RU2799125C1 - Methods of leveling the pelvis, strengthening the abdominal wall, leveling the spine, leveling the shoulders, treatment of scoliose, as well as means for pushing the quad muscle of the lumbar and iliopsoas muscle - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: group of inventions relates to the methods of medical treatment by influencing muscle groups through massage. Group of inventions includes performing a set of exercises for aligning the pelvis, strengthening the abdominal wall, characterized by pushing the abdomen from the inner surface of the ilium, aligning the spine, aligning the thoracic spine and shoulders, as well as exercises for treating scoliosis.

EFFECT: performing exercises provides an increase in the effectiveness of the treatment of such diseases as hernia and protrusion, protrusion of the abdomen, curvature of the spine, scoliosis, due to the implementation of a set of exercises, including the study of the square muscle of the lower back, the study of the gluteal muscles, strengthening the abdominal wall, pushing the iliopsoas muscle and the middle part internal inguinal fold, working out the Poupart's ligament.

20 cl, 94 dwg

Description

SUBSTANCE: group of inventions relates to medicine, in particular, to methods of medical treatment by influencing muscle groups through massage [А61Н 15/00, А61Н 21/00, А61Н 23/06].

The prior art known METHOD AND DEVICE FOR HEALING THE HUMAN BODY [RU 2282429 C2, publ. 27.08.2006], and the known method includes self-massage and exercise. Self-massage is also carried out with a gloved hand. It is carried out in the supine position, on the left side, on the right side, on the stomach, sitting. They carry out unidirectional and counter-directional oscillatory and rotational movements clockwise and counterclockwise. The duration of the cycle of each movement is equal to the duration of one cycle of cardiac contraction. The self-massage device is made in the form of a glove. Massage elements are located on its outer surface. The glove is made of natural material. Massage elements are made in the form of rounded elastic plastic bristles. The diameter of the bristle has a size of 0.1 to 1 mm. The distance between the bristles is from 0.2 mm to 2 mm.

The disadvantage of analogue is the inability to use the known method for the treatment of diseases such as hernia and protrusion, protrusion of the abdomen and scoliosis. Also known from the prior art METHOD OF THERAPEUTIC AND DIAGNOSTIC MASSAGE [RU 2131716 C1, publ. 06/20/1999], which includes stages in which enhanced uniform smoothing is performed along the spinal column on both sides of the spine. They start from the seventh cervical to the sacral vertebrae at the places of origin and along the main roots that innervate the organs, until contrast hyperemia is formed. A detailed enhanced massage effect is carried out with circular movements in areas of contrast hyperemia and the topography and dimensions of the area of inflamed organs and functional disorders are determined by obtaining their projection on the skin in the form of petechiae. A therapeutic massage is carried out by repeated passive uniform smoothing over the zones of the obtained projections and along the main roots of the innervated organs. The method can be performed using various special devices.

The disadvantage of the analogue is the impossibility of using the known method for the treatment of diseases such as hernia and protrusion, protrusion of the abdomen, as well as the impossibility of carrying out the treatment by the known method by the patient on his own. The closest in technical essence is the MASSAGE METHOD OF ELENA MUSTAFAEVA [RU 2469695 C2, publ. 12/20/2012], based on deep penetrating kneading by influencing the main reflex centers of the nervous system, along the spinous processes, through the nerve receptors of the skin, deeply and smoothly affecting both the connective tissue: fascia, ligaments and tendons, and muscles. Before kneading, stroking the back is carried out. Use kneading with spiral, circular movements, stroke kneading, double ring kneading. After all kneading massage operations, sawtooth rubbing and stretching of the muscle tissue with the forearms along the spine is performed. In conclusion, vibration and patting of the back and massage operations on the upper and lower extremities are carried out. In this case, kneading, as the main massage operation, is carried out after rubbing. Next, the cervicothoracic region is massaged from the back, completing the massage with a zigzag stretching of the muscles of the cervical region, before which auxiliary reflexotherapy is performed.

The main technical problem of the prototype is the need to involve a qualified specialist in the treatment and the impossibility of carrying out the treatment in a known way by the patient on his own. The objective of the invention is to eliminate the disadvantages of the prototype.

The technical result of the invention is to increase the effectiveness of the treatment of such diseases as hernia and protrusion, protrusion of the abdomen, curvature of the spine, scoliosis through the implementation of treatment methods that can be implemented by the patient independently or with the involvement of third parties under the remote supervision of the attending physician, including using video communication . The specified technical result is achieved due to the fact that the method of aligning the pelvis, characterized by performing a set of exercises, including the study of the square muscle of the lower back by tapping on the stretched square muscle of the lower back while tilting the body in different directions from a sitting position, pushing a tense square muscle in a sitting position with body retracted, pushing with alternating tension and relaxation of the square muscle of the lower back with the edge of the board in the supine position on the side, stretching when tilted from a sitting position on the floor with straightened legs, as well as working out the gluteal muscles (piriformis muscles) by pushing pain points on the gluteal muscles with alternating tension and relaxation.

In particular, a gradual increase in the frequency of performing a set of exercises is carried out 1 time in 3 days, 1 time in 2 days and 1 time per day.

In particular, the duration of one exercise is 10-15 minutes. In particular, tapping on the square muscle of the lower back is carried out with fists. In particular, the pushing of the tense square muscle of the lower back is carried out with the knuckles.

In particular, the pressing of pain points on the gluteus muscle is carried out with a tennis ball.

In addition, the technical result is achieved due to the fact that the method of strengthening the abdominal wall, characterized by extrusion of the abdomen from the side of the inner surface of the ilium with alternating tension and relaxation for extrusion of the iliopsoas muscle, extrusion of the middle part of the internal inguinal fold with alternating tension and relaxation for working out pupart ligament, as well as performing exercises to strengthen the abdominal wall. In particular, a “Molecule” type massager is used to push through the abdomen. In particular, a tennis ball is used to push through the inguinal fold. Specifically, abdominal strengthening exercises include vacuum, plank, and leg raises.

In particular, the time for performing a set of exercises is 60 minutes.

In particular, the patient first drinks half a glass of water at a temperature of 60-70 degrees Celsius on an empty stomach.

In particular, the patient first drinks half a glass of Essentuki 17 mineral water at a temperature of 60-70 degrees Celsius on an empty stomach. Also, the technical result is achieved due to the fact that the method of alignment of the spine, characterized by the fact that the doctor puts one hand on the patient's ribs at the level of the thoracic spine, and the other on the patient's thigh and makes a series of jerky movements along the body of the patient's body, followed by an assessment of the degree of resistance the patient's hands according to the kinesiology test after each series of 2 and 3 jerky movements with the forward and reverse position of the hands, then for 5 seconds the doctor makes 3 jerky movements for the direct position of the hands and 1 for the reverse position of the hands, in which the kinesiology test previously revealed the weakest resistance of the patient's hand, and assesses the degree of resistance of the patient's hand according to the kinesiology test, if the degree of resistance of the patient's hand is rated as "strong", then this combination of jerky movements is repeated at least 4 times, after each of which the doctor taps the patient with his fist on the chin to activate the tendon reflex , in which signals are sent to the nervous system to restore the position of the spine.

In particular, before performing the exercise, the patient, sitting on a chair with his eyes closed for 5 minutes, performs cycles of slow breaths and exhalations with his stomach for 6 seconds each.

In particular, to perform a kinesiology test, the patient holds a tense arm parallel to the floor with the palm down, with fingers and elbow extended, after which the doctor places his hand over the patient’s arm in the middle of the forearm and presses down to move the hand 10 cm down to assess the degree of resistance the patient's hands.

Additionally, the technical result is achieved due to the fact that the method of alignment of the thoracic spine and shoulders, characterized by the fact that they perform a set of exercises, including exercises aimed at:

opening the thoracic spine by stretching and loosening the elastic bands fixed behind the back, held by the hands of the arms spread apart and upwards with the body curved back by taking steps forward and backward;

stretching the pectoral muscles through cycles of rotation of the body body with a straight arm laid back, located at shoulder level, the hand of which is held by the support, while the chest is maximally raised up, and the shoulder joint is maximally deployed back and not clamped;

improvement of blood circulation and efficiency of the shoulder blades by working out the muscles of the shoulder blade with the tension of the arm in the position of the hand behind the back to work out the muscles of the inner part of the shoulder blade, when touching the floor with the fingers of the transferred straight hand to the opposite side of the body to work out the rhomboid muscle, with the straight arm raised behind the head for working out trapeze;

relaxation of the collar zone and an increase in the mobility of the shoulder blades by pushing the pain points of the collar zone in the supine position with alternating tension and relaxation of the body;

pushing the subclavian muscle with the shoulder retracted forward by pushing into the depth of the subclavian muscles;

correction of the position of the shoulders, for which the patient takes the edge of the rubber band fixed in front with the opposite leg, bends the knees, rounds the pelvis, lowers the shoulders down and tilts the body forward by 45 degrees, after which makes cycles of movement, including tilting the body back by 90 degrees relative to the initial position with simultaneous pushing of the chest up, lifting up the shoulder, bending the arm at the elbow and tensioning the elastic band due to the work of the muscles of the scapula and shoulder joint, while leaving the chin up and subsequent inclination of the body body forward to the starting position; to strengthen the scapular muscles, for which the patient takes the edges of the rubber bands fixed in front with both hands, puts one leg forward, bends the legs at the knees, rounds the pelvis, lowers the shoulders down and tilts the body forward by 45 degrees, after which it performs cycles of movement, including tilt of the body body back 90 degrees relative to the starting position with the simultaneous pushing of the chest up, lifting the shoulder up, bending the arms at the elbow and tensioning the elastic bands due to the work of the muscles of the shoulder blades and shoulder joints, while leaving the chin raised up and then tilting the body body forward in initial position; strengthening of the posterior shoulder joints, in which the patient takes the edges of the rubber bands fixed in front with two arms bent at a right angle, spreads the elbows to the sides at an angle of 45 degrees, placing them at chest level and takes the body body 45 degrees back, while leaving the chin raised up, then with a small amplitude takes the elbows behind the back due to the movement of the shoulder joint from front to back; performing exercises according to paragraph 14 of the formula.

