (LMH) and fascial-muscular rigidity (FMR). Conduct a classic massage of the spine, back and lower back muscles. A deep local tonic massage is performed by pressing the muscles of rotation of the vertebrae, spaced through one vertebra upwards from the vertebrae with the presence of LMH and downward from the vertebrae with the presence of FMR, as well as a deep local relaxing massage of the muscles of the rotation of the vertebrae, separated through one vertebra downward from the vertebrae with the presence of LMH and up from vertebrae with the presence of FMR. The method improves the effectiveness of treatment.

The proposed method has the following disadvantages. The classical therapeutic massage of the muscles of the back produced by the preliminary stage is preparatory in nature and does not provide for the correction of myofascial hypertones. Deep massage is carried out only with a limited set of muscles - spinal column rotators. Despite the fact that rotator muscles are postural muscles that directly affect posture, such isolated work cannot significantly correct the degenerative processes in the connective muscle tissue in the neck, in particular local muscle hypertones, which require separate massage approaches to eliminate them. In addition, the specified method does not provide for the implementation of physiotherapy exercises to improve to restore the normal ratio of muscle tone.

Known for the treatment of posture disorders in the sagittal plane (patent RU 2351302 C2, published April 10, 2009), the essence of which is as follows. Depending on the type of posture disorder, it is proposed to combine post-isometric relaxation of tense muscles with physiotherapy for relaxed antagonists. With a stooped back, the upper part of the trapezius and rhomboid muscles is strengthened, with a flat-concave one, the rectus and oblique muscles, the gluteus maximus, and with a round back, the upper part of the trapezius and rhomboid muscles, the rectus and oblique muscles, gluteus maximus. In parallel with this, the elimination of functional blocking is performed throughout the spine in combination with physical therapy to strengthen the deep back muscles. The technical result is to increase the effectiveness of treatment due to manual relaxation, depending on the type of impaired posture of tense postural muscles in combination with physical therapy for relaxed muscles - antagonists and the development of the correct motor stereotype. The effectiveness of the method is achieved by the fact that when combining postisometric relaxation of postural muscles in a state of hypertonicity with physiotherapy exercises that purposefully strengthen their antagonists, impaired regional postural muscle balance is restored faster, and physiotherapy exercises to restore the normal ratio of tonus of interested muscles are required in a smaller volume.

The specified method has the following disadvantages. The basis of treatment therapy is the principle of relaxation of the antagonist muscles (rhomboid, trapezius, extensor muscles of the spine), which are in a weakened tone due to impaired posture. However, modern scientific data in the field of neurology refute this fact - it is believed that these muscles of the back and neck, on the contrary, are in a state of increased tension due to chronic stress and negative emotional experiences (Means-Christensen AJ, Roy-Byrne PP, Sherbourne CD, Craske MG, Stein MB Relationships among pain, anxiety, and depression in primary care. Depress Anxiety. 2008; 25: 593–600. V.V. Osipova. Headache of tension. A practical guide for doctors. Moscow, 2009).

The trapezius, sternocleidomastoid and extensor muscles of the neck are recognized as the most sensitive to stress in relation to other skeletal muscles and are in a state of constant contraction, which causes their overload and contributes to the formation of muscle hypertones (Heller AS, Lapate RC, Mayer KE, Davidson RJ Journal of Cognitive Neuroscience, Volume 26 | Issue 9 | September 2014, p. 2102-2110).

In the scientific literature, it is believed that among the main reasons that trigger the formation of muscle tension, it is psychoemotional stresses that stand out - 63.35%. As for other factors - non-physiological postures (26.4%), hypothermia (7.55%), chronic visceral diseases (2.7%), they are secondary (Bartashevich V.V. / Cervical myofascial pain syndrome: clinic, developmental mechanisms, treatment. Kazan, 2005; 238 c).

Thus, the presented method ignores the main factor affecting the tonic activity of muscles - the patient’s neuropsychic state. When diagnosing muscle tone, it is necessary to be guided not by a visual assessment of the type of posture disturbance, but by palpation and measurement tests of the quality of muscle tissue (presence of seals, trigger points, pain sensitivity, degree of swelling, etc.) to decide on a treatment strategy. In addition, in the proposed method for the correction of muscle hypertonicity, a comprehensive approach is ignored - work with reflected pain is excluded.

A known method of eliminating wrinkles using osteopathic techniques according to the method of Dr. Artyomov (patent RU 2295325 C2, published March 20, 2007), according to which the muscles are stretched with an osteopathic technique of myofascial relaxation. Palpate the area for stretching and determine the zone of greatest tension of the tissue and the place of limitation of its mobility. Stretch the tissue along the line of muscle fibers until resistance to further stretching is felt. Light twisting movements of the tissue are carried out, first clockwise, and then counterclockwise until the sensation of inhibition of the active movement of the tissue under the fingers. Twisting movements are performed slowly 3-4 times alternately to one and the other side, without weakening the tensile forces of tissues along the line of muscle fibers. They hold the stretched position of the muscles until a feeling of relaxation and suppleness of the tissues. Stretch the tissue again. Repeat the procedure step by step until the stretch limit is reached. Slowly weaken the tensile force. The method allows several times to reduce the execution time of myofascial relaxation, improve tissue elasticity, smooth deep wrinkles.

The proposed method of twisting and stretching muscles can be performed only at the superficial level of access without involving the most strained deep-lying muscles (anterior scalene muscles, major and minor posterior rectus muscles of the head, scapular-hyoid muscle). In addition, the proposed method ignores the need to combine massage using therapeutic exercises, which prevents the formation of the correct motor stereotype and the removal of mobility restrictions on the part of the cervical spine (turns, inclinations). In the proposed method, in the correction of muscle hypertonicity, a comprehensive approach is ignored - work with reflected pain is excluded.

Also known is a method of performing myofascial massage of the face and head to correct age-related changes and relieve muscle tension (patent RU 2685805 C1, published 04/23/2019). To do this, perform myofascial massage of the face and neck. Initially, an initial diagnostic examination of the face and neck is performed in order to detect mobility limitations and spasmodic muscles. Then perform a neck massage. Then, stress relief and limitation of the muscles of the tendon helmet are carried out. Then, the lymphatic drainage procedure is performed by means of certain methods of the method. Next, they perform facial massage until a state of softness and plasticity occurs, followed by a return to the muscles of the tendon helmet. Then, the condition of the submandibular zone of the face and the subcutaneous fatty tissue located in this area are corrected. Then carry out massage around the auricle and temporal muscle. After this, the lateral surfaces of the neck are treated on the left and right sides along the direction of the lymph movement from top to bottom. Simulate the left and right sides of the face according to the principle of circular tightening. Go to the muscles of the eyebrows, forehead and nose. Next, work out the circular muscles of the mouth. At the final stage of myofascial massage, the condition of the facial muscles on the left and right sides is assessed and they are densified by pressing along the oval of the face, achieving uniformity of tissues under the arms. The method provides effective aesthetic correction of the face and elimination of age-related changes due to the acceleration of stimulating processes in the tissues, reduction of destructive fibrotic changes in the tissues of the face and neck, normalization of lymphatic drainage and blood supply to the vessels in the auricle and temporal muscle, and also ensures uniform distribution of facial fat tissues, relieving muscle cramps.

The proposed method has several disadvantages. Firstly, it is aimed at treating the face and head. Neck massage is performed as a preparatory phase. First, the patient’s neck is extended, and then released, and then similar movements are carried out with muscles in the clavicle, shoulders and upper back. The time and degree of neck extension, as well as how the proposed method eliminates myofascial hypertonicity — painful muscle seals that have a narrow localization and each of which requires a separate manual study (J. Travel, L. Simons “Myofascial pains and dysfunctions.”), Are not indicated. , 2005). It is also unclear how much time is devoted to the stage of preliminary study of the cervical region from 60-90 minutes allocated for face and head massage.

Thus, the known methods have the following disadvantages. Firstly, there is no comprehensive approach that takes into account both violations in the structure (primary degenerative changes in muscle tissue) and dysfunctions (limitation of mobility) of the neck. Secondly, the need for a layered principle of access to massaged tissues is ignored, in which, as the superficial muscle layers relax, the possibility of contact with the deeper layers opens. Thirdly, the disadvantage of the known methods is the lack of a clear algorithm for working with muscle hypertonicities in the neck, which requires separate diagnostic methods and step-by-step correction depending on localization, severity and pain. Fourth, the work with reflected pain from muscle hypertonicities of the neck, causing prosopalgia - pain in the face, as well as pain in other parts of the neck, chest region, head, is ignored.

Proposed in the present invention, the method is based on restoring the functionality of the cervical spine and upper shoulder girdle by means of complex functional and structural effects on the tissues, muscles and other anatomical structures of the head and neck, and allows to minimize or eliminate the disadvantages of the known methods.

