RU2812397C1 - Method of eliminating asymmetry of pelvis, joints and muscles in relation to spine and device for its implementation - Google Patents

Abstract

FIELD: medicine; kinesio- and manual therapy; osteopathy; restorative medicine.

SUBSTANCE: group of inventions can be used to eliminate body asymmetry. The method consists of sequentially performing exercises on a device to eliminate asymmetry of the pelvis, joints and muscles in relation to the spine.

EFFECT: group of inventions provides effective elimination of asymmetry of the pelvis, joints and muscles in relation to the spine.

5 cl, 17 dwg, 1 ex

Description

The invention relates to medicine, namely to diagonal traction, kinesio- and manual therapy, osteopathy, and restorative medicine. Can be used to treat and correct pelvic misalignment and distortion and eliminate the consequences of functional distortion of the pelvis, shoulder and knee joints.

In the complex of therapeutic and preventive sports activities for improving the health of the human body, and in the field of therapeutic and sports simulators.

There is a known method for improving the health of the spine and joints (Patent for invention No. 2545447, A61H 1/00 published on March 27, 2015) using a device for improving the spine and joints (Patent for PM No. 137194, IPC A61F5/00, published on February 10, 2014). The method involves expanding the intervertebral spaces with derotation of the vertebrae using a device for healing the spine and joints, containing a wedge-shaped device made sliding from two half-wedges adjacent to each other with flat sides. However, the known method and device have a number of disadvantages:

This method is not very effective, since it does not give long-lasting results and does not eliminate asymmetry of muscle groups in any plane in relation to the spine.

There is a known method for healing the spine, joints with multiplanar deformation, and a device for healing the spine, joints with multiplanar deformation (Patent for invention No. 2644267, published 02/08/2018, IPC A 61F5/61, A61H 7/00). First, the ligamentous-tendon apparatus is relaxed, the spaces between the transverse processes of the vertebrae are increased, they are aligned in the frontal plane, then rotation of the vertebral bodies is eliminated by influencing the spinous processes, then retrolisthesis is eliminated and the displaced spinous processes are aligned in the sagittal plane, the remaining rotation is eliminated by influencing the transverse shoots. To implement the methods, the proposed device is used, which contains removable-plug-in stops and wedges.

The known technical solution has the following disadvantages: it is not very effective, since it does not provide long-lasting results and does not eliminate the cause of the disease (asymmetry of muscle groups in relation to any plane to the spine).

The objective of the proposed invention is to eliminate the shortcomings of the prototype, namely to increase the effectiveness of therapeutic effects to eliminate asymmetry of the pelvis, joints and muscle groups in relation to the spine.

The technical result is a more effective symmetrical alignment of body parts, groups of joints, and a reduction in tissue trauma due to the distribution of forces affecting the biomechanical parameters of the human skeleton.

The problem is solved by the fact that the method of restoring symmetry and equalizing the ratios of biomechanical parameters of the human musculoskeletal system using diagonal traction and eliminating asymmetry of the pelvis, joints and muscle groups in relation to the spine in any plane consists of tension, alignment and relaxation of the muscles, ligaments and joints, in which diagonal alignments of the parameter relations between A1 and A2 are sequentially performed; B1 and B2; G1 and G2; B1 and B2; D1 and D2 and C on the device for carrying out diagonal traction action according to claim 3, securing the patient’s legs and feet with fixation elements, and if necessary, use vertical posts to fix the necessary parts of the patient’s body and fix the hip joint in the recess for fixing the hip joint , in addition, two stages of therapy are carried out: the first - to overcome the opposing force, the second stage - exercises to overcome the gravity of your own body, where

C – axis of symmetry of the spine;

A1 - diagonal symmetry of the left shoulder and right hip joints;

A2 - diagonal symmetry of the right shoulder and left hip joints;

B1; B2 - symmetrical relationship of readings B1 and B2 in relation to the axis of the spine in any plane;

B1 – diagonal of symmetry of the left hip and right knee joints;

B2 – diagonal of symmetry of the right hip and left knee joints;

G1 – diagonal of symmetry of the left hip joint and right ankle;

G2 – diagonal of symmetry of the right hip joint and left ankle;

D1; D2 - symmetrical relationship of readings D1 and D2 in relation to the axis of the spine in any plane;

The goal is also achieved by the fact that diagonal-traction alignments are usually preceded by osteopathic massage.

