RU2733480C1 - Method of hyperkyphosis treatment - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine and can be used for treating and preventing hyperkyphosis. That is ensured by massage and therapeutic exercises that fix result and form correct muscular memory. Treatment is carried out in 3 stages. At the first stage myofascial release and massage are performed, including stroking, rubbing with stretching and displacement of tissues in different directions, kneading and working with fasciae and muscles of back and anterior body part and spinal distraction. At the second stage, a manual therapy is performed restoring the correct location of the bones of the thoracic spine in the sagittal plane. At the third stage, therapeutic gymnastics is performed, which involves tapping fingers of long back muscles and correcting with a direct back position, performed several times a day with total duration of 6 minutes.

EFFECT: method enables increasing the postoperative and hyperkyphosis treatment results with obtaining complete deformation correction, and stopping the disease progression, and forming the correct posture.

1 cl, 2 dwg, 2 ex

Description

The invention relates to medicine and can be used for the treatment and prevention of hyperkyphosis.

A known method for the treatment of postural disorders in the sagittal plane (patent for invention RU 2351302, publ .: 10.04.2009 Bull. No. 10). In the treatment, it is proposed to combine post-isometric relaxation of tense muscles with physiotherapy exercises for relaxed antagonists. With a combination of post-isometric relaxation of the postural muscles in a state of hypertonicity with physical therapy, which purposefully strengthens their antagonists, the disturbed regional postural muscle balance is restored faster, and physiotherapy exercises to restore the normal balance of the tone of the muscles concerned are required in a smaller volume. The disadvantage of this solution is the lack of work with fascia.

A method for the treatment of postural disorders and scoliosis (patent for invention RU 2367403, publ .: 20.09.2009 Bull. No. 26) is described, where longitudinal vertical stretching is carried out by the arms with displacement of the body to the right and left until the axis of the spine is straightened and statically hold the resulting therapeutic posture, then, without weakening the traction, the displaced vertebrae are repositioned by means of manual therapy and pressure on the vertebrae in the center of deformation and derotation, after restoring the correct axis of the spine, the passive static effect is replaced by active static holding of the obtained therapeutic posture by the muscular effort of the patient lying, sitting and standing. The disadvantage of this solution is the lack of preparatory work with muscles and fascia. Working with unheated and unprepared muscles is traumatic.

Closest to the claimed invention can be attributed to a method of treating scoliosis of I-II degrees (patent for invention RU 2166922, publ .: 20.05.2001 Bull. No. 14), including performing reflex massage with targeted strengthening of the trapezius and rhomboid muscles, after warming up and relaxing the muscles spine, corrective gymnastics is carried out with an emphasis on strengthening the lumbosacral muscle, back muscles and abdominal wall, the achieved effect is consolidated by position correction, carried out several times a day for a total duration of up to 1.5 hours, in patients over 15 years of age, stretching of the ligamentous-muscular apparatus is carried out with using manual therapy, which, by strengthening the muscle corset, prevents relapse. The disadvantage of this solution is the lack of work with fascia.

The object of the present invention is to strengthen the muscular "corset" to eliminate the deformation of the spine and give the body a correct posture.

This problem is solved by the fact that the method of treating hyperkyphosis by means of massage and therapeutic exercises, which consolidates the result and forms the correct muscle memory, carrying out myofascial release, manual therapy, restoring the correct position of the bones of the thoracic spine in the sagittal plane, while massage and myofascial release include stroking , rubbing with stretching and displacement of tissues in different directions, kneading and working with the fascia and muscles of the back and front of the body and stretching the vertebrae, and therapeutic exercises include tapping the long muscles of the back with the raised head and shoulders in the prone position and correction by a straight position the back, performed several times a day for a total of 6 minutes.

The technical result consists in improving the results of treatment of posture disorders and hyperkyphosis with obtaining a complete correction of deformity and stopping the progression of the disease, and the formation of correct posture.

By increasing the mobility of the fascia, and by working separately with each muscle, the body becomes plastic. The plastic body can be easily corrected with the help of manual therapy. Having given the body the correct natural bend, the correct muscle memory is formed with the help of special gymnastics.

The claimed invention is a set of actions, including massage and myofascial release, relieving tension in the patient's body (blocks and clamps), manual therapy, restoring the correct location of the bones of the thoracic spine, and gymnastics, which consolidates the result.

The first stage includes massage and myofascial manipulations. With the help of massage and myofascial release, they relieve tension in the patient's body, remove blocks and clamps, actively work out:

- spinous muscles of the chest;

- longest muscles of the chest;

- iliocostal muscles of the chest;

- the longest muscles of the back;

- semi-spinal muscles of the chest;

- supraspinous ligaments;

- Spinous muscles from the spine erector group;

- intercostal muscles.

The second stage includes manual therapy, with the help of which the natural curvature of the thoracic spine in the sagittal plane is restored.

The third stage includes gymnastics. Specially selected exercises reinforce the result of manual therapy and form correct muscle memory.