In particular, the doctor works out the internal muscles of the scapula with the thumb and bent forefinger.

In particular, the patient works out the internal muscles of the scapula with a tennis ball located at the retracted scapula, as close as possible to the subscapular region. In particular, exercises aimed at correcting the position of the shoulder are performed in the morning and in the evening, 3-4 approaches 15-20 times each.

In particular, an exercise aimed at strengthening the scapular muscles is performed in the morning and evening for 3-4 sets 15-20 times each.

Finally, the technical result is achieved due to the fact that the method of treating scoliosis, characterized in that initially for 1 week the exercises according to paragraph 1 of the formula are performed, then the exercises according to paragraph 7 of the formula are added and they are performed together with the exercises according to paragraph 1 of the formula within 1 week, after which the exercises according to paragraph 17 of the formula are added and they are performed together with the exercises according to paragraph 1 and paragraph 7 of the formula for 1 week, while alignment of the spine begins to be observed, and after the spine aligns for 2 months continue to perform a set of exercises according to paragraph 7, paragraph 1 and paragraph 17 of the formula.

In addition, the technical result is achieved due to the use of a rectangular board for a new purpose as a means for pushing the square muscle of the lower back.

Also, the technical result is achieved through the use of a new purpose massager "Molecule" for pushing the iliopsoas muscle.

Brief description of the drawings.

On FIG. 1-Fig. 4 shows the position of the patient for the study of the sacrotuberous ligament of the coccyx (coccygeal zone).

On FIG. 5 and 6 show the positions of the patient for the study of the square muscle of the lower back. On FIG. 7-Fig. 10 shows the position of the patient for the study of the square muscle of the lower back.

On FIG. 11 and FIG. 12 shows the positions of the patient for stretching the lumbar spine.

On FIG. 13-Fig. 18 shows patient positions for pelvic alignment and piriformis work.

On FIG. 19-Fig. 24 shows the position of the patient for the study of the sacrotuberous ligament of the coccyx.

On FIG. 25 and FIG. 26 shows the positions of the patient for working out the internal muscles of the pelvis (iliopsoas muscle).

On FIG. 27 and FIG. 28 shows the position of the patient to restore the circulation of the pelvic organs.

On FIG. 29-Fig. 35 shows the positions of the patient for biometric alignment of the symmetry of the thoracic spine.

On FIG. 36-Fig. 38 shows the positions of the patient for the disclosure of the thoracic spine.

On FIG. 39-Fig. 41 shows the positions of the patient for stretching the pectoral muscles in the doorway.

On FIG. 42-Fig. 43 shows the positions of the patient to improve blood circulation and the performance of the shoulder blades.

On FIG. 44-Fig. 55 shows the position of the patient to improve the mobility of the scapula and shoulder joint. Removal of pain between the shoulder blade and the spine in the shoulder. Treatment of numbness of the hands and pain in the collar region.

On FIG. 56-Fig. 58 shows the position of the patient to improve neck mobility and relieve compression from hernias and protrusions, vessels and nerves of the cervical region, and relieve pain in the neck. Pushing the subclavian muscle.

On FIG. 59-Fig. 61 shows the position of the patient for the correction of the shoulder, lowered down and moving forward. Pulling the rubber with one hand with raising the shoulder up.

On FIG. 62-Fig. 64 shows the positions of the patient for traction rubber with two hands. Strengthening the shoulder muscles.

On FIG. 65-Fig. 67 shows the positions of the patient for traction rubber with two hands. Strengthening the rear shoulder joints.

On FIG. 68-Fig. 94 shows the results of treating patients with the claimed methods of pelvic alignment, abdominal wall strengthening, spine alignment, thoracic spine and shoulder alignment, scoliosis treatment. Implementation of the invention.

The claimed group of inventions discloses a method for aligning the pelvis, a method for strengthening the abdominal wall, a method for aligning the spine, a method for aligning the thoracic spine and shoulders, and a method for treating scoliosis.

The way to align the pelvis includes the following exercises:

- exercise 1, aimed at relieving pain and tension from the lumbar region (tapping and stretching the square muscle of the lower back when bending over on a stool);

- exercise 2, aimed at working out the square muscle of the lower back (massage of the square muscle of the lower back in a sitting position with the bones of the fist);

- exercise 3, aimed at working out the square muscle of the lower back (pushing the square muscle of the lower back in the position lying on the side with the edge of the kitchen board);

- exercise 4, aimed at stretching the lumbar spine (stretching the lumbar spine in a sitting position on the mat, knees straight, socks pulled over);

- exercise 5, aimed at aligning the pelvis, working out the piriformis muscle (pushing the gluteal muscles (piriformis muscle));

- additional exercise 6, aimed at working out the sacrotuberous ligament of the coccyx (coccygeal zone).

In the context of this description, the numbers "1", "2", "3", "4", etc., relating to the noun "exercise" are used solely to distinguish the nouns to which they refer from each other , and not for the purposes of describing any particular connection between these nouns.

The therapeutic effect of the pelvic alignment method is the removal of pain in the sciatic nerve and in the lumbar region, the normalization and improvement of blood circulation in the pelvic organs, the lumbar region, the alignment of the pelvis, the treatment of hernias and protrusions, the restoration of the position of the lumbar vertebrae, the removal of compression and compression of nerves, blood vessels and vertebrae.

The maximum therapeutic effect is achieved with the parallel implementation of a set of exercises included in the method of strengthening the abdominal wall. A set of exercises performed when implementing the pelvic alignment method is carried out as follows.

Exercise "Relieve pain and tension from the lumbar." Exercise time: 10-15 minutes. Equipment: chair.

Starting position - sitting on a chair; legs apart, feet on the floor (see Fig. 1). Sequentially carry out tilts to the left, straight and right.

At the same time, they knock on the muscles between the ribs and the pelvis (square muscle of the lower back), not getting on the spine, and they knock with effort, bending deeply to the sides and forward (see Fig. 2-Fig. 4).

During the exercise, it is necessary to feel the stretching of the lumbar region as much as possible and, if possible, put the whole body on the knee joint. At this point, it is very important to keep your legs wide apart so that they do not go inward. Exercise is performed daily for 10-15 minutes.

The therapeutic effect is a decrease in lordosis, an improvement in blood circulation in the lumbar region, a significant reduction in hernias and protrusions in the lumbar region due to the removal of compression and squeezing of the vertebrae, nerves and blood vessels in the lumbar region. Exercise "Working out the square muscle of the lower back." Exercise time: 5-7 minutes. Equipment for the exercise: chair.

Starting position - the patient, sitting on a chair, bends the lower back, taking the body back.

In the presence of lordosis, the lower back does not need to be bent.

If the loin is straight enough, then an additional deflection is created in the lumbar region (see Fig. 5).

From a sitting position, when there are 90 degrees between the thigh and the body, the body is tilted back another 45 degrees, thereby creating an angle between the thigh and the body of 135 degrees.

The feet and knees are wide apart during the exercise. It is important to ensure that the knees do not go inward.

Next, massage the lumbar area with the knuckles (see Fig. 6). The cams are located exactly in the middle between the end of the ribs and the pelvis. The indentation of each fist from the spine is approximately 3-5 centimeters on the left and right sides. The knuckles should be parallel along the spine. The knuckles of the fist deeply push the square muscle of the lower back towards the anterior abdominal wall (that is, the abdomen).

When the knuckles of the fist are deeply immersed in the muscle, they begin to shift towards the spine (as if they are trying to press the muscle against the spine). Then weaken the pressure of the fist and exit the muscle.

Then again deeply push the square muscle of the lower back towards the anterior abdominal wall and repeat the exercise again.

Perform the exercise continuously for 5-7 minutes. If your hands get tired, you can take a break.

However, the total time for pushing the quadratus lumborum should take 5-7 minutes.