The task is achieved by the fact that the device for implementing the method is a couch consisting of a frame with adjustable supports, a bed including the head and torso parts, a drive for raising and lowering the bed frame, while the bed frame is hingedly connected to the base by two pairs of posts, and the head part of the stock has a hole for the face, and the frame of the stock at the head and foot ends contains two pairs of removable horizontal posts, the body part of the stock has fixation elements in its middle part, and in the end part there is a recess for fixing the hip joint, into which a removable flush insert is placed .

The goal is also achieved by the fact that the fixation elements of the torso part of the bed are sling tapes for fixing at least the left and right legs and feet.

This task is also achieved by the fact that the couch is equipped with foot pedals for controlling the level of raising and lowering the bed, connected to a drive for raising and lowering the bed frame.

The proposed invention is illustrated by the following graphics:

Figure 1 shows a general view of the couch, ¾ view, without vertical posts.

In fig. 2 - general view of the couch, view from the head, without vertical posts.

In Fig.3. - general view of the couch with vertical posts.

In fig. 4 - option of using a belt to fix the patient's leg.

In fig. 5 and 6 - use of a couch and a recess to fix the hip joint on the patient’s left side.

In fig. 7 and 8 - use of a couch and a recess to fix the hip joint on the patient’s right side.

Figures 9 and 10 show the use of a couch and a belt with fixation of the patient's lower leg. Raising and lowering the upper body up and down while bending backwards.

In fig. 11, 12, 13 - use of a couch and a belt with fixation of the patient’s lower leg. Raising and lowering the upper body up and down while bending forward.

In Figs 14, 15, 16 - the use of vertical posts and tapes with cuffs for traction.

Fig. 17 is a schematic representation of the human skeleton indicating the axes of symmetry.

A method for restoring and diagonally aligning the ratios of biomechanical parameters of the human musculoskeletal system using diagonal traction and eliminating asymmetry of the pelvis, joints and muscle groups in relation to the spine in any plane is a set of actions in which tension and relaxation of opposing muscles and ligaments are performed and joints. Techniques are carried out aimed at removing metabolic products from the muscles and performing a set of physical exercises for the necessary muscle groups. The stages of therapy are performed in the form of exercises on the stated couch. The first stage is to overcome the opposing force, the second stage is exercises to overcome the gravity of your own body. This method involves stressing the muscles and joints by performing a set of special physical exercises and massage procedures. At the same time, intermuscular coordination is corrected and strength endurance is restored. The next stage includes muscle stretching exercises, the formation of biomechanical correct movement with constant monitoring of muscle function. The next stage of exercises to develop strength endurance of the muscles that support the diagonal and natural position of the joints, strengthening intermuscular coordination.

The device for carrying out diagonal traction action is a couch having a frame 1 equipped with a pair of supports 2 connected to each other by upper jumpers 3, the lower part of the supports also has longitudinal and transverse jumpers 4. The frame 1 is made with the possibility of horizontal reciprocating movement (lowering and raising ) due to the presence of an electric drive 5, the first end of which is hingedly connected to the frame 1. On the frame 1 there is a bed, which has a head part 6 and a body part 7 (can be supplemented with a removable panel 7a). The head part 6 has a hole for the face 8. The body part 7 has elements for fixation (straps): a belt for fixing the right leg 9, a belt for fixing the left leg 10, a belt for fixing the feet 11. In its final part, the body part 7 has a recess for fixation of the hip joint 12, which is formed when the insert 13 is removed. A pair of removable vertical posts 14, equipped with belts and cuffs for fixing the patients’ arms and legs, can be additionally inserted into the frame 1 in the leg part. Parts 6 and 7 of the bed are located at a short distance from each other. The couch is equipped with foot pedals for controlling the level of raising and lowering the bed, connected to a drive for raising and lowering the bed frame (the position is not assigned in the drawings).

An example of a specific application of the method and device.

