How reflexology traumatic joint dysfunction
(57) Abstract:The invention relates to medicine, traumatology. Realize the impact of needles on trigger points that correspond to areas of dysfunction neuromotor system. Needle injected before contact with tissue of the joint capsule. Then spend physiological, within the pain threshold, dynamic load, which have a dynamic impact on the joints. The impact of change over time, in magnitude and direction. It aims to compression, tension, shear and torsion joint. In the course of 10 sessions held daily. The method improves the efficiency of the treatment. The invention relates to medicine, namely to reflexology, and can be used in emergency orthopedics, neurology, sports traumatology.As a prototype of the selected effect on the trigger and acupuncture points by piercing them with an injection needle according to the patent RU 2138242 C1, 27.09.1999, characterized in that located along interested myofascial structures trigger and/or acupuncture points enter the injection needle with a perforated side surface along its entire length, while the time spent ehleenee efficiency, safety and quality acupuncture, primarily reflexology acute traumatic dysfunction of the joints of the limbs and joints of the spine.The basis of the invention is the modern concept of reversibility of functional disorders, where neuromotor system as an active structure (muscles, ligaments, fascia) determines both the pathogenesis and sanogenic dysfunction passive elements of the musculoskeletal system (joints, articular cartilage, intervertebral disc, the periosteum).The method enables the simultaneous sanogenic impact on both components of the locomotor system.The essence of the method lies in the fact that the patient identifies clinically relevant trigger points located in the projection of the locations of infringement prolabirovanie in joint gap traumatized tissue, involved in the joint cavity in a sudden decrease in intra-articular pressure in the moment of trauma and compressed articular surfaces due to reflex spasm of the periarticular muscles. At the selected points are entered standard steel acupuncture needles 50 to 70 mm, before contact with the tissue of the joint capsule, which is accompanied by the emergence of unforeseen, sharp kratkovremenna the tsya physiological, within the pain threshold, the dynamic load on the passive elements of the locomotor system, aimed at distancing from each other articular surfaces by a variable, time-varying in magnitude and direction of force acting on the compression, tension, bending, shear and torsion joint.Restoration of normal osmotic pressure and optimization of excitability of nerve endings in these biologically active structures probably occurs during execution of an active resistance movement in the joint by the flow of tissue fluid through the holes done by the needles, in the intrathecal space of biologically active structures, different lower pressure.Apparently, the optimization of contractility and tone intact functionally relaxed active periarticular tissues occurs as a result of regaining control over their activities suprasegmental levels of motion control under the influence of modulated dynamic load on the passive elements of the locomotor system, proprioceptive afferention from nerve endings adjacent to the needles.Verotoxigenic when microtribology tissue by the needle during execution of movements.Favorable conditions for the solution of the functional block joint is created as a result of improved venous outflow from articular and periarticular tissues and reduce swelling.Patient safety is ensured by using as a limiter of amplitude and intensity of the dynamic load restored reflex activity periarticular tissues and pain coming from trigger points when reaching the elastic barrier of the joint.Restoring optimal confrontation articular surfaces occurs at minimum dynamic load aimed at distancing from each other articular surfaces with the aim of opening of the joint space after eliminating functional block joint, occurring with a characteristic sound (the phenomenon Drechsler).Thanks to the resumption of the functioning of the receptor fields of the articular surfaces after removal of the functional block steadfastly normal tone functionally intact relaxed active paraartikulyarnye and articular tissues, reduced weight-bearing capacity, stability and volume of active movements of the joint.Order opname levels of motion control, the patient has the usual active movement when the needles.As a result of treatment creates favorable conditions for optimal recovery of damaged soft tissue structures prevent complications such as osteoarthritis, spondylarthrosis, chronic instability of the joint or musculoskeletal spinal segment.The duration of treatment up to 10 sessions carried out daily or every other day, with session length 20 - 40 minutesThe difference between the claimed invention from the prototype, allowing the renovation of the declined territories function intact tissue using a non-standard injection needles, is the creation of favorable conditions for restoration of the damaged soft tissue structures of the joint by restoring the functions of intact tissues using standard acupuncture needles.The clinical and diagnostics manual traumatic dysfunction of the joints, contraindications and regulations of the acupuncture effects, possible complications and their prevention fully described in the respective manuals and coincide with those for the proposed method.Algorithm for treatment of acute and chronic remessage minor injury - inversion injury of the ankle joint.Patient L., 40 years old, came with complaints of violation of the functions of the left foot - the impossibility of movement because of pronounced pain in the ankle joint.Within three days he was treated by the surgeon, examined radiographically, diagnosed with Rupture of the outer ligament of left ankle joint. In the absence of the effect of treatment a surgeon for three weeks superimposed plaster of Paris splint is placed that the patient was forced to withdraw due to increased swelling of the foot and the emergence of severe leg pain at night.During examination revealed marked swelling of the