The therapeutic effect is a significant reduction in hernias and protrusions in the lumbar region due to the removal of compression and squeezing of the vertebrae, nerves and blood vessels in the lumbar region.

Exercise "Working out the square muscle of the lower back." Equipment for the exercise:

1. Rectangular board measuring 20 by 30 cm, thickness 1-1.5 cm;

2. Cloth (dishtowel);

3. Yoga mat.

Starting position - the patient lies on his side.

The lower leg is straight. The leg, which is located on top, is placed on the foot (see Fig. 7).

The end of the ribs and the wing of the ilium (upper part of the pelvis) are determined by touch (see Fig. 8), then between the points found, the middle is determined - the place of the therapeutic effect (square muscle of the lower back), where the edge of the kitchen board will be placed.

Next, the board is placed with the wide side perpendicular at 90 degrees to the spine (the middle between the end of the ribs and the pelvis) so that it can go deep with the edge towards the spine (see Fig. 9).

The hand that is below is placed on the elbow joint. The palm is wrapped around the board for fixation to prevent it from falling.

The leg on top is on the foot, the knee is looking up.

The lower leg should be bent or straight. The board is deeply pressed in the position on the side towards the spine.

Only after the board has entered deep into the side of the spine, they begin to smoothly turn the body back to an angle of 45 degrees between the lower back and the board (see Fig. 10). Next, you need to tighten the lower back and the whole body.

Due to this tension, additional pressure is created both from the side of the muscles and from the side of the board - thus, a double resistance arises.

In this position, trigger points - muscle clamps - relax faster.

Within 1 minute, the muscles are pressed in tension. Then relax the body as much as possible for 1 minute and breathe with the stomach: deep breath - 6 seconds, slow exhalation - 6 seconds.

When breathing with the stomach, the vagus nerve is included in the work, the nervous system and skeletal muscles - the muscles of the body - relax.

Initially, the exercise is performed 1 time in 3 days, then 1 time in 2 days and after that - daily.

The duration of the exercise is 10-15 minutes.

When performing the exercise, the blood circulation of the spine, lumbar calving and internal organs improves, the position of the pelvis is leveled.

The therapeutic effect is a significant reduction in hernias and protrusions in the lumbar region due to the removal of compression and squeezing of the vertebrae, nerves and blood vessels in the lumbar region.

Exercise "Stretching the lumbar spine."

Exercise time: 10-15 minutes.

Equipment for the exercise: yoga mat.

Starting position - the patient sits on a yoga mat, legs together, knees straight, socks pulled over (see Fig. 11).

They try to bend as low as possible to the knee joints (see Fig. 12). In this case, you can not bend your knees. It is necessary to feel the stretch in the lumbar region as much as possible.

Perform the exercise for 10-15 minutes without stopping.

Each time they try to go deeper, stretching the lower back more.

Therapeutic effect - the excess load on individual vertebrae is removed, the muscles relax, blood circulation normalizes and the elasticity of the ligaments increases.

Exercise "Alignment of the pelvis, the study of the piriformis muscle." Equipment for the exercise:

1. Yoga mat;

2. Tennis ball.

Before performing the exercise, the area of the two shoulder joints of one and the second hand is massaged (see Fig. 13). The bones of the fist are working on the shoulders. Clamped shoulders cause tension in the back and gluteal muscles. Thus, by well pushing the muscles of the shoulders, the patient relaxes the gluteal muscles.

Starting position - the patient sits on the mat. The knees are bent, the feet are on the mat close to the buttocks. The patient wraps one leg around the outside of the ankle (see Fig. 14).

Next, the patient throws his leg on the opposite thigh and places the ankle near the knee joint (see Fig. 15). The ankle should rest on the thigh.

The knee joint of the leg lying on the thigh must be tilted towards the floor. You need to take the leg away from the body (away from the stomach in the direction forward from the body and down to the floor) to increase the tension in the gluteal muscle.

Next, take the ball in your hand. The buttock, which has been stretched, is torn off the floor; while resting on the opposite buttock (see Fig. 1b).

The tennis ball is then placed exactly in the middle of the piriformis (i.e., buttocks) attachment (see Fig. 17). This is where the sciatic nerve passes.

Next, they tear off the opposite buttock from the floor and sit on a tennis ball. The weight of the body is transferred to the stretched buttock of the leg, thrown over the thigh (see Fig. 18).

Almost immediately, the patient will feel a painful point. You can move the ball over the buttock and find the most painful position.

The patient relaxes as much as possible, allowing the ball to go deep into the painful point. Then the buttock is strained so that it becomes stone, as if trying to push the ball out from under the buttock (due to this tension, additional pressure is created both from the muscles and from the side of the ball - double resistance occurs; in this position, trigger points relax faster - muscle clamps ).

They hold a tense muscle for one minute, then relax as much as possible and begin to breathe in the stomach: deep breath - 6 seconds, slow exhalation - 6 seconds. When breathing with the stomach, the vagus nerve is included in the work, the nervous system and skeletal muscles - the muscles of the body - relax.

Concentrate on a painful point, mentally exhale into it for 1 minute. Repeat this cycle 2-3 times. It is necessary to monitor the numbness of the legs:

- if the leg becomes numb, it is necessary to stop the exercise and rest for 1 minute, only then continue the exercise;

- if the leg does not go numb, does not shoot, and there are no goosebumps, but the patient feels strong pain, then the pain cannot hurt, and over time it will decrease; you can continue the exercise.

Then they move the ball along the buttock, find the following pain points. They are worked out for 3 cycles.

In total, painful points on one buttock are worked out for 30 minutes. Repeat the exercise for the opposite buttock.

First, the exercise is performed 1 time in 3 days, then 1 time in 2 days and after that - daily. For a long-term result, you need to perform the exercise for a month. The exercise relieves pinching of the sciatic nerve, removes backache, evens out the length of the legs, improves blood circulation in the legs and pelvic organs (genitourinary system). The therapeutic effect is the alignment of the position of the pelvis and the length of the legs. The pelvis is aligned in an ideal, even position immediately after performing this exercise. In case of pain in the patient in the coccygeal region, as well as for the prevention of the mentioned pains, the set of exercises that is part of the pelvic alignment method can be supplemented with exercise 6, aimed at working out the sacrotuberous ligament of the coccyx.

Exercise "Working out the sacrotuberous ligament of the coccyx (coccygeal zone)". Equipment for the exercise:

1. Rectangular board measuring 20 by 30 cm and 1-1.5 cm thick;

2. Yoga mat;

3. Cloth (dishtowel);

4. Chair (second version of the exercise).

This exercise has two versions - on the floor using a yoga mat and on a chair.

For the first version of the exercise, the patient sits on his knees on a yoga mat, tucking his legs under him (See Fig. 19), after which he takes one leg to the side and puts it on the foot at an angle of 45 degrees to the body (See Fig. 20), after which, in order to localize the painful point (sacrococcygeal ligament), the patient relaxes as much as possible, gropes for the end of the sacrum (coccyx), then steps back towards the leg, which stands on the foot at a distance of about 1 cm (See Fig. 21).

Next, the patient puts the board covered with cloth with the wide side on the yoga mat at an angle of 90 degrees, after which the previously found pain point sits on the upper edge of the board (See Fig. 22), then the patient takes the body back as far as possible, bends the lower back and works out the coccygeal ligament (See Fig. 23) through five cycles of tension and relaxation to work her left and right sides.

To prevent stress on the lumbar region, the patient during the exercise should tighten the abdominal muscles and keep the lower back in a neutral position - slightly arched, while near the coccyx, the patient should feel a local pain area about 3 cm in size, which is an indicator of the correctness of the exercise.

The duration of the tension cycle is 1 minute, during which the patient tenses the lower back and the whole body, due to which mutual pressure is created from the side of the muscles and from the side of the board, at which trigger points relax faster - muscle clamps. The duration of the relaxation cycle is also 1 minute, during which the patient relaxes the body as much as possible and breathes in the stomach, while taking a deep breath for 6 seconds, then slowly exhaling for 6 seconds. When breathing with the stomach, the vagus nerve is included in the work, the nervous system and skeletal muscles - the muscles of the body - relax.

For those patients who have a strong lordosis, it is not necessary to bend the lower back.

The second version of the exercise, if the patient cannot perform the exercise on the floor, for example, with knee disease, is carried out as follows.

For the second embodiment, the patient puts the board covered with a cloth on a chair at an angle of 90 degrees, after which the previously found pain point sits on the upper edge of the board, with one hand holding the board in front and with the other behind, while the patient's legs should be wide apart, and the feet stand on the floor (See Fig. 24). Then the patient pulls the body as far back as possible, arches the lower back and works the coccygeal ligament through five alternations of the previously described cycles of tension and relaxation to work out its left and right sides.

The duration of the exercise is 10-15 minutes.

Therapeutic effect - pain in the coccyx disappears from the first session.

It is necessary to perform the exercise daily, for 2-4 weeks until the pain in the coccygeal region completely disappears. You can also perform this exercise for prevention.

