RU2364387C2 - Shaping system in conventional weight-reducing treatment - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention concerns medicine area, namely medical cosmetology. Shaping system in weight-reducing treatment involves massage based on effect contrast principle for various types of skin receptors. The massage is complemented with massage balls with stage massaging inner thigh; posterior thigh; leg lengthwise; gastrocnemius muscle; gluteal region; area paravertebral muscles of back; waist region; full back; broadest muscles of back; front thigh; anterior abdominal wall; thighs and stomach simultaneously; skew muscles. The course includes five to ten procedures twice a week.

EFFECT: method improves effectiveness due to more apparent and long-term curative effect without invasive intervention.

3 ex, 34 dwg

Description

The invention relates to the field of medical cosmetology and can be used to model in the conservative treatment of obesity.

Closest to the proposed is a method of modeling the figure in the treatment of obesity by means of a classic massage (1) performed according to the following scheme: the patient is lying on his stomach, the massage is started from the back with a nape, then buttocks are massaged. Massage of the lower extremities is carried out by a suction technique in the sequence: the back surface of the thigh from bottom to top, lower legs, soles. Then the upper limbs are also massaged by grinding and intensive kneading of muscles. Then, laying the patient on his back, he massages his left leg, furthest from the massage therapist, using the suction technique, his left arm, right leg and right arm. After that, massage the chest and abdomen by a common technique. At the end of the session, shaking of the upper and lower extremities is used. However, the known method is not effective enough, has an unstable therapeutic effect.

A new technical task is to increase efficiency by obtaining a more pronounced and sustainable therapeutic effect.

