The treatment of speech disorders and a set of probes for massage of the muscles of the articulatory apparatus

 

(57) Abstract:

The invention relates to medicine, in particular to speech therapy, and can be used to treat disorders of the articulatory apparatus. Pre-evaluate the state of all muscles involved in articulation. Establish its connection with the nature of the violation of sound pronunciation. Provide massage respective muscle groups. Normalize them or spastic paretic condition. Massages the tongue, cheeks, lips, cheeks, soft palate individually or in various combinations. Massage is carried out with a separate small groups. Gradually implement greater coverage of the affected muscle structures. The same massaging effect is repeated 30-40 times. The set contains nine is made of elastic metal wire probes, each of which has a handle and a working part which is different in each of the probes, with which exercise influence in the form of tingling, tingling, pumping, slip, pressure, spring embedding, cutting, springy otodviganija, chafing. Increases the effectiveness of the treatment. 2 S. and 3 C.p. f-crystals, 9 Il.

The invention relates to medicine, in particular to l the calculations of the device.

Among the factors contributing to the emergence of speech disorders in children, there are adverse external (exogenous) and internal (endogenous) and external environmental conditions.

You can briefly describe the major causes of child language pathology as follows:

1. Various intrauterine pathology. The most serious defects are formed, mainly, in violation of fetal development in the period from 4 weeks to 4 months. The emergence of speech pathology contributes toxemia during pregnancy, viral and endocrine diseases, injuries, incompatibility of blood RH factor, etc.

2. Birth trauma and asphyxia during birth. These phenomena lead to intracranial hemorrhage, the consequences are obvious.

3. Various diseases in the first years of a child's life. Particularly detrimental to the development of child's speech are common infectious viral disease, meningo-encephalitis and early gastrointestinal disorders.

4. Skull injury. Speech defects occur in various brain lesions is dierentiable with respect to time and location.

5. Hereditary factors. In these cases, speech disorders can be only h="ptx2">

6. Adverse social conditions, leading to micro-social pedagogical neglect, autonomic dysfunction, disorders of the emotional-volitional sphere and the deficit in speech development.

Each of these reasons, and often their combination may cause trouble on different sides of the question.

The invention dedicated to unconventional effective method of correction of sound pronunciation in children with severe speech disorders. These include complex dyslalia, post-operative or closed rhinolalia, cerebral palsy, dysarthria, and hypertrophy of the muscles of the articulatory apparatus. For these children, the language does not rise up, lying in the mouth without movement or performs them very little, the mouth is often open, so as not working the muscles that hold it in position, Drools, so as not working sglatyvayuschie and lateral muscles of the tongue and muscles of the cheeks, unable to keep the saliva and drive them to the throat. The result is poor pronunciation, incomprehensible speech, and sometimes no, forces the child to communicate using gestures.

As shown by numerous observations, the low results of the treatment of similar diseases obyasnyayetsya, his mobility, fatigue, flexibility, and plays sounds.

The sound pronunciation is a complex process micropressure muscles articulatory apparatus. The accuracy of their position, speed switching play a significant role in the speech process in General, therefore one of the main tasks of therapist is to take any tension of the muscles of the articulatory apparatus to make them flexible, supple, manageable and fast switching. It is also necessary to promote the development and strengthening lipoparticle muscles.

For the proper organization of the speech act required with hearing and through kinesthetic sensations. Moreover, the critical role of kinesthetic sensations coming from the speech organs to the cerebral cortex. It is kinesthetic control can prevent the error and make adjustments before uttering a sound. Auditory control operates only at the moment of its utterance, one notices the error. To resolve it you need to fix and control the articulation.

The literature concerning the correct sound pronunciation a lot, but none of their works are no detailed descriptions therapy therapeutic massage. Between t the body of the articulatory apparatus, activating and restoring its activity.

The technical result - quickly and purposefully to influence the affected area with a particular organ articulatory apparatus to enhance and restore its activity.

Massage of the muscles of the articulatory apparatus can be made with the fingers, but the best results are in the process of developing a method obtained by using specially designed probes, the set of which is also presented to the patent protection.

Neither the patent nor in the scientific literature reported a set of tools to massage the muscles of the articulatory apparatus, known probes are designed mainly for correction of sound pronunciation.