Investigation of the effectiveness of the method of aligning the pelvis.

During the study, the results of treatment of 35 patients with changes in the position of the pelvis (displacement, skew) were analyzed.

The control group of the study consisted of 17 people, the main group - 18 people. Basic therapy in both groups was the same. In the main group, a comprehensive program of therapeutic measures was supplemented by the use of a pelvic alignment method. In the control group, local treatment was carried out according to generally accepted methods, including physiotherapy and exercise therapy.

Results. Almost all patients of the main group already on the first day after performing a set of exercises showed a significant alignment of the position of the pelvis and a significant decrease in pain in the lower back and hips, after daily performance of a set of exercises included in the method of aligning the pelvis, pain completely disappeared within 3-4 days in 98% of patients, after a month, complete alignment of the pelvic position was noted in 92% of patients.

At the same time, in patients in the control group, the pain disappeared after two weeks, after a month the pelvis was leveled in 67% of patients.

The way to strengthen the abdominal wall is to perform the following set of exercises:

- exercise 7, aimed at working out the internal muscles of the pelvis (iliopsoas muscle) (working out the internal muscles of the pelvis with the "Molecule" massager);

- exercise 8, aimed at restoring the blood circulation of the pelvic organs (working out the inguinal fold with a tennis ball in the supine position);

- a combination of vacuum and plank, aimed at training the abdominal wall;

- press - lifting legs (to failure). Minimum time to complete a set of exercises: 60 minutes. Previously, the patient on an empty stomach drinks half a glass of water at a temperature of 60-70 degrees Celsius. If there are no gastric stones, the patient first drinks half a glass of Essentuki 17 mineral water at a temperature of 60-70 degrees Celsius on an empty stomach.

The therapeutic effect of the method is the elimination of protrusion of the abdomen, the study of the muscles surrounding the abdomen.

The maximum therapeutic effect is achieved with the parallel implementation of a set of exercises included in the pelvic alignment method.

A set of exercises performed when implementing the method of strengthening the abdominal wall is carried out as follows.

Exercise "Working out the internal muscles of the pelvis (iliopsoas muscle)". Equipment for the exercise:

1. Triangular massager "Molecule";

2. Yoga mat.

Starting position - the patient lies on his back, the stomach is open. The pelvic bone is felt in front (this is the upper anterior iliac spine - spina iliaca anterior superior). Next, the smallest diameter finger of the "Molecule" massager is placed as close as possible to the bone on the inside, spina iliaca anterior superior (superior anterior iliac spine) (see Fig. 25).

The remaining fingers of the "Molecule" massager are tilted towards the navel. Then they turn over on their stomach. It is necessary to go deep into the internal muscle of the pelvis: they inhale and, on exhalation, helping with body weight and pulling in the stomach as much as possible, pass the finger of the massager along the inner surface of the ilium, where the attachment of the iliopsoas muscle is located (see Fig. 2b) .

An indicator of the correctness of the exercise is the pain effect inside the pelvis.

If the patient feels superficial pain from the abdomen, then the exercise is performed incorrectly.

The goal is to try to go deeper into the internal muscles of the pelvis each time and push through the soreness of the muscles. The exercise is performed within 10 minutes.

The therapeutic effect is to relieve tension from the abdominal wall, improve blood circulation in the internal organs and muscles of the pelvis, as well as prevent the prolapse of internal organs.

Exercise "Restoration of blood circulation of the pelvic organs." Equipment for the exercise:

1. Yoga mat;

2. Tennis ball.

Starting position - lying on your side. Next, the patient finds the middle of the internal inguinal fold (pupart ligament) and puts the ball (see Fig. 27).

Then the patient lies on his stomach, puts his hands on his elbows, arches, gently bending in the lower back, raises his chin up (see Fig. 28).

Almost immediately, the patient feels pain in the area where the ball is located, you can move the ball to the left or right, higher, lower and find the most painful position, fix on it. They strongly strain the body (due to this tension, additional pressure is created both from the side of the muscles and from the side of the ball - double resistance arises; in this position, trigger points relax faster - muscle clamps).

Pain point found. Fix this position. Push the painful point for 1 minute.

Then they relax as much as possible, breathe with the stomach: deep breath - 6 seconds, slow exhalation - 6 seconds. When breathing with the stomach, the vagus nerve is included in the work, the nervous system and skeletal muscles - the muscles of the body - relax.

Perform the exercise until you feel a change in leg temperature and goosebumps.

In the presence of lordosis, it is necessary to perform the exercise strictly lying on the stomach, without lifting the body up.

The exercise is performed until goosebumps appear and the temperature of the legs changes.

After achieving this effect, repeat this combination for the other side, also achieving goosebumps and a change in body temperature.

The therapeutic effect is the improvement of blood circulation in the pelvic organs, as well as the prevention of lymphatic stagnation of internal organs. Vacuum and plank combination - abdominal wall training Equipment for performing the exercise:

1. Yoga mat;

2. Stopwatch.

Perform vacuum as follows. Turn on the stopwatch.

Starting position - the patient is standing on the mat: back, arms and legs are straight.

They inhale, lower the body body down with a sharp exhalation, clasping their knees with their hands, trying to pull the stomach towards the spine.

Without inhaling, they rise, the stomach begins to retract on its own according to the laws of physics.

Remain in this position for 1 minute.

Relax.

Next, perform a 1 minute classic bar.

Starting position - the patient takes a horizontal position in the supine position. They bend their arms at the elbows at a right angle, rest the toes of the feet on the floor and stretch the body, while the socks are together.

Shoulders should be above the elbows, look at the floor.

The back should be flat, without deflections in the lower back or protrusion of the tailbone up. They draw in the stomach and strain the abdominal muscles, buttocks and legs do not relax. They direct the coccyx to the heels, and the lower abdomen to the chest; the heels pull back slightly, stretching the spine. Do not transfer body weight to the forearms. In this position, they remain 1 minute or until a burning sensation in the muscles.

For patients who find it difficult to perform the classic plank, you can tilt the body at 45 degrees to the floor, resting your elbows on the sofa or bed; while the legs are on the floor. This position makes the exercise easier. Plank and vacuum exercises alternate with each other and are performed without a break for rest: first, a vacuum is performed, then a bar. Repeat 5 circles (cycles) of the bar and vacuum. The total time to complete the complex is 10 minutes.

To achieve a quick effect, it is necessary to perform the complex in the morning and evening. The combination of vacuum and plank exercises creates maximum strengthening of the muscles of the abdominal wall. Doing these exercises alone is not as effective. The therapeutic effect is to relieve tension from the lumbar region, improve blood circulation in the abdominal cavity, tighten the abdominal muscles. Press - leg raise (to failure)

Equipment for the exercise: yoga mat. Starting position - lying on your back, arms and legs straight.

Raise your legs up for 2 counts (90 degree position). Lower your legs down for 4 counts.

It is known that performing various exercises on the muscles at a slow pace increases the additional load on them, and the effectiveness of the exercises increases by 4 times. This is an isometric muscle tension technique.

When the muscle contracts, the patient can perform the exercise quickly for 2 counts; when the muscle is stretched, they try to do the exercise at a slow pace from 4 to 8 counts.

When the patient lowers the legs down (stretches the muscles), they need to be fixed on weight (that is, do not lower the legs to the floor) to create additional tension in the muscles and improve the therapeutic effect. Perform the exercise 10 or more times to failure.

In the text of the present description, the wording "to failure" should be understood as follows.

In the case when the patient feels that it is very difficult for him to perform the exercise, and the legs begin to rise with difficulty, you need to continue to do the exercise and overpower yourself. It is necessary to do at least 5 or more repetitions until the muscles are so tired that it becomes impossible to raise the legs. Next, you need to give the muscles a rest for 1 to 3 minutes. At this moment, it is very useful to breathe in the stomach so that muscle recovery occurs quickly: the vagus nerve is included in the work, the nervous system and skeletal muscles - the muscles of the body - relax. After a three-minute rest, the exercise is repeated. A total of 4 sets are required.

Exercise is performed in the morning and evening for maximum therapeutic effect. The therapeutic effect is to strengthen the pelvic muscles, improve blood circulation in the pelvic organs, prevent prolapse of internal organs, raise already lowered internal organs, prevent pinching of the sciatic nerve, stabilize the pelvis in the correct position. If the pelvis moves forward strongly due to weak internal muscles, then this exercise, by strengthening the internal pelvic muscles, brings the pelvis into the correct position. Study of the effectiveness of the method of strengthening the abdominal wall.

In the course of the study, the results of treatment of 41 patients with a prolapsed abdomen and prolapse of internal organs were analyzed.

The control group of the study consisted of 20 people, the main group - 21 people. Basic therapy in both groups was the same. In the main group, a comprehensive program of therapeutic measures was supplemented by the use of a method for strengthening the abdominal wall. In the control group, local treatment was carried out according to generally accepted methods, including physiotherapy and exercise therapy.