SUMMARY OF THE INVENTION

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

1) elimination of primary degenerative changes in muscle tissue and restriction of neck mobility,

2) providing access to deep-lying muscle layers,

3) the elimination of reflected pain.

In addition, the claimed method allows to reduce or eliminate negative emotional states and improve the aesthetic appearance - relieves swelling, improves complexion, smoothes wrinkles.

To achieve the claimed technical results, a method of reducing myofacial hypertonicities of the cervical muscles is carried out, based on the restoration of the functionality of the cervical spine and upper shoulder girdle by means of complex effects on tissues, muscles and other anatomical structures of different parts of the head, neck and chest area of the person in various zones with massage movements and gymnastics techniques, characterized in that the tissues, muscles and other anatomical structures are affected by sets of exercises, during which exercises are combined that belong to the group that improves the structure of muscle tissue, exercises that belong to the group that improve the function of muscle tissue, and exercises that belong to the group of influential on the patterns of reflected pain, adhering to the principle of sequential inactivation of the hypertonicity of the muscles of the back, side and front surfaces of the neck, layer by layer act on the single muscle chain formed by the muscles of the head, neck and chest area, while the exercise complexes incl Eater any of the three groups of exercises, and the effect is carried out in at least 1 to 4 stages, while at each stage, as initial exercises, the complex of exercises includes exercises that improve the structure of muscle tissue and improve the function of muscle tissue, the rest of the exercises in complexes choose from any exercise of the three groups in random order.

At the same time, a group of exercises that improve the structure of muscle tissue includes exercises that affect primary degenerative changes in muscle tissue: pinches in the occipital region, lengthening of the back surface of the neck, relaxation of the group of the occipital muscles, a complex for trapezius muscles with heating, a complex for removing blocks and clamps in the neck the collar zone with heating, opening of the chest area, neuro-muscular relaxation of the cervical muscles along the lateral side of the neck, neuro-muscular relaxation of the cervical muscles along the back of the neck and occipital region, neuro-muscular relaxation of the trapezius muscles, softening of the sternocleidomastoid muscle, deep sliding palpation on the back of the neck, platysmoplasty.

Any of these exercises is a massage exercise, during which deep massage movements affect the tissues, muscles and other anatomical structures of different parts of the head, neck and chest area of a person in their various zones.

The group of exercises that improve muscle tissue function includes exercises that affect the mobility of muscles and tissues: lowering hypertonicity in the upper back, correction of the chest area, joint-muscle gymnastics, correction of the scalene muscles, relaxation of the lateral surface of the neck, correction of the text neck, relaxation of the muscles of the front surface of the neck , restoration of neck statics, relaxation of skeletal muscles by the method of biofeedback, relaxation of trapezius muscles, restoration of proper neck statics, opening of the thoracic region in the doorway, correction of the shoulder-shoulder-clavicle system.

Any of these exercises are gymnastics techniques (gymnastic exercises), during which they affect tissues, muscles and other anatomical structures of different parts of the head, neck and chest area of a person in their various zones.

The group of exercises that influence the patterns of reflected pain includes exercises: BREGMA lifting, horizontal forehead lifting, horizontal tucks of the submandibular line, upper eyelid lifting, neuro-muscular relaxation of the masticatory muscles, warming and kneading of the forehead.

Any of these exercises are exercises during which they affect the patterns of reflected pain. When exposed, massage and deep massage movements can be used.

During exercises that improve the structure of muscle tissue and / or affect the patterns of reflected pain, they act with 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.

Before performing all actions, initial testing of the state of tissues and muscles of different areas of the human head is carried out, and after the completion of the last stage, final testing of the state of tissues and muscles of different areas of the human head is performed.

Exercises are selected into complexes in such a way that the implementation of the complexes eliminates the primary degenerative changes in muscle tissue, eliminates the limitation of mobility of the neck and eliminates the reflected pain. Also, the implementation of the complexes allows providing access to the deep-lying muscle layers. In addition, the claimed method allows to reduce or eliminate negative emotional states and improves the aesthetic appearance (relieves swelling, smoothes wrinkles, etc.).

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

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 to the patient a specialist of the clinic the necessary movements, or by performing the specialist of the clinic the necessary movements on the patient. 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 set of exercises as a whole can vary depending on the individual pain sensitivity of the patient, the degree of age-related changes, as well as 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 another embodiment of the invention, before performing all actions according to the claimed method, primary testing of the state of tissues and muscles of different parts of the head, neck and chest area is carried out, and after completion of the last stage, final testing of the state of tissues and muscles of different parts of the head, neck and chest area is carried out person.

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 - relaxing the back of the neck and occipital region (pinches).

In FIG. 2 presents photographs that depict the positions of the arms, head, and neck when performing Exercise No. 2 - “Lever” (lowering hypertonicity in the upper back).

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

In FIG. 4 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 4 - correction of the chest area.

In FIG. 5 presents photographs that depict the positions of the arms, head, neck and body when performing Exercise No. 5 - “Sphere” (joint-muscle gymnastics).

In FIG. 6 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 6 - “Stairs” (correction of scalene muscles).

In FIG. 7 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 7 - relaxing the lateral surface of the neck.

In FIG. Figure 8 presents photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 8 — Correction of the text neck.

In FIG. 9 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 9 - “Turtle” (relaxation of the muscles of the front surface of the neck).

In FIG. 10 presents photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 10 - “Stenochka” (restoring neck statics).

In FIG. 11 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 11 - deep tissue massage of the chest area (deep kneading of the tissue of the chest area).

In FIG. 12 presents photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 12 - the body-oriented workshop “Algae” (relaxation of skeletal muscles by the method of biofeedback).

In FIG. 13 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 13 - “Scissors” (relaxation of the trapezius muscles).

In FIG. 14 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 14 - express neck correction (rubbing the back of the neck).

In FIG. 15 presents photographs that depict the positions of the arms, head, neck and body when performing Exercise No. 15 - “Hook” technique (relaxation of the group of the occipital muscles).

In FIG. 16 presents photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 16 — restoring proper neck statics.

In FIG. 17 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 17 - opening the thoracic section in the doorway (opening the thoracic section).

In FIG. 18 shows photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 18 - a complex for trapezius muscles with warming.

In FIG. 19 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 19 - a complex for removing blocks and clamps in the cervical-collar zone with heating.

In FIG. 20 presents photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 20 — neuro-muscular relaxation of the cervical muscles along the lateral side of the neck (working with trigger points No. 1).

In FIG. 21 presents photographs that depict the positions of the arms, head, neck and body during Exercise No. 21 — neuro-muscular relaxation of the cervical muscles along the back of the neck and occipital region (working with trigger points No. 2).

In FIG. 22 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 22 — neuro-muscular relaxation of the trapezius muscles (working with trigger points No. 3).

In FIG. 23 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 23 - “Icebreaker” (opening the chest area).

In FIG. 24 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 24 - “Antenna” (correction of the shoulder-scapula-clavicle system).

In FIG. 25 presents photographs that depict the positions of the hands, head, neck, and body when performing Exercise No. 25 - “BREGMA lifting”.

In FIG. 26 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 26 - softening the sternocleidomastoid muscles.

In FIG. 27 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 27 - forehead lifting in a horizontal area.

In FIG. 28 presents photographs that depict the positions of the hands, head, neck, and body during Exercise No. 28 — Platysmaplasty (correction of the subcutaneous muscle of the neck).

In FIG. 29 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 29 - the technique of “Horizontal tucks of the submandibular line”.

In FIG. 30 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 30 - lifting the upper eyelids.

In FIG. 31 presents photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 31 — neuro-muscular relaxation of the masticatory muscles.

In FIG. 32 presents photographs that depict the positions of the arms, head, neck, and body when performing Exercise No. 32 — deep sliding palpation in various parts of the neck.

In FIG. 33 presents photographs that depict the positions of the hands, head, neck and body when performing Exercise No. 33 - warming and kneading the forehead.

In FIG. 34 shows photographs showing maps of pain points.

In FIG. 35 are photographs showing pretesting.

In FIG. 36 shows photographs of the final testing.

SUMMARY OF THE INVENTION

The inventive method is as follows.

The method is based on the restoration of the functionality of the cervical spine and upper shoulder girdle by a complex effect on tissues, muscles and other anatomical structures of different parts of the head, neck and chest area of a person in different zones with massage movements and gymnastics techniques, carried out for one to four stages.

At each stage, exercise complexes are performed, in which exercises selected from three groups are combined:

- a group of exercises that improve the structure of muscle tissue,

- a group of exercises that improve the function of muscle tissue,

- a group of exercises that affect the patterns of reflected pain.

When performing exercises adhere to the principle of sequential inactivation of hypertonicity of the muscles of the back, side and front surfaces of the neck. At the same time, a single muscle chain formed by the muscles of the head, neck and chest area is acted in layers - from the upper layers of muscle tissue to the deeper layers.

