WO2018169504A1

WO2018169504A1 - Method of treating patients with cerebral palsy

Info

Publication number: WO2018169504A1
Application number: PCT/UA2017/000044
Authority: WO
Inventors: Владимир Ильич КОЗЯВКИН
Original assignee: Владимир Ильич КОЗЯВКИН
Priority date: 2017-03-16
Filing date: 2017-04-18
Publication date: 2018-09-20
Also published as: UA119048U

Abstract

The invention relates to medicine, specifically to the rehabilitative treatment of patients with chronic central nervous system disorders, such as various forms of cerebral palsy. A method, based on the method of V. I. Kozyavkin, includes a complex sequential therapeutic rehabilitation intervention: receiving classical, segmental, periosteal, and acupressure massage in combination with post-isometric and antigravitational relaxation, apitherapy, and electrostimulatory reflex therapy performed simultaneously with isotonic and post-isometric tensioning of muscles, mechanotherapy, mobilizing exercises and calisthenics. To establish a correct movement pattern, regenerate physiological muscle spiral, and increase the rehabilitative effect, the "Spiral" biodynamic corrective suit, an apparatus for dynamic correction of human movement, is additionally utilized. The method restores spinal function, normalizes muscle tone, establishes a correct movement pattern, restores the flow of blood, lymph and cerebrospinal fluid, and activates breathing, thereby bringing about a new functional state of a patient.

Description

DESCRIPTION OF A USEFUL MODEL

METHOD FOR TREATING PATIENTS WITH CP

The utility model relates to medicine, namely to methods of rehabilitation treatment of patients with chronic organic lesions of the central nervous system, such as various forms of cerebral palsy (Cerebral Palsy).

Among many treatment methods for cerebral palsy, there is no single standardized treatment method. In medical practices, in the treatment of cerebral palsy, as a rule, manual therapy, therapeutic gymnastics, medical and surgical methods of treatment are used.

One of the important methods in the treatment of cerebral palsy is physical rehabilitation, which starts from the moment of diagnosis and is aimed at preventing muscle atrophy, as well as preventing the development of myogenic contractures, in which the rigid muscles fix the patient's limbs in a pathological condition.

A device for dynamic correction of human movement (Pat. 66873, Ukraine, IPC A61F 5/01, A63B 21/02. Device for dynamic correction of human movements / applicant and patentee: Kozyavkin V.I. (UA) - M> 2001042206; 04/03/2001; publ. 06/15/2004, bull. N_> 6), which is a system of elastic elastic rods that are helically superimposed on the trunk and limbs and are attached to special supporting elements - vest, shorts, knee pads, elbow pieces, semi-gloves and boots, where the elastic traction due to its elastic tvam provide the necessary corrective force and special Velcro surface allows the rod to attach them to the support elements in any place and the

SUBSTITUTE SHEET (RULE 26) the most arbitrarily choose the point of application and the direction of action of this effort, depending on the characteristics of movement disorders and the goal of treatment, which ensures the development of the correct stable stereotype of movements and posture correction in the patient.

However, the disadvantage of this device when using it for the rehabilitation of patients with cerebral palsy is that it does not fully provide full-fledged rehabilitation of patients compared to the use of complex methods of medical rehabilitation of patients with cerebral palsy, the effect of which is mutually supplemented and potentiated.

The closest analogue of the utility model is a method of multicomponent intensive rehabilitation of patients with cerebral palsy (Pat. 55018, Ukraine, IPC A61 H23 / 00. Method of multicomponent intensive rehabilitation of patients with cerebral palsy / applicant and patentee: V. I. Kozyavkin (UA) - J4O a200908947 ; Declared Aug 27, 2009; Publ. Dec 10, 2010 bull.> 23), which includes a set of rehabilitation measures to influence the patient’s body, namely, biomechanical correction of the spine combined with mobilization of the joints of the limbs, system special massage, electrical stimulation reflexology, apitherapy, mechanotherapy, mobilizing gymnastics. The rehabilitation system is based on a multimodal approach using versatile methods of influencing the patient. The action of some methods complements and potentiates other rehabilitation measures.

However, the disadvantage of this method is the lack of devices for correcting human movements during complex rehabilitation measures that would complement the multimodal approach in the rehabilitation of patients with cerebral palsy.

SUBSTITUTE SHEET (RULE 26) The utility model is based on the task of improving the method of multicomponent treatment of patients with cerebral palsy by means of the integrated application of medical rehabilitation methods and the use of devices for correcting human movements (Pat. 66873, Ukraine) - the spiral biodynamic correction suit, which is a system of elastic elastic rods, which due to their elastic properties provide the necessary corrective force and form the patient’s an active motor stereotype, which will ensure the creation of a new functional state, as a result of which patients acquire new motor skills, reproduce physiological muscle spirals and strengthen the group of hypotonic or weakened muscles due to inactivity, which will significantly increase the effectiveness of rehabilitation treatment.

The method of multicomponent treatment of patients with cerebral palsy according to the method of V.I. Kozyavkin relates to rehabilitation, has a continuous and sequential process and is based on the principles of early diagnosis, early treatment, early medical rehabilitation. It consists of at least 10 sessions and includes biomechanical correction of the spine in combination with mobilization of the joints of the limbs, which is carried out by manual action on large joints with subsequent action on the medium and small joints of the limbs with a constant increase in the intensity of this effect to the maximum approximation of physiological movements normal, with electrostimulation reflexology and massage system, which is carried out relative to the trigger zones of the muscular-articular apparatus , with mechanotherapy, which is performed with the use of simulators adapted to various muscle groups, mobilizing and rhythmic gymnastics, including breathing exercises in combination with

SUBSTITUTE SHEET (RULE 26) exercises for the development and strengthening of the musculo-articular apparatus, using apitherapy by wrapping the joints with warm wax-paraffin mixture and bee stinging, using the device for the dynamic correction of human movement - the “Spiral” biodynamic correctional suit.