Results. In almost all patients of the main group, a month after the exercise complex, a significant decrease in the protrusion of the abdomen was noted, after the daily implementation of a set of exercises included in the method of strengthening the abdominal wall, a complete decrease in the protrusion of the abdomen was noted in 93% of patients.

At the same time, in patients in the control group, after a month, the protrusion of the abdomen decreased in 71% of patients.

The method of alignment of the spine, in particular, the biometric alignment of the symmetry of the thoracic spine, is carried out as follows.

Starting position - the patient sits on a chair with his eyes closed (see Fig. 29).

The patient begins to breathe in the belly in the mode of 6 seconds inhale - 6 seconds exhale, for 5 minutes.

Next, the patient stands up, while the attending physician puts his right hand on the patient's ribs at the level of the thoracic spine, and the left hand on the patient's thigh (see Fig. 30).

The attending physician twice makes jerky movements on the patient's body: with the right hand to the left side, with the left hand - to the right (see Fig. 31). The movements of the body and pelvis should be carried out due to jerky movements. The position of the hands of the attending physician: the right hand at the top - on the ribs of the patient at the level of the thoracic region, the left hand - below on the hips.

After that, a hand test is performed: the hand is parallel to the floor, the elbow is straight, the palm looks down, the back side up; fingers and elbow are extended. The patient brings his hand forward. The doctor places his hand above the patient's hand, in the middle between the hand and the elbow of the forearm; presses from top to bottom towards the floor, shifting the arm 10 cm down (see Fig. 32).

In this case, the patient must resist the hand (apply force to move the hand in the opposite direction) to this pressure (kinesiology test).

It is performed immediately within 5 seconds after jerky movements. This is very important, because the reaction of the nervous system is shown only for 5 seconds after the manipulation.

Next, the attending physician changes the position of the hands to the opposite (left hand at the top - on the ribs of the patient at the level of the thoracic region, the right hand at the bottom - on the hips) (see Fig. 33). Next, the kinesiology test is again performed for 5 seconds (see Fig. 34).

Then the attending physician makes three jerky movements over the patient's body, changing the position of the hands to the opposite (the right hand is at the top - on the patient's ribs at the level of the thoracic region; the left hand is at the bottom - on the hips). Next, a kinesiology test is performed for 5 seconds.

During the kinesiology test, the doctor evaluates the resistance force of the patient's outstretched arm and remembers this arm force.

Next, the attending physician again performs three jerky movements over the patient's body: the left hand at the top - on the patient's ribs at the level of the thoracic region; right hand below - on the hips.

After that, it is compared at which position of the hands the kinesiology test gave greater weakness (that is, where the hand was weaker).

In the position of the hands, in which the kinesiology test shows weakness, 3 jerky movements are performed.

Then they change the position of the hands to the opposite (the right hand is at the top - on the patient's ribs at the level of the thoracic region; the left hand is at the bottom - on the hips).

And immediately perform 1 more jerky movement (no later than 5 seconds after the first jerky movement, which showed weakness during the kinesiology test).

After the implementation of this combination of jerky movements, a kinesiology test is performed for 5 seconds.

If the hand strongly resists, and its strength is sufficient, then the combination is chosen correctly.

Repeat this combination.

After that, they tap on the patient's chin with a fist (see Fig. 35). This is a tendon reflex: signals are sent to the nervous system to restore the position of the spine.

Repeat the combination 4 times with tapping the chin.

After the actions of the doctor, the patient's thoracic spine becomes much smoother, and the therapeutic effect of this correction can be immediately observed (this technique was invented and created on the basis of knowledge and understanding of the basics of biometric kinesiology, is the author's and tested on a group of patients). Investigation of the effectiveness of the spinal alignment method.

During the study, the results of treatment of 32 patients with spinal curvatures were analyzed.

The control group of the study consisted of 16 people, the main group - 16 people. Basic therapy in both groups was the same. In the main group, a comprehensive program of therapeutic measures was supplemented by the use of a spinal alignment method. In the control group, local treatment was carried out according to generally accepted methods, including physiotherapy and exercise therapy.

Results. Practically in all patients of the main group, already on the first day after performing the set of exercises, a significant alignment of the position of the right and left sides of the body was noted; after daily performance of the set of exercises included in the method of alignment of the spine, a month later, a complete alignment of the position of the spine was noted in 89% of patients.

At the same time, in patients in the control group, a month later, the spine was leveled in 68% of patients.

The way to align the thoracic spine and shoulders is to perform the following set of exercises:

- exercise 9, aimed at opening the thoracic region;

- exercise 10, aimed at stretching the pectoral muscles (performed in the doorway);

- exercise 11, aimed at improving blood circulation and the performance of the shoulder blades;

- exercise 12, aimed at relaxing the collar zone and increasing the mobility of the shoulder blades, relieving interscapular pain;

- exercise 13, aimed at improving neck mobility and relieving compression from hernias and protrusions, vessels and nerves of the cervical region, relieving pain in the neck;

- exercise 14, aimed at correcting the shoulder, lowered down and moving forward;

- exercise 15, aimed at correcting the shoulder that goes forward and is located above the other shoulder;

- exercise 16, aimed at strengthening the scapular muscles;

- exercise 17, aimed at strengthening the posterior shoulder joints; carrying out the spinal alignment method described above.

The therapeutic effect of the method of aligning the thoracic spine and shoulders is the alignment of the patient's thoracic spine.

The complex of the mentioned exercises is performed as follows.

Exercise "Disclosure of the thoracic region."

The exercise time is 10 minutes.

Equipment:

1. Adhesive tape;

2. Rubber band;

3. Mounting for rubber band (fixed vertical structure or doorway).

First provide a rubber mount over the head. To do this, use a permanently located vertical structure (the first option for attaching rubber), over which you can fix a rubber band above the level of the head. The second option for attaching rubber: a doorway. The rubber band is threaded through the tape.

Then they throw the tape from above through the door and close it. It turns out a static design. Easy fastening of rubber over the head is provided. The rubber must be fastened to a permanently located vertical structure (or doorway) so that the two ends of the tape are the same in length. The patient takes the ends of the rubber band with both hands, stands with his back to the place of attachment of the rubber band (see Fig. 36).

Then he straightens his arms, does not bend his elbows, his shoulders are maximally open. Chest and chin look up.

From a standing position, tilts the body back 45 degrees so that the pelvis remains in front of the body. The chest takes back - this is the starting position from which the exercise begins (see Fig. 37).

Before taking a step, the patient stands in the maximum position of the stretched rubber. Then he takes a step forward, feeling the tension of the rubber.

From the position of the stretched rubber, he takes an additional step forward, pulling it even more (this is necessary to increase the stretch and create an additional therapeutic effect of stretching the pectoral muscles due to the rubber) (see Fig. 38). Then he takes a small step back, releasing the tension on the rubber band.

Patients with excessive lordosis during the exercise, it is necessary to tighten the abdominal muscles (abs) and twist the pelvis to reduce the load on the lumbar region. The therapeutic effect is stretching the anterior surface of the chest, abdomen and pectoral muscles, removing stoop, reducing kyphosis and hump of the thoracic region. Also, this exercise has a therapeutic effect on lengthening the neck and removing the clamps of the cervical region.

Exercise "Stretching the pectoral muscles (performed in the doorway)." Equipment for the exercise: a permanently located vertical structure (wall corner, doorway or handrail).

First you need to provide a place to perform the exercise. For this, a permanently located vertical structure is used.

Starting position - feet stand together, the patient is held with a straightened arm at 90 degrees to a stationary vertical structure (handrail), wall corner or doorway edge.

The palm should clasp this design at the height of the shoulder joint. The thumb is located in front of the object for which the hand is fixed; the rest of the fingers are behind (see Fig. 39).

If the patient grasps the structure with his right hand, then it is necessary to take a step forward and to the right to the position of a straight elbow, so that the hand that the patient grasps is located opposite the shoulder joint.

If the patient has severe kyphosis or clamping of the shoulder joints, then it is permissible to correct the initial position until the arm is positioned at 45 degrees to the structure to reduce tension in the shoulder joint.

Each time, you need to strive for an ideal position - so that the arm is located opposite the shoulder at 90 degrees to a permanently located structure or object that the patient is holding on to.

This position will provide the maximum therapeutic effect. From the starting position, the feet are turned in place in the opposite direction from the place that the hand is holding (if the patient is holding with the right hand, then the turn is to the left and vice versa). Rotate the body in the opposite direction.

Then they open and take the shoulders as far back as possible, raise the chest and do not pinch it. The chin is lifted up, looking at the ceiling (see Fig. 40).

With the correct position of the body, the patient feels a strong tension in the shoulder joint and chest.

Begin a strong tapping with the bones of the fist of the free hand in the area of the shoulder joint, shoulder, anterior deltoid and pectoral muscles to the nipple.

It is very important not to lose the stretch of the chest and to feel the stretch in the area of the pectoral muscle (the most common mistake during muscle tapping; it is very important not to allow it).

Tapping is performed for 5-7 minutes (see Fig. 41).

