RU2763645C1 - Method for biometric diagnostics and correction of somatic dysfunctions according to a.a. ivanov - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely, to osteopathy, and can be used in therapeutic and health-improving activities. Palpatory-percussion tissue diagnostics is performed, in the course whereof one (palpatory) of the hands of the doctor is placed on the skin of the patient (on the arm or leg), the second (percussion) hand performs double tapping of the assumed area of lesion. The doctor evaluates the tissue response in the form of a change in tissue tension, changing in the presence of dysfunction, by the palpatory hand. In the event of a two-time stimulus, a compensatory lesion (secondary somatic dysfunction) is identified, and in the event of a three-time stimulus, a primary, true lesion is identified. Further, the identified dysfunctions are corrected, and for this purpose, the doctor simultaneously performs a two-time percussion stimulus in the area of true lesion and compensation, with subsequent irritation of the periosteum, followed by a retest: the doctor performs repeated diagnostics of the dysfunctions by the above method, in the absence of a tissue response on tapping of the areas of lesion, the correction is considered completed.

EFFECT: method ensures simplification and reduction in the time of correction of somatic dysfunctions.

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Description

The invention relates to medicine, namely to osteopathy and can be used in medical and recreational activities.

At the moment, one of the promising scientific theories that explain the work of the central nervous system in humans is the hologram theory [Karl Pribram. Brain languages. Experimental paradoxes and principles of neuropsychology. Progress Publishing House, Moscow, 1975]. Presumably, the principles of hologram theory are distributed throughout the body. They are based on the input of sensory information (receptors), its analysis (the work of the central nervous system) and the output (reactions of the body).

The hologram was discovered by Nobel laureate Dennis Gabor in 1947. The principles of the hologram are used in many areas of science and industry, including medicine. Gabor coined the term "hologram" from the Greek word "voice" which means "whole" to indicate that a hologram contains complete information about a wave.

A person receives different information from the visual, auditory, olfactory, tactile, postural systems, which are connected by the same principles that Gabor used to invent the hologram.

According to the hologram model of the nervous system, any structure of our body has a three-dimensional (3D) projection in the brain, like a three-dimensional hologram photograph. Maintaining this image is possible thanks to receptors that send information from the peripheral link (organ or tissue) to the center (brain). Thanks to the flow of impulses to the brain, a three-dimensional image (hologram) of a particular structure is formed. Accordingly, a disturbance in the image of an organ or tissue in the brain due to a disorder in the receptor field on the periphery or information conductors can lead to the formation of a false idea of the structure, which, in turn, can lead to various somatic dysfunctions and pain. This model of the functioning of the nervous system suggests a different approach to the diagnosis and correction of somatic dysfunction, as a consequence of a violation of the three-dimensional three-dimensional image of the structure in the brain. In this case, it would be appropriate to use the term biometric method for diagnosing and correcting somatic dysfunction. Biometric means referring to biometrics (recognition system based on one or more physical or behavioral features (three-dimensional photograph of the face and/or body, voice pattern, fingerprints, hand vein pattern, blood group, special photo of the cornea of the eye, etc.). However, in this context, the biometric method involves the identification of characteristic disorders that prevent the brain from recognizing a structure (tissue or organ) and creating a “correct” three-dimensional image of the structure in the central nervous system. The biometric method of osteopathy involves the search for three entry points to the central system. their synchronization through the stimulation of receptor fields (percussion) As a result, there is a kind of “reboot” of the nervous system and a correct three-dimensional image of the structure (organ or tissue) in the brain is formed, which triggers the self-correction mechanism.

Osteopathy [Novoseltsev S.V. Introduction to osteopathy. Soft tissue and articular techniques. A practical guide for physicians. - St. Petersburg: Foliant, 2009.] is a section of manual medicine based on diagnosis and treatment with the help of a doctor's hands.

In osteopathy, there are many different techniques for correcting somatic dysfunctions, which are described in both patent and non-patent literature.

The term somatic dysfunction refers to a reversible structural and functional disorder in the body. Somatic dysfunction has three components: structural, rhythmogenic and neurodynamic. The task of osteopathic diagnostics and correction is to identify somatic dysfunction by known methods and eliminate it.

For osteopathic diagnostics, various methods and methods are used, based on palpation of tissues, displacement of fascia, listening to endogenous rhythms (cranial rhythm).

Correction of somatic dysfunctions is carried out using structural techniques [Osteopathic diagnosis of somatic dysfunctions. Clinical guidelines, 2014.]: myofascial techniques, trust (high-speed low-amplitude techniques), recoil, articulation techniques, balanced ligamentous tension techniques, etc.

