SU1367972A1 - Method of treatment of children ill with scoliosis - Google Patents

Abstract

The invention relates to medicine, more specifically to orthopedics. The purpose of the invention is to reduce the treatment time due to the fact that during the course of hydrokinesis therapy a step increase in the load is carried out every 5 procedures, increasing the duration and complexity of the procedures, the number of exercises and the dose of the load, calculating them according to physical performance, taking into account its submaximal level. Dp this apply the calculated heart rate (HR). The load is calculated according to the formula HR of the worker (HR rest + HRV veloerg) K, where HR rest - HR at rest; HR Volerg - HR during the performance of a submaximal load on a bicycle ergometer; K is a step load ratio of 1/2 for the 2nd stage, 2/3 for the 2nd stage and 3/4 for the 3rd stage of hydrokinesitherapy. The temperature of the water during the procedures is gradually lowered from Z to 28 ° C. (L

Description

oo

ABOUT)

with y

This invention relates to medicine, in particular to orthopedics.

The aim of the invention is to reduce the duration of treatment,

The goal is achieved by the fact that during the course of hydrokinesitherapy a stepwise increase in the load is carried out every 5 procedures by increasing the duration of the procedure, the complexity and number of exercises, and increasing the dose of the load that is calculated according to the physical performance, taking into account its submaximal level. To do this, use the calculated heart rate (HR

ChSSr "bake. (Heart rate „,,,, + heart rate ,,„ j-K,

where is ches

Poko

all

white spr.

K veloerg

heart rate at rest; heart rate during exercise of a submaximal load on a bicycle ergometer; the step load increase factor, which is 1/2 for Stage I, 2/3 for Stage II and 3/4 for Stage III hydrokinesitherapy.

C r i me R 1. Sick K ,, 13 years 1 month Diagnosis: dysplastic right-sided thoracic scoliosis of the II stage of severity, uncompensated, unstable, slowly progressive course. At the initial examination, there was a violation of posture, asymmetry of the waist triangles. Pelvic distortion, rib hump - right in the thoracic region 3x4.0x15.0 cm and muscle roller in the lumbar region to the left 2.0x3.5x12.0 cm, deflection of the plumb line from the inter-annual fold of 1.5 cm. On the radiograph; curvature of the spine to the right in the thoracic region with the tip of the arc on Th, one hundred and 20,

lying - 14

with torsion of the vertebral bodies

Clockwise, stability index 0.70, lack of a functional accuracy of 6 °.

The initial functional state is low (endurance of the back muscles 112c.

45

Heart rate „,,, 86 beats / min, heart rate„ „, p, 5, 160 beats / min, HRs„ 5o “s, D-stage 23 beats / min. Load increase factor / 2. Prescribed hydrokinezine therapy is I stage 5 procedures, the water temperature in the pool is 30, the procedure duration is 15-20 minutes, the number of repetitions of exercises is 8-30.

The follow-up examination after 5 procedures revealed an improvement in the functional state of the body with a slight improvement (positive dynamics of 5-7%).

Ches

POCO 9

- 72 beats / min, Ches

HWrpVJKH

152 beats / min, chester for stage II 149 beats / min, water temperature 29 °, procedure duration 20-25 minutes, number of repetitions of exercises 10-12,

After the course of hydrokinesitotherapy of the increasing load (10 procedures), the girl showed a significant improvement (posture improved, the endurance of the back increased by 67%, the abdomen by 40%, PWC, - by 26%, BMD by 30%, BAM by 53 % while reducing the asymmetry coefficient to 1.13, the ATP concentration in the blood increased to 33.6 mg%, the lactate-pyruvate index decreased to 8.6).

In this case, with a low initial functional level, the use of a two-step course of hydrokinesitherapy

load to achieve improvement,

According to the long-term results, stabilization of the pathological process was noted after 22 months. On the radiograph, the main arc of the curvature at the position of one hundred 22 °, the lying position - 18, the stability index 0.82, the functional insufficiency 4 °. Scoliosis has become compensated - plumb line

passes through the inter-annual fold, posture has improved, bioelectrical muscle activity has increased, their asymmetry has decreased, physical performance has been within the normal range.

Example 2. Sick M ,, 12 years 11 months. Diagnosis: dysplastic right-sided thoracic scoliosis of the II degree. Stable, non-compensated

7 sec; PWC 4U W; IPC 1.06 L / min; gg bath, with a slow progress of BAM 242 µV; asymmetry factor of 1.31; respiratory rate 150% of due; MOU 173%; ATP 18.9 mg 7 .; lactate pyruvate index 30, Oj,

by niem. In the initial examination, a violation of posture was noted, the plumb line was separated from the inter-annual fold by 2 cm. On the radiograph: curvature

bathroom, with slow progression. At the initial examination, a violation of posture was noted, the plumb line was separated from the inter-annual fold by 2 cm. On the radiograph: curvature

spine in the right thoracic with an apex of the arc on TP, angle of curvature of one hundred 17 °, prone - 12, stability index 0.70, failure 5 ° functional, torsi in a clockwise direction.

