Method of knee joint rehabilitation |
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IPC classes for russian patent Method of knee joint rehabilitation (RU 2496462):
Method of treating visceras / 2495683
Invention relates to medicine, namely to methods of treating diseases of various aetiologies and injuries of various visceras. Electropunctural pre-examination aims at determining the patient's overall potential and the potential in a point on the body surface at a minimal distance from the viscera to be treated, or in its immediate projection tender zones. A stem cell growth area is stimulated by placing a bee within the sternum. Then, an irritation centre is created using vacuum- or hirudotherapy in a point on the body surface at a minimal distance from the above viscera or in its immediate projection tender zones. The irritation centre is created to be intensive and short-term at the level of the potential in the point below the overall potential, or to be weak and long-term at the level of the potential in a point above the overall potential.
 Method of recovering muscular activity and plastic reconstruction of face and neck contour by means of trainers (2 versions) / 2494717
Invention relates to medicine, cosmetic, rehabilitating massage. Muscular activity is recovered, plastic reconstruction of face and neck is carried out by manual massage with application of rubbing, kneading, stroking with changing toning up and relaxing movements. After that, mechanical impact on internal soft tissues is performed by means of elastic trainer, as such used are versions of cylindrical roller from elastic material, whose size corresponds to either height of mouth opening - from the centre of upper to the centre of lower jaw, and trainer is installed vertically between teeth of upper and lower dentition in the centre and held by teeth in performing method techniques, or roller size corresponds to jaw length. Techniques of capturing, stretching, pulling, pressing different parts of face and neck with respect to trainer, articulation exercises, movements of eye balls are made in accordance with sequence of techniques given in invention formula.
Method of treating locally advanced vaginal cancer / 2493846
Invention refers to medicine, namely oncology and concerns treating locally advanced vaginal cancer. For this purpose, the therapy is staged. The first stage involves the chemotherapeutic course that provides administering cisplatin 100 mg/m and doxorubicine 30 mg/m2 intravenously drop-by-drop; the gamma-ray teletherapy covering a primary centre in a dose of 20 Gy is followed by two fractions 2.5 Gy of the intracavitary Co60 therapy every 5 hours twice a week; in the middle of the 5-hour period, platidiam 5 mg dissolved in saline solution 1.0 ml is introduced into surface layers of the tumour which is exposed to ultrasound of frequency 880 kHz and intensity 0.4 Wt/cm2 through the licensed dimexide gel tissue for 5 minutes; the therapy requires the gamma-ray teletherapy covering the lymphatic nodes alternated with 10-11 sessions of the intracavitary Co60 therapy in total to reach a total dose of the primary centre exposure of 70-75 Gy, of the lymphatic nodes exposure of 40 Gy.
 Self-massage apparatus avan 21-7 / 2492847
Invention refers to medicine, and is applicable for self-massage. The apparatus comprises a handle, a wire in the form of a cone-shaped spiral; the wire has a tip, and a spiral diameter from the periphery to the centre steadily increases.
Method of restoring normal muscle tone in children with perinatal affection of central nervous system / 2489127
Invention relates to medicine, pediatrics and includes performing gymnastic exercises in water in form of individual or small-group trainings not less than 3 times per week, for 45-50 min. Before water procedures child is massaged in apartment at 24-26°C. Then, in position on back rising of head is performed until chin touches chest and lowering head on the surface, 10-20 times. Circular movements of child's head in each side are performed 5-10 times. On one-two counts abducting movements with head are performed 5-10 times in each direction. Child is embraced under the back of the head and grabbed by ankles and bending and unbending movements on four counts are performed, with three short bending movements and one complete unbending one; for 1.5-3 month old child 10-15 movements are performed, for 3-5 month old one - 15-20 movements. With one hand being placed in such a way as to embrace child under head including part of back, and the other pressing child's knees to the surface, lifting child's body on one-two counts is performed 10-15 times. With placement of one hand in such a way, that child is embraced under head including part of back, child's body is lifted and circular movements are performed with it in one and another side 5-10 times. Child is brought into water with temperature 35-36°C and for not less than minute is held by chin, with child performing movements with arms and legs on their own after which, circular rotational movements are performed with arms frontward, 10-15 times for each. Hitting movements with child's legs are performed 10-15 times for each. With child embraced under the back of the head with one hand, and by ankles with the other, on four counts bending movements are performed 10-15 times, with child's face held on the surface of water. Sliding on "figure of eight" with vertical rocking of child is performed 8-10 times. After that, the same exercise is performed in position on stomach. Course includes not fewer than 10 procedures with decrease of water temperature during training to 32-33°C in cold time of year, to 30-32°C in warm time.