Moreover, at each stage, as initial exercises, the set of exercises includes exercises selected from the groups that improve the structure of muscle tissue and improve the function of muscle tissue, the remaining exercises in the complexes are selected from any exercises of the three groups in an arbitrary order.

Exercises that belong to the group that improves the structure of muscle tissue and affects primary degenerative changes in muscle tissue include pinch in the occipital region, lengthening the back of the neck, relaxing the group of the occipital muscles, a complex for trapezius muscles with heating, a complex for removing blocks and clamps in the cervical-collar zone with heating, opening of the chest area, neuro-muscular relaxation of the cervical muscles on the lateral side of the neck, neuro-muscular relaxation of the cervical muscles on the back of the neck and occipital region, neuro-muscular relaxation of the trapezius muscles, softening of the sternocleidomarine mastoid muscle, deep sliding palpation on the back of the neck, platysmaplasty.

Any of these exercises is a massage exercise, during which deep massage movements act on tissues, muscles and other anatomical structures of different parts of the head, neck and chest area of a person in their various zones.

Exercises that belong to the group of exercises that improve muscle tissue function and affect the mobility of muscles and tissues include: lowering hypertonicity in the upper back, correction of the chest area, joint and muscle gymnastics, correction of the scalene muscles, relaxation of the lateral surface of the neck, text correction neck, muscle relaxation of the anterior surface of the neck, restoration of neck statics, relaxation of skeletal muscles by the method of biofeedback, relaxation of the trapezius muscles, restoration of proper neck statics, opening of the thoracic region in the doorway, correction of the shoulder-shoulder-clavicle system.

Any of these exercises are gymnastic exercises, during which they carry out effects on tissues, muscles and other anatomical structures of different parts of the head, neck and chest area of a person in their various zones.

Exercises that belong to the group of exercises that affect the patterns of reflected pain include: BREGMA lifting, horizontal forehead lifting, horizontal tucks of the submandibular line, lifting the upper eyelids, neuro-muscular relaxation of the masticatory muscles, warming and kneading the forehead.

Any of these exercises are exercises, during which they affect the patterns of reflected pain (Fig. 34). When exposed, massage and deep massage movements can be used.

Exercises are performed as follows.

Exercise No. 1. Relaxation of the back of the neck and occipital region (pinches), FIG. 1

Using the thumb and forefinger of both hands, create a forceps-like grip from the tissues and form a fold on an arbitrary section of the back surface of the neck 2-3 cm long. Next, the fold is pulled up and stretched from the center to the side, performing this technique along the entire back surface of the neck, carefully kneading tense, hard and painful areas. After processing the back surface of the neck, they proceed to processing in the specified manner in the occipital region. Exercise is performed for at least 2 minutes.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: trapezius muscles, belt muscles of the head, spine - cervical region, tendon attachment of the small and large rhomboid muscles, tendon attachment of the belt muscles of the head, semi-shaft muscles of the head, arteries, veins and lymph vessels and nodes of the back of the neck and upper back.

Exercise No. 2 "Lever" (reduction of hypertonicity in the upper back), Fig. 2

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, the elbow of the right hand is slowly straightened and at the same time they resist the head until it senses a compression of the upper portion of the trapezius muscle on the right. Fix this position for at least 30 seconds.

Then they perform the 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, stretching the trapezius muscle for at least 30 seconds.

At the first stage, stretching in large sections is performed: 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. In 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 exercises, 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. 3 Lengthening the back of the neck, FIG. 3

Keep your head straight. Any fingers of the right and left hand (for example, index, middle and ring) are placed on the back of the neck to the right or left of the spine, the fingers of one hand are placed above the fingers of the other. Fix this position until you feel tight contact of the fingers with the work surface for about 5-10 seconds.

Next, the fingers make a rolling-pushing movement in opposite directions: the fingers of the upper hand move up, the fingers of the lower hand - down. Fingers knead and level the relief of the working surface. The speed of movement is approximately 1 mm per second. No pressure is exerted on the spine; work is done only with soft tissues of the back of the neck.

Next, the fingers are rearranged to another part of the back of the neck and repeat the reception. Exercise is performed on the entire back surface of the neck for at least 1 minute.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: trapezius muscles, belt muscles of the head, spine - cervical region, tendon attachment of the small and large rhomboid muscles, tendon attachment of the belt muscles of the head, semi-axial muscles of the head, arteries, veins, lymphatic vessels and nodes of the back of the neck and upper back.

Exercise No. 4 Correction of the chest area, FIG. 4

The exercise is performed while sitting on the edge of the chair, the legs are bent at the knees at a right angle, the feet are completely resting on the floor. The lumbar deflection is straightened a little.

At the first stage, with both hands they grab themselves over the shoulders, while the arms bent at the elbows are parallel to the floor. Then they take a breath and exhale strengthen thoracic kyphosis, the shoulder blades are removed from the spine, the chin is pressed to the sternum, the stomach is pulled. This position is fixed for at least 15 seconds, keeping breathing free.

Next, return the body to its original position. In the second stage, both arms are straightened in the elbow joints and placed behind a chair, the emphasis is on the tips of the fingers. The shoulders are kept in a high position, the shoulder blades are reduced to the spine. Keep your head straight. They take a deep breath, at the same time they further enhance the opening of the chest area, raising the chin slightly up and directing the shoulder blades to the spine. The mouth is slightly opened to avoid tension in the thyroid gland. This position is fixed for at least 15 seconds, performing slow breaths and exhalations. Then they return to their original position.

In the third stage, both hands are straightened in the elbow joints, the fingers are locked into the lock. In this position, the hands are directed forward, parallel to the floor. The chin is directed down, the back is rounded. This position is maintained for at least three respiratory cycles.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: portions of the pectoralis major and minor muscles with their fascial cases, dentate muscles, sternoclavicular joints, sternum and sternocostal joints, shoulder-shoulder joint, shoulder blade, and shoulder girdle muscles ( deltoid, supra- and subscapular, trapezoid, rhomboid), “anterior” mediastinum, diaphragm, tendon attachment of the sternocleidomastoid muscle, neurovascular bundles of the above areas.

Exercise No. 5 Scope (joint and muscle gymnastics), FIG. five

Exercise is performed while standing or sitting on a chair, feet are placed on the floor. Both hands are slightly bent at the elbow joints, the palms of both hands are placed on the belt, the elbows are directed to the sides. The lumbar deflection is slightly straightened, the shoulders are lowered down. Then the shoulders begin to perform small circular movements from front to back, imagining that the shoulder is smoothing a sphere (ball), dressed on the shoulder. Slow down the movement so that one circular motion is performed in about 10 -15 seconds. They track in which areas the movement of the shoulders ceases to be smooth and uniform, where stiffness of the shoulder joint occurs. In the most problematic or painful areas, the rotation of the shoulders is slowed down and made smaller. Exercise is performed for at least 1 minute.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: portions of the pectoralis major and minor muscles with their fascial cases, dentate muscles, sternoclavicular joints, sternum and sternocostal joints, shoulder-shoulder joint, shoulder blade, and shoulder girdle muscles ( deltoid, supra- and subscapular, trapezoid, rhomboid), tendon attachment of the sternocleidomastoid muscle, neurovascular bundles of the above areas.

Exercise No. 6 Exercise “Staircase” (correction of scalene muscles), FIG. 6

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. If 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. If 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.

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

Exercise No. 7 Relaxation of the lateral surface of the neck, Fig. 7

Keep your head straight. Both arms are straightened at the elbow joints and lowered down.

In the first stage, the shoulder of one arm (for example, the right) is slowly raised. The head is tilted to the right and laid on the right shoulder. The chin is slowly directed towards the jugular cavity. Fix this position for at least 15 seconds.

Then they proceed to the second stage - the edge of the right palm is placed on the side of the neck on the right and a slow rolling-pushing movement is performed along the entire side of the neck on the right, while tilting the head to the opposite side. The movement is performed for at least 15 seconds.

Next, the exercise is repeated on the other hand.

Exercise is performed at least 1 time.

The following tissues, muscles, and other anatomical structures are involved in the exercises: sternocleidomastoid muscle, scalene (anterior, middle, back) muscles, lymphatic vessels and nodes of the anterolateral surface of the neck, blood vessels of the anterolateral surface of the neck and sternum clavicular mastoid muscle.

Exercise No. 8 Correction of the text neck, Fig. 8

Keep your head straight. The fingers of both hands are locked in the lock and placed on the back of the head, the thumbs are placed on the border of the hairline.

At the first stage, the hands gently perform a pulling movement aimed at lengthening the muscles of the back of the neck.

In the second stage, gently press the occipital region on the hands, guide the chin down and back, creating a soft stretch of the short extensor muscles of the neck. When taking under the chin, skin folds are formed. Fix this position for at least 1 minute.