Before you begin therapeutic massage, make examination of the articulatory apparatus, the main bodies which include the tongue, lips, upper and lower jaw, hard and soft palate, cheeks, alveoli. Of them the tongue, lips, soft palate and lower jaw are movable, the other is stationary. When articulation main function performs the language. Language - massive muscular body. When closed, the jaws it fills almost the entire oral cavity. Perenni edge (blade), the side edges and back. Plexiform system muscles of the tongue, a variety of points of attachment provide the ability within wide limits to change the shape, position, and degree of tension. Because language is involved in the formation of all vowels and almost all consonants (except the mouth).

In the process of articulation of the lower jaw, lips, teeth, hard and soft palate form a slit or bows that occur when the touch or approximation of the tongue to the palate, alveolus and teeth, as well as in compression or pressing the lips against the teeth. The volume and clarity of speech sounds generated by the resonators located throughout patched the tube. Patched the tube, in turn, is what is above the throat: throat, mouth and nasal cavity.

When dysfunction of the masticatory-articulatory muscles children, talking, try not to open his mouth at all, pronounce the sounds through his teeth, as if straining them. When maskoobraznym face or paresis of the facial muscles necessary to make the study of mimico-articulatory muscles, offering the patient to perform certain grimaces, as well as work these muscles palpation: stiff or sluggish, passive.

Important role in the articulation of the SV is working, the lips lose their activity, as well as the muscles of the lips and cheeks are interrelated. You should check the function of the muscles not only at work but also their flexibility, elasticity, motility, contractility, or lethargy, lethargy, loose or high voltage (which is very bad). Sometimes the muscles of the cheeks so badly strained that the child complains of pain even when they are a light tingling. Muscles can be loose, to remind the rags are not able to take an active part in zvukoproiznositelinoi and sljunootdelitelnoe the process when you need to help other muscle groups to support and guide the saliva to the throat.

The survey results will give therapist a clear understanding of the work and structure of the muscles of the speech apparatus, associated with the action out of the mouth.

Then using a special, generally known techniques make a survey of the language, its muscular structure, mobility and coordination.

A relatively common cause of mechanical dyslalia is shortened frenulum of the tongue (sublingual ligament). When this defect motion language is difficult because it is too short frenulum does not allow him to climb high in the pronunciation of the upper mouth and from this clumsy, or too small and narrow, and that prevents the correct articulation.

In most cases, bad speaking children the muscles of the tongue is very stiff, sometimes so much that language lies in his mouth curved, like the hill. The child says the sound only through the tip of the tongue, so the sounds are his fuzzy, vague. Sometimes, in practice there are sluggish, a little moving the muscles of the tongue, the child is unable to strain, to give them the right to vukobratovi form and provide a clear articulation of sounds in common speech flow.

The defeat of the muscles of the tongue is different. When impaired function of the group of muscles of the right or left side, then the language would be tucked up in one direction. The sounds uttered by the child with this defeat, are lateral coloration of the sound, as the stream of air goes through the poorly performing lateral muscles of the tongue. There are also children whose side language obvious on both sides and in the pronunciation of the sounds only work the muscles of the tongue and its middle part. The speech therapist come children with problems in the upper hoist language. They can't pronounce correctly the sounds: P, W, x, etc.

The child may be isolated to say some sounds, but in ICEM these micropressure should be smooth, clear and quick. The muscles of the tongue, in turn, need to be resilient, to be agile and precise in the execution of movements for each speech sound. If muscles such properties do not have, then the child's speech slurred, greased.

With weak muscles of the tongue is formed salivation: the more the child says, the more drooling. This is because the long muscles of the tongue during speech tiring them, weakens and they are simply not able to hold the tongue in a predetermined position and to direct the saliva to the throat to slatinany. Depending on the extent of involvement of the muscles salivation may be only during speech or permanently.

The study of language includes an assessment of its ability to shrink, to grow, to lean, to clean the mouth, move left and right, to sink, to rise, to form the "gutter", "pitcher", "the tube", etc. is of Great importance to the study of the direction and range of motion, which testifies to the vitality and development of a particular muscle or group of muscles.

The purity of a child's speech is largely dependent on the work of the muscles of the soft palate and tongue. If the muscles of the soft palate sluggish, it is a nasal tone. If the muscles of the paretic or hypertropia is, zvukoproiznositelinoi, because muscles do not rise to close the passage of air through the nose.