In the practice of diagnostic examinations and correction of somatic dysfunctions, methods are known:

A method for improving the patient's health through a systemic effect on the body according to the method of Dr. Artyomov, which consists in carrying out diagnostics, including a general examination, osteopathic examination of the structural, visceral and cranial systems, electropuncture diagnostics according to the method of Dr. R. Voll with testing and selection of an effective dose of the necessary biologically active drugs, with subsequent osteopathic impact on the above systems of the patient, while the osteopathic effect on the patient is carried out for eight sessions in two months consecutively once a week, then three sessions are carried out with a frequency of once a month, after which a control examination is carried out once every three months, each osteopathic session is carried out in such a way that the correction structural dysfunctions are accompanied by correction of internal organs innervated from the same segments of the spine to which structural techniques were directed, while before eliminating structural dysfunctions, myofascial release of the lumbar, thoracic and cervical sections is performed for 20-30 minutes, after the end of osteopathic treatment, the patient is prescribed gymnastics relaxing the musculoskeletal apparatus (see patent RU No. 2296550, IPC A61H1 / 00 (2006.01) A61K31 / 7004 (2006.01) A61K31 / 726 (2006.01) A61P19 / 00 (2006.01), publ. 10.04.2007).

This method has a number of limitations, since it requires an electroacupuncture device for diagnostics, which, in turn, can lead to technical errors. Correction of somatic dysfunctions is carried out by generally accepted osteopathic techniques for two months with a frequency of once a week. In addition, before osteopathic work, myofascial release of tissues (massage) is performed for 20-30 minutes. Next, the patient must do gymnastics to get the result. This method requires active participation of the patient in the process and a large number of procedures (at least 8 per course), which requires the patient to spend a lot of time and money. In addition, massage and osteopathic manipulations are performed on the same day, which can overload the patient's body. In some cases, massage may be contraindicated, for example, during a period of acute pain, which significantly limits the possibilities of the method.

A known method of osteopathic treatment of whiplash injury, including the implementation of 3 stages, while at stage I perform: 1) elimination of skull compression and restoration of craniosacral rhythm using tissue techniques, 2) correction of the skull bones, 3) balancing of the cervical spine, 4) correction of dysfunction sacrum, 5) elimination of asynchronism of the craniosacral connection, 6) balancing of the thoracic spine and lumbar spine, 7) global balancing of the body with craniosacral technique, which consists in the fact that the initial position of the patient is lying on his back, the doctor sits down at the head, then he places the hands on the side from the skull to the right and left behind the ear, creating support with the edge of the palm and fingers, create a palpation chord and intention to balance the body, reveal the movement of the skull tissues under the fingers, perform the aggravation technique, following the movement of the tissues, identify traction and remove it until the moment, when the tension between the hands goes away, the tissues stretch start, and expansion occurs, until reaching a point of rest, after which they hold the tissues in the achieved state until a craniosacral rhythm appears, equal to 10-12 movements per minute; then, after 3-10 days, stage II is performed, which includes the following techniques: 8) correction of dysfunction in the mediastinum, 9) global balancing of the body with craniosacral technique, then after 3-10 days, stage III is performed, which includes: 10) correction of dysfunctions in the area small pelvis; 11) global balancing of the body with craniosacral technique (see patent RU No. 2722742 IPC A61H 1/00(2006.01), A61H1/00(2019.08), publ. 06/03/2020).

This method has a limited range of indications in the form of whiplash.

There is also known a method of osteopathic and manual correction of identified dysfunctions. In the proposed method, the doctor exerts a manual impact in the form of a push (trust technique) with a force of 10 to 100 kg per 50 sq. cm, aimed at removing the functional block of an organ or part of the body (see patent RU 2 410 072 IPC (2006.01), publ. 01/27/2011).

This method has a number of limitations: it cannot be performed on weakened and elderly patients because of the risk of tissue damage up to bone fracture in osteoporosis, as well as with joint hypermobility (increased mobility).