A method for restoring and equalizing the ratios of biomechanical parameters of the human musculoskeletal system using diagonal traction and eliminating asymmetry of the pelvis, joints and muscle groups in relation to the spine in any plane is carried out as follows:

- at the beginning of the appointment, we diagnose the patient by visually and palpation determining the position of anatomical landmarks from the ankle joint to the cervical spine and, if violations are identified, we determine the sequence of further actions.

- then we apply techniques aimed at removing metabolic products from the muscles and performing a set of physical exercises for the necessary muscle groups. The stages of therapy are performed in the form of exercises on the stated device – a couch. They put stress on muscles and joints by performing a set of special physical exercises and massage procedures. At the same time, intermuscular coordination is corrected and strength endurance is restored.

1. The patient is placed on his back on the bed 6 and the right leg is fixed with a belt 10, while the left leg with the knee straightened makes abductive vertical movements (the patient provides possible resistance) at a possible angle from top to bottom (Fig. 4).

2. Next, the left leg is secured with belt 11, and vertical abduction movements are performed with the right leg with the knee straightened (the patient provides possible resistance) at a possible angle.

3. Raise the patient to a sitting position. Fix the patient's left hip joint in a sitting position (with feet towards the opening for the face), in recess 13 and perform rocking movements of the upper body with a fixed position to the right side, hands are closed at the back of the head (at the end of the amplitude the patient should touch the left elbow with his right elbow) knee) with the right leg slightly raised above the couch. (Fig.5 - 6)

4. Fix the patient’s right hip joint in a sitting position, with the legs (towards the hole for the head) in recess 13 and perform rocking movements of the upper body with a fixed position to the left side, the hands are closed at the back of the head (at the end of the amplitude the patient touches the right knee with the left elbow ) with the right leg slightly raised above the couch (Fig. 7 – 8).

5. In a kneeling position on the bed 6 of the couch, the lower legs are secured with fixation elements with a belt 12, and the patient’s feet are placed in the hole between the parts of the couch 7 and 8, with outstretched arms and tilted head, move backwards as much as possible and without changing the position, start slowly lower the patient to a sitting position on his knees (Fig. 9 – 10).

6. Next, without changing the vertical position, they begin to slowly lift the patient to a kneeling position and without stopping (with the head down and outstretched arms up), without changing the vertical position of the patient’s legs, bending the back outward, the patient’s head touches the couch. Lifting the upper body is done in the reverse order (Fig. 11 - 13).

7. Using a pair of vertical posts 15 with rubber straps and cuffs, in the patient’s kneeling position on the couch, fix the arms and, with a straight back, begin slow vertical movements of the upper body up and down with an inclination of 45 degrees (Fig. 14 - 15) .

8. Using a pair of vertical racks 15 in a position lying on the stomach with the help of rubber straps with fixing cuffs, bending the left leg at the knee joint, make a lifting movement with the leg upward, preferably to a possible result, at the same time, with the right hand bent at the elbow, fix the body on the couch, reaching result by slowly bringing the leg back to its original position. (Fig. 16).

9. Using a pair of vertical posts 15 in a prone position with the help of rubber straps with fixing cuffs, bending the right leg at the knee joint, make a lifting movement with the leg up, preferably until the possible result, at the same time, with the left hand bent at the elbow, fix the patient’s body on the couch, Having achieved the result, we slowly bring the leg to its original position (Fig. 16).

10. Parameter ratio: should be equal respectively A1=A2; B1=B2; B1=B2; G1=G2; D1=D2 and all parameters must be symmetrical to the spinal axis C.

11. The next stage of exercises to develop strength endurance of the muscles that support the diagonal and natural position of the joints, strengthening intermuscular coordination.

12. Subsequently, visual and palpation determination of the position of anatomical landmarks from the ankle joint to the cervical spine is carried out, and if violations are detected, they are eliminated by diagonal traction using correction belts.

During repeated inspections, they are convinced that the violations have been eliminated and the impact is stopped. Sets of diagonal traction therapy exercises are carried out in such a way as to equalize the ratio and imbalance of muscle tone. During repeated examinations at each session, the state of muscle tone is monitored and when it is diagonally aligned, the treatment procedure must be carried out at least ten times.