In practice, speech therapists meet the children who have the muscles of the soft palate and uvula, underdeveloped, sedentary or hanging motionless. Pharyngeal same muscles are weak and do not perform their function, especially of the muscles of the posterior pharyngeal wall and Palatine arches. These violations lead to severe and trudnopopravimyh gnyawali. Due to the fact that the function of all the muscles, lifting the soft palate and forming a section of the nasal and oral cavity is limited, the children struggled to understand the job of a speech therapist lifting Palat.

Only complete a comprehensive examination allows us to better understand and identify defects in the structure of the muscles of the articulatory apparatus, to know which parts of the muscles affected and to what extent.

The task of therapist is to remove any tension of the muscles of the articulatory apparatus, to make them flexible, supple, manageable and fast switching. Widely used in speech therapy practice, articulation exercises, in fact, is only preparatory exercises to the production of sounds (I. B. Filichev, N. A. Sheveleva. Logopedic work in a special kindergarten. M. , 1987, S. 21-23). In solution the existing defects. A thorough pre-examination will allow you to choose the most effective types of massage for this particular case.

The proposed method probe massage does not exclude the traditional approach to the production of sounds and work on the pronunciation of sounds. However, the main problem that should be solved by the speech therapist will be providing compensation musculoskeletal-muscle articulatory apparatus, on the return of the micro-movements of the muscles of all the speech organs. Otherwise, all subsequent work on the implementation and automation of sounds will be formal and will not exclude recurrence when already put the sounds.

It is impossible to speak separately about some separate articulatory organ, for it is only in the aggregate articulation of the speech organs can talk about the good zvukoproiznositelinoi. Considering massage each muscle group should be remembered that they are all interrelated.

Logopedic massage probes designed for stress relief and elimination of various disorders of the muscles of the tongue, cheeks, lips, soft palate. If these muscles to get to work actively and to perform the necessary micropressure, you will be able to quickly put svecica child.

In the available literature is not found detailed descriptions of logopedic massage, one of the analogs of the invention can serve as a method of treatment of speech disorders in which training of sound pronunciation also exercise the muscles articulatory apparatus, including probes. However, these probes are not designed to massage the muscles of the articulatory apparatus (M. E. Katzev. Speech therapy. M., 1951, c.l 13-140).

As already mentioned, these impacts are not always effective and implements a fundamentally different approach to the problem at hand.

Available rare reports massaging effect on the muscles of the face (Kazan medical journal, 1994, No. 2, 125-128 C.) and language (Acupunct - Electother - Res., 1994, Jun-Sep., 19(2-3), 53-90) reveal his other therapeutic orientation, not related to the problem of speech disorders. The closest analogue of the invention is a method of treatment of violations of sound pronunciation, in which, after the assessment of the tone of the muscles involved in articulation and character of dysarthria, in complex effects include massage toning and relaxing, (ed L. S. Volkov and S. N. Shakhovskaya. Speech therapy. 1998, 144-145 C.,186-187).

In this paper does not provide detailed descriptions of the technique of m muscle function - one of the main links pathogenetic treatment in logopedia, the aim of the invention is to develop massage techniques and the creation of instruments for its implementation.

Developed by the authors way of logopedic massage is as follows.

The massage is performed with the fingers, and using a special probe to massage the muscles of the articulatory apparatus, the elements of which I-IX shown in Fig. 1 to 9. The numbering sequence is given for convenience of notation, instead of a sequence.

A set of probes for massage of the muscles of the articulatory apparatus consists of 9 instruments. All probe sets are made of elastic metal wire with a diameter of 1.5 - 2.0 mm and are manufactured by twisting and bending to form the working parts, which all probes are different. Each probe set includes a handle and a working part, the part of the probe set contains a support part relative to which it is oriented working part. The handle 1 of all probes is a twisted wire core. The probes I-VIII has a support part 2, representing either separated with the formation of the diamond-shaped element wire arm (probes I, II, IV-VI, VIII), perehodnoi plot 3, performed as well as the handle.

The probe I (Fig. 1) the working part is made in the form of a two-pronged fork 4 with rounded and bent relatively to the grip teeth, the latter being bent in the plane perpendicular to the plane of the supporting part 2.