It is permissible to skip the first stage of admission and proceed immediately to the second stage.

Exercise is performed at least 1 time.

The following tissues, muscles and other anatomical structures are involved in the exercises: subcutaneous muscle of the neck (platism), superficial fascia of the neck, biceps, jaw-muscle, trapezius muscle, belt muscles of the head, spine - cervical region, tendon attachment of the small and large rhomboid muscles, tendonous fastening of the belt muscles of the head, semi-axial muscles of the head, arteries, veins and lymphatic vessels and nodes of the back of the neck and upper back.

Exercise No. 9 “Turtle” (relaxation of the muscles of the front surface of the neck), FIG. nine

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

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

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

Exercise is performed at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: subcutaneous muscle of the neck (platism), superficial fascia of the neck, biceps, jaw-hyoid muscle, muscles of the back of the neck.

Exercise No. 10 “Stenochka” (restoration of neck statics), FIG. ten

Exercise is performed, standing with his back to the wall. Starting position - the feet are placed at a comfortable distance (about 15-20 cm) from the wall, the head and back are pressed against the wall.

From this position, the chin is slowly directed downward. This static position is fixed for at least 1 minute. As the suboccipital muscles are released, the base of the head and the back of the neck begin to come closer to the wall. It is forbidden to force this result by forceful and brute action. For help, put the palms of both hands on the head and gently help to direct the chin down. Breathe freely.

Next, the body is advanced forward in an arc so as to strengthen the fit of the neck to the wall, while maintaining the original position of the chin. This position is fixed for at least 1 minute. Exercise is performed at least 1 time.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: the superior ridge line and its tendon bundles, the tendon attachment of the muscle raising the scapula, the tendon attachment of the small and large rhomboid muscles, the tendon attachment of the head muscles of the head, the large occipital nerve, and the semi-shaft muscles of the head muscles of the back of the neck, spine - cervical spine, arteries, veins and lymphatic vessels and nodes of the back of the neck and upper back.

Exercise No. 11 Deep massage of the tissues of the chest area (deep kneading of the tissues of the chest area), FIG. eleven

The finger of one hand is placed under the sternal edge of the clavicle on the opposite side (for example, the finger of the left hand under the edge of the right clavicle). The palm of the second hand for fixation is placed on the upper part of the same part of the chest. Lower the palm down, giving tension to the tissues.

Then, with the finger of the hand located above, perform deep circular kneading movements along the lower edge of the clavicle. Having reached 2/3 of the length of the clavicle, they change the direction of movement of the massaging finger to the diagonal, following the anatomical structure of the pectoralis major muscle. Next, the tissues of the chest area are treated with kneading circular movements with the finger of the hand located above.

The exercise is repeated at least 1 time.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: the pectoralis major muscle, the subcutaneous muscle of the neck - Platism, the lymphatic vessels and regional lymph nodes of the mammary gland.

Exercise No. 12 Body-oriented workshop “Algae” (relaxation of skeletal muscles by the method of biological feedback), FIG. 12

Exercise is performed standing or sitting. To the relaxing music they make smooth swaying, wave-like movements, representing the smooth movement of algae in the ocean. The movements involved the head, neck, shoulders and upper body, both legs rest on the floor. Swinging movements are performed in any trajectory and at any comfortable speed, observing the principle of smoothness and softness. During movement, muscle blocks, clamps, and tension are released. Track the subtle sensations of the release of muscles, ligaments, joints, chest position.

Breathing is free. Eyes may be closed or open. Exercise is performed for at least 2 minutes.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: the muscular system and the joint-ligamentous apparatus of the body, muscles and fascia of the face and neck.

Exercise No. 13 Scissors (relaxation of the trapezius muscles), FIG. 13

Exercise is performed standing or sitting. Keep your head straight, look straight. Both hands are raised to the sides, straightened at the elbow joints, fingers are straightened and strained. Straightened arms are held at a comfortable height to avoid pain or discomfort.

Then slowly bring the hands forward, connecting them together, while maintaining the tension of the fingers. This position is fixed for at least 30 seconds. Breathing is free and deep.

Then slowly spread your arms to the sides until you feel a contraction of the interscapular muscles. This position is fixed for at least 30 seconds.

Next, carry out the movement with straightened hands forward and backward, at least 1 time.

Exercise is performed at least 1 time.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: portions of the pectoralis major and minor muscles with their fascial cases, dentate muscles, sternoclavicular joints, sternum and sternocostal joints, shoulder-shoulder joint, shoulder blade, and shoulder girdle muscles ( deltoid, supra- and subscapular, trapezoid, rhomboid), tendon attachment of the sternocleidomastoid muscle, neurovascular bundles of the above areas.

Exercise No. 14 Express correction of the neck (rubbing the back of the neck), Fig. fourteen

Exercise is performed standing or sitting. Any fingers of the right and left hand (for example, index, middle and ring) are placed on the back of the neck and create a fold of fabrics.

Then the fingers begin to perform grinding movements. They do not exert pressure on the spine, work is done only with soft tissues of the back of the neck. The movements are stopped when the fingers approach the center of the collected folds or touch each other. Exercise is performed on the entire back surface of the neck.

The exercise is repeated at least 1 time.

When performing the exercises, 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. 15 Reception “Hook” (relaxation of the group of the occipital muscles), FIG. 15

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 exercises, 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. 16 Restoring the correct statics of the neck, Fig. sixteen

Keep your head straight. The fingers of both hands are locked in a lock and placed on the occipital region, the thumbs are placed on the border of the hairline. Fix this position until you feel tight contact of the hands with the occipital region for about 5-10 seconds. Then gently press on the occipital region on the hands and fix this position for at least 1 minute.

Exercise is performed at least 1 time.

The following tissues, muscles and other anatomical structures are involved in the exercises: subcutaneous muscle of the neck (platism), superficial fascia of the neck, biceps, jaw-muscle, trapezius muscle, belt muscles of the head, spine - cervical region, tendon attachment of the small and large rhomboid muscles, tendonous fastening of the belt muscles of the head, semi-axial muscles of the head, arteries, veins and lymphatic vessels and nodes of the back of the neck and upper back.

Exercise No. 17 Opening of the thoracic region in the doorway (opening of the thoracic region), FIG. 17

Exercise is performed while standing in the doorway. The body is straightened, the lumbar deflection is slightly straightened, the legs are placed at a comfortable width. Both hands bend slightly at the elbow joints and place their palms on the door jamb at chest level.

Next, holding hands on the door jamb, perform a tilt with the whole body forward, the angle of inclination is about 10-15 degrees. The shoulder blades are directed to the spine, the lower ribs are directed inward. Shoulders and back relax. Breathing is free. This position is fixed for at least 1 minute.

Exercise is performed at least 1 time.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: portions of the pectoralis major and minor muscles with their fascial cases, dentate muscles, sternoclavicular joints, sternum and sternocostal joints, shoulder-shoulder joint, shoulder blade, and shoulder girdle muscles ( deltoid, supra- and subscapular, trapezoid, rhomboid), tendon attachment of the sternocleidomastoid muscle, neurovascular bundles of the above areas, “anterior” mediastinum, diaphragm (breathing).

Exercise No. 18 Complex for trapezius muscles with warming, FIG. 18

For work using heating pads. Warmers are heated to a comfortable temperature and applied to the upper portions of the trapezius muscles on the right and left, for about 3-5 minutes.

Next, put your fingers on a warmed working surface and tightly pressed to the working surface throughout the entire duration of the reception. Fingers can be index, middle, and ring. Keeping the depth of pressing, the fingers perform rolling-pushing movements, kneading, rotation - circular kneading movements of a small diameter, aimed at relaxing and softening the tissues of the work area. Exercise is performed with one hand or two hands at the same time.

Exercise is performed for at least 1-2 minutes.

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

Exercise No. 19 Complex for removing blocks and clamps in the cervical-collar zone with heating, FIG. nineteen

For work using heating pads. Warmers are heated to a comfortable temperature and applied to the upper back, for about 3-5 minutes. Next, put the fingers of both hands on the cervical-brachial corners and firmly press them to the working surface throughout the entire duration of the reception. Fingers can be index, middle, and ring. Keeping the depth of pressing, the fingers perform a rolling-pushing movement back, left and right along the spine. The movement of the fingers is slow and dense, kneading all the stresses and densified areas.

Exercise is performed for at least 1 minute.

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

Exercise No. 20 Neuro-muscular relaxation of the cervical muscles along the lateral side of the neck (work with trigger points No. 1), FIG. 20

Starting position - lying on one side or sitting.

During the exercise, the head is tilted in the opposite direction from the working arm so as to create tissue tension on the working side. One arm (for example, the right one) is working and performs massage movements, the other (for example, the left one) is a fixative one and helps to create tension in the neck tissues, placing them above or below the working arm at a convenient distance.