To solve the problem in the method of conservative treatment of obesity by massage at the first stage, powerful, frequent hand movements with massage balls inserted in the palms are performed towards each other along the inner thigh, starting from the knee and up, for 20-25 seconds, alternately one and the other leg, three times, in the second stage, they carry out relaxing rolling movements of the ball with one hand on the inner surface of the thigh, and the other is carried out with pulsating movements of the ball on the back of the thigh, with cha once a second, for 10-15 seconds, 2-3 times, alternately on one and the other leg, in the third stage, perform wide, intense rubbing movements along the entire length of the leg with the palm surface of the fingers with balls embedded in the palm for 20- 30 seconds, 3-4 times, alternately on both legs, in the fourth stage, deep relaxing movements are performed with the palmar surface of the fingers of the forearms, movements are also performed along the entire length of the leg for 40-50 seconds, first on one and then on the other leg, on the fifth stage carry out the same movements I, as in the fourth stage, but localized on the calf muscle, for 20-25 seconds, first on one and then on the other leg, at the sixth stage, I perform frequent, intense, compressive circular movements with the fingers of both hands while rolling the forearms of the balls over the entire length of the leg, 4-5 times, alternately on both legs, at the seventh stage, perform frequent, pulsating, grasping movements on the calf muscles with a frequency of 2 times per second, for 15-20 seconds, 2-3 times, alternately on both legs, in the eighth stage carry out intensive stimulation with strokes of the fingers with the balls of the gluteal region inserted in the palm of the hand clockwise for 20-25 seconds, alternately on both buttocks, 4-5 times, at the ninth stage, firmly, fork-fixing the fingers, with the balls inserted in the palms, vibrate around the gluteal regions clockwise for 15-20 seconds, alternately on both buttocks, 6-8 times, at the tenth stage, simultaneously with the thumbs and balls fixed with the remaining fingers, perform circular kneading of the paravertebral muscles of the back simultaneously on both sides for 2-3 minutes, at the eleventh stage, with all the fingers of both hands with balls inserted in the palm of your hand, they step over, at an angle of 80-90 degrees to the massaged surface, stimulation of the waist area with the highest possible frequency simultaneously on both sides in within 20–25 seconds, at the twelfth stage, deep relaxing movements are performed with the palmar surface of the fingers with balls embedded in the palms of the hands and forearms over the entire surface of the back for 40–50 seconds; at the thirteenth stage, the same movements are performed, but with arms, make a circular motion for 30-40 seconds, at the fourteenth stage, the third, fourth, fifth fingers of the hands set at an angle of 10-15 degrees, with balls inserted in the palms, intensively, with a frequency of 3-4 times per second, stimulate the gluteal region by jerky movements, alternately on both buttocks, 4-5 times, at the fifteenth stage, with the base of the palm with inserted balls, very slowly relax the gluteal region, for 20-30 seconds 2 times, alternately on each side, at the sixteenth stage, grabbing the fingers first and from both hands and the base of the palm with the balls inserted, the massed tissue roller in the buttock area is displaced clockwise very intensively, with a frequency of at least once per second, 15 times, alternately on each side, at the seventeenth stage, fix the second, third, with the fourth fingers of one hand with balls inserted between the fingers, the massaged tissue roller, with the second hand with the second, third, fourth fingers of the palm surface, shift it across the buttock area, conditionally dividing it into 4-5 parts, very slowly once they process each part first on one side, then on the other, at the eighteenth stage, very intensively, fixing the ball with the second and third fingers of one hand, perform hatching movements with a frequency of 5-6 times per second throughout the buttock area, and with the second hand, after the first perform a deep stroking with the forearm holding the ball, at the nineteenth stage, the radial part of the forearm of one hand, fixing both balls and the palmar surface of the other, deeply stroking the back of the thigh and buttocks for 40-50 seconds, start on the one hand, then on the other, at the twentieth stage, with the base of the palm with nested balls, the balls are intensively rolled out on the back of the thigh and buttocks for 30-40 seconds, first on the one hand, then on the other, at the twenty-first stage, continuing the movement of the previous stages on the back of the thigh and buttocks, with the other hand go to the latissimus dorsi muscles, working them out for one minute, first on one side, then on the other, on the back they perform the same movement, at the twenty-second stage, the radial part of the forearm of one p the uki, fixing the ball, and with the palm surface with the other ball inserted, deeply knead with frequent, intensive circular movements of the front surface of the thigh for 40-50 seconds, first on the one hand, then on the other, at the twenty-third stage, by stroking the front surface with one hand the hips with two balls embedded in the palm of the hand, with the other hand, go on kneading the abdominal region for 20-30 seconds, first on one side, then on the other, at the twenty-fourth stage with the second, third and fourth fingers Both hands with embedded balls perform, by stepping them, at an angle of 80-90 degrees to the massaged surface, stimulation of the anterior abdominal wall, clockwise, for 40-50 seconds, at the twenty-fifth stage, fixing the ball with the radial part of the forearm of one hand and with a palm surface with another ball inserted, deep kneading is done with frequent, intensive circular movements of the front surface of the thigh for 15-20 seconds, first on one side, then on the other, at the twenty-sixth stage with the second, third and fourth fingers both hands, with nested balls set at an angle of 10-15 degrees, perform intensive tissue displacement in the longitudinal and transverse directions, simultaneously in the thighs and abdomen, alternately, 4-5 times for 10-15 seconds, at the twenty-seventh stage, fixing hands with balls embedded in the palm of the hand, press with the first fingers, displace the tissues in different directions in the region of the anterior abdominal wall, for 40-50 seconds, at the twenty-eighth stage with the tips of the second, third, fourth fingers of one hand with the ball nested between the fingers and tissue is intensively displaced back and forth, from the knee joint upwards, and with the ulnar part of the forearm of the other hand, fixing the ball, perform circular movements in the same direction, 3-4 times, alternately on both legs, at the twenty-ninth stage they perform a deep zigzag stroking the front surface of the thigh with balls inserted into the palms of the palm for 25-30 seconds, 3-4 times, alternately on both legs, at the thirtieth stage perform a deep circular stroking of the oblique muscles with balls inserted into the palms of the palms for 30-40 seconds, at the thirty-first stage, intensive, frequent, twice a second, pressure is applied in the area of the oblique muscles with balls inserted in the palms alternately on both sides, 5-6 times for 10-15 seconds on each side, the course is from five to ten procedures carried out twice a week.