The probe II (Fig.2) the working part is made in the form of a circular loop 5, the forming of which lies in the same plane as the handle, with the plane of the loop 5 corresponds to the plane of the supporting part 2.

Probe III (Fig.3) has an operating part in the form of wire loops 6, form 7, 8 which are adjacent to the handle, parallel to one another, and the peripheral part of the hinge is bent in the plane perpendicular to the handle and parallel to the plane of arrangement of the parallel form. The top of the loop 6 is located between the parallel forming in their plane. This implementation is provided by forming parallel loop three-point contact with the massaged surface points "a" And forming, on the opposite side is a two - point contact points "B" on the form.

Probe IV (Fig. 4) has a working part in the three-dimensional loop 9, which is formed by bending a narrowed peripheral part of the wire loop kaplevidnyiy drop loop is located between the forming, that provides on the one hand cylindrophinae cavity two-point contact points "C" forming a loop with a massed surface, and on the other three contact points "D" and forming the top of the loop with massaged surface. The axis around which the curved loop 9 lies in a plane parallel to the supporting part.

Probe V (Fig. 5) has an operating part in the form of bulk loop 10, which is formed by bending a wire loop teardrop shape around an axis perpendicular to the handle, the base 11 of the loop teardrop shape is in contact with its top 12 to provide two-point contact points "E" forming loops 10 massaged surface. The axis around which the curved loop 10 lies in a plane parallel to the supporting part.

The probes III, IV and V, the distance between the forming of the loops varies and differs by 1.5 mm

Probe VI (Fig.6) has an operating part in the form of wire loops 13 of rectangular shape, bent relative to the arm, with the long side of the rectangle loop oriented perpendicular to the handle. The loop plane 13 perpendicular to the plane of the supporting part.

Probe VII (Fig.7) has an operating part in the form of a wire loop 14, the outer coat of the loop 14 is perpendicular to the plane of the supporting part.

Probe VIII (Fig. 8) has an operating part in the form of a circular loop 6, deflected relative to the arm. The plane of the loop 15 is perpendicular to the plane of the supporting part 2, while the transition area 3 perpendicular to the plane of the supporting part and lies in a plane parallel to the plane of the working part.

Probe IX (Fig.9) has an operating part in the form of two pear-shaped elements 16, 17 formed by bending forming an elongated wire loop around an axis lying in the plane perpendicular to the handle, at the top of the elongated loops made two turns around the axis perpendicular to the plane forming 18,19 elongated loop.

Finger massage can be used to influence the muscles of the outside of the mouth and tongue. If the first effect can be done by traditional techniques, the impact on the language is original. So, for example, tightening and pereirade massage, which includes:

compression of the tongue with the fingers on both sides,

compressing it around the root or middle with a smooth glide across the tongue,

compression sides and grinding up and down on the sides of the tongue from its middle towards the root,

compressing the middle of the tongue fingers and pokracovanie his left and right,

compression sides with grinding down from the root to the tip of the tongue,

pulling up with your thumbs at the fixed language of his upper muscles from the tip to the root of the forward mouth,

lateral pull-up language using a large and decree tion fingers.

When performing probe logopedic massage should be guided by the following principles:

with the direct provision: the mouth is open, tongue protrudes from the mouth and lies on the lower teeth and lip,

in the position of the upper lift language: mouth open, the tongue is raised up and rests in the alveoli to access the hyoid muscles,

in the position of the tongue to the right and to the left to access the lateral muscles of the tongue.

Massage Central zone of the tongue from the tip to the root, from the middle of the language in both sides and from the root to the tip causes the relaxation and contraction of muscles.

Massage the edges of the tongue from the root of the right-to-left and left-to-right across the circuit activates the muscles of the sides of the tongue, which is important for the removal of salivating and swallowing food, and also affects the pronunciation of the sounds during the passage of an air jet.

Massage the front wall of the probes is done to the active position when the pronunciation of the anterior lingual sounds, ability to lift the tongue up and held in a predetermined position when twocopies the Annex, that is very important in the production of speech sounds and to keep saliva and direction of her throat.

Massage the root of the tongue required to enable switching of all muscles of the tongue, because clear and normal speech involves the muscles of the tongue anterior middle and root part.