A method is known for diagnosing and correcting reversible disorders of the ligamentous-muscular apparatus of the body, including manual effects on tissues by wrapping the area under examination with both hands of the doctor, controlling the manual effect on tissues and controlling the response of tissues to the impact, moreover, the diagnosis of reversible disorders of the ligamentous-muscular apparatus of the body is carried out by combined oscillating testing two types of manual impacts: at the same time, the state of elasticity of the structural elements of the tissue is assessed by simultaneously exposing them to the counter-and reciprocating directions of hand movement, while the impacts are carried out with a large amplitude, in the calculation of the transfer of deforming shifts to the tissues, not exceeding the amplitude range in which after exposure, tissues are not reversibly restored to the state prior to exposure, while using a low rate of transmission of movements, assessing the state of viscosity of the interstitial fluid by exposure to one at the same time, unidirectional and reciprocating directions of hand movements, transmitting jogging shaking movements to the examined tissues, while the impacts are carried out in a low-intensity amplitude range, and the speed of transmission of jogging shaking effects to the tissues is high, the state of elasticity of the structural elements of the tissue is assessed by the biomechanical reactions of the examined tissues to deforming effects, the state of viscosity of the interstitial fluid is assessed by the biomechanical response of the examined tissues in response to shaking effects, the determination of these properties of elasticity and viscosity is carried out according to the data obtained in tactile sensations perceived by the doctor through the receptor apparatus of his own hands, by which violations are detected , the procedure for correcting the identified violations of the ligamentous-muscular apparatus of the body is carried out according to certain, as indicated above, tactile sensations and is carried out by repeated combined oscillating manual effects on tissues, during which the dynamics of changes that occur separately in the state of elasticity of the structural elements of the tissue and the viscosity of the interstitial fluid are controlled, the correction procedure is completed when a positive dynamics of changes in the elasticity of the structural elements of the tissue and the viscosity of the interstitial fluid is achieved (see Fig. patent RU No. 2731315 IPC A61B5/00(2006.01), A61H99/00 (2006.01), A61B5/00(2020.01), A61H99/00(2020.01), published on 09/01/2020).

The disadvantages of this method of correction of somatic dysfunctions include the fact that the generally accepted osteopathic approach does not take into account the hologram principle of the nervous system. The impact on dysfunction is carried out in one or two-dimensional projection at the level of the most affected organ or structure, without affecting the regulation of the central nervous system, which makes such approaches close to massage or classical manual therapy.

The closest of the prior art and taken by us as a prototype is the method of "Sclerotomy biometric stabilization (SBS) according to S.V. Molotkov.

The essence of biometric stabilization according to Molotkov is as follows: 1) The doctor conducts an examination and collects an anamnesis. 2) The dermatome is irritated in the supposed affected area by stroking the skin and the reaction is evaluated by determining the myotatic reflex by testing the indicator muscle (manual muscle testing in applied kinesiology). When stroking the affected area, the activity of the myotatic reflex decreases - the indicator muscle weakens. 3) The doctor performs a double percussion effect on the periosteum of the arms or legs (according to the Berseniev map) in order to determine the reaction of the myotatic reflex due to irritation of the dermatome, if the activity of the myotatic reflex is not restored, then this indicates a lesion in the dermatome zone, thus diagnosing several affected zones. 4) After determining the affected area, the lesions are clarified, as well as the differentiation of the true lesion and compensatory lesion. For this, a double palpation pressure is performed in the affected area and the myotatic reflex is assessed using manual muscle testing. With a decrease in the activity of the myotatic reflex, a double stimulus is again performed on the periosteum of the arms or legs (according to the Bersenyev map) and the preservation of the decrease in the myotatic reflex is assessed, which indicates a lesion. If the activity of the myotatic reflex increases, this indicates a compensatory lesion. 5) Differentiation of the affected areas is carried out - a true lesion and a compensatory lesion. To do this, a three-fold palpation pressure is performed in the affected area, a two-fold irritation of the periosteum of the arms or legs is carried out, and the activity of the myotatic reflex is determined. The persistence of a decrease in the activity of the myotatic reflex indicates a true (primary) lesion. 6) Correction of the lesions found is carried out by deep palpation (ischemic pressure) in a ratio of 1:3 (one press on the lesion and three on compensation), followed by induction of a deep tendon reflex. 7) Re-testing and evaluation of the correction results is being carried out (see the Internet resource http://biometric-kinesiology.com/images/EC-01-001533.pdf or Work of Science: Sclerotomy biometric stabilization (SBS) according to S.M. Molotkov, EC-01-001533).

A significant drawback of SBS according to S.V. Molotkov is limited in the use of the method, since the diagnosis is based on the assessment of the activity of the myotatic reflex through manual muscle testing. This diagnostic method has limitations, since it is impossible to test children, debilitated patients, the elderly and pregnant women in the later stages. In addition, for an adequate assessment of the myotatic reflex, it is necessary to bring the patient into a state of normotonus, which requires additional time from the doctor and complicates the diagnostic process.