Exercise is performed in two positions of choice, depending on the condition of the tissues of the neck. The first position - the head is directed to the side opposite from the working arm. The second position - the head is inclined to the working arm, in this case the fingers are immersed more strongly in the soft tissues of the neck.

In the first stage, the tip of one or more fingers of the working (for example, the right hand) creates pressure on the underlying tissues on an arbitrary section of the side surface of the neck on the right side. A locking arm (e.g. left) is positioned above or below the working arm at a convenient distance, creating tension in the neck tissue. The fingers of the working hand perform the technique of “deep sliding palpation” on the same side of the neck - perform search rolling-pushing movements from top to bottom or bottom-up along the lateral surface of the neck, identifying trigger points - muscle seals or areas inside muscle tissue that are characterized by increased pain ( buckle syndrome) and / or reflected pain in other parts of the face or neck.

When finding the most painful or hard site, they proceed to the second stage. Corrective technique “ischemic compression” is performed. With the tip of one or more fingers of either hand, perpendicular to the axial line of muscle fibers, pressure is applied to the neck tissue from 15 seconds to 2 minutes, or until the sensation of complete elimination of pain sensitivity. During the procedure, squeezed tissues turn pale, a numbness sensation is possible. After that, testing is carried out - again they put pressure on the working area, pain should decrease. Thus, the entire surface of the neck is treated on one side - it is necessary to work out from 2 to 5 muscle seals or painful areas. This stage lasts at least 5 minutes, the optimal time is 10 minutes.

At the third stage, search rolling-pushing movements are again performed with the fingers of the right working hand from bottom to top or top to bottom, plunging layer-by-layer deep into the working area at the fascial access level. Palpation determines areas of muscle hypertonicity - seals, hard areas, tubercles, veins, lumps, veins, cords.

Using any fingers of the right working hand (for example, index and middle), thoroughly knead these tense, hard and painful areas on an individual pain rating scale of 7 points out of 10 until relaxation and uniform heating of the tissues of the side surface of the neck. At the same time, fingers of the left fixing hand help to create tension in the neck tissues, placing them above or below the working arm at a convenient distance. If there is discomfort or pain in the hands, they are taken with any fingers of both hands, folded together in the form of a “pinch” or bone protrusions or a cam. The movement of the right working hand is aimed at softening and aligning these detected seals, growths, tight cords for 1-3 minutes. Fingers do not come off the working surface from the work surface. Next, proceed to the processing of 2-3 other stressful areas. This stage lasts at least 5 minutes, the optimal time is 15 minutes.

Next, perform an exercise on the other side of the neck. The first, second and third stages are performed for at least 20 minutes, not more than 1 time per week.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: sternocleidomastoid muscle, scalene (anterior, middle, back) muscles, lymphatic vessels and nodes of the antero-lateral surface of the neck and sternocleidomastoid muscle, anterior blood vessels - the lateral surface of the neck and sternocleidomastoid muscle.

Exercise No. 21 Neuro-muscular relaxation of the cervical muscles along the back of the neck and occipital region (work with trigger points No. 2), FIG. 21

Reception is performed in the “pose of the child” (yoga asana of the “balancer”) - they fall to the knees, trunk and head in line, the forehead is laid on the floor in front of the knees. Direct the chin down to gently tighten the muscle group along the back of the neck. As a starting position, the position also applies - sitting on a chair near the table, putting your elbows on the table and bending your forehead to the countertop.

They work with the right hand on the right side of the neck from the spine, with the left hand - on the left side. The projection of the spinal column does not work.

Start work on either side of the back of the neck, for example, the right. The palm of the left hand is placed on the occipital region and the arm is directed upward, creating tissue tension. The distal phalanx of the thumb of the right hand is placed on the border of the cranio-vertebral transition on the right and the “ischemic compression” technique is performed. The tip of one or more fingers of either hand, perpendicular to the axial line of muscle fibers, presses the neck tissue from 15 seconds to 2 minutes, or until the sensation of complete elimination of pain sensitivity. During the procedure, squeezed tissues turn pale, a numbness sensation is possible.

Further, preserving the access depth, the distal phalanx of the thumb (or several fingers or the cam) of the right hand performs several rolling-pushing movements from the cranio-vertebral transition 3-7 cm down for 1-2 minutes, kneading all manifestations of muscle hypertonicity, including painful compaction, hard patches, tubercles. Movement speed - 1 mm per second. When severe pain occurs, reduce the load on the tissues, perform stroking, pressing, rotation, vibration effects. Thus, the tissues of the posterior surface of the neck are worked out along the line of the craniovertebral transition from the styloid process of the temporal bone to the spine. It is permissible to perform the exercise with both hands at the same time. The time to complete the exercise is individual and depends on the number of active trigger points and the degree of muscle tension.

Next, the exercise is performed on the left side.

Exercise is performed at least 5 minutes once a week.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: trapezius muscles, belt muscles of the head, spine - cervical region, tendon attachment of the small and large rhomboid muscles, tendon attachment of the belt muscles of the head, semi-shaft muscles of the head, arteries, veins and lymph vessels and nodes of the back of the neck and upper back.

Exercise No. 22 Neuro-muscle relaxation of the trapezius muscles (work with trigger points No. 3), FIG. 22

Starting position - lying on one side or sitting.

With the right hand they work with the trapezius muscle on the left side, with the left hand they work with the trapezius muscle on the right side. To facilitate access to the work area during the exercise, the working shoulder is lifted up.

At the first stage, with fingers of one hand create forceps-like grips of tissues of the opposite shoulder girdle 2-4 cm long. Trigger points are revealed - muscle seals or areas inside muscle tissue that are characterized by increased soreness (buckle syndrome) and / or reflected pains in other parts of the face or neck. When finding the most painful or hard site, they proceed to the second stage.

Corrective technique “ischemic compression” is performed. With the tip of one or more fingers of either hand, perpendicular to the axial line of the muscle fibers, pressure is applied to the neck tissue from 15 seconds to 2 minutes, or until the sensation of complete elimination of pain sensitivity. During the procedure, the squeezed tissues turn pale, a numbness sensation is possible. After this, testing is carried out - again they put pressure on the working area, pain should decrease. Thus, the entire surface of the neck is treated on one side - it is necessary to work out from 2 to 5 muscle seals or painful areas. This stage lasts at least 5 minutes, the optimal time is 10 minutes.

After that, they proceed to processing the trapezius muscle on the other hand.

When severe pain occurs, reduce the load on the tissue to the sensation of a complete elimination of pain sensitivity. During the procedure, the squeezed tissues turn pale, a numbness sensation is possible.

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

Exercise No. 23 “Icebreaker” (opening the chest area), FIG. 23

Both hands are bent at the elbow joints, the fingers are locked together, the palms of the hands are joined so that the base of the palms fit snugly together. In this position, they put their hands on the center of the sternum and firmly press them to the working surface throughout the entire reception. Lower shoulders and shoulder blades down.

Further, while preserving the depth, on the exhale, a slow rolling-pushing motion is carried out with the base of the palms to the sides. As you move away from the center of the sternum, the fingers disengage and continue to move with the palms and fingers. Traffic is stopped in the area of 2/3 clavicles. Exercise is performed at least 1 time.

The following tissues, muscles, and other anatomical structures are involved in the exercises: portions of the pectoralis major and minor muscles with their fascial cases, dentate muscles, sternoclavicular joints, sternum and sternocostal joints, shoulder-shoulder joint, shoulder blade, and shoulder girdle muscles ( deltoid, supra- and subscapular, trapezoid, rhomboid), “anterior” mediastinum, diaphragm (respiration), tendon attachment of the sternocleidomastoid muscle, neurovascular bundles of the above areas.

Exercise No. 24 “Antenna” (correction of the shoulder-scapula-clavicle system), FIG. 24

Exercise is performed standing or sitting. Keep your head straight, look straight. The lumbar deflection is straightened, the stomach is pulled in, the shoulders are lowered down. Both hands point down to the floor, straighten in the elbow joints, straighten the fingers, palms facing the body.

They begin to slowly perform circular movements with their shoulders back, so that the palms of the hands are turned with the back to the body. Movement is carried out only in the shoulder joints. The position is fixed for at least 5 seconds.

Next, perform the reverse movement, returning to the starting position. The exercise is repeated for at least 1 minute.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: portions of the pectoralis major and minor muscles with their fascial cases, dentate muscles, sternoclavicular joints, sternum and sternocostal joints, shoulder-shoulder joint, shoulder blade, and shoulder girdle muscles ( deltoid, supra- and subscapular, trapezoid, rhomboid), tendon attachment of the sternocleidomastoid muscle, neurovascular bundles of the above areas.

Exercise No. 25 BREGMA-lifting, FIG. 25

Starting position: the chin is tilted down, the fingers of both hands are arranged in the form of a comb and are located at the temples.