For maximum therapeutic effect, it is important to spare no effort during the exercise and do it effectively to achieve a good result. Repeat the exercise for the second hand.

The therapeutic effect is to improve blood circulation in the pectoral muscle area. Exercise "Improving blood circulation and performance of the shoulder blades." Equipment for the exercise:

1. Mat for gymnastics;

2. Tennis ball (second version of the exercise). The first option for performing the exercise is with the attending physician.

Starting position - the patient lies face down on the mat, with his arm behind his back. The arm must be positioned so that the scapula comes off the spine and becomes convex (see Fig. 42).

In this position, the inside of the scapula opens. The impact is carried out on the internal muscles, which are disturbed by backache and aching pains under the shoulder blade. The attending physician begins to push through the internal subscapularis muscles with the thumb of the hand, as well as with the index finger bent.

Strongly strain the arm (due to this tension, additional pressure is created both from the side of the muscles and from the side of the doctor’s hand, with which the exercise is performed - double resistance arises; in this position, trigger points relax faster - muscle clamps) (see Fig. 43) .

Then they relax as much as possible, breathe with the stomach: deep breath - 6 seconds, slow exhalation - 6 seconds. When breathing with the stomach, the vagus nerve is included in the work, the nervous system and skeletal muscles - the muscles of the body - relax. When performing the exercise, the clamp is removed and blood circulation in the area of the shoulder blades improves, and pain in the cervical spine also stops.

The exercise time is 10-15 minutes. Repeat the exercise 1 time in 3 days.

The second option for doing the exercise is on your own.

Starting position - the patient lies on his back, placing his hand behind his back so that the shoulder blade comes off the spine. The back of the hand is located along the spine.

They put a tennis ball in the area as close as possible to the subscapular region (in the place where the shoulder blade has come off the spine). Press the shoulder blade with a tennis ball.

They strongly strain the arm (due to this tension, additional pressure is created both from the side of the muscles and from the side of the ball - double resistance arises; in this position, trigger points relax faster - muscle clamps).

Then they relax as much as possible, breathe with the stomach: deep breath - 6 seconds, slow exhalation - 6 seconds. When breathing with the stomach, the vagus nerve is included in the work, the nervous system and skeletal muscles - the muscles of the body - relax. The exercise time is 10-15 minutes. Repeat the exercise 1 time in 3 days.

The therapeutic effect is the improvement of blood circulation in the area of the shoulder blades.

Exercise “Improving the mobility of the scapula and shoulder joint, relieving pain between the scapula and the spine in the shoulder, treating numbness in the hands and pain in the collar region.”

Equipment for the exercise:

1. Mat for gymnastics;

2. Tennis ball.

They work out the upper part of the collar zone above the shoulder blade.

Starting position - the patient lies on his back. It is necessary to put a straight hand near the head on the floor, palm up (see Fig. 44).

The ball is initially installed in the most problematic place in the collar zone (see Fig. 45).

The patient raises the pelvis and assumes a position in which the pressure of the tennis ball on the problem area of the collar zone is maximum, i.e. "finds" the most painful point with the ball (see Fig. 46).

Then, for 1 minute, the patient strains the body and exerts the maximum possible body pressure on the ball (due to this tension, additional pressure is created both from the muscles and from the ball - double resistance occurs; in this position, trigger points relax faster - muscle clamps).

Then they relax as much as possible, breathe with the stomach: deep breath - 6 seconds, slow exhalation - 6 seconds. When breathing with the stomach, the vagus nerve is included in the work, the nervous system and skeletal muscles - the muscles of the body - relax.

If after 1 minute the patient still feels pain, then the exercise is repeated.

If pain is not observed, the ball moves to another painful point by moving the patient's body (rolling over the ball).

To effectively push through the upper region of the collar zone, you need to put your hand near your head on the floor, palm up. This creates the most favorable position for punching the upper part of the collar zone. Work out the area between the shoulder blade and the spine.

Starting position - the patient lies on his side. To correctly place the ball in the area between the shoulder blade and the spine, the patient lies on his side and brings his shoulders forward - "stoop" (see Fig. 47).

In this position, the scapula will move away from the spine as much as possible, and an area will open for pushing through the zone of the rhomboid muscle, as well as the muscles that straighten the back. Fix the ball with your hand in the middle between the shoulder blade and the spine. Next, the patient lies on his back, lifts the pelvis forward and throws his arm over the body (see Fig. 48).

With the help of the movement of the body body (rolling the ball), a painful point is found and fixed on it.

Within 1 minute, the patient strains the muscles and exerts the maximum possible body pressure on the ball (due to this tension, additional pressure is created both from the muscles and from the side of the ball - double resistance occurs; in this position, trigger points relax faster - muscle clamps) (see Fig. 49). Then they relax as much as possible, breathe with the stomach: deep breath - 6 seconds, slow exhalation - 6 seconds. When breathing with the stomach, the vagus nerve is included in the work, the nervous system and skeletal muscles - the muscles of the body - relax. If after 1 minute the patient still feels pain, then the exercise is repeated.

If pain is not observed, the ball is moved further by moving the patient's body (rolling over the ball) and the following pain points are found.

In this position, the entire area between the shoulder blades and the spine is massaged (in the figure, the area is marked in red).

Work out the muscles at the angle of the scapula.

Starting position - the patient lies on his side. Next, the ball is placed on the angle of the shoulder blade, the ball is fixed with the hand (see Fig. 50).

The patient turns onto his back and lifts the pelvis up, achieving the maximum possible pressure of the ball on the angle of the scapula.

The patient turns slightly towards the scapula that is being worked on at the moment (see Fig. 51).

Then, for 1 minute, the patient exerts the maximum possible body pressure on the ball.

They work out the round and latissimus dorsi muscles to improve the mobility of the scapula.

Starting position - the patient lies on his side. Next, the ball is placed in the region of the round and latissimus dorsi muscles, the ball is fixed with the hand (shown in red in the figure) (see Fig. 52).

Then they lie on their back and turn towards the shoulder blade that is being worked out at the moment (see Fig. 53).

Next, the patient strains the muscles and exerts the maximum possible body pressure on the ball for 1 minute, continuing to repeat until the pain disappears (due to this tension, additional pressure is created both from the muscles and from the ball - there is double resistance; in this position, they relax faster trigger points - muscle clamps).

Then they relax as much as possible, breathe with the stomach: deep breath - 6 seconds, slow exhalation - 6 seconds. When breathing with the stomach, the vagus nerve is included in the work, the nervous system and skeletal muscles - the muscles of the body - relax. Examine the anterior surface of the shoulder joint. Starting position - lying on the stomach.

The ball is placed on the area of the humerus in the area of the deltoid muscle (maximum at the top in the area of the shoulder joint), as shown in Fig. 54.

Do not allow the ball to "go" inside the arm or into the thoracic region. The ball must be placed strictly on the arm and act on the head of the humerus. The shoulder being worked on is subjected to additional pressure with the weight of the body. The free opposite shoulder (without the ball) is raised above the mat to create additional pressure on the shoulder joint that is being worked out (as shown in the figure: the free shoulder and free arm are placed on the palm, the elbow is raised up). After that, the muscles of the arm and the shoulder joint are strongly strained (due to this tension, additional pressure is created both from the side of the muscles and from the side of the ball - double resistance arises; in this position, trigger points - muscle clamps - relax faster).

Then they relax as much as possible, breathe with the stomach: deep breath - 6 seconds, slow exhalation - 6 seconds. When breathing with the stomach, the vagus nerve is activated, the nervous system and skeletal muscles - the muscles of the body - relax (see Fig. 55). A complex to improve the mobility of the scapula and shoulder joint is performed every day for 30-60 minutes.

Therapeutic effect - immediately after the exercise, the patient feels a decrease in numbness of the hands, removal of pain in the shoulder joint, improvement in the mobility of the shoulder blades.

Exercise "Improvement of neck mobility and removal of compression from hernias and protrusions, vessels and nerves of the cervical region, relieving pain in the neck." Equipment for the exercise is not required.

Before performing the exercise, the patient tilts the head to the left and right (the ear drops towards the shoulder joint on the left and right sides; remembers the sensations in the cervical region) to fix the sensations in the neck, flexibility of the tilt before the exercise.

Starting position - the patient is standing on the rug, legs together.

The patient leans forward with one shoulder so that the corresponding clavicle also comes forward and is better palpable.

Next, the patient, with the index finger of the other hand bent (see Fig. 56 and Fig. 57), massages the subclavian muscle along its entire length with force.

It is important that the patient's finger is located deep under the clavicle.

An effective method for this is hook-like movements of the index finger under the collarbone in depth, as well as massaging movements from the sternum to the shoulder joint along the entire length of the collarbone (see Fig. 58). The technique is then repeated for the second clavicle.

Control exercise - head tilt to the left and right. Compare the depth of the bend, the flexibility of the neck and the feeling of lightness with the bend that was performed before the start of the exercise. With a properly performed exercise, significant relief is noticed, an improvement in neck mobility.