The aim of the invention is to create a method that allows you to quickly find and eliminate the primary lesion, affecting not only the receptor field of the affected structure, but also its representation in the central nervous system, which triggers self-correction mechanisms.

The inventive method is carried out as follows.

At the first stage, the doctor diagnoses the body using palpation and percussion of the body (palpation-percussion technique according to A.A. Ivanov). Somatic dysfunctions are revealed at the global, regional and local levels. For this, the patient is positioned on his back. The doctor is on the side of the patient. One hand of the doctor is listening (palpatory), the other is percussion. The doctor's listening hand performs palpation on the patient's skin, listening to tissue tension. For palpation, you can use the skin of the hands or feet of the patient. The doctor's second hand (percussion) performs tapping of the alleged affected areas - somatic dysfunctions. The doctor performs a double stimulus in the suspected zone of dysfunction and listens to the tissue response with a palpation hand. In the presence of somatic dysfunction, when the region is tapped, the doctor will receive a tissue response - the tissue tension in the palpation zone will change for 2-3 seconds. For further osteopathic biometric correction of somatic dysfunction, it is necessary to identify at least two affected areas: compensation (adaptation) and the true lesion. A true lesion will retain a tissue response when the affected area is tapped three times.

At the next stage, the doctor corrects the identified somatic dysfunctions in the following sequence: global level, regional level, local level. The global level includes work on the elements of the craniosacral system (cranial bones, cranial sutures, cerebrospinal fluid spaces, sacrum, dura mater). The regional level includes work on the anatomical regions of the body: head, neck, thoracic region, lumbar region, pelvis, upper and lower limbs. The local level includes work on individual anatomical structures: muscle, tendon, organ, vessel, bone, joint. Further correction of the revealed dysfunctions is carried out. To eliminate somatic dysfunction, the doctor finds at least two zones of damage: compensatory (secondary) and true (primary) at one of the levels of the body - global, regional or local. Then the doctor determines the phase of thoracic breathing, in which he receives a tissue response during palpation - this will be the therapeutic phase of breathing (inhalation or exhalation). Next, the doctor performs a percussion effect on the zone of compensation and true damage in the form of a simultaneous double stimulus in the therapeutic phase of breathing, after which it immediately irritates the periosteum in any part of the body. This impact forms the correct hologram (biometric) image of a tissue or organ in the central nervous system and triggers self-correction mechanisms, which is the essence of osteopathic biometric correction.

After the biometric osteopathic correction, the doctor conducts a retest: retesting according to the algorithm described above. The correction is considered complete if there is no tissue response when the affected areas are tapped. To obtain a stable result, it is necessary to undergo at least three sessions of biometric osteopathic correction with a frequency of once a month. The duration of one session is 45 minutes for an adult and 30 minutes for a child.

The difference between the claimed method and the closest analogue is as follows:

1. To diagnose the affected structures, an assessment of the tissue response (dermatome reaction) is used in the form of a change in the degree of tissue tension on the periphery (skin of the hands or feet) during percussion of the alleged lesion, and not the determination of the activity of the myotatic reflex through manual muscle testing.

2. To search for affected areas and compensation, coordination with the sclerotome in the form of a double blow to the periosteum with subsequent manual muscle testing of the indicator muscle is not required, it is enough just to evaluate the response of the dermatome to irritation, which greatly simplifies the diagnosis and reduces the search time.

3. To clarify the areas of the primary (true lesion) and compensation, repeated manual muscle testing and coordination with the sclerotome are not required, it is enough to perform a three-time percussion effect on the lesion site and evaluate the tissue response of the dermatome, which significantly speeds up the diagnostic process.

4. To search for the affected areas, Bersenyev's maps are not used, the search is carried out by palpation-percussion diagnosis through irritation of the affected areas and the response of the dermatome in the form of a tissue response - a change in tissue tension.

5. To create a hologram image during the correction process, the doctor irritates the periosteum in any part of the body, and does not cause a deep tendon reflex, which technically simplifies the correction of somatic dysfunction.

6. To correct lesions, you can use a simultaneous double stimulus for lesions with irritation of the periosteum in any part of the body, in contrast to the prototype, where it is necessary to cause a deep tendon reflex and specify the affected areas for primary and secondary in order to correctly correct:

- incentive for true defeat;

- an incentive for compensation, which can lead to diagnostic errors and ineffective manipulations.