Combing movement is carried out with your fingers through the temples up the temporal region to the top of the skull, crown (Bregma). After the middle fingers meet, fix the hands for a few seconds and change the position of the hands. With one hand (for example, with the right), a bundle of hair is collected in the parietal region and pulled upward. This position is stored for 5-15 seconds.

The exercise is repeated at least 1 time.

When performing the exercises, the following tissues, muscles and other anatomical structures are involved: temporal muscle; temporal fascia; large zygomatic muscle; small zygomatic muscle; circular muscle of the eye; muscle lifting the corner of the mouth; transcranial aponeurosis; arteries, veins and lymphatic collectors of the middle part of the face.

Exercise No. 26 Softening the sternocleidomastoid muscles, FIG. 26

They work with the sternocleidomastoid muscle, first from one, then from the other side. To determine the location of 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 fixed in 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 exercises, the following tissues, muscles and other anatomical structures are involved: sternocleidomastoid muscle; biceps and chewing muscles; lymphatic vessels and nodes of the anterolateral surface of the neck and sternocleidomastoid muscle; blood vessels of the anterolateral surface of the neck and sternocleidomastoid muscle.

Exercise No. 27 Forehead lifting in a horizontal area, FIG. 27

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

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

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

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the frontal bone, the proud muscle, the muscle that wrinkles the eyebrow, the blood and lymph vessels of the upper third of the face.

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

Exercise No. 28 Platysmaplasty (correction of the subcutaneous muscle of the neck), FIG. 28

The thumb and forefinger of both hands create a forceps-like grip of a horizontal fold 2-4 cm long above the sternal edge of the clavicle. Next, produce 5-7 hand-catching movements of the fold, during which the maximum volume of veins, lumps, densified areas, nodes, fibrous areas, skin adhesions with integumentary tissues, local seals, “retraction” of the muscle or its individual bundles is pulled into the fold. Holding the fold, vibrating, compressing, pressing, pulling, dragging, shaking and kneading, stretching movements are carried out, aimed at softening them and heating the tissues inside the collected fold.

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

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

The following tissues, muscles, and other anatomical structures are involved in the exercise: subcutaneous muscle of the neck (platism), superficial fascia of the neck, muscle lowering the lower lip, muscle lowering the angle of the mouth, circular muscle of the mouth, buccal muscle, facial artery, lower jaw, clavicle .

Exercise No. 29 Reception "Horizontal tucks of the submaxillary line", Fig. 29th

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 amount of tissue, veins, lumps, and compacted areas is pulled into the fold , 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 exercises, the following tissues, muscles and other anatomical structures are involved: the maxillary hyoid muscle, the anterior abdomen of the bridal muscle, the sublingual-lingual muscle, the thyroid-hyoid muscle, the upper abdomen of the shoulder-hyoid muscle, the sternum-hyoid muscle, the 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. 30 Lifting of the upper eyelids, FIG. thirty

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

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

Exercise is performed at least 1 time.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: tissues and muscles of the musculoskeletal system, lacrimal apparatus, circular muscle of the eye, frontal muscle, muscle that raises the upper eyelid.

Exercise No. 31 Neuro-muscular relaxation of the masticatory muscles, FIG. 31

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 intercepted by the fold, during which the maximum fibrous areas, skin adhesions with integumentary tissues, “retraction” of the muscle or its individual bundles are pulled into the fold. In places of strong adhesions of the skin with integumentary tissues, where the holding of the fold becomes difficult, the movement is stopped and vibrating, compressing, pressing, stretching, shaking, stretching and kneading massage movements are performed to soften and warm the tissues inside the fold.

Next, the fold is stretched in the direction from the center to the sides, and slowly rolled diagonally downward 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.

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

Exercise No. 32 Deep sliding palpation in various parts of the neck, Fig. 32

In the back and lateral areas of the neck, using any fingers of one hand (for example, index, middle and ring), they perform rolling-pushing movements from bottom to top or top to bottom, kneading all manifestations of muscle hypertonicity, including painful seals, hard areas, tubercles. Movement speed - 1 mm per second. The lead time is 1-2 minutes for the development of one site.

When working with the most intense or painful areas, the movement of the fingers is stopped, the fingers of the working hand are fixed and pressed to the working surface, causing tissue compression for 20-30 seconds. When performing the reception, the head is tilted in the opposite direction from the working arm so as to create tension in the tissues of the neck. The fingers of the second hand help to create tension in the tissues of the neck, placing them above or below the working arm at a convenient distance.

Exercise is performed until a slight hyperemia or uniform heating of the tissues.

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

Exercise No. 33 Warming up and kneading the forehead, Fig. 33

For work, small heaters are used. Heaters are heated to a comfortable temperature and applied to the forehead, nose, border of the hairline for about 1 minute.

Next, a heating pad make circular movements of small diameter on the surface of the forehead. First, circular motions are performed at the surface level, providing easy stroking. After doing several repetitions, gradually increase the pressure on the tissue, increasing the degree of depth of the effect in the frontal region. Exercise is performed for about 2-3 minutes.

When performing the exercise, the following tissues, muscles and other anatomical structures are involved: the frontal bone, the metopic seam of the frontal bone, the frontal muscle, the arrogant muscle, the wrinkled eyebrow muscle, the cranial aponeurosis along the headband, the blood and lymph vessels of the upper third of the face.

According to the claimed method, while performing exercises that improve the structure of muscle tissue, exercises and / or affect the patterns of reflected pain exercises are affected by deep massage movements until discomfort and / or pain occurs, not exceeding 7 points on a 10-point scale, and / or smoothing, relaxing massage movements.

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.

Before performing all actions, initial testing of the state of tissues and muscles of different areas of the human head is carried out, and after the completion of the last stage, final testing of the state of tissues and muscles of different areas of the human head is performed.

Exercises are selected into complexes in such a way that the implementation of the complexes eliminates the primary degenerative changes in muscle tissue, eliminates the limitation of mobility of the neck and eliminates the reflected pain. Also, the implementation of the complexes allows providing access to the deep-lying muscle layers. In addition, the claimed method allows to reduce or eliminate negative emotional states and improves the aesthetic appearance (relieves swelling, smoothes wrinkles, etc.).

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

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

The total execution time of each exercise and the set of exercises as a whole can vary depending on the individual pain sensitivity of the patient, the degree of age-related changes, as well as 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 another embodiment of the invention, before performing all the effects of the claimed method, primary testing of the state of tissues and muscles of different parts of the head and neck is carried out, and after the completion of the last stage, final testing of the state of tissues and muscles of different parts of the head, neck and chest area of a person is performed.

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

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

In one embodiment of the invention, before performing all actions according to the claimed method, primary testing (Fig. 35) of the state of tissues and muscles of different parts of the head, neck and chest region of the human body is carried out, and after the last stage is completed, final testing (Fig. 36) of the condition tissues and muscles of different parts of the head, neck and chest area of the human body.

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

The implementation of the proposed method allows you to: eliminate the primary degenerative changes in muscle tissue and restriction of mobility of the neck, provide access to the underlying muscle layers, eliminate the reflected pain. In addition, the claimed method allows to reduce or eliminate negative emotional states and improve the aesthetic appearance - relieves swelling, improves complexion, smoothes wrinkles.

MODES FOR CARRYING OUT THE INVENTION

Example 1

Patient Ershova A.S., 38 years old. I went to the clinic for an improvement in the aesthetic appearance. During palpation and measurement tests, the presence of myofascial hypertonicity of the cervical muscles was established. Patient Ershova A.S. a 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 trapezius muscles, the group of the occipital muscles, sternocleidomastoid muscles (upper portion), and the volumes of edematous folds over the middle portion of the trapezius were measured muscles on the posterior surface of the neck, above the mastoid portion of the sternocleidomastoid muscle, above the cervical-chin angle, and also the size of lymphatic fat tissue in the region of the seventh cervical vertebra and the length of the neck in front, on the right, on the left and behind are fixed.

Test results of the patient A. Ershova are among the results of testing a group of patients presented in Tables No. 3-7.