Each muscle has its load and helps to change the language for a particular sound. If the root of the tongue does not work and raised to the sky, the child's speech is nasal tone and very fuzzy, and impaired swallowing and saliva. Each subsequent exercise builds on the previous and very important to keep muscle strain, gradually complicating it. New exercise repeats as if the work of the previous, but involves more work and affects not selective departments, and almost the entire area of the language. This movement of the probe from edge to edge of the tongue along the transverse zigzag, touching the edges of the tongue, the middle line of the tongue, the front of the tongue, the middle of the tongue. Massage is done from the tip to the root in one direction 30-40 times, and then from the root to the tip 30-40 times. This massage is more accurately and precisely corrects the work the deep muscles of the tongue, which are responsible for speech, its pace and clarity of pronunciation of speech sounds.

After making a few massages and prepared language to a more deep intense massage, begin to massage the edges of the tongue, making it back and forth from the root of the tongue to the tip and from the tip to the root at the same time, first right, then left. This massage helps even harder to work the edges of the tongue when they are expanding and twisting to the pronunciation of sounds W, W, H, W, I, E, s, And e, and so on, the Whole massage is done gradually from easier to more complex from a separate small groups to more more coverage of the affected muscle structures.

The impact on the following language group of muscles is working from the tip of the tongue to the root of the equity position from the sides of the tongue right up the sides of the tongue to the left, continuous massage, exciting all parts of the muscles of the tongue upper position and encourages working depth of the upper muscles of the tongue.

The tongue massage the upper surface takes place in several stages. The same techniques are applied during the massage the sides of the tongue (left and right) from karubi and massaged sublingual part of the language from the root to the tip of the tongue. This massage stimulates all the muscles of the language and improve it.

When the massage school massage zygomatic zygomatic muscles around the joint to relieve the muscle spasm for full opening of the mouth during speech. When the zygomatic muscles spazmirovanne, the child cannot open his mouth and speaks through clenched teeth, speech, fuzzy, blurry, not clear to pronounce the speech sounds. Often a child may not speak for long, because you get tired of the zygomatic muscles and he tries not to talk.

Massage of the muscles around the lips is in the nature of activation in their weakness or stress relief when their spasms. The muscles of the lips are a very large muscle strain when zvukoproiznositelinoi. Every sound is a vowel or a consonant requires lip muscles a certain position. If lips are not working, the speech sounds very difficult to disassemble and it is blurry, unclear. In addition, the lips hold the saliva when speaking and do not allow it to drain from the mouth and drool on yourself when zvukoproiznositelinoi. When you massage the lips each probe massaging different groups of muscles: circular muscles around the lips, rectus muscles, pull muscles. Massage is not only around the lips, but nasolabial muscles because these muscles help to raise the upper lip, which is very important is, in the process of removal of salivating, activate muscles for the best opening of the mouth during speech, improve diction and help in the process of chewing. Massage the cheeks is done in four directions:

massage the muscles in a straight line from the school to the nasolabial folds, the massage is done from the top down, not touching the eye muscles,

massage is done from the zygomatic muscles near your ear to the nasolabial muscles and corners of the mouth,

massage is done clockwise from the zygomatic muscles to the center of the cheeks to relieve muscle tension.

After all the steps above to massage the muscles of the cheeks, lips, cheeks, tongue begin to massage the soft palate. It is very important when you massage the top of the sky, so his mouth was wide open, tongue quietly lying in the mouth and saliva flowed. Massage of the soft palate children with violation of the muscles of the soft palate after surgery (rhinolalia) with paresis and paralysis of the soft palate when the air passes through the mouth during speech, and through the nose and it is nasal, nasal tone. In children, lesions of the soft palate affects a child's diet, as the muscles of the palate is lowered and the liquid flows through the nose. Massage of the soft palate activates the muscles, raises their activity, they become flexible and elastic, rise is ukupnosti improves muscle articulatory apparatus, restores the correct sound pronunciation and diction, reduces salivation and promotes better eating.

With the help of the probe 1 with pilotcourses working part to provide massage of the tongue, lips and cheeks. The probe allows you to get to function at the same time all the muscles of the articulatory apparatus. The probe carried out "alkol" and "Oskol with pumping". The blunt ends of the probe preclude damage to the muscles.

Probe II is used primarily for grinding the upper muscles of tongue, simultaneously pressing the top equity and transverse muscles. Can be used for massage of the muscles of the outside of the mouth.