The method is as follows.

Figure 1-34 shows the main stages of the method.

First step. Powerful, frequent movements of the arms with balls are performed towards each other along the inner surface of the thigh, starting from the knee and upwards for 20-25 seconds, alternately on one and the other leg, 3 times (1).

Second phase. The relaxing, rolling movements of the ball with one hand on the inner surface of the thigh are performed, and the other produce pulsating movements of the ball on the back of the thigh once a second, 10-15 seconds, 2-3 times alternately on one and the other leg (2).

The third stage. Perform wide, intense rubbing movements along the entire length of the leg with the palmar surface of the fingers with balls embedded in the palms, for 20-30 seconds, 3-4 times alternately on both legs (3).

The fourth stage. Perform deep relaxing movements with the palmar surface of the fingers with balls and forearms embedded in the palms for deeper relaxation. Movements are also carried out along the entire length of the leg, 40-50 seconds, first on one and then on the other leg (4).

The fifth stage. Perform the same movements as in the fourth stage, but localized on the calf muscle, for 20-25 seconds, first on one and then on the other leg (5).

Sixth stage. Frequent, intense compressive circular movements are carried out with the fingers of both hands while rolling the balls of the forearm along the entire length of the leg, 4-5 times, alternately on both legs (6).

Seventh stage. Frequent, pulsating, grasping movements on the calf muscles are performed with a frequency of 2 times per second, 15-20 seconds, 2-3 times, alternately on both legs (7).

The eighth stage. Intensive stimulation is performed by stroking finger movements with the balls of the gluteal region inserted in the palm of the hand clockwise, for 20-25 seconds, alternately on both buttocks, 4-5 times (8).

The ninth stage. The fingers are firmly fixed in a fork-like manner, with the balls inserted in the palm of the hand, vibration around the buttock region clockwise, 15-20 seconds, alternately on both buttocks, 6-8 times (9).

The tenth stage. At the same time, the thumbs and balls fixed by the remaining fingers perform circular kneading of the paravertebral muscles of the back simultaneously from both sides, for 2-3 minutes (10).

Eleventh stage. With all the fingers of both hands with balls embedded in the palms, they perform, as if crossing them, at an angle of 80-90 degrees to the massaged surface, stimulation of the lower back (waist area) with the highest possible frequency simultaneously from both sides, 20-25 seconds (11).

The twelfth stage. Perform deep relaxing movements with the palmar surface of the fingers with balls embedded in the palms and forearms over the entire surface of the back, 40-50 seconds (12).

The thirteenth stage. Perform the same movements, but with their forearms produce a circular effect, 30-40 seconds (13).

The fourteenth stage. The third, fourth, fifth fingers, set at an angle of 10-15 degrees, with balls embedded in the palms, intensively, 3-4 times per second, stimulate the gluteal region with jerky movements, alternately on both buttocks, 4-5 times (14).

Fifteenth stage. The supporting part of the hand (the base of the palm) with balls placed in the palm of the hand very slowly relaxes the gluteal region, 20-30 seconds 2 times, alternating sides (15).

The sixteenth stage. Having grabbed the roller from the massaged tissue in the buttock area with the first fingers of both hands and the base of the palm with inserted balls, they shift it clockwise very intensively, at least once a second, 15 times, alternating sides (16).

Seventeenth stage. By fixing the second, third, fourth fingers of one hand with balls inserted between the fingers between the fingers of the massaged tissue, the second hand, the second, third, fourth fingers of the palm surface shift it across the buttock area, conditionally dividing it into 4-5 parts, very slowly once each part is worked out first on the one hand, then on the other (17).

The eighteenth stage. Very intensely, with the second and third fingers of one hand, fixing the ball, they perform hatching movements 5-6 times per second throughout the buttock area, and with the second hand, after the first, they perform deep stroking with the forearm fixing the ball (18).

The nineteenth stage. The radial part of the forearm of one hand, fixing both balls, and the palmar surface of the other produce a deep stroking of the back of the thigh and buttocks, 40-50 seconds, first on one side, then on the other (Fig.19-20).