 Device for self-massage avan 21-16 / 2486887
Invention relates to medicine, medical and preventive means and can be used for health improvement, improvement of functional state of organism. The device comprises massaging elements made in the profile of plano-convex shape with consistently alternating units in the form of large and small half-barrels. At that in the large half-barrels, one permanent magnet is mounted the next but one, and the small half-barrels at the sides can be sharpened.
 Simulator for hands "avan" 21-20 / 2486886
Invention relates to medical equipment, gymnastic inventory and is intended, in particular, to exercise the fingers and for body massage. The device simulator for hands comprises a holder with the inner and outer frames. At that the outer frame is made U-shaped, and the inner frame is made with the ability of contact of its respective parts to the parts of the outer frame in sequential clamping-unclamping the fingers of both hands. The inner frame is connected to the outer one through two thrusts forming a hinged parallelogram. The parts of the contacting frames can be covered with elastic material. On the U-shaped frame on the outside the massaging elements are mounted.
Method of health-improving correction of gynoid lipodystrophy in women of fertile age / 2486885
Invention relates to field of medicine, in particular to methods of massage and manual treatment of gynoid lipodystrophy in women of fertile age. For this purpose correction of separate parts of body in women is performed by manual impact on subcutaneous-adipose cellular tissue, with making stroking, squeezing, kneading and rubbing techniques. After manual impact, lymph drainage techniques are carried out: lymph squeezing, increase of lymph flow and lymph drainage. After that, relaxation techniques are used in the state of stable rapport with connection to patient's breathing rhythm, directing from top to bottom, from head to feet and lying in relaxation of soft tissues of area of forehead, occiput, eyes, mimic zones of face, chest, hips, abdomen, pelvis, loin and posterior surface of hips. Course is carried out two times per month, correspondingly in 2 and 4 moon phases. Total time of a session constitutes not less than 60 minutes, from which massage duration constitutes 30 minutes and duration of relaxation impact constitutes 30 minutes.
Method of normalising content of phospholipids in membranes of erythrocytes in 7-8-year old children with scoliosis / 2485928
Invention relates to medicine, biology, hematology, pediatrics. 7-8-year old children with scoliosis are administered a complex consisting of therapeutic exercise, swimming and massage for 6 months. Therapeutic exercise includes warming up, exercises on back: "extension", "swimming", "bicycle", "scissors", on stomach: "extension", "swimming", "scissors", "extension", "Holding" - child in bending in on stomach position holds upper parts of lifted body and legs, in standing position: rotation of arms, squatting, lateral bending, deep inhalations with lifting arms and deep exhalations with their abrupt lowering. Four courses of massage, consisting of 25 30 minute long sessions are carried out: planar, embracing, rake-like effleurage of back and stroking, after that, effleurage, rubbing, labile continuous vibration of upper part of trapezius muscle, comb-like rubbing, tapotement, hachement of elevation in the area of thoracic scoliosis, pincers-like petrissage on long back muscles, effleurage, rubbing, labile continuous vibration of lumbar region concavity when turning on one and another side, pulling by iliac crest on opposite side, in turning on stomach region of scoliosis in lumbar part in the area of elevation is massaged - petrissage and non-continuous vibration, after that, rake-like effleurage, rubbing, labile vibration of intercostals spaces with pulling corners of scapulas from spine concavity, stimulation and tonisation of suprashoulders, muscles above scapulas, upper parts of trapezius muscles - rubbing, petrissage, non-continuous vibration and percussive techniques, after that, turning child on back and massage of areas: subclavian and supraclavicular, thoracic muscles - rubbing, petrissage, non-continuous vibration, percussive techniques, stimulation and tonisation of anterior abdominal wall - comb-like rubbing, petrissage, non-continuous vibration, percussive. Swimming is administered daily, 2 times per day in the morning and evening for 30 minutes.
