A method of treating muscular spine

 

(57) Abstract:

The invention relates to medicine, namely to regenerative medicine, and for the treatment of injuries of the muscular spine. To do this, hold stroking, rubbing and kneading in the affected area. Then hold the stretch spasm of the paravertebral muscles in the damage zone: periodically allowing the skin to move in the opposite direction by 0.5 - 1 cm Then transversely spaced fiber deep layers massaged. Then spend electromyostimulation in the field egotistic gaps. The number of superimposed electrodes corresponds to the number of damaged egotistic intervals, and the area above and below the damaged area on one vertebral motor segment impose additional one electrode. In the first two procedures current is 5 mA, the time - 8 minutes At the next four procedures current in the first five minutes is 5 mA, and then it is gradually increased up to 7 mA, the duration of the procedure up to 15-20 minutes From the seventh through the tenth procedure the current in the first five minutes is 7 mA, then increased to 10 mA, the duration of the procedure up to 30 is raised to 15 mA, the duration of the procedure up to 40 minutes Method reduces spazmirovanne state of the paravertebral muscles, improve circulation and restore the elastic properties of the muscular spine in the damage zone. table 1.

The invention relates to medicine, namely to regenerative medicine.

To reduce spastic condition of the paravertebral muscles using techniques of stretching muscles after pre-irrigation of their refrigerant, consisting in a slow and smooth stretching of the affected muscle with a fixed one end of this muscle (J. G. Travel D. G. Simons. Myofascial pain: in 2 volumes. So 1. Sydney. 1989. With 100-107).

To improve blood circulation in the affected muscles used electromyostimulation (Medical rehabilitation. Manual Ed. by C. M. Bogolyubov: in 3 volumes. -M Perm. 1998. So 1. With 258-265).

There is a method of treatment of injuries of the muscular spine by removing the spastic condition of the paravertebral muscles of the techniques of classical massage (C. A. Epifanov. Therapeutic massage: Manual. the allowance. - M., 1997. With 24-44). This method is chosen for the prototype.

The disadvantage of this method AVL due to the additional trauma of the affected areas.

The objective of the invention is to increase the efficiency of treatment of injuries of the muscular spine by removing the spastic condition of the paravertebral muscles and improve blood circulation and restore the elasticity of muscular spine in the damage zone. This is due to the fact that after the techniques of stroking, rubbing and kneading is carried stretching muscles: the pads of the fingers of both hands pressed along the muscles at the base of the spinous processes (above and below the affected area), moving the muscles in the lateral direction by applying an increasing force (periodically allowing the skin to move in the opposite direction), as only the surface layers become more soft and supple, you should by palpation to determine more transversely spaced fiber deep layers, which are then massaged with finger tips in craniocaudal direction, then spend electromyostimulation muscular spine in the area egotistic gaps in the damage zone.

The method is as follows: conduct patient first techniques preliminary "warm-up", and then restiana 2-3 vertebral motor segment, shifting muscles of the lateral and applying an increasing force, periodically allowing the skin to move in the opposite direction by 0.5-1 cm; after the superficial layers of the ligamentous and muscular structures become more soft and supple, palpation define transversely spaced fiber deep layers, which are then massaged with finger tips in craniocaudal direction, followed by electromyostimulation in the field egotistic intervals, the number of superimposed electrodes corresponds to the number of damaged egotistic intervals, and the area above and below the damaged area on one vertebral motor segment impose additional one electrode. The size of the electrodes corresponds to the distance egotistic gaps. In the first two procedures current is 5 mA, the time - 8 minutes; during the next four procedures current in the first five minutes is 5 mA, and then it is gradually increased up to 7 mA, and the duration of the procedure up to 15-20 minutes; from the seventh through the tenth procedure the current in the first five minutes is 7 mA, and then increased to 10 mA, and the duration of the procedure up to 30 minutes; with odinnadcatiletnij procedures up to 40 minutes.

Example. Patient D., 28 years. Complaints of pain dull character in zadnescheinah, scapula and lumbar regions, the pain increases with movement in various parts of the spine, radiating to the right arm and leg numbness, 1, 2, 3, 4 fingers on his right wrist. Objective: when viewed from the rear of the asymmetric location of the shoulder girdle (right above the left 3.5 cm), spine and lower corners of the blade are arranged asymmetrically, triangles waist uneven shape, the smoothness of the cervical and lumbar lordosis. Palpation tenderness paravertebral points, egotistic gaps in PDS: C4-C5; C5-C6; Th1-Th2; Th2-Th3; Th4-Th5; L2-L3; L3-L4. The patient initially holds receptions preliminary "warm-up" the muscles of the neck, back, waist, then carry out a muscle strain: the fingertips of both hands along the muscles at the base of the spinous processes of C4-C5; C5-C6; Th1-Th2; Th2-Th3; Th4-Th5; L2-L3;

L4-L4above and below the affected area 2-3 vertebral motor segment, shifting muscles of the lateral and applying an increasing force, if the e layers ligamentous and muscular structures become more soft and supple, palpation define transversely spaced fiber deep layers, which are then massaged with finger tips in craniocaudal direction, followed by electromyostimulation in the field egotistic intervals, the number of superimposed electrodes corresponds to the number of damaged egotistic intervals, and the area above and below the damaged area on one vertebral motor segment impose additional one electrode. The size of the electrodes corresponds to the distance egotistic gaps. In the first two procedures current is 5 mA, the time - 8 minutes; during the next four procedures current in the first five minutes is 5 mA, and then it is gradually increased up to 7 mA, and the duration of the procedure up to 15-20 minutes; from the seventh through the tenth procedure the current in the first five minutes is 7 mA, and then increased to 10 mA, and the duration of the procedure up to 30 minutes; from the eleventh through the fifteenth procedure in the current in the first five minutes is 10 mA, and then increased to 15 mA, and the duration of the procedure up to 40 minutes.

The table below shows the data confirming the effectiveness of the treatment.

The method of treatment is irania and kneading swiateczna-muscular apparatus of the spine in the damage zone, characterized in that then spend the stretching of the muscles of the fingers of both hands along the muscles at the base of the spinous processes above and below the affected area 2 to 3 vertebral motor segment, shifting muscles of the lateral and applying an increasing force, periodically allowing the skin to move in the opposite direction by 0.5 - 1 cm; after the superficial layers of the ligamentous and muscular structures become more soft and supple, palpation define transversely spaced fiber deep layers, which are then massaged with finger tips in craniocaudal direction, followed by electromyostimulation in the field egotistic gaps, the number of superimposed electrodes corresponds to the number of damaged egotistic intervals, and the area above and below the damaged area on one vertebral motor segment impose additional one electrode, with the first two procedures current is 5 mA, the time - 8 min; during the next four procedures current in the first five minutes is 5 mA, and then it is gradually increased up to 7 mA, and the duration of the procedure up to 15 - 20 min; from the seventh through the tenth-30% min; from the eleventh through the fifteenth procedure in the current in the first five minutes is 10 mA, and then increased to 15 mA, and the duration of the procedure up to 40 minutes

 

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