The initial functional state is high (the endurance of the back muscles is 180 s; the abdomen is 45 s; PWC 101 W;

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IPC 2.16 l / min; BAM 456 µV; asymmetry factor of 1.62; ATP 28 mg%; lactate pyruvate index 19.0; respiratory rate of 135%; MOU 164%; VC 83%).

The girl is prescribed hydrokinesitherapy of increasing load with a long

- course rate 15 procedures. HR i, 75 beats / min, ches „orpv3K“ 5 beats / min,

CHSSr D-T-stage 116 beats / min. The load coefficient is 1/2, The duration of the procedure is 15-20 minutes, the water temperature is 30 °, the number of repetitions of exercises is 8-10.

Control studies after 5 procedures revealed insignificant improvements in the range of 4-6%. HR n ,,

74 beats / min, load 57 beats / min, chesr bodm, for stage II 154 beats / min, stage II hydrokinesitherapy was performed at water temperature 29 with a duration of 20-25 minutes and repetition frequency of exercises 10-12. Control tests After 10 procedures of hydrokinesitotherapy, the increasing load showed an improvement in the functional state of the body within 10-12%, which was evaluated as an improvement. HR beats / min

4CCHe, rpV3KH 550 beats / min, c p 5sh.v

for stage III, 165 beats / min. Load increase factor 3/4. The exercises were carried out at a water temperature of 28, the duration of the procedure was 25–30 minutes, the number of repetitions of exercises was 12–15.

Control studies after a course of hydrokinesitherapy (15 procedures) showed a significant improvement, which was characterized by

Ri to, 17. A decrease in BH (119%), a decrease in MOU (108%), an increase in VC and MIA (95 and 101%), which is

called for a reduction in hyperventilation

testified to the increase in breathing efficiency. Normalization of systole phase composition was noted, an increase in ATP concentration in blood of 35 M 10 and a decrease in the lactate-pyruvate index to 12.0.

After 1 month after the end of the hydrokinesi therapy regimen, the achieved level of functional indicators of 15 clinical data was maintained. The data obtained are assessed as a significant improvement.

Long-term observation results after 26 months showed with x-ray 20 logical research a reduction in the arc of the main curvature of 6 °, work compensation, improvement of the trunk and endurance of the muscles of the body, increasing physical performance, bioenergy of the muscular juice of the pups, respiration and blood circulation.

The clinical effect with the use of the proposed method was achieved for a course of treatment, in 15 days, by a known method the treatment was carried out for 1 month.

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Claims (1)

Invention Formula A method of treating children who are scoliosis patients by means of hydrokinesitherapy in a pool, characterized in that, in order to shorten the treatment time, The level of physical performance is measured, while the heart rate of the patient is measured at rest and during cycle ergometry, and the body is exposed to a load calculated according to the working formula (heart rate + heart rate), where HR, HR, resting, HR, ergometry, K - load increase factor, By improving the posture, by increasing the removal of this factor, the load ratio of the abdominal and back muscles up to 80%, is incrementally changed every time by increasing the PWC by 24% and MIIK by 22%; / 4, and the water temperature is gradually reduced from 30 to 28 ° e. vnshti Order 1: .7 / 5 Circulation 655 Random polygons pr-tie, Uzhgorod, st. Project, 4 67977. Ri to, 17. A decrease in BH (119%), a decrease in MOU (108%),. An increase in VC and MIA (95 and 101%), which indicated a decrease in hyperventilation and testified to the increased efficiency of breathing. Normalization of the systole phase composition was noted, an increase in ATP concentration in the blood of 35 M1%, 10 a decrease in the lactate-pyruvate index to 12.0. After 1 month after completing the course of hydrokinesitherapy, the achieved level of functional indicators and 15 clinical data was maintained. The resulting data is estimated as a significant improvement. Long-term results of observation after 26 months showed, with X-ray analysis, a reduction in the arc of the main curvature of 6 °, the development of compensation, an improvement in the posture and endurance of the muscles of the body, an increase in physical performance, bioenergy of muscular contraction, respiration and blood circulation. The clinical effect with the use of the proposed method was achieved for a course of treatment, in 15 days, the treatment was carried out for 1 month using a known method. Invention Formula The method of treating children who have scoliosis patients by means of hydrokinesitherapy in the pool, characterized in that, in order to shorten the treatment time, the level of physical performance is preliminarily determined, and the heart rate of the patient is measured at rest and during cycle ergometry, and the effect on the body is carried out by the load calculated by the formula working (HR rest + HR ergometry) K, where HR is working; - SS rest, bicycle ergometry HR, K - load increase factor, This load factor is incrementally changed every 5 procedures from / 2 to 3/4, and the water temperature is gradually lowered from 30 to 28 ° e. Subscription