feet, paraartikulyarnye tissue over the injured ligament of the ankle joint, subcutaneous hemorrhage. The joint in a neutral position, passive movements are absent, to stand on the leg, the patient may not even under the weight unloading.Palpation revealed increased tone, decreased elasticity and turgor of the flexor muscles and adductors expressed the pain of the soft tissues of the back-outer surface of the foot, in the absence of pain outer ankle. Identified trigger points, corresponding acupuncture points E 41, VB 40, V 62, rekomenduetsa.In the identified point entered the acupuncture needle to a depth corresponding to a third level of introduction used in traditional acupuncture to contact with dense tissue capsule, which was accompanied by the appearance foreseen, acute short-term pain, passing with the termination of the injection needles.After insertion of the needles produced physiological, within the pain threshold, the dynamic load on the passive elements of the locomotor system to stimulate protective responses and reflex activity of intact tissues.As reduce swelling voltage tissues and pain passive motion changed to active resistance, and then the active movements that require a thin, precise coordination of voluntary and involuntary movements (walking with weight unloading limb).The session lasted about forty minutes, and after removal of acupuncture needles, imposing eight-figurative bandage on the ankle, when the weight unloading cane, the patient was able to walk and care for themselves at home.After the session remained limitation of range of motion in the joint, tenderness to palpation of the soft tissues of the back-outer surface of the cf CLASS="ptx2">The second session was held the next day in a more favourable for the treatment of conditions with partial recovery support ability and volume of active movements of the joint.Actual ("most painful") was the former already used in the first session, point V62, VB40, E and acupuncture needles were again put into them at the same depth.At minimum dynamic load aimed at distancing from each other articular surfaces, with the aim of opening of the joint space outwards happened slipping strangulated tissue from the joint space.Restoring optimal confrontation articular surfaces come with a characteristic sound (the phenomenon Drechsler) and was accompanied by a resumption of the functioning of the receptor fields of the articular surfaces, the normalization of tone and motor activity, safe paraartikulyarnye and active articular tissues.Normalized amount of passive movements in the joint, and then entered into the trigger points of the needles, the patient, when the weight unloading limbs, walked to optimize the coordination of voluntary and involuntary movements.In the restored volume activefactory and functions torn ligaments.The duration of the second session was about 30 minutes and this is carried out without complications treatment was completed, because the purpose of restoring the volume of active movements of the joint has been achieved.In order to overcome the redundant degrees of freedom of the moving joint in the rehabilitation period imposed eight-figurative bandage and the patient with weight unloading limb cane began to light work.Inspection three weeks after injury showed full, without complications, restoration of joint function.Quality stabilization of the joint is ensured optimal confrontation between the articular surfaces, restoring tone and motor activity intact but functionally relaxed prior to the treatment of fabrics, full anatomic restoration of the torn ligaments of the ankle joint through early convergence of the broken parts of the ligaments at the optimal distance.Taking into account the average duration of temporary disability at break of the outer ligaments of the ankle joint, component from 4.5 to 26 weeks, obtained a significant reduction of the period of disability of the patient.The result is the IDA arthrosis, relapse stretching and outer chronic instability of the ankle joint. How reflexology traumatic disorders of the joints, including the insertion of needles into trigger points, characterized in that the trigger point corresponding to the areas of dysfunction neuromotor system, introducing acupuncture needles to contact with the tissue of the joint capsule, followed by physiological, within the pain threshold, dynamic load by alternating, time-varying in magnitude and direction of force acting on the compression, tension, bending, shear and torsion joint, in the course of 10 sessions carried out daily or every other day, if the duration of the session 20-40 minutes
FIELD: medicine, narcology.
SUBSTANCE: one should detect satisfaction insufficiency syndrome due to performing genetic analysis by the presence of, at least, one of the genes coding the exchange of neuromediators being the constituents of human satisfaction system. One should compensate satisfaction insufficiency due to performing, at least, one complex of physical exercises. Moreover, in case of availability of pathological gene allele of dopamine D2 receptor and/or protein gene of reverse dopamine capture in patient one should apply the complex of physical exercises including those to provide sedative effect, and in case of availability of pathological gene allele of dopamine-beta-hydroxylase protein one should apply the complex of physical exercises including those that induce an activating effect. In case of availability of pathological gene allele of dopamine D2 receptor and/or protein gene of reverse dopamine capture one should apply additional food biologically active additives based upon amino acids being the precursors of neuromediators, such as taurine, D-, L-phenylalanine in combination with 5-hydroxytryptophan, hypericin and vitamin B6, and in case of pathological gene allele of dopamine-beta-hydroxylase protein one should additionally apply food biologically active additives based upon amino acids being the precursors of neuromediators, such as: taurine, tyrosine and/or dimethylaminoethanol, lecithin and group B-vitamins. The present innovation enables to take into account pathological disease mechanism.
EFFECT: higher efficiency of prophylaxis.
14 cl, 5 ex