Probes III, IV, V working together. They glide over the muscles of the tongue, lips, cheeks in a different direction and with different point pressure and force them to become active. They relieve spasms, hyperactivity or particnote, atrophy.

Probes III - V is designed to work with the two parties, where there are a different number of contact points with the massaged surface. When working party with three contact points, it is necessary to slide along the midline of the tongue. If you spend three probes simultaneously in the same direction on the language, it increases the work of the middle line of the tongue, sugae ekovich parts of language in the work you enter the two-point probes contact surface. Using these probes also massaged the cheeks, lips and cheekbones.

Probe VI polifunzionale. He "chops" the muscles of the tongue, cheeks, lips, sliding over the muscles, capturing a large area, working part stimulates the muscles, springy them moving, and activates it. The probe is used in all types of massage language (direct, top lift, side), lips, palate, cheeks. Unlike previous probes, it is much stronger activates the muscular system covers a large area and is very effective in correcting violations.

Probe VII very effective when working with medium and measles part of the language. Pressing the tip of the tongue and the spring retreat back reduced median and root the muscles of the tongue, they are elastic. This makes it easy to put sanaatana the sounds "K", "G", "X". The probe is also effective in the production of sounds "W", "O", "H", "W", "P". This probe is used to massage the top elevation of the tongue, lips, cheeks, cheekbones. He essentially activates the root of the muscles of the tongue, which is extremely important for the development and automation of speech.

Probe VIII affect all the muscles of the tongue: equity, transverse, and radial. He forces them to participate in microparasite, switching the last actively contract and relax. If the loop be placed in the middle of the tongue, the muscles are tightened, if the sides are lifted. When lifting the probe and moving it to another position voltage, made specifically with this probe is removed. The probe should also be used and are used to massage the cheeks and lips.

Probe IX thanks to its unique design allows you to work simultaneously on sections of muscles greater extent, performing springy pressure, slide, embedding are used to massage the tongue, cheeks, lips.

In the process the complexity and diversity of the massage depends on the degree of violation muscle mobility. Not necessarily in the process to use all of its forms and types. However, it is desirable, especially in cases of severe violation, an appeal to the massage complex, using the full set of probes.

The efficiency of probe massage confirmed by numerous specialists, language schools, boarding schools. Massage is based on the principle gradually from easier tasks to more difficult. During treatment, the child does not experience discomfort, difficulties. The effectiveness of the treatment of children suffering from severe disabilities, method probe massage confirmation of muscles and their activation, the reluctance to identify the complex causes of violations. It gives you the ability rationally to restore the mobility of the muscles of the whole articulatory apparatus, clear, active and quick mobility which, ultimately, will lead to good diction, clear pronunciation of all sounds in the flow of speech. The method underlying the invention eliminates the self-treatment of dysarthria and cerebral palsy, which, as you know, often leads to negative results, complicates the process of genuine scientific rational therapy.

The method is illustrated by the following examples.

Example 1. Patient K. the Diagnosis of dysarthria. In logopedic kindergarten enrolled at the age of five. Within two years of the child was treated, but it still wore vague: it was not the sounds of P,P'; L,L';,'; z, Z'; C; G; H; W; other sounds were uttered indistinctly. In the speech were swallowed in the end, did not agree syllables. Showed a strong salivation.

The decision of the Commission, the boy was left in a d/s for another year because of his unwillingness to go to school.

Conducted 40 lessons by the method according to the invention. Probing massage helped to solve salivation, SAI was adopted in the first grade of secondary school.

Example 2. The patient Was Diagnosed with cerebral palsy, spasticity, hyperkinesia language, violation of hyperthyroidism, spasms, delay in speech and mental development.

With the patient began treatment by the method according to the invention at the age of six, while it was absent, and speech sounds "A", "O", "P", "B", "M"; observed profuse salivation. The child was registered at the hospital for children with cerebral palsy.

Conducted 125 practice for two academic years. Managed to completely remove salivation, restore muscle activity of all departments of the articulatory apparatus, to supply and to enter into it all sounds.

At the age of eight, the child was admitted to the first grade of secondary school, studying at home.

Example 3. The patient s Diagnosis of mental retardation, dysarthria, motor alalia, lifelong disability group 1.