 Method of massaging children with complications of ischemic perinatal central nervous system affection / 2485927
Invention relates to medicine, in particular to methods of manual massage, and is intended for children with complications of perinatal central nervous system affection. Method includes relaxing massage of upper shoulder-girdle, neck, head, area of spine with application of effleurage, pressing and vibration techniques. Then petrissage of tissues of upper shoulder-girdle, neck, head, area of spine by spiral-shaped type of movements with realisation of maximal pressure on tendon part of muscle is carried out.
 Method of prevention and treatment of degenerative-dystrophic diseases of spine / 2496461
Invention relates to field of medicine. Simultaneously physical and breathing exercises from initial position are performed. One end of muscle or muscles, which take part in this exercise, is fixed. First, breath holding is carried out and maximal tension or pre-tension of said muscle or muscles is realised, holding it for 6 sec. Then, at the background of free breathing said muscle or muscles are relaxed or further tension of muscle or muscles is realised. Exercise is repeated 5-10 times. When muscle undergoes maximal tension or stretching look is directed on it, and when it relaxes - in the opposite side.
Method of recovering muscular activity and plastic reconstruction of face and neck contour by means of trainers (2 versions) / 2494717
Invention relates to medicine, cosmetic, rehabilitating massage. Muscular activity is recovered, plastic reconstruction of face and neck is carried out by manual massage with application of rubbing, kneading, stroking with changing toning up and relaxing movements. After that, mechanical impact on internal soft tissues is performed by means of elastic trainer, as such used are versions of cylindrical roller from elastic material, whose size corresponds to either height of mouth opening - from the centre of upper to the centre of lower jaw, and trainer is installed vertically between teeth of upper and lower dentition in the centre and held by teeth in performing method techniques, or roller size corresponds to jaw length. Techniques of capturing, stretching, pulling, pressing different parts of face and neck with respect to trainer, articulation exercises, movements of eye balls are made in accordance with sequence of techniques given in invention formula.
 Device for giving mobility to body and application of thereof / 2494716
Invention relates to medicine. Device for giving mobility to human body contains reception platform, movable with respect to immobile base and intended for holding trained person in standing position. Platform is connected with base by double swivel connection. Platform is brought into oscillatory motion with respect to axis, passing, in fact, through the centre, by means of two drives. Each of drives is connected via swivel connection with shaft and with base. Shaft is rigidly connected with platform.
Method of reducing excessive body weight / 2493807
Invention relates to medicine, namely to rehabilitology and sportive medicine, and can be used for reduction of person's excessive body weight. For this purpose physical exercise is made at the background of split meals 4-5 times per day and limitation of salt consumption, a diary of eating behaviour is also performed. Physical exercise is made with complete submerging under water with application of diving suit and diving equipment, on underwater simulators under supervision of instructor.