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

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

Exercise complexes were composed and carried out as follows:

Table number 1

Stage 1 1. Exercise “Scissors”
2. Exercise "Lever"
3. A complex for trapezius muscles with heating
4. Neuro-muscle relaxation of the trapezius muscles (work with trigger points No. 3)
5. Restoring neck statics
6. Pinches in the occipital region
7. Neuro-muscular relaxation of the cervical muscles along the back of the neck and occipital region (work with trigger points No. 2)
8. BREGMA lifting Stage 2 1. Reception "Algae" (relaxation of skeletal muscles by the method of biological feedback)
2. Antenna
3. Sphere (joint and muscle gymnastics)
4. Reception "Stenochka" (restoration of neck statics
5. Express neck correction (rubbing the back of the neck)
6. Lengthening the back of the neck
7. Reception "Hook" (relaxation of the group of the occipital muscles)
8. Complex for removing blocks and clamps in the cervical-collar zone with heating
9. Deep sliding palpation on the back of the neck
10. BREGMA lifting Stage 3 1. Softening of the sternocleidomastoid muscle
2. Relaxation of the side of the neck
3. Exercise “Staircase” (correction of scalene muscles)
4. Neuro-muscular relaxation of the cervical muscles of the lateral sides of the neck (work with trigger points No. 1)
5. Opening of the thoracic region in the doorway
6. Disclosure of the chest area "Icebreaker"
7. Warming and kneading the forehead
8. Forehead lifting in the horizontal area
9. Upper eyelid lifting Stage 4 1. Exercise "Correction of the chest area"
2. “Turtle” (relaxation of the muscles of the front surface of the neck)
3. Text neck correction
4. "Platysmaplasty"
5. Reception "Horizontal tucks of the submaxillary line"
6. Softening the sternocleidomastoid muscle
7. Neuro-muscle relaxation of the masticatory muscles

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

1) pain in the trapezius muscles decreased by more than 40%;

2) decreased pain in the group of the occipital muscles by more than 60%;

3) pain in the sternocleidomastoid muscles (upper portion) decreased by more than 10%;

4) the volume of edematous folds over the average portion of the trapezius muscles decreased by 58%; on the back of the neck by 50%; over the mastoid portion of the sternocleidomastoid muscle by 22.5%;

5) the volume of edematous folds above the cervical-chin angle decreased by more than 30%, and the size of lymphatic fat tissue in the region of the seventh cervical vertebra decreased by 50%;

6) increased neck length in front, on the right and on the left by more than 17%; increased neck length in the back by more than 12%.

Thus, the patient Ershova A.S. corrected muscle tone (reduced hypertonicity) in the neck, reduced the size of lymphatic fat deposits in the seventh cervical vertebra (withers), improved blood supply to different areas of the neck, chest and face, prevented age-related changes in soft tissues and deeper structures of the neck, face and breasts.

Also, at the end of the course, an aesthetic result was achieved: the patient acquired a more relaxed, softer facial expression. The patient showed a significant improvement in neck statics, neck elongation, a decrease in the withers, and an improvement in the turgor and aesthetic appearance of the neck and face skin. The patient achieved a noticeable relaxation of the frontal region, the middle part of the face, and decreased spasm of the masticatory muscles, as a result of which wrinkles on the forehead and nose bridge decreased, and the nasolabial folds became less pronounced. 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, muscle tension was relieved and tissue swelling was reduced.

Example 2

Patient Mokrova T.Yu., 59 years old. I went to the clinic for an improvement in the aesthetic appearance. During palpation and measurement tests, the presence of myofascial hypertonicity of the cervical muscles was established. Patient Mokrova T.Yu. a course was prescribed according to the claimed invention.

Before and after the course, testing was conducted, as a result of which pain indicators in the trapezius muscles, the group of the occipital muscles, sternocleidomastoid muscles (upper portion) were evaluated, and the volumes of edematous folds over the middle portion of the trapezius muscles were measured, the posterior surface of the neck, above the mastoid portion of the sternocleidomastoid muscle, above the cervical-chin angle, the size of lymphatic fat tissue in the region of the seventh cervical vertebra, and the length of the neck in front, on the right, on the left and behind, are fixed.

Testing results of the patient Mokrova T.Yu. are among the results of testing a group of patients presented in Tables No. 3-7.

During the course, the patient exerted effects on tissues, muscles and other anatomical structures of different parts of the neck, head and chest area. The entire course of gymnastics and massage was performed by the patient under the guidance of a specialist clinic.

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

Exercise complexes were composed and carried out as follows:

Table number 2

Stage 1 1. Exercise “Scissors”
2. Exercise "Lever"
3. A complex for trapezius muscles with heating
4. Neuro-muscle relaxation of the trapezius muscles (work with trigger points No. 3)
5. Restoring neck statics
6. Pinches in the occipital region
7. Neuro-muscular relaxation of the cervical muscles along the back of the neck and occipital region (work with trigger points No. 2)
8. BREGMA lifting Stage 2 1. Reception "Algae" (relaxation of skeletal muscles by the method of biological feedback)
2. Antenna
3. Sphere (joint and muscle gymnastics)
4. Reception "Stenochka" (restoration of neck statics
5. Express neck correction (rubbing the back of the neck)
6. Lengthening the back of the neck
7. Reception "Hook" (relaxation of the group of the occipital muscles)
8. Complex for removing blocks and clamps in the cervical-collar zone with heating
9. Deep sliding palpation on the back of the neck
10. BREGMA lifting Stage 3 1. Softening of the sternocleidomastoid muscle
2. Relaxation of the side of the neck
3. Exercise “Staircase” (correction of scalene muscles)
4. Neuro-muscular relaxation of the cervical muscles of the lateral sides of the neck (work with trigger points No. 1)
5. Opening of the thoracic region in the doorway
6. Disclosure of the chest area "Icebreaker"
7. Warming and kneading the forehead
8. Forehead lifting in the horizontal area
9. Upper eyelid lifting Stage 4 1. Exercise "Correction of the chest area"
2. “Turtle” (relaxation of the muscles of the front surface of the neck)
3. Text neck correction
4. "Platysmaplasty"
5. Reception "Horizontal tucks of the submaxillary line"
6. Softening the sternocleidomastoid muscle
7. Neuro-muscle relaxation of the masticatory muscles

The results of the final testing of the patient Mokrova T.Yu. come down to the fact that the patient:

1) pain in the trapezius muscles decreased by more than 30%;

2) pain in the group of the occipital muscles decreased by more than 20%;

3) pain in the sternocleidomastoid muscles (upper portion) decreased by more than 20%;

4) the volume of edematous folds over the average portion of the trapezius muscles decreased by 42.85%; on the back of the neck by 21.5%; over the mastoid portion of the sternocleidomastoid muscle by 33%;

5) the volume of edematous folds above the cervical-chin angle decreased by more than 20%, and the size of lymphatic fat tissue in the region of the seventh cervical vertebra decreased by 42.85%;

6) increased neck length in front by more than 30%, on the right and left by more than 10%; neck length increased by more than 40%.

Thus, the patient Mokrova TS restored muscle tissue tone (reduced hypertonicity) in the neck, chest and face areas, improved blood supply to different areas of the neck, chest and face, prevented age-related changes in soft tissues and deep-lying structures of the neck, face and chest, and lifted 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. The patient's neck statics improved, and the neck lengthened. Muscle tension in the forehead and nose area decreased, as a result of which wrinkles in the forehead and nose were significantly reduced. Due to a decrease in the hypertonicity of the masticatory muscles, the muscle base of the cheek was leveled and its young appearance was restored. The lower part of the face relaxed - the circular muscle of the mouth, the chin area.

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 removed and tissue swelling was reduced, skin turgor improved, and various face areas were lifted.

Example 3 (total)

In total, the course of the claimed method was carried out by 48 patients aged 35 to 62 years.

At the same time, 34 people carried out the method as described in Example 1, 11 people - as in Example 2. For 3 people, the method was selected as described in Example 1, but the course was carried out by a clinic specialist in 3 stages.

All patients completed:

1. Complete palpation and measurement testing before and after the course for pain in the muscles. Testing specialists put pressure on the tissues of the face, neck and chest of patients with a certain load. Patients rated pain according to the YOUR scale (visual analogue scale) from 1 to 10, where 1 means no pain, 10 means 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 Statusus a Common Factor for Masticatory Muscle Pain 2017 A Systematic). A decrease / increase in muscle pain during palpation indicates a decrease / increase in muscle tension.

2. The study of the degree of swelling of the tissues. The clinic specialists measured the thickness of the folds in certain areas of the patients neck. When calculating the shift, the initial level of the crease thickness was taken as 100%. A positive shift was considered when lowering the values.

With 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. Proceeding from this, a decrease in the volume of edematous tissues over various parts of the skeletal and facial muscles is regarded as a predictor of positive changes (Bartashevich V.V. "Cervical myofascial pain syndrome" 2005).

3. The dynamics of the increase in the sides of the neck around the perimeter. When calculating the shift, the initial level (To.) Was taken as 100%. A positive shift was considered as the values increased.

4. 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.

5. 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.

6. The dynamics of self-esteem on the visual-analogue scale (YOUR).

The technique allows you to evaluate the height, stability and realism of self-esteem with respect to such general concepts as health, well-being at the moment, success with the opposite sex, appearance, authority among others, self-confidence. Patients noted on a vertical scale the level of development / severity of the studied parameters before and after the study.