At the beginning of lessons at the age of 5.5 years, the patient's speech was absent completely, no sound pronunciation, according to the decision of the Commission was a learning disability. In the method according to the invention, the work lasted for three years. All sounds are supplied to the speech. The child began to speak, removed the disability. Enrolled at the school for mentally retarded children the sustainability of muscles, participating in articulation, its connection with the nature of the violation of sound pronunciation and the subsequent conduct of the finger and/or instrumental massage appropriate muscle groups, normalizing them or spastic paretic condition, characterized in that the instrumental massage is carried out with a set of probes under item 5.

2. The method according to p. 1, characterized in that massages language, zygomatic muscles and joints, lips, cheeks, soft palate individually or in various combinations.

3. The method according to PP.1 and 2, characterized in that the massage is carried out, starting with some small groups, with a gradual large coverage of the affected muscle structures, with the same massaging effect is repeated 30 to 40 times.

4. The method according to PP.1 and 2, characterized in that exercise influence in the form of tingling, tingling, pumping, slip, pressure, spring embedding, cutting, springy otodviganija, chafing.

5. A set of probes for massage of the muscles of the articulatory apparatus, characterized in that it contains nine is made of elastic metal wire probes, each of which has a handle and a working part which is different in each of the probes, whereas blame, the probe II - in the form of a circular loop forming which lies in the same plane with the handle, probe III in three-dimensional loops that form which is adjacent to the handle, parallel to one another, and the peripheral part of the hinge is bent around an axis perpendicular to the handle and lying in a plane parallel to the plane of arrangement forming, with the top of the loop is located between the generators in their plane, the probe IV - three-dimensional loop, which is formed by bending a narrowed peripheral part of the wire loop teardrop shape around the axis perpendicular to the handle, when this curved part forms cylindromas cavity, the top of the drop-shaped loop is located between the forming, the probe V - three-dimensional loop, which is formed by bending a wire loop teardrop shape around the axis perpendicular to the handle, and the base of the loop in contact with the top of the mountain, the probe VI - loop, rectangular, angled relative to the arm, the probe VII - in the form of a loop, which represents a four-cornered star with rounded corners, angled relative to the arm, the probe VIII - in the form of a circular loop 6, deflected relative to the arm, the probe IX - in the form of two drop-El is ndikumana arm, at the top of the elongated loops made two turns around the axis perpendicular to the plane forming an elongated loop.

 

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4 dwg

FIELD: medicine.

SUBSTANCE: method involves applying exercises done from initial position with facial muscles being relaxed. Frontal belly of epicranial aponeurosis is stimulated by directly treating the muscle with finger pressure and concurrently stretching the muscle upward. Occipital belly of epicranial aponeurosis is stimulated concurrently with frontal belly including finger pressure applied to the muscle at its beginning - the superior nuchal line - and concurrently stretching the muscle upward. Lateral belly of epicranial aponeurosis is stimulated by pressing it at the place of its attachment to auricle skin and concurrently stretching it upward in the case of anterior auricular muscle; at the places the superficial parietal artery and posterior auricular artery branches pass with concurrently stretching it upward in the case of superior auricular muscle; 1 cm far from its attachment place to auricle base, at the place of maximum action applied to the posterior auricular artery with concurrently stretching it upward in the case of posterior auricular muscle. Temporal muscle is stimulated by pressing three points of the muscle with fingers and concurrently stretching it upward. Then the same points are acted with concurrently stretching the muscles backward.

EFFECT: enhanced effectiveness in influencing face and head muscles tonus and activating their innervation and blood circulation.

6 dwg

FIELD: medicine, urology, nephrology.

SUBSTANCE: the present innovation deals with prescribing the massage, physical exercises, the mode to restrict lifting of heavy things, medicinal therapy and application of special bandage. Massage should be conducted by stages beginning from vertebral and lumbar areas followed by abdominal massage, then comes manual renal reposition to finish the course with a complex of special physical exercises with the help of a masseur at a course of 10 procedures, each procedure lasts for 60 min, also, after the 5th and the 10th seances one should perform renal US-survey to visualize organ reposition. Massage of vertebral, lumber and abdominal areas includes fold's stroking, stretching and rolling. Renal manual reposition should be carried out by "lifting" and "shaking" lumbar area. After massage a patient should do a complex of special exercises with the help of a masseur. Then, after exercises, a patient should put on a bandage onto lumber area in initial position at recommendation to remove the bandage in 1 h. When the course is over a patient should be prescribed to fulfill recommended complex of physical exercises at home independently during 1 yr. The innovation enables to obtain more stable curative result.