 Method for kinesiotherapy accompanying rehabilitation of patient with disordered motor functions / 2492846
Invention refers to medicine, namely to neurology, and concerns kinesiotherapy for the neurological patients suffering motor disorders. The method involves the simultaneous approximation of muscles and joints when doing the exercises or having rest with using a neuroorthopaedic overalls comprising a pneumatic chamber system and a jumpsuit. After getting the patient dressed and adjusting the overalls individually, air is pumped to extend the overalls in the problem areas of muscular disorders when releasing the areas of elbow and/or knee joints. The exercises are done daily; the exercise repetition throughout the day makes 3 sets with each exercise repeated for 8-10 times. The exercise is done in the proximal-distal direction in a certain sequence depending on a degree of the motor function disorder; the training starts with the exercise for one upper extremity, then by two upper extremities, and finally by lower extremities involved. What is used is a spiral motor model comprising a combination of at least three types of motions: flexion or extension, abduction or adduction, internal or external rotation series transforming into each other and ensuring more than one joints working. The additional impact covers patient's active zones or points by means of a filler in a mesh structure of a multilayer material used for making the overalls and placed between at least two fabric laminates. The pneumatic chambers are longitudinally extended on the contours of the overall along the external surface of the extremity and the body.
 Method for upper back muscles exploration / 2491907
Invention refers to medicine, namely to exercise therapy. The arms are forced to flex and extend in an elbow joint with shoulder blades brought together and a weight drawn near to a patient. The arms are forced to flex and extend in a frontal surface of the body with a load applied alongside of each arm separately. The motions are performed kneeling, standing and sitting.
 Automatic gravity bed / 2491901
Invention refers to medical equipment and aims at using orthopaedics and traumatology for spinal extension in diseases and post-traumatic changes. The automatic gravity bed comprises a frame with a longitudinal bar and two hinged parallel-link motions with identical piece dimensions and with carriers placed on the longitudinal bar of the frame. Side rods of the hinged parallel-link motions are interconnected by a lumbar rest in the form of a corrugation with a low modulus of elasticity. Two shafts of adjoining crank arms of the hinged parallel-link motions comprise identical toothed wheels engaged into each other. Brackets with holes for placing an adjusting bar enabling both crank arms matched in the same plane when assembling are attached to the crank arms of the hinged parallel-link motions; the axes of said holes are parallel to the longitudinal axes of the crank arms. The bracket of one of the crank arms comprises a threaded hole wherein an adjustment screw ended with a spring end hole, seats; the second end of the spring is placed in a hole created in the bracket of the second crank arm. Each crank arm of the hinged parallel-link motions accommodates a fixed bed for placing a patient thereon.
Method of improving preparation of old age patients for operation of total endoprosthetics of shoulder joint / 2491046
Invention relates to medicine, namely to traumatology and orthopedics, and can be applied in carrying out pre-operative preparation of old age patients for operation of total shoulder joint endoprosthetics. For this purpose patient is laid in horizontal position. Deep exhalation with breathing holding is made at the background of quite breathing. Then, after maximal possible apnea, series of inevitable spontaneous inhalations is made. Then breathing is restored. Breathing maneuver is carried out trice with repetition of four cycles per day with four day preparation duration.
Method of improving preparation of old age patients for operation of total hip replacement / 2491045
Invention relates to medicine, namely to traumatology and orthopedics, and can be applied in carrying out of pre-operational preparation of old age patients for operation of total hip replacement. For this purpose patient is laid in horizontal position. Deep exhalation with breathing holding is made at the background of quiet breathing. Then, after maximal possible apnea, series of inevitable spontaneous inhalations is performed. After that, breathing is restored. Breathing maneuver is carried out trice with repetition of four cycles per day with four day preparation duration.
 Apparatus for medical rehabilitation following hip surgeries in infants / 2490004
Apparatus for the medical rehabilitation following a hip surgery in infants comprising a base and foot levers in the form of a table with a base platform fixed thereon at an adjustable angle and comprising a removable bed for the infant, to fix the infant's feet in the foot levers; the base (1) also comprises a rigidly fixed stationary bike (5), in the form of a support frame (6), with a bicycle wheel (8) fixed in its connector (7); toothed disks (9) of the wheel and the support frame (6) fixed on the coupled collars (10) and kinematically chained (11); the toothed disk (9) fixed on the frame base (1) is provided with foot levers (2). The apparatus for the medical rehabilitation following the hip surgery in infants enables conducting the medical rehabilitation in the supine infants distracted to a presented range of bright colours.