The research results are presented in Tables No. 3-7

Table number 3

The dynamics of pain in the neck muscles

(Assessment of pain in different areas by deep palpation)

The average pain indicator for the group BEFORE the study (YOUR scores) The average pain indicator for the group AFTER the study (YOUR scores) A positive shift was recorded (% of 48 people) A positive shift of more than 30% was recorded (% of 48 people) A positive shift of more than 50% was recorded (% of 48 people) Trapezius muscle 7.29 ± 1.6 4.21 ± 1.8 44 (91.7%) 32 (66.7%) 11 (22.9%) Occipital muscle group 8.21 ± 1.5 4.60 ± 2.1 46 (95.8%) 30 (62.5%) 16 (33.3%) Sternocleidomastoid muscles, upper portion 7.79 ± 1.6 5.71 ± 2.2 44 (91.7%) 13 (27.1%) 6 (12.5%)

Table number 4

The dynamics of changes in tissue volume in the neck

The average indicator for the group before the study (cm) Group average AFTER research (cm) A positive shift was recorded (% of 48 people) A positive shift of more than 30% was recorded (% of 48 people) A positive shift of more than 50% was recorded (% of 48 people) The volume of edematous tissue over the middle portion of the trapezius muscle (right) 46.7 ± 11.3 35.9 ± 7.3 38 (79.2%) 16 (33.3%) 3 (6.3%) The size of lymphatic adipose tissue in the region of the seventh cervical vertebra 59.3 ± 18.5 43.4 ± 13.0 42 (87.5%) 19 (39.6%) 6 (12.5%) The volume of edematous tissue on the back of the neck 40.2 ± 14.0 24.9 ± 7.3 44 (91.7%) 28 (58.3%) 15 (31.3%) The volume of edematous tissue above the mastoid portion of the sternocleidomastoid muscle (right) 28.6 ± 10.9 21.9 ± 5.7 35 (72.9%) 19 (39.6%) 4 (8.3%) The volume of edema above the cervical-chin angle 22.1 ± 10.5 16.4 ± 5.2 38 (79.2%) 16 (33.3%) 3 (6.3%)

Table number 5

The dynamics of the increase in the sides of the neck around the perimeter

The average indicator for the group before the study (cm) Group average AFTER research (cm) A positive shift, in principle, happened (% of 48 people) A positive shift happened by more than 30% (% of 48 people) A positive shift happened by more than 50% (% of 48 people) Neck length front 6.4 ± 1.9 7.6 ± 1.7 41 (85.4%) 15 (31.3%) 6 (12.5%) Neck length right 7.5 ± 1.2 8.4 ± 1.2 36 (75.0%) 3 (6.3%) 1 (2.1%) Neck length left 7.6 ± 1.2 8.5 ± 1.2 37 (77.1%) 5 (10.4%) 0 (0.0%) Neck length back 6.0 ± 1.2 7.3 ± 1.3 44 (91.7%) 18 (37.5%) 4 (8.3%)

Table number 6

The dynamics of indicators of mental stress

Index Testing Group (48 patients) Before After BEK DEPRESSION SCALE Depression 11.4 ± 7.2 4.7 ± 4.4 ** SPILBERGER SCALE Situational 25.7 ± 10.8 18.1 ± 9.0 *** Personal 47.4 ± 9.5 43.9 ± 7.4 **

* p <0.05; ** p <0.01; *** p <0.001 - significance of differences in relation to the initial indicators;

Table number 7

The dynamics of self-esteem on the visual-analogue scale (YOUR)

Index V group Before After Health 77.6 ± 13.3 85.2 ± 9.2 ** Feeling well 76.7 ± 15.5 84.9 ± 9.5 ** Success in men 73.9 ± 17.7 82.6 ± 13.0 * Assessment of appearance 75.4 ± 15.4 82.0 ± 14.0 * The authority of others 75.4 ± 19.7 82.9 ± 11.1 * Self-confidence 67.1 ± 23.4 80.9 ± 14.9 ***

* p <0.05; ** p <0.01; *** p <0.001 - significance of differences in relation to the initial indicators.

The results shown in tables No. 3-7 show that:

• 91.7% of patients recorded a decrease in pain in the trapezius muscle (while 22.9% of patients reduced pain by 2 times); 95.8% of patients recorded a decrease in pain in the group of the occipital muscles (while 33.3% of patients reduced pain by 2 times); 91.7% of patients recorded a decrease in pain in the upper portion of the sternocleidomastoid muscle (while 12.5% of patients reduced pain by 2 times);

• 79.2% of patients reduced the volume of edematous tissues over the average portion of the trapezius muscles, while 6.3% of patients reduced the volume of edematous folds over the average portion of the trapezius muscles by more than 50%; 91.7% of patients reduced the volume of edematous tissue along the posterior surface of the neck, while 31.3% reduced the volume of edematous tissue along the posterior surface of the neck by more than 50%; 72.9% reduced the volume of edematous tissue above the mastoid portion of the sternocleidomastoid muscle, while more than 8% reduced the volume of edematous tissue above the mastoid portion of the sternocleidomastoid muscle by 50%;

• 79.2% of patients prevented further formation of edema above the cervical-chin angle;

• 87.5% of patients reduced the size of lymphatic adipose tissue in the region of the seventh cervical vertebra (withers);

• in more than 75% of patients, the neck lengthened to the right, left, front and back, the neck statics was restored;

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

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

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

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

Claims (12)

1. A method of reducing myofacial hypertonicities of the cervical muscles, based on the restoration of the functionality of the cervical spine and upper shoulder girdle, by a complex effect on the tissues, muscles and other anatomical structures of the head, neck and chest area of the person with massage movements and gymnastics, characterized in that the tissue , muscles and other anatomical structures act by sets of exercises, during which they combine exercises selected from three groups, namely, groups of exercises that improve the structure of muscle tissue, groups of exercises that improve the function of muscle tissue, and groups of exercises that affect the patterns of reflected pain, adhering to the principle of sequential inactivation of the hypertonicity of the muscles of the back, side and front surfaces of the neck, layer by layer affect the single muscle chain formed by the muscles of the head, neck and chest area, while the exercise complexes include any of the three groups of exercises, and the effect is carried out in at least 1 up to 4 e tapes, at the same time, at each stage, as initial exercises, the complex of exercises includes exercises that improve the structure of muscle tissue and improve the function of muscle tissue, the remaining exercises are selected into complexes from any exercises of three groups in an arbitrary order. 2. The method according to p. 1, characterized in that the group of exercises that improve the structure of muscle tissue includes exercises: pinches in the occipital region, lengthening the back of the neck, relaxing the group of the occipital muscles, a complex for trapezius muscles with heating, a complex for removing blocks and clamps in the cervical collar zone with heating, opening of the chest area, neuro-muscular relaxation of the cervical muscles on the lateral side of the neck, neuro-muscular relaxation of the cervical muscles on the back of the neck and occipital region, softening of the sternocleidomastoid muscles, deep sliding palpation on the back surface neck, platysmoplasty; a group of exercises that improve muscle tissue function includes exercises: lowering hypertonicity in the upper back, correction of the chest area, articular muscle gymnastics, correction of the scalene muscles, relaxation of the lateral surface of the neck, correction of the text neck, relaxation of the muscles of the front surface of the neck, restoration of neck statics, relaxation of skeletal muscle biofeedback, relaxation of the trapezius muscles, restoration of proper neck statics, opening of the thoracic region, correction of the shoulder-shoulder-clavicle system; The group of exercises that affect the patterns of reflected pain includes exercises: BREGMA lifting, horizontal forehead lifting, horizontal subclavicular line tucks, upper eyelid lifting, neuro-muscular relaxation of the masticatory muscles. 3. The method according to p. 1, characterized in that during the execution of exercises that improve the structure of muscle tissue, and / or affect the patterns of reflected pain exercises, are affected by deep massage movements until pain occurs, not exceeding 7 points on a 10-point scale . 4. The method according to p. 3, characterized in that as a deep massage movements carry out warming up, kneading, softening, rubbing, pulling, stretching, rolling, rolling, shaking, shaking, vibrating, swinging, compressing, pressing, pushing, combing, swirling movements. 5. The method according to p. 1, characterized in that the rotational, circular, zigzag, spiral movements are used as massage movements. 6. The method according to p. 1, characterized in that before performing the effects, primary testing of the state of the tissues and muscles of the human head is performed, and after completion of the last stage, the final testing of the state of tissues and muscles of the human head is performed. 7. The method according to p. 1, characterized in that the duration of each stage is days, weeks or months. 8. The method according to p. 1, characterized in that all movements are carried out independently, either under the supervision of a specialist clinic, or only a specialist clinic. 9. The method according to p. 1, characterized in that each exercise is performed from 10 seconds to 10 minutes. 10. The method according to p. 1, characterized in that each exercise is preferably performed from 30 seconds to 5 minutes. 11. The method according to p. 1, characterized in that each exercise is performed most preferably from 1 to 3 minutes. 12. The method according to p. 1, characterized in that arteries, veins, lymphatic vessels and nodes act as other anatomical structures.

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