RU2359652C1 - Method of complex rehabilitative treatment of patients with vertebrogenic pain syndromes - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to sport medicine. Patient is administered therapeutic and respiratory exercises, mechanotherapy, massage. Patients at the beginning of session, after gymnastic exercises, in static body position artificially enrich their organism with atmospheric air oxygen by means of respiratory exercises, imitating motion activity with low, medium or high intensity degree. Patients work on gym apparatuses, after which they have a course of reflexosegmetal and pressure point massage. Session is concluded with respiratory gymnastics but in relaxation mode.

EFFECT: increasing quality of rehabilitating treatment of patients with VPS, reduction of terms of conducting rehabilitation period.

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Description

The invention relates to medicine and can be used for therapeutic purposes mainly for the rehabilitation of patients with vertebrogenic pain syndromes - dystrophic damage of the intervertebral discs and adjacent adjacent vertebral bodies, intervertebral joints and ligamentous apparatus.

In modern sports, the increase in results is often associated with large volumes and high intensity of training loads. As a result of overloads and overstresses in athletes, injuries and post-traumatic diseases are not uncommon, and the presence of pathological changes characteristic of vertebrogenic pain syndromes (CHD), a common cause of which is degenerative-dystrophic damage to the spine - osteochondrosis - leads to a decrease in sports performance and performance, and sometimes and disability.

Widely known are methods for the recovery of patients with injuries of the musculoskeletal system, which consist mainly in dynamic stretching and muscle contraction of damaged areas, for example [1].

However, the advantage with this approach is given mainly to methods of physical impact, while other methods of rehabilitation treatment are used in limited quantities. Also, with this approach to treatment, there is no high-quality individual control, since the flow, conveyor, method is usually used.

The closest in technical essence to the claimed invention is a method of rehabilitation treatment for the rehabilitation of patients with injuries of the musculoskeletal system [2], which consists in the use of various means of physical rehabilitation (physiotherapy, massage, mechanical and occupational therapy, physical factors). The disturbed functions are restored, the quality of life improves.

In this case, the conveyor method is also used during rehabilitation treatment, often without taking into account the specifics of the disease, neglecting the individual approach to each patient.

The purpose of the invention is improving the quality of rehabilitation treatment of patients with symptoms of CHD, reducing the time during the rehabilitation period.

This goal is achieved by the fact that at the beginning of each rehabilitation treatment session, patients with CHD perform general strengthening and special therapeutic gymnastic exercises to prepare their bodies for further procedures, then they are engaged in breathing exercises with them. Both chest and diaphragmatic breathing allow enriching all systems, tissues and organs, and, first of all, the spine of patients with oxygen from atmospheric air.

The most effective exercise in respiratory gymnastics is a method of activating external respiration, which simulates in a static position of the body motor activity with varying degrees of intensity of the respiratory system alone, without involving the cardiovascular and muscle systems. Indeed, patients with PBC syndromes are often not only unable to make movements of the necessary intensity, but also perform the simplest movements necessary to enrich their body with oxygen [3].

Throughout life, even in a healthy person, spinal loads (compression) prevail over stretching (unloading), therefore, fluid flow in the intervertebral discs and pulp nucleus prevails over replenishment of its reserves. Disks and the core lose fluid over time, dry out, disc tissue degenerates and collapses. Cracks appear, their height decreases. Narrowed the channels for the exit of nerve roots. During movements, turns, inclinations, pain occurs which, due to a lack of nutrition (trace elements, minerals, hormones, amino acids and, primarily, oxygen), can cause spasm of the short muscles of the spine and subsequently lead to muscle blockade of its individual sections.

A significant increase in blood flow to the intervertebral discs and the pulpous nucleus, which is carried out forcefully in a static position of the body, under pressure, simulating motor activity of low, medium or high intensity, the spine receives when performing recommended breathing exercises.

The influx of oxygen contributes to a significant increase in intercellular fluid, improving their diffusion nutrition [4]. In most cases, living tissue begins to recover.

After therapeutic and respiratory gymnastics, when the damaged muscle groups of the patient are prepared for further exposure and enriched with oxygen, they begin, in accordance with the specifics of the disease, to work on simulators (use mechanotherapy), then a therapeutic massage is performed with it - segmented-reflex (acupressure) massage , which again ends with breathing exercises, but already in relaxation mode.