Method for preventing narcomania and/or alcoholism or treating and/or rehabilitation in narcomania and/or alcoholism-suffering patients / 2243757
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.
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FIELD: medicine. SUBSTANCE: invention relates to medicine, manual therapy, arthrology. Functional units are liquidated in lumbar, lumbar-sacral parts of spine by methods of manual therapy. After that, periosteal massage is carried out in places, where muscles which taking part in functioning of knee joint start. Fibres of tendons are pulled apart or torn up in places of fastening to tissues of knee joint. Myofacial trigger points are liquidated by ischemic compression with following stretching affected muscle in form of passive movements without loading. Session is finished with therapeutic gymnastics with dosed increase of movements. EFFECT: method makes it possible to carry out complex rehabilitation of knee joint, including restoration of functions of support and movement, and strengthening of capsule-ligament apparatus. 1 ex
The invention relates to medicine, namely to manual therapy, arthrology. The frequency of various injuries of the knee joint reaches 50-70% of all injuries of musculoskeletal system. Contact the mechanisms of injury frequency significantly inferior contact. Damage to the capsular ligament of the knee joint up to 12% of the damage to the joint. The mechanisms of injury include joint force traumatic exposure in excess of physiological (natural) strength injure tissue, repeated injuries, including chronic repetitive trauma. Bruises, wounds, abrasions, strains and tears of muscles and tendons involved in the function of movement and support of, damage to cartilage, soft tissue, bone structures disrupt the biomechanics of the knee joint. Prolonged immobilization of the joint surgical treatment, and also conservative, i.e. non-surgical methods of treatment, lead to pathological, it is sometimes difficult reversible morphological processes: contractures, restrictions as a reference, and the motor function of the joint. Impaired mobility, reduced elasticity of the ligaments, broken lymphatic with the occurrence of oedema, effusions in the knee joint. It is known that after a long rest (trauma, surgery), after the greater the x physical activity reduces the excitability, contractility of the muscles, reducing their lability. There is a method of treatment of functional disorders of the joint, including techniques of manual therapy by fixing the patient in a certain position, the execution of motion in the joint in the direction of the detected motion limits in full to the doctor simultaneous metered traction along the axis of the limb with the subsequent manipulation (translation with it. Levit, K., and other Manual medicine, M, Medicine, 1993, s). There is a method of rehabilitation of the ALEXANDER technique Chantsev, E.A. Raspopova (Altai state medical University, 1999, "a Differentiated approach to the treatment of persistent contractures of the knee joint"). The method includes physical therapy, massage, mechanotherapy and intra-articular injection of medicinal mixtures with simultaneous redressable. But Redressal is quite traumatic manipulation, is blind and is accompanied by gross impact on paraartikulyarnye tissue pain syndrome, reactive edema, causes damage to the soft tissues. Intra-articular injection of medicinal mixtures is also accompanied by a certain risk to the joint. In the complex treatment of patients with contractures also used the method of Redressal, exercises with weights, classes on different apparatuses, treatment p is the situation with the tie rod through the block device and all this against the backdrop of swelling, rehabilitation of patients with disabilities. There is a method of rehabilitation of patients with contractures of the knee joint, including physical therapy, exercises with objects, mechanotherapy on the passive device design ARTROMOT", treatment position under the control of planetree, conducting repeated blockade of the femoral nerve on the side of the injured limb with lidocaine, epinephrine, and therapeutic exercises begin within 1 hour after the siege, conducted additionally postisometric relaxation taking into account the applied resistance against the progress of the reduction of shortened muscles, the entire rehabilitation process is performed under the control of rheovasography and dopplerography (EN 2338503, publ. 20.11.2008). These complex methods of treatment can lead to microtraumatic muscle, ligament-capsular apparatus and increase their tone, require