The massage begins with the preparation of the hands. Hands are washed with warm water and soap and dried with a towel. The patient undresses and lies down on the couch. They put their hands on the patient's back, recite the mantras "Om aa hum bazar guru badma sidi hum", "Om maa hum, pani pani suuhaa", "Om dari dudari duri suuhaa". With the help of mantras, negative energy is removed, a large number of thoughts, depression, fears leave the head, thereby preserving and protecting the mind.

The first stage includes:

1. Stroking the back.

The palms of the hands touch the entire surface of the body. Hands glide gently and gently over the entire surface of the back in different directions: longitudinal, circular, transverse. Reception relaxes muscles well, blood and lymph circulation improves, excretory ducts of the sebaceous and sweat glands work easier. Continue stroking, increasing pressure. Movements go from the periphery to the center in the direction of the lymph flow. There is an effect on superficial and deep-lying muscles, fascia, ligaments. Blood circulation and lymph flow accelerates, swelling goes away.

2. Rubbing the back.

With this technique, the tissue is stretched and displaced in different directions. Use a rectilinear rubbing along the long muscle of the back, starting from the lower back, moving up to the neck. Complementing circular rubbing, spiral rubbing, using a rake rubbing along the edges. Rubbing accelerates the resorption of fluid in tissues, various pathological deposits, increases tissue elasticity.

3. Back kneading.

Kneading is a difficult technique to perform. Muscle tissue is squeezed by hands, lifted, squeezed and displaced. Kneading improves tissue nutrition, increases blood circulation and lymph flow, softens muscle seals. Kneading is performed both across and along the muscle fibers.

4. Work with fascia and back muscles.

Put your hands on the patient's body. With both hands, they move the muscles and fascia forward to the stop, hold for three seconds and press as much as possible. Such actions are performed in different directions over the entire surface of the back.

5. Use stroking, rubbing, kneading and working with the fascia and muscles of the front of the body.

6. Stretching of the vertebrae.

The masseur places his hands across the spine, resting on the paravertebral muscles above the sacrum. Left hand to the left of the spine, right hand to the right, palms to each other, left hand moves down, right up. The rib of the left hand displaces the spinous process of the spine from the right side upwards, and the rib of the right hand displaces the spinous process of the spine from the left side downwards. Then swap the brushes. The hands move smoothly upward, stretching each spine. The technique stretches the spine well, removes clamps, blocks, the spine becomes more elastic.

The second stage includes manual therapy, with the help of which the natural curvature of the thoracic spine in the sagittal plane is restored. This stage includes work with a roller.

The patient lies on his back. Place a roller rolled from a towel under the patient's shoulder blades. The masseur places the hands under 8-12 ribs from the back, while the masseur's elbow rests on the patient's shoulder joint. The lower part of the chest is raised with the hands, the elbows are pressed on the shoulder joint from top to bottom, while the torso is stretched in the direction of the client's head. Further, in the same position of the patient with his palms, the masseur presses down on the shoulders. Then press from top to bottom by 8-12 ribs. The next action is to press with the left hand on 8-12 ribs from the right side from top to bottom, and with the right hand press on the left shoulder joint from top to bottom. The pressure is applied for 30 seconds. Then press with the left hand on 8-12 ribs from the left side from top to bottom, and with the right hand on the right shoulder joint from top to bottom. Repeat these steps twice.

The third stage is performing special gymnastics.

Specially selected exercises consolidate the result of manual therapy, form correct muscle memory.

1. The patient lies on his stomach, raises his head and shoulders, maximally stretching the intercostal muscles. The masseur taps his fingers on the long muscles of the back, thereby forming the correct muscle memory.

2. The patient 3 times a day for 2 minutes stands near the wall, pressing his head, shoulders, pelvis, heels, shin to the wall.

Below are examples of the possibilities and results of the invention.

Example 1.

Patient, 15 years old child. Diagnosis: hyperkyphosis, flat feet.

After 11 sessions using this technique, an even posture is observed, the diagnosis of flat feet and hyperkyphosis is removed.

Figure 1 shows images of a patient before and after treatment. In the photograph before treatment, hyperkyphosis is visible to the naked eye, in the second photograph, the correct posture is visible. A year later, the situation did not change, the patient retained the correct posture.

Example 2.

Client, 40 years old man. Diagnosis: scoliosis, stoop (hyperkyphosis), different leg length, pelvic displacement.

After 15 sessions according to this technique, scoliosis decreased by 60%, hyperlordosis by 30%, the difference in leg length from 5 cm to 1 cm.

Figure 2 shows images of a patient before and after treatment.

Claims (1)

A method of treating hyperkyphosis by means of massage and therapeutic exercises, characterized in that the treatment is carried out in stages: the first stage includes massage with myofascial release, in which blocks and clamps of the muscles of the back, spine and chest are removed by stroking, rubbing with stretching and displacement of tissues, kneading and working with the fascia and muscles of the back and chest, as well as stretching the vertebrae; the second stage includes manual therapy, with the help of which the curvature of the thoracic spine in the sagittal plane is restored; the third stage includes therapeutic gymnastics by tapping the back muscles with the fingers with the head and shoulders raised in the prone position, and the patient also stands 3 times a day for 2 minutes by the wall, pressing his head, shoulders, pelvis, heels and legs to the wall.

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