Examples of specific performance.

1. Athlete Sh., 21 years old, candidate for master of boxing. Diagnosis: lumbargia, lumbosacral, turned in the subacute period with complaints of a lack of mobility of the extensor-extensor lumbar.

Each session consisted of therapeutic exercises for “warming up” the muscles, then special breathing exercises, which Sh. Performed for at least 5 minutes without interruptions.

Sh. Himself was in a stationary state, and his respiratory system first worked in a stimulating and then later in a training mode, which made it possible to simulate a running speed at first with medium and then high intensity.

Such a duration of breathing exercises (at least 5 minutes) was necessary for the artificial enrichment of all its systems and organs, and, first of all, the spine, with atmospheric oxygen.

Work on simulators to strengthen certain muscle groups was carried out taking into account the specifics of the disease, then Sh. Did segmental-reflex (acupressure) massage. At the end of the session, he again engaged in special breathing exercises, but now in a relaxation mode.

The total duration of each session was 45-50 minutes, of which the actual massage took 10-15 minutes.

After three sessions Sh .'s pain was removed, the patient went into remission. A total of 12 sessions were conducted.

For Sh. An individual complex of rehabilitation therapy was compiled taking into account the localization of pain.

2. Athlete Ch., 23 years old, international class master of sports in powerlifting, European champion. Diagnosis: lumbalgia, lumbosacral, turned in the subacute period with complaints of back pain.

She also began each session with therapeutic gymnastics to “warm up” the muscles, continued it with special breathing exercises, which she performed for at least 5 minutes immediately in the training regime, which allowed her to simulate running speed with high, or even very high intensity.

After working on simulators to strengthen certain muscle groups, Ch. Did a segmented reflex (acupressure) massage and completed the rehabilitation treatment again with special breathing exercises, but in a relaxing mode.

The total duration of each session was 45-50 minutes, of which the actual massage took 10-15 minutes.

After four sessions, the pain syndrome was removed, the patient went into remission. In total, 10 sessions were conducted with her.

For Ch. An individual complex of rehabilitation therapy was compiled taking into account the localization of pain.

3. T., 21 years old, master of sports in handball. Diagnosis: hernia in the lumbosacral region.

He started each session with therapeutic gymnastics in order to “warm up” the muscles, then continued treatment, performing special breathing exercises, which he performed in a stimulating mode that simulates running speed with medium intensity, then worked on simulators, and, after segmental-reflex ( acupressure massage, completed the session with special breathing exercises, but already in a relaxing mode.

The total duration of each session was 45-50 minutes, of which the actual massage took 10-15 minutes.

After six sessions, the pain syndrome was removed, the patient went into remission. In total, 15 sessions were conducted with him.

For T., an individual complex of rehabilitation therapy was compiled taking into account the localization of pain.

The use of the proposed method in medical practice allows accelerating recovery after injuries; an individual preventive complex is compiled for each patient, taking into account the specifics of his sport, psychological and emotional development.

Literature

1. Bubnovsky S.M. A new look at the treatment of MTD hernia in athletes. // Journal. Bulletin of sports medicine, M., 1999, No. 1, pp. 24-26.

2. Medical rehabilitation. Edited by V.A. Epifanova, M., MEDpress-inform, 2005, 328 p.

3. Streltsov A.A. A way to activate external respiration. Patent of the Republic of Belarus No. 5010, MKI: А61Н 31/00, date of filing of the application March 27, 1998, date of issue of the patent March 30, 2003

4. Streltsov A.A. Activation of external respiration as a way to normalize human systems and organs. // Journal. Resort business, M., No. 2, 2007, p. 64-71.

Claims (1)

A method of complex rehabilitation treatment of patients with vertebrogenic pain syndromes, including therapeutic and respiratory gymnastics, mechanotherapy, massage, characterized in that patients at the beginning of the session, after gymnastic exercises, in a static position of the body, artificially enrich their body with atmospheric oxygen using breathing exercises that simulate motor activity with a low, medium or high degree of intensity, work on simulators, after which they conduct a segmental-r course reflex and acupressure, and complete the session again with breathing exercises, but already in relaxation mode.