special equipment, accompanied either by conducting intra-articular manipulation, or therapeutic blockade of peripheral nerves. The objective of the proposed method is a comprehensive rehabilitation of the joint from the restoration of the functions of support and movement, strengthening the capsular-ligamentous and muscular system. The technical result is the reduction of hypertonicity capsular ligament of the knee with the rod and muscle providing the function of the joint, restoring the elasticity of the muscles, improve the trophic local tissues, restoration of joint function as a whole, the elimination of related progranichnyj functional blocks of the joints of the spine, based on "the pathology of the knee joint (sclerotome, myotome), and the functions of the spine". It is known that functional blocking of the motor segment of the spine leads to reflex-pathological changes in the soft tissues innervated from the corresponding segment of the spine, which are called metandienone, i.e. local reflex muscle hypertonicity in matenano in a separate longitudinal sections of muscles and tendons (Savchenko, VA and other Massage and mobilization with osteochondrosis. M., Soviet sport, 1997, p.3-15). To establish the relationship of the functional block in the vertebral motor segments and educated at the same time mianderson in muscles, tendons surrounding the knee joint and involved in its function, the level of technology we are not found. However, our research has shown that local muscle and tendon hypertonicity was always accompanied by functional blocks in the intervertebral and bootastic joints of thoracolumbar transition, lumbar and lumbar-sacral regions. Blocking in these division is accompanied by the appearance of mianderson the following muscles and their tendons: slim muscle, tailoring, quadriceps, paliperidonesee, biceps, gastrocnemius, soleus, popliteal. Reflex changes, as shown by our route, lead to the appearance of periosteal pain points of the crests of the iliac bones in places the beginning of the insertion of the muscles involved in the execution of the movements in the knee joint. Periosteal pain points are determined by palpation of the bones, where originate the above mentioned muscles. Functional mobility of the vertebral motor segments allows you to estimate the amount of motion at the level of each segment. Movements are carried out by bootastic joints and intervertebral discs. It is known that motion at different levels of the spine differ not only in volume but in different planes, depending on the anatomy of the vertebrae and the position in space of the joints. We conducted the measurement of the mobility of thoracolumbar and lumbar spine and installed the following. If the physiological mobility of the norm is the LII-LIIIbending 14°, lateral tilt 6°axial rotation of 3°, the group of patients with dysfunction of the knee joint, right or left, bending in LII-LIIIbroken due to the functional unit and is only from 5° to 7°, side decl who are limited to 3-5°. In LIII-LIVsegments bending was determined within 8°-12° (at a rate of 15°), side slopes of 3 to 5° (at a rate of 7°, WHiTE A.A., 1978). More pronounced limitation in LIV-LVand LV-S1: LIV-LVbending is limited to 9-10° (at a rate of 17°), side slopes of 2 to 4° (at a rate of 6°); in LV-S1bending was detected from 5° to 7° (normal 20°), lateral bending was about 2° (normal 3°). In all of these segments of the axial (horizontal rotation did not suffer and was detected within 2° (at a rate of 2°), which we interpreted as compensation limits rotational movements at the bottom, i.e. the affected limb (knee). During the dynamic observation of patients with dysfunction of the knee joint and activities to restore joint function, including the elimination of violations of joint functions, including the elimination of functional blocks in the segments of LII-S1-2restored motion (flexion - extension, lateral bending) in all the examined patients (47 people). Thus, we found that dysfunction of the knee joint leads to functional blocks in the lumbosacral spine. Elimination of functional blocks in LII-LIIIin LIII-LIV, LIV -LVand LV-S1with simultaneous events held on the knee joint is affected as a function of the knee joint, and function of the spine. The complex of therapeutic measures, we have developed, on the knee joint without the implementation of actions on elimination of functional blocks at level LII-LIII, LIII-LIV, LIV-LVand LV-S1led again to the hypertonicity of the muscles involved in joint function, and manifested, despite long-held therapy to reduce their tone. Developed sequence and tactics of