Twentieth stage. The base of the palm with nested balls intensively rolls the balls on the back of the thigh and buttocks, 30-40 seconds, first on one side, then on the other (Fig.21).

The twenty first stage. Continuing the movement of the previous stage on the back of the thigh and buttocks, with the other hand go to the latissimus dorsi, one minute, first on one side, then on the other. The same movement is performed on the back (Fig. 22).

Twenty-second stage. The radial part of the forearm of one hand, fixing the ball and the palm surface with the ball inserted by the other, perform deep kneading with frequent, intense circular movements on the front surface of the thigh, 40-50 seconds, first on one side, then on the other (Fig. 23).

The twenty-third stage. Performing with one hand stroking the front surface of the thigh with two balls embedded in the palm of the hand, with the other hand we go on kneading the abdominal region, 20-30 seconds, first on one side, then on the other (Fig.24).

The twenty-fourth stage. The second, third and fourth fingers of both hands with nested balls perform, as if stepping over them, at an angle of 80-90 degrees to the massaged surface, stimulation of the anterior abdominal wall, clockwise, 40-50 seconds (Fig. 25).

The twenty-fifth stage. The radial part of the forearm of one hand, fixing the ball, and the palm surface with the ball inserted by the other produce a deep kneading with frequent, intense circular movements on the front surface of the thigh, 15-20 seconds, first on one side, then on the other (Fig. 26).

The twenty-sixth stage. The second, third and fourth fingers of both hands with nested balls set at an angle of 10-15 degrees perform intensive tissue displacement in the longitudinal and transverse directions (crosswise), simultaneously in the thigh and abdomen, alternately, 4-5 times 10-15 seconds (Fig.27).

The twenty-seventh stage. Fixing the hands with the balls embedded in the palm of the hand, the first fingers, by applying pressure, displace the tissues in different directions in the region of the anterior abdominal wall, 40-50 seconds (Fig. 28).

The twenty-eighth stage. With the tips of the second, third, fourth fingers of one hand with balls inserted between the fingers, the tissues are intensively displaced back and forth in the direction from the knee joint upwards, and the ulnar part of the forearm of the other hand, fixing the ball, perform circular movements in the same direction, 3-4 times alternately on both legs (Fig.29).

The twenty-ninth stage. Perform a deep zigzag stroking of the front surface of the thigh with balls placed in the palm of your hand, 25-30 seconds, 3-4 times, alternately on both legs (Figs. 30-31).

Thirtieth stage. A deep circular stroking of the oblique muscles is performed by balls inserted into the palm of your hand for 30-40 seconds (Fig. 32).

Thirty first stage. Intensive, frequent, two times per second pressure is performed in the area of the oblique muscles with balls inserted into the palms alternately on both sides, 5-6 times for 10-15 seconds (Figs. 33-34). The course is from five to ten procedures performed twice a week.

It is known that massage causes the expansion of functioning capillaries, the opening of reserve capillaries, which creates a more abundant blood supply to tissues. As a result, gas exchange between blood and tissues increases, and metabolic processes intensify (1). However, no information on the full-fledged effect of massage on changes in hormonal levels during intensive muscle stimulation was found in well-known literature, meanwhile, how exactly this change helps to reduce adipocyte hypertrophy.

The proposed method for the treatment of obesity with simultaneous modeling of the figure does not require any diets, and, contrary to the strong claims of many authors (1, 2, 3), brings significant changes in body volume without the use of drug therapy. In the proposed massage due to the application of the principle of contrast (alternating hard and soft, strong and weak effects), various types of skin mechanoreceptors are exposed, that is, receptors of strength, speed and acceleration (slowly, quickly and very quickly adapting receptors), resulting in there is a full-fledged stimulation of motor neurons, which actually excite the muscles and, as a result of this, a direct and indirect effect on the muscle tissue, intensified by the total excitation.

Secondly, the laws of excitation of force, time and gradient are implemented, that is, the effect must be strong enough, last a certain time and grow quickly enough. Particular attention in the physiological laws of excitation should be paid to the law of the gradient, which we will consider in more detail.