The therapeutic effect is to relieve pain in the cervical spine, improve blood circulation in the cervical vertebrae, treat stoop, relax the shoulder joints and chest, improve cervical mobility. Exercise "Correction of the shoulder, lowered down and going forward." Equipment for the exercise:

1. Rubber band;

2. Fixed vertical structure (wall corner, doorway or handrail).

First you need to secure the rubber at chest level. To do this, use a permanently located vertical structure (the first option for attaching rubber).

The second option for attaching rubber: a doorway. The rubber band is threaded through the tape.

Then throw the tape over the door and close it. It turns out a static design. Provides easy fastening of the rubber above the level of the chest.

Starting position - the patient stands facing the place where the rubber band is attached, takes the rubber band in the hand whose shoulder needs to be corrected: if the rubber band is located in the left hand, then the right leg is put forward to include the muscles of the left shoulder blade (see Fig. 59). ).

This is the position of the walking pattern (when walking, when the right leg is taken forward, the left hand automatically also moves forward - this is the reaction of the nervous system, including various muscles in work, and also turning them off from work). This is one of the important adjustments in the exercise in order for it to be done as efficiently as possible.

The knees should be slightly bent.

The arm is brought forward, stretching the left shoulder blade, while tilting the body forward by 45 degrees (no more) to stretch the back muscles (see Fig. 60).

From the position of tilting the body forward, they begin to tilt the body 90 degrees back. Simultaneously with the deviation of the body back, it is necessary to perform the following actions: the patient "pushes" the chest up, raises the shoulder up, bending the arm at the elbow and pulling the rubber due to the scapula and shoulder joint; the chin is raised up, the head is not lowered (see Fig. 61).

It is important to use not the muscles of the hands, but the rhomboid scapular and trapezius muscles of the neck.

When performing the exercise, it is important that the patient "push" the chest up, pulling the elbow back as much as possible and bringing it to the spine, preventing the chest from dropping down (that is, avoiding the stoop position).

An indicator of the correct execution of the technique is a feeling of tension and muscle contraction in the area between the shoulder blade and the spine on the left side, as well as in the upper part of the trapezius muscle of the left hand.

When performing the exercise, the patient should not turn the body to the left and right.

The exercise is performed for the corrected shoulder in the morning and evening, 15-20 times in 3-4 sets.

The therapeutic effect is to raise the shoulder up and strengthen weak scapular muscles, improve blood circulation in the shoulder joint, shoulder blades, as well as align the symmetry of the thoracic spine and shoulder joints.

Exercise "Correction of the shoulder that goes forward and is located above the other shoulder."

Equipment for the exercise:

1. Rubber band;

2. Permanently located vertical structure (wall corner, doorway, handrail).

First, it is necessary to secure the rubber at the level of the abdomen (navel area) - this is necessary in order to include the scapular and rhomboid muscles of the back into work, and also not to use the trapezius muscles, it is important that the load in the exercise does not go into the neck muscles, for this the rubber is fixed at the level of the umbilicus.

A permanently located vertical structure is used (the first option for attaching rubber).

The second option for attaching rubber: a doorway. The rubber band is threaded through the tape.

Then throw the tape over the door and close it. It turns out a static design. Provides easy fastening of rubber at the level of the abdomen.

Starting position - the patient stands facing the place where the rubber band is attached, takes the rubber band in the hand whose shoulder needs to be corrected: if the rubber band is located in the left hand, then the right leg is put forward to include the muscles of the left shoulder blade (see Fig. 59). ). This is the position of the walking pattern (when walking, when the right leg is taken forward, the left hand automatically also moves forward - this is the reaction of the nervous system, including various muscles in work, and also turning them off from work). This is one of the important adjustments in the performance of the exercise so that it is done as efficiently as possible. The knees should be slightly bent.

They bring the arm forward, stretching the left shoulder blade, at the same time tilt the body forward by 45 degrees (no more) to stretch the back muscles (see Fig. 60). From the position of tilting the body forward, they begin to tilt the body 90 degrees back. Simultaneously with the deviation of the body back, the following actions must be performed: the patient "pushes" the chest up, does not raise the shoulder up, bending the arm at the elbow and pulling the rubber due to the scapula and shoulder joint; the chin is raised up, the head is not lowered (see Fig. 61).

When performing the exercise, it is very important that the patient "push" the chest up, pulling the elbow back as much as possible and bringing it to the spine, preventing the chest from dropping down (that is, avoiding the stoop position). An indicator of the correct execution of the technique is a feeling of tension and muscle contraction in the area between the shoulder blade and the spine on the left side.

When performing the exercise, the patient should not raise the shoulder up, as well as turn the body to the left and right.

Next, the exercise is performed with the second shoulder.

Exercise is performed in the morning and in the evening, 15-20 times in 3-4 sets.

The therapeutic effect is to strengthen weak scapular muscles, improve blood circulation in the shoulder joint, shoulder blades, as well as align the symmetry of the thoracic spine and shoulder joints. Exercise "Strengthening the scapular muscles." Equipment for the exercise:

1. Rubber band;

2. Fixed vertical structure (wall corner, doorway or handrail).

First, it is necessary to secure the rubber at the level of the abdomen - this is necessary in order to exclude the impact on the neck and include the scapular muscles of the back in the work. To do this, use a permanently located vertical structure (the first option for attaching rubber).

The second option for attaching rubber: a doorway.

The rubber band is threaded through the tape.

Then throw the tape over the door and close it. It turns out a static design. Provides easy fastening of rubber above the level of the abdomen.

The rubber must be fixed on a permanently located vertical structure (or doorway) so that the two ends of the tape are the same in length.

Starting position - the patient stands facing the place where the rubber band is attached, then with both hands, bent at the elbow at an angle of 90 degrees, takes the rubber band (see Fig. 62).

If the patient has pain in the left or right shoulder blade, then it is necessary to put the opposite leg forward. This is the position of the walking pattern (when walking, when the right leg is taken forward, the left hand automatically also moves forward - this is the reaction of the nervous system, including various muscles in work, and also turning them off from work). This is one of the important adjustments in the performance of the exercise so that it is done as efficiently as possible.

The patient tilts the body forward 45 degrees, stretching the shoulder blades; arms are straight (Fig. 63).

From the position of the body forward deviate 90 degrees back.

Simultaneously with the deviation of the body back, the patient "pushes" the chest up, begins to pull the rubber due to the shoulder joints and shoulder blades, brings the shoulder blades together, as well as the elbows behind the back, preventing the chest from lowering down (that is, avoiding the stoop position), the chin is raised up, the head is not lowered (see Fig. 64). It is important to use not the muscles of the arms, but the muscles of the back and shoulder blades (rhomboid scapular and latissimus dorsi muscles).

An indicator of the correct execution of the technique is the feeling of tension and the work of the muscles between the shoulder blades and the spine.

Pushing and lifting the chest up during the exercise is the main and important element of the exercise, which has the property of treating back humps, stoops, kyphosis.

If you perform the exercise in a static position without pushing the spine up and raising the thoracic region, then in people with stoop, kyphosis and a hump in the back, the emphasis and tension will shift to the neck muscles.

Then the therapeutic effect, namely the treatment of stoop, kyphosis and humps, will not be achieved with the classical exercise. This element is copyright, and is necessary to achieve the result.

When pushing the body up and moving the spine, the emphasis moves from the neck to the region of the scapular muscles and spine in people with kyphosis and lordosis, and gives the maximum therapeutic effect.

The exercise is performed in the morning and in the evening, 15-20 times in 3-4 sets. Exercise "Strengthening the back shoulder joints." Equipment for the exercise:

1. Rubber band;

2. Permanently located vertical structure (wall corner, doorway, handrail).

First you need to secure the rubber at chest level. This is necessary in order to include the rhomboid and trapezius back muscles in the work. To do this, use a permanently located vertical structure (the first option for attaching rubber).

The second option for attaching rubber: a doorway. The rubber band is threaded through the tape.

Then throw the tape over the door and close it. Get a static design. Provides easy fastening of the rubber above the level of the chest.

The rubber must be fixed on a permanently located vertical structure (or doorway) so that the two ends of the tape are the same in length.

Starting position - the patient stands facing the place where the rubber band is attached, then with both hands, bent at the elbow at an angle of 90 degrees, takes the rubber band (see Fig. 65).

Next, the patient spreads his elbows to the side at 45 degrees, placing them at the level of the nipples, while holding the ends of the rubber band in his hands. The chin is raised up, the head is not lowered. The body is retracted 45 degrees back (see Fig. 66).

The patient abducts the elbows behind the back, simultaneously engaging the shoulder joint and pulling it back (see Fig. 67).

The exercise is performed with a small range of motion.

It is important to use not the muscles of the hands, namely the back surface of the shoulder joints (posterior deltoid muscle) and the scapular muscles.

An indicator of the correct execution of the technique is a feeling of muscle tension in the back of the shoulder joint.