The use of a method for restoring and equalizing the ratios of biomechanical parameters of the human musculoskeletal system using traction and eliminating asymmetry of the pelvis, joints and muscle groups in relation to the spine in any plane allows you to select individual personal therapy programs to eliminate asymmetric position and asymmetric load on the muscles of the lower extremities of the hip , knee and ankle joints and biomechanical disorders of the human skeleton.

This therapy, together with the use of a new device, is aimed at restoring joint function; due to dosed tension, the effectiveness of the effect is that the joint moves with a diagonal amplitude.

Therapeutic exercise on the new couch allows you to overcome muscle retraction, eliminate contractures, increases immunity, improves the functioning of the central nervous system, normalizes the functioning of internal organs, removes functional blocks and relaxes the deep muscles of the spine, allows you to overcome muscle retraction.

Claims (5)

1. A method for eliminating asymmetry of the pelvis, joints and muscles in relation to the spine, including performing exercises, characterized in that the patient is placed on his back on the bed of the device and the right leg is fixed with a belt; with the left leg, with the knee straightened, the patient makes vertical abduction movements, providing resistance in the direction from top to bottom, then the left leg is fixed with a belt, and with the right leg with the knee straightened, the patient makes vertical abduction movements, providing resistance in the direction from top to bottom, then the patient is raised to a sitting position, the patient’s left hip joint is fixed in a sitting position in the recess in the end part of the device and perform rocking movements of the upper body with a fixed position to the right side, the patient closes his hands at the back of the head and touches the left knee with his right elbow, then fixes the patient’s right hip joint in a sitting position in the recess in the end part of the device and makes rocking movements of the upper parts of the body with a fixed position to the left side, the patient closes his hands at the back of his head and touches his right knee with his left elbow, then in a kneeling position on the device bed, the lower leg is secured with a belt, and the patient’s feet are placed in the hole in the middle between the two parts of the bed and performed with with outstretched arms and tilted head, move backwards and, without changing posture, lower the patient into a sitting position on his knees, then, without changing the vertical position, begin to lift the patient to a kneeling position and, without stopping, bending his back outward, the patient touches the bed with his head , lifting the upper body is done in the reverse order, then using a pair of vertical stands with rubber straps and cuffs, in the patient’s kneeling position on the bed, the arms are fixed and with a straight back, vertical movements of the upper body are carried out up and down with an inclination of 45 degrees, then, using a pair of vertical stands in a prone position with the help of rubber straps with fixing cuffs, with the left leg, bending at the knee joint, they make a lifting movement with the leg up, at the same time with the right hand, bent at the elbow, fix the body on the bed and bring the leg into starting position, then using a pair of vertical stands in a prone position with the help of rubber straps with fixing cuffs, the right leg, bending at the knee joint, makes a lifting movement with the leg up, at the same time with the left hand, bent at the elbow, fixing the patient’s body on the bed and bring the leg to its original position, the course of eliminating asymmetry is completed when the ratio of parameters is achieved in accordance with Fig. 17: A1=A2; B1=B2; B1=B2; G1=G2; D1=D2 and B1; B2; D1; D2 should be symmetrical to the C axis of the spine. 2. The method according to claim 1, characterized in that osteopathic massage is performed before performing the exercises. 3. A device for eliminating asymmetry of the pelvis, joints and muscles in relation to the spine, which is a couch used to implement the method according to claim 1, including a base, a frame with adjustable supports, a bed containing the head and torso parts, and a lifting-lowering drive frame, wherein the frame is hinged to the base by two pairs of vertical posts and contains two pairs of removable horizontal posts at the head and foot ends, the head part of the stock has a hole for the face, the body part of the stock is equipped with fixation elements in the middle part, and a recess in the end part for fixing the hip joint, into which a removable insert is placed flush. 4. The device according to claim 3, characterized in that the fixation elements are sling tapes for fixing at least the left and right legs and feet. 5. The device according to claim 3, characterized in that it contains foot pedals for controlling the level of raising and lowering the bed, connected to a drive for raising and lowering the frame.