EFFECT: higher efficiency of therapy.

2 cl, 24 dwg

FIELD: medical engineering.

SUBSTANCE: device has base manufactured as polymer plate having cells arranged in rows and treatment members insertable into the cells with their fitting end surfaces and having projecting ends making contact with patient body. The plate is manufactured from silicon rubber and the treatment members are from pretreated amber and/or from stone containing silicon having projecting ends of various shapes. At least two types of interchangeable stones differing in projecting end shapes.

EFFECT: enhanced effectiveness of treatment.

8 cl, 9 dwg

FIELD: medicine; cosmetics; medical engineering.

SUBSTANCE: method involves checking skin state, giving massage treatment with infrared radiation in remote infrared spectrum zone being used, ozone massage, low frequency wave massage, low frequency vibration wave massage and ultrasonic massage, cleansing skin, giving skin care and introducing nutrients into the skin. Device has units for acting with low frequency waves, infrared radiation in remote infrared spectrum zone, low frequency vibration waves and ultrasound, cleansing skin, checking skin state, and working key unit, presentation unit, memory unit, power supply unit, unit for initiating skin cleaning and skin care.

EFFECT: enhanced effectiveness of treatment.

17 cl, 9 dwg, 3 tbl

FIELD: medicine.

SUBSTANCE: method involves applying postisometric relaxation of sacrospinal, sacrotuberal and sacroiliac ligaments. Prostate massage and sacrospinal, sacrotuberal and sacroiliac ligaments mobilization is carried out daily in transrectal access. The total treatment course is 10-12 procedures long, each procedure being 6-8 min long.

EFFECT: enhanced effectiveness of treatment.

FIELD: medicine.

SUBSTANCE: the present innovation deals with non medicinal body sanitation and could be applied to purify one's body against toxins due to the intake of cholagogue species and application of thermal procedures as daily baths and sauna. Moreover, purification should be conducted at salt-free vegetarian diet. Decoctions of cholagogue species should be prescribed a half hour before meals, for baths one should use brine sodium-chloride mineral water at bromine and iodine ions content, as for sauna it should be prescribed on the 1st, 2nd and 3d d. Moreover, additionally it is useful to prescribe abdominal massage on the 2nd, 3d and 4th d, intestinal enemas with herbal decoctions after breakfast on the 2nd, 3d and 4th d, after lunch on the 1st, 2nd and 3d d and tubing on the 4th d along with a honey-juice diet. On the 5th d after breakfast one should perform 2 intestinal enemas at 15-20-min-long interval. Course lasts for 6 d. The method could be supplemented with daily seances of phytoaromatherapy, spinal massage, training in swimming pool and curative physical culture. The method to normalize body functions due to restoring metabolism with natural factors at minimal quantity of contraindications.

EFFECT: higher efficiency of body purification.

4 cl, 3 ex

FIELD: medicine, in particular, massaging by means of masseur's foot.

SUBSTANCE: method involves providing lying of patient in prone position with extended legs and arms extending along patient's body; providing mechanical action upon patient's body portions by sole part of masseur's foot, with massaging being performed in the following sequence: upper limbs, shoulder girdle, body's rear part, body's front part, thigh front surface, rear part of feet, pelvis, rear surface of lower limbs and foot. Massaging is performed with the use of force sufficient for providing plastoelastic compressive, shear, tensile and torsional deformations of patient's inner soft tissues relative to bone of portion under massaging procedure. When massaging action is applied to front surface of hand, forearm and arm, masseur's foot fixes patient's arm position. When massaging action is applied to front part of patient's body, patient takes dorsal position.

EFFECT: increased efficiency and reduced time for performing massaging procedure.

FIELD: medicine.

SUBSTANCE: the present innovation is indicated to be applied during the phase being before the headache, migraine, in particular, due to applying the pressure, at least, locally onto one or more veins at external side of one's head to restrict circulation in veins. The device contains means for supplying the pressure designed with possibility to supply the pressure within the range of 0.01-0.03 N/sq. mm. The innovation provides accurate limits of impact to decrease circulation during the phase being before the headache.

EFFECT: higher efficiency.

10 cl, 11 dwg

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