The exercise is performed in the morning and in the evening, 15-20 times in 3-4 sets. The therapeutic effect is turning the shoulder joint back, treating stoop, kyphosis and humps of the thoracic region, strengthening the shoulder blades and shoulder joints, relieving tension from the cervical region, lengthening the neck, improving the condition of the spine. Study of the effectiveness of the method of alignment of the thoracic spine and shoulders.

During the study, the results of treatment of 37 patients with stoop, kyphosis, thoracic humps were analyzed.

The control group of the study consisted of 19 people, the main group - 18 people. Basic therapy in both groups was the same. In the main group, a comprehensive program of therapeutic measures was supplemented by the use of a method for aligning the thoracic spine and shoulders. In the control group, local treatment was carried out according to generally accepted methods, including physiotherapy and exercise therapy. Results. After daily performance of a set of exercises included in the method of aligning the thoracic spine and shoulders, a month later, alignment of the position of the thoracic spine and shoulders was noted in 87% of patients in the main group. At the same time, in patients in the control group, a month later, the spine was leveled in 78% of patients.

The method of treatment of scoliosis is carried out as follows.

Initially, within 1 week, exercises from the set of exercises included in the pelvic alignment method described above are performed.

Then, exercises from the set of exercises included in the method of strengthening the abdominal wall are added, and they are performed together with exercises from the set of exercises included in the method of pelvic alignment for 1 week.

After that, the exercises included in the set of exercises of the method of aligning the thoracic spine and shoulders are added, and they are performed together with the exercises from the set of exercises included in the method of aligning the pelvis and the method of strengthening the abdominal wall for 1 week, while alignment of the spine begins to be observed.

After the spine is aligned, the entire set of exercises is continued for 2 months.

Investigation of the effectiveness of a method for the treatment of scoliosis.

The study analyzed the results of treatment of 33 patients with scoliosis. The control group of the study consisted of 17 people, the main group - 16 people. Basic therapy in both groups was the same. In the main group, a comprehensive program of therapeutic measures was supplemented by the use of a method for the treatment of scoliosis. In the control group, local treatment was carried out according to generally accepted methods, including physiotherapy and exercise therapy.

Results. After three weeks of daily performance of a set of exercises included in the method of treating scoliosis, a significant alignment of the position of the back and thoracic spine was noted in 84% of patients in the main group. At the same time, in patients in the control group, after three weeks, the spine was aligned in 76% of patients.

Claims (29)

1. A method of pelvic alignment, characterized by performing a set of exercises, including the study of the square muscle of the lower back by tapping on the stretched square muscle of the lower back when the body is tilted in different directions from a sitting position, pushing the tense square muscle in the sitting position with the body retracted, pushing with alternating tension and relaxation of the square muscle of the lower back with the edge of the board in the position lying on its side, stretching when tilting from a sitting position on the floor with straightened legs, as well as working out the gluteal muscles by pushing pain points on the gluteal muscles with alternating tension and relaxation. 2. The method according to claim 1, characterized in that a gradual increase in the frequency of performing a set of exercises is carried out 1 time in 3 days, 1 time in 2 days and 1 time per day. 3. The method according to p. 1, characterized in that the duration of one exercise is 10-15 minutes. 4. The method according to p. 1, characterized in that tapping on the square muscle of the lower back is carried out with fists. 5. The method according to claim 1, characterized in that the pushing of the tense square muscle of the lower back is carried out with the knuckles. 6. The method according to p. 1, characterized in that the pushing of pain points on the gluteal muscle is carried out with a tennis ball. 7. A method of strengthening the abdominal wall, characterized by pushing the abdomen from the side of the inner surface of the ilium with alternating tension and relaxation to push through the iliopsoas muscle, pushing through the middle part of the internal inguinal fold with alternating tension and relaxation to work out the pupart ligament, as well as performing exercises to strengthen abdominal wall. 8. The method according to p. 7, characterized in that a massager of the "Molecule" type is used to push through the abdomen. 9. The method according to claim 7, characterized in that a tennis ball is used to push through the inguinal fold. 10. The method according to claim 7, characterized in that the exercises to strengthen the abdominal wall include vacuum, plank and leg raises. 11. The method according to claim 7, characterized in that the time for performing a set of exercises is 60 minutes. 12. A method of spinal alignment, characterized by the fact that the doctor puts one hand on the patient's ribs at the level of the thoracic spine, and the other on the patient's thigh and makes a series of jerky movements along the patient's body, followed by an assessment of the degree of resistance of the patient's hand according to the kinesiology test after each series of 2 and 3 jerky movements with the forward and reverse position of the hands, then for 5 seconds the doctor makes 3 jerky movements for the direct position of the hands and 1 for the reverse position of the hands, in which the kinesiology test previously revealed the weakest resistance of the patient's hand, and assesses the degree of resistance the patient's hands according to the kinesiology test, if the degree of resistance of the patient's hand is rated as "strong", then this combination of jerky movements is repeated at least 4 times. 13. The method according to claim 12, characterized in that before performing the exercise, the patient, sitting on a chair with his eyes closed, performs cycles of slow breaths and exhalations with his stomach for 6 seconds each for 5 minutes. 14. The method according to claim 12, characterized in that to conduct a kinesiology test, the patient holds a tense arm parallel to the floor with the palm down, in which the fingers and elbow are straightened, after which the doctor places his hand over the patient's arm in the middle of the forearm and presses down to move the hand 10 cm down to assess the degree of resistance of the patient's hand. 15. A method of aligning the thoracic spine and shoulders, characterized by the fact that a set of exercises is performed, including exercises aimed at: opening the thoracic spine by stretching and loosening the elastic bands fixed behind the back, held by the hands of the arms spread apart and upwards with the body curved back by taking steps forward and backward; stretching the pectoral muscles through cycles of rotation of the body body with a straight arm laid back, located at shoulder level, the hand of which is held by the support, while the chest is maximally raised up, and the shoulder joint is maximally deployed back and not clamped; improvement of blood circulation and efficiency of the shoulder blades by working out the muscles of the shoulder blade with the tension of the arm in the position of the hand behind the back to work out the muscles of the inner part of the shoulder blade, when touching the floor with the fingers of the transferred straight hand to the opposite side of the body to work out the rhomboid muscle, with the straight arm raised behind the head for working out trapeze; relaxation of the collar zone and an increase in the mobility of the shoulder blades by pushing the pain points of the collar zone in the supine position with alternating tension and relaxation of the body; pushing the subclavian muscle with the shoulder retracted forward by pushing into the depth of the subclavian muscles; correction of the position of the shoulders, for which the patient takes the edge of the rubber band fixed in front with the opposite leg, bends the knees, rounds the pelvis, lowers the shoulders down and tilts the body forward by 45 °, after which it performs cycles of movement, including tilting the body back by 90 ° relative to the initial position with simultaneous pushing the chest up, lifting the shoulder up, bending the arm at the elbow and tensioning the elastic band due to the work of the muscles of the scapula and shoulder joint, while leaving the chin raised up and then tilting the body forward to the starting position; to strengthen the scapular muscles, for which the patient takes the edges of the rubber bands fixed in front with both hands, puts one leg forward, bends the legs at the knees, rounds the pelvis, lowers the shoulders down and tilts the body forward by 45 °, after which it performs cycles of movements, including inclination of the body body back by 90 ° relative to the initial position with simultaneous pushing of the chest up, lifting up the shoulder, bending the arms at the elbow and tensioning the elastic bands due to the work of the muscles of the shoulder blades and shoulder joints, while leaving the chin raised up and with the subsequent tilt of the body body forward to the starting position; strengthening the posterior surface of the shoulder joints, in which the patient takes the edges of the rubber bands fixed in front with two arms bent at a right angle, spreads the elbows to the sides at an angle of 45 °, placing them at chest level, and takes the body body 45 ° back, while leaving the chin raised up, then with a small amplitude takes the elbows behind the back due to the movement of the shoulder joint back and forth; performing exercises according to paragraph 12 of the formula. 16. The method according to claim 15, characterized in that the doctor works out the internal muscles of the scapula with the thumb and bent index fingers. 17. The method according to claim 15, characterized in that the patient works out the internal muscles of the scapula with a tennis ball located at the retracted scapula, as close as possible to the subscapular region. 18. The method according to claim 15, characterized in that exercises aimed at correcting the position of the shoulder are performed in the morning and in the evening, 3-4 approaches 15-20 times each. 19. The method according to claim 15, characterized in that exercises aimed at strengthening the scapular muscles are performed in the morning and in the evening, 3-4 approaches 15-20 times each. 20. A method for the treatment of scoliosis, characterized in that initially the exercises according to paragraph 1 of the formula are performed for 1 week, then the exercises according to paragraph 7 of the formula are added and they are performed together with the exercises according to paragraph 1 of the formula for 1 week, after which they are added exercises according to paragraph 15 of the formula and perform them together with the exercises according to paragraphs. 1 and 7 of the formula for 1 week, while alignment of the spine begins to be observed, and after the spine is aligned for 2 months, they continue to perform a set of exercises according to paragraphs. 7, 1 and 15 formulas.

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