This combination of actions helps to restore the functions of the spine, normalize muscle tone, form the correct motor stereotype, restore blood flow, lymph and cerebrospinal fluid and activate breathing, so that a new functional state is created in the patient.

An essential feature of the utility model is the integrated use of rehabilitation methods and devices for the dynamic correction of human movement - the biodynamic correction suit “Spiral”. Performing classes in the “Spiral” biodynamic correctional suit, which is a system of elastic elastic rods that, thanks to their elastic properties, provide the necessary corrective effort, with mobilizing gymnastics, mechanotherapy and performing one or another exercise during normal physical activity, developing movement in one or another the joint, the patient systematically repeats the correct movement, which contributes to the memorization of his nervous system and, in the future, its automatic use and ichivaet general rehabilitation effect.

The method of multicomponent treatment of patients with cerebral palsy according to the method of V.I. Kozyavkin is as follows.

Within two weeks, the patient undergoes a set of therapeutic and rehabilitation measures, where the action of each potentiates the influence of the other.

Biomechanical correction of the spine is carried out after manual diagnosis and appropriate preparation of the patient.

SUBSTITUTE SHEET (RULE 26) Manually-therapeutic effect is carried out sequentially in the thoracic, lumbar and cervical regions. Mobilization of the joints of the limbs begins with exposure to large joints, followed by action on the small joints of the hands and feet. In the process of reflexology, methods are applied to influence biologically active points with packs of low voltage pulses of complex configuration, which is carried out using a portable electric stimulator. The effect on the trigger zones of the muscular-articular apparatus is carried out simultaneously with isotonic or post-isometric muscle tension.

Mobilizing gymnastics is carried out using classical kinetotherapy techniques, taking into account the individual characteristics of the patient. The massage system is carried out using the techniques of classical, segmental, periosteal and acupressure in combination with elements of post-isometric and anti-gravity relaxation.

Rhythmic gymnastics is based on playing methods using music and dancing. A positive emotional background leads to the facilitation of the development of new skills by patients, both motor and communication.

Apitherapy provides for the use of wax-paraffin applications and bee stinging. Before conducting apitherapy, an allergological test for beekeeping products is carried out. Wax-paraffin applications are carried out in the form of thermal wraps of various muscle groups and joints according to a certain pattern.

Mechanotherapy is carried out using lever-type devices for training the muscles of the lower extremities. For the development of strength and endurance of the muscles of the upper limbs, block devices are mainly used.

SUBSTITUTE SHEET (RULE 26) The use of the device for dynamic correction of human movement - the Spiral biodynamic correction suit allows you to improve the formation of the correct motor stereotype, reproduce physiological muscle spirals and strengthen groups of hypotonic or weakened muscles due to hypodynamia.

The use of the Spiral correction suit is carried out in combination with mobilizing gymnastics, mechanotherapy, treadmill exercises, various game devices, and normal motor activity.

This combination allows you to integrate all the necessary factors for the successful formation of the correct motor stereotype and an increase in the rehabilitation effect as a whole.

Example.

Patient A., born 2003 The diagnosis is cerebral palsy, spastic paraparesis syndrome.

Anamnesis. Sick from birth. Born from the first pregnancy, complicated by stress and hypoxia at a period of 38 weeks, stimulated labor, weighing 2 kg. 600 g. Early psychomotor development with a delay.

He underwent treatment according to the proposed method of multicomponent treatment of patients with cerebral palsy according to the method of V. I. Kozyavkin, which included all the main components daily for two weeks.

As a result of the treatment, muscle tone in the limbs decreased. The volume of active movements in the joints has increased. The boy began to squat deeply and climb, squatting longer, walk more confidently and climb stairs. The equilibrium reaction has improved. There was a mood for life, interest in others.

The application of this method to patients with cerebral palsy can significantly increase the effectiveness

SUBSTITUTE SHEET (RULE 26) rehabilitation treatment, eliminate functional blockade of the spinal-motor segments and restore normal mobility of the joints of the spine, improve tissue trophism, normalize muscle tone, activate the plasticity of the nervous system and the body's defenses to form new correct motor stereotypes, achieve perfect forms of movement and mastery of important everyday life skills.

SUBSTITUTE SHEET (RULE 26)

Claims

USEFUL MODEL FORMULA

The method of multicomponent treatment of patients with cerebral palsy according to the method of V.I. Ozyavkina through a complex sequential effect of therapeutic and rehabilitation measures, namely: biomechanical correction of the spine, massage system, which includes the techniques of classical, segmental, periosteal and acupressure in combination with post-isometric and anti-gravity relaxation, with the possible use of apitherapy, electrical stimulation reflexology, which is carried out simultaneously with isotonic and postisometric muscle tension, with mechanotherapy, mobilizing and rhythmic imnastikoy, which is characterized in that for the formation of the correct movement patterns, reproduction of physiological muscular coils and increasing the total rehabilitation effect, the apparatus used additionally for dynamic human motion correction biodynamic corrective suit "Spiral".

SUBSTITUTE SHEET (RULE 26)