treatment given above. First have a manual therapy to correct functional blocks at level LII-LIII, LIII-LIV, LIV-LVand LV-S1then hold events on the knee joint, including periosteal massage in the field of early attachment of muscles involved in the implementation of joint function, and then have impact on the zone of attachment of tendons and muscles to the tissues of the knee joint, are involved in the implementation of the functions of the joint that identified myofascial trigger points to stop the pain. Every next, the course consists of 15-20 sessions, exposure to begin with checking funkcionaljnihkh in the lumbar, lumbosacral departments with subsequent elimination of the blockade, and after that carry out activities aimed at the lower extremity, i.e. on the knee. The treatment was carried out under the control of planetree, tonometry, rheovasography, dopplerography. Studied hemodynamics of the joints of the lower extremities, in particular the femoral, popliteal arteries by examining systolic velocity and index ripple. After preparing the skin for the massage spend periosteal massage in the field of early attachment of muscles involved in the execution of the movements in the knee joint, namely: - thin muscles - anterior surface of the pubic bone; - tailoring muscles - upper-front part of the Ilium; - quadriceps - lower-front part of the Ilium and a large skewer; - polyoxazolines and paliperidonesee muscle - sciatic tuber; - biceps femoris - lateral lip rough lines; - calf - popliteal surface of the medial condyle of the femur, and the lateral head, slightly lower on the lateral condyle of the femur; - soleus muscles of the head and upper third of the body of the fibula; - popliteal muscle - lateral condyle of the femur. Thus, periosteal massage places the beginning of the muscles involved in knee joint spend in order to reduce their elevated tone, improve circulation, which was confirmed by tonometry, dopplerography. The next stage of treatment is the impact on the zone of attachment of tendons, muscles involved in the exercise of the functions of the knee joint, by breeding tendon tissue in the transverse direction in the places of their attachment to the bony-cartilaginous part of the knee joint. The reception is as follows. Across the tendon establish 2-3-4 fingers on one hand and opposite 2-3-4 fingers of the other hand. At the same time throw the tendon tissue, to the extent possible painless, from the center to the periphery due to the multidirectional movement of the fingers. The technique of "rupture", breeding tendon tissue at the site of attachment to the bone leads to a reduction of the increased tone of the muscles and increase the blood supply to that documented by thermography. The area of impact on the tendons of the muscles that surround the knee joint: the tuberosity of the tibia, where the thin tendon of the muscle is fused with tailoring and polyoxazolines muscle and forms a surface crow's foot; the tuberosity of the tibia, where it attaches its own ligament of the patella; - the medial condyle of the tibia, where is attached the inner beam paliperidonesee muscles - the head of the fibula, where it is attached a long narrow tendon of the biceps femoris; - the area above the medial condyle of the femur, where the medial head of the gastrocnemius muscle on the lateral condyle, where originates the lateral head of the gastrocnemius muscle; head and upper third of the body peroneal muscles, where originates the soleus muscle. Thus, massages by breeding tendinous fibers from the center to the periphery in places of their attachment to the tissues of the joint. The inclusion of cultivation (tearing) of the tendon fibers in the transverse direction in the joints with capsular bone tissue increases pulses in the vertebral segments of the spinal cord, which in turn leads to reflex changes in the neuromuscular apparatus in the form of reduced muscle tone, participating in joint function, the disappearance of pain, seals in the muscles. The next stage was the elimination of myofascial trigger points, which were located diffusely, to define any pattern in their topography failed. Eliminate them known techniques - ischemic compression and subsequent stretching of the affected muscle in the form of passive movements, but without any encumbrances. Method D. Roared (1983) "motion with resistance" we don't use, so Cammy set, what trigger points are eliminated, and the tone of the tissues is reduced slightly. Therefore, we eliminate trigger points by holding ischemic compression due to the pressure point fingers and have multiple motion in the joint, aimed at stretching