The irritants acting on a living formation can be characterized not only by a certain strength and duration, but also by a certain gradient - the growth rate over time of the force acting on living tissue. Under the natural conditions of the existence of an animal organism, as a rule, any stimulus is characterized by a known gradient. Among the main reasons that determine this is the dynamic nature of the interaction of environmental factors and the animal organism, their movement in time and space relative to each other. It is this circumstance — the existence of the organism in a fundamentally variable external environment — that creates the conditions when even with a constant absolute strength of the stimulus, the movement of this stimulus relative to the organism leads to an increase or decrease in time of the relative strength of the external influence.

However, this, of course, is not the only reason determining one degree or another of the gradient of the stimulus. Shifts in the environment of existence that cause adaptive responses of a living organism, as a rule, reach a finite value not instantly in time, but with a different degree of speed, which is responsible for the gradient of the irritating effect on a living formation.

The gradient of irritation is a direct consequence of the relationship between the strength and duration of irritation. For a definite final force, the irritation gradient depends on the duration of the irritation: the longer the irritation, the lower the irritation gradient. On the contrary, in determining the given duration of stimulation, the irritation gradient will turn out to depend on the final irritation strength - the greater the irritation strength, the higher the irritation gradient (4).

It is known that a slowly increasing magnitude of external stimulation may not cause a response of a living formation, even if the final magnitude of this irritation is relatively very large. A stimulus that reaches its full strength instantly has a much greater physiological effect than in those cases when it grows to the same ultimate strength gradually.

The threshold of excitation in relation to a slowly growing stimulus turns out to be increased, and sometimes very significantly, up to the complete absence of an adequate form of reaction to this slowly growing irritant stimulus from the outside.

According to the ideas developed by the creators of the doctrine of the role of the gradient factor in stimulation when exposed to a live formation of any stimulus, including an electric current stimulus, certain energetic shifts occur in this living formation (increased metabolism characteristic of the resting state). When a certain critical level of these shifts is reached, suprathreshold excitation occurs, accompanied by the functional administration of a living formation.

The rate of increase in energy shifts, in other words, the rate of increase of the subthreshold tissue response to a threshold level, depends on the current values of one of the main properties of a living formation - its functional mobility. For various living formations, the growth rate of subthreshold excitation can be significantly different.

With a decrease in the irritation gradient, the growth rate of the subthreshold excitation progressively decreases. These data convincingly indicate that any external influence is not just a means of invoking an adequate tissue reaction, but also a mandatory cause of changes in its current physiological properties.

So, the suprathreshold reaction of excitable tissue to irritation occurs at the moment when the subthreshold state of excitation growing at a certain speed reaches a threshold level.

However, it is essential to emphasize that the threshold of excitation of a living formation is by no means a constant value. Under the influence of stimulation acting on the tissue, the threshold of excitation naturally and progressively changes.

When a stimulus acts on a living formation, which grows to its threshold strength instantly or urgently in time - a high gradient of stimulation, an initial short-term increase in excitability takes place, i.e. lowering the threshold of excitation. This increase in excitability lasts in time during the latent period of occurrence of suprathreshold excitation.

With a decrease in the irritation gradient, a transition of the phase of lowering the excitation threshold to the second phase of shifts — the phase of growth of the excitation threshold — takes place. The lower the gradient of irritation, the correspondingly more pronounced increase in the threshold of excitation, i.e., a decrease in the excitability of irritated tissue (4, 5).

In other words, the lower the irritation gradient, the first, the slower the development of subthreshold excitation, the longer the latent period of the suprathreshold excitation, and secondly, the higher the critical level of the excitation threshold, that is, the greater the threshold force of stimulation . It is significant to emphasize that with a very low gradient of stimulation, suprathreshold excitation may not arise at all due to the fact that an excessive decrease in functional mobility with a sharp decrease in excitability (increase in the excitation threshold) will not provide subthreshold excitation of reaching a critical suprathreshold level.