7. Palpation-percussion diagnostic method according to A.A. Ivanov through the assessment of the tissue reaction of the dermatome in response to percussion irritation of the affected structure has no restrictions on the age of patients, which makes it a universal method for diagnosing somatic dysfunctions.

8. To correct the identified dysfunctions using the claimed method of biometric osteopathy, the patient is placed in any comfortable position: lying, sitting or standing, which makes the method universal for the doctor's work.

The practical use of the claimed method for diagnosing and correcting somatic dysfunctions is illustrated by an example.

Example 1

A 60-year-old man came to the reception with a complaint of pain in the shoulder when moving his arm. The pain bothered me for two years. Repeatedly applied for medical help, prescribed non-steroidal anti-inflammatory drugs (hereinafter referred to as NSAIDs), blockades, massage and physiotherapy. The result was minor and temporary. After biometric osteopathic diagnosis, several somatic dysfunctions at the muscle level were identified: the deltoid muscle (compensation), the upper portion of the trapezius muscle (lesion), as well as the round pronator (compensation) and the splenius muscle of the head (lesion). Spent biometric osteopathic correction according to the described method. As a result, the pain completely disappeared, and the range of motion was restored within one session. At the second session (one month later), the patient noted that the pain had not returned.

Example 2

A pregnant woman (2nd trimester), 28 years old, came to the appointment with a complaint of pain in the sacrum. The pain worsened when standing up and walking. The pain bothered me for one month. Biometric osteopathic diagnostics revealed a lesion of the sacrum - right-sided flexion of the sacrum. The pain arose in the region of the sacroiliac joint during movement. A biometric osteopathic correction of the sacrum was performed, thereby restoring the position of the sacrum and removing the compression of the sacroiliac joint. The pain was significantly reduced during the session. At the second session a month later, the patient noted the complete disappearance of pain in the sacrum. The position of the sacrum was normal.

Example 3

A 30-year-old woman came to the appointment with a complaint of headaches in the occipital region, and jumps in blood pressure. The headache was almost daily, according to the Visual Analogue Scale (hereinafter referred to as VAS) 6-7 points. She took painkillers. The problem has been bothering me for over a year. She was treated by a neurologist with varying success. After the examination, somatic dysfunction of the cervical vertebrae C0-C1, C1-C2, as well as a block of the occipital-mastoid suture and jugular foramen on the right were revealed. A biometric osteopathic correction was performed according to the described method. At the second session a month later, the patient noted a significant improvement: the frequency and intensity of headache decreased (about 1 time per week after stress, VAS 3-4 points), blood pressure stabilized. A re-examination did not reveal a recurrence of dysfunctions of the cervical vertebrae and the occipital bone.

In the claimed method for correcting somatic dysfunction, only the percussion method (tapping) of interested structures (double stimulus) is used, followed by irritation of the periosteum. This method allows to reduce the procedure, as well as increase the therapeutic effect due to the impact not only on the peripheral link, but also on its representation in the central nervous system, which corresponds to the stated purpose of the invention.

The presented method of biometric diagnosis and correction of somatic dysfunctions can be used in medical and recreational activities.

Claims (5)

1. A method for biometric osteopathic diagnostics and correction of somatic dysfunctions, including palpation-percussion tissue diagnostics, during which one hand of the doctor - palpable is on the patient's skin - on the arm / leg, the second hand - percussion performs double tapping of the intended affected area, the doctor evaluates the palpation hand tissue response in the form of a change in tissue tension, which changes in the presence of dysfunction, and with a two-fold stimulus, a compensatory lesion is detected - a secondary somatic dysfunction, and with a three-fold stimulus - a primary lesion, which is true, then the identified dysfunctions are corrected, and for this the doctor simultaneously performs a double percussion stimulus in the zone of true damage and compensation, followed by irritation of the periosteum in the therapeutic phase of thoracic breathing during inhalation or exhalation, after which a retest is performed: the doctor re-diagnoses dysfunctions in the manner described above, in the absence of a tissue response when tapping the affected areas, the correction is considered complete. 2. The method according to claim 1, characterized in that the patient is located on his back, and the doctor is on the side of the patient. 3. The method according to claim 1, characterized in that for correction the patient is located in any comfortable position: lying, sitting or standing. 4. The method according to claim 1, characterized in that in order to obtain a stable result, it is necessary to undergo at least three sessions of biometric osteopathic correction with a frequency of once a month. 5. The method according to claim 1, characterized in that the duration of one session is 45 minutes for an adult and 30 minutes for a child.