the specific muscles. The restoration of range of motion, muscle strength, muscle endurance to long-term static load required to restore the stability of the limb contributes by us, medical gymnastics with the inclusion of physical exercises aimed at dose increase mobility, strengthen Shebalino-extensor apparatus. An example implementation Patient P., 38 years 1.5 years was treated about the "syndrome of compression of the left lower extremity", resulting from hitting the wheels of heavy equipment in the area of the lower third of the thigh, knee and upper third of the leg. Using skeletal traction, plaster immobilization well mapped fracture of the outer condyle of the femur. Immobilization was continued for 8 weeks, after which he embarked on the development of movement in the joint. After a 2-week exercise therapy symptoms of synovitis, minisite that gave rise again to spend immobilization for 3 weeks. While the survey found muscle-tendon contracture with limiting the receiving flexion-extension, a sharp decrease in the strength of the flexor muscles of the lower leg (60%), and muscle tone dramatically increased. In all muscles, providing bending, are painful points, when pressed with your thumb soreness disappears. Conducted treatment we have developed the scheme only on the knee joint, but without the removal of the functional blocks in the lumbar, lumbosacral spine. These blocks are simply ignored, as were treated only the lower limb. To 10 sessions of treatment were defined again muscle hypertonicity, providing the function of the affected limb, and the newly revealed myofascial trigger points, mainly on the flexor tibiae. Further treatment is carried out so that at the beginning of each session were eliminated functional blocks in the segments of LIII-LV, LV-S1and only after that therapeutic measures conducted on the damaged limb. By the end of 13 weeks after the start of treatment motor function and the support function of the limb was restored, muscles, ligaments reached toughness under static and dynamic loading, restore elasticity, strength, normalized their tone. Functional blocks in the spine was not determined. The patient returned to the previous work - the crawler on the railroad. In 2011-2012, the treated 47 ill is with myogenic contractions of the knee joint after as we all noted prolonged immobilization, 8 to 15 weeks, due to periarticular and intra-articular injuries of the tissues of the knee joint. In all the examined patients showed functional blocks at level LII-LVand LV-S as pathogenicity syndrome metandienone. The method of rehabilitation of the knee joint, including manual therapy, therapeutic exercises, dosed increase mobility in the joint, characterized in that the treatment is carried out with the elimination of functional blockages in the joints of the segments of the spine known techniques of manual therapy, then spend periosteal massage in the areas of early attachment of muscles involved in the execution of the movements in the joint, namely: on the anterior surface of the pubic bone to thin muscles, the upper-front part of the Ilium for tailoring muscles, lower-front part of the Ilium and the area of the greater trochanter to the quadriceps muscle in the buttock area for polyoxazolines and paliperidonesee muscles, popliteal surface of the medial condyle and below on the lateral condyle to the calf muscle, the area of the head and upper third of the body of the fibula to the soleus muscle, the lateral condyle of the femur to the knee muscles, the next step is to impact on areas of prikreplennymi muscles to the tissues of the knee joint, participating in joint function, by breeding tendon tissue in the transverse direction in the places of their attachment, namely: the tuberosity of the tibia, where the thin tendon of the muscle is fused with tailoring and polyoxazolines muscles and forms a crow's foot, and where it attaches its own ligament of the patella, the medial condyle of the tibia, where is attached the inner beam paliperidonesee muscles, the head of the fibula, where it is attached a long narrow tendon of the biceps femoris, the medial condyle of the femur, where the medial head of the gastrocnemius muscle on the lateral condyle, where originates the lateral head of the gastrocnemius muscle, the head and upper third the body of the fibula, where it originates soleus muscle revealed myofascial trigger points of muscles involved in knee function, eliminate ischemic compression and subsequent stretching of the affected muscle in the form of passive movements without burdening.
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