Therefore, the main condition for the occurrence of suprathreshold excitation is a high growth rate of subthreshold excitation compared to the growth rate of the excitation threshold. That is why, in order to achieve a result, the proposed method does not use traditional massage methods for obesity (first stroking, then rubbing, kneading).

Based on the two above provisions, as a cause, we get a consequence - this is the launch of the creatine kinase reaction, which is the first and fastest process of ATP resynthesis. It is known that to perform muscle contraction, a large amount of ATP is required, which must be constantly and very intensively replenished. The rate of breakdown of creatine phosphate in a working muscle is directly proportional to the intensity of the work performed and the amount of muscle tension.

Creatine kinase reaction is reversible. During muscular work, a direct reaction predominates, replenishing ATP; during dormancy, the reverse reaction restores the concentration of creatine phosphate in the muscle, which also complies with the principles of contrast massage (after intensive stimulation, deep relaxation follows, which is also necessary to reduce the phase of absolute refractoriness following the action potential). That is, the load should be such that the creatine kinase reaction ends before oxidation and glycolysis start to cause microtraumas of actin and myosin and activation of myosatellite cells.

Due to such stimulation of nerve endings located in the tissues, a stress reaction occurs. A typical change in the functions of the endocrine glands is the increased production of adrenaline, norepinephrine and cortisol.

Adrenaline is secreted by the nerve endings of the sympathetic nervous system in the adipose tissue and the adrenal medulla, from where it is delivered to the adipose tissue with a blood stream. Norepinephrine is secreted by the numerous endings of postganglionic sympathetic nerve fibers located in adipose tissue (part of the perivascular nerve plexuses), spreads through the intercellular spaces and binds to receptors on the adipocyte plasmolemma. Cortisol, which is produced in any stressful situation, causes stimulation of gluconeogenesis from non-carbohydrate sources, including and from fats, increased adrenaline, increased mobilization of free fatty acids. As a result of the action of adrenaline and norepinephrine, oxygen transport to tissues, in particular to muscles, is enhanced. Also, catecholamines suppress appetite, activate the synthesis and secretion of STH, and prevent excessive release of insulin. Muscle stimulation also leads to an increase in STH release. However, its fat-burning effect, in contrast to adrenaline, which stimulates lipolysis instantly, manifests itself 1-2 hours after the increase of growth hormone in the blood.

The mechanism of action of catecholamines, cortisol and STH is different: adrenaline interacts with its receptor on the outer surface of the lipocyte membrane with the formation of a hormone-receptor complex. In response to this, a special mechanism activates the adenylate cyclase lipocyte located on the inner surface of the outer cell membrane, an enzyme that synthesizes cyclic AMP (cAMP) from ATP. An increase in the intracellular concentration of cAMP activates the protein kinase enzyme, which activates triacylglycerolipase by phosphorylation. Since the rate of lipolysis is limited by the activity of triacylglycerol lipase, activation of the enzyme leads to an acceleration of the hydrolysis of reserve triglycerides and an increase in the release of higher fatty acids and glycerol from the lipocyte into the bloodstream. The stimulating effect of cortisol on lipolysis is associated with an increase in the content of hormone-sensitive lipase (triacylglycerolipase) in lipocytes, which contributes to a faster and more pronounced response of cells to the action of hormones such as adrenaline. Growth hormone does not directly affect the rate of triglyceride cleavage in lipocytes, but growth hormone increases the rate of adenylate cyclase synthesis by accelerating the transcription of the corresponding gene. An increase in the content of adenylate cyclase in lipocytes increases the effect of hormones such as adrenaline on adipose tissue.

Based on the foregoing, it can be noted that when performing contrast massage to reduce excess body fat, the result arises not only due to mechanical effects on adipose tissue, but also due to increased lipolysis induced by hormones.

Examples from medical practice illustrate the high efficiency of the proposed method.

Example 1. Yakovleva Tatyana Mikhailovna 47 years old, manager.

Before treatment, the circumference of the lower abdomen was 93.5 cm, the volume of the buttocks was 99 cm, the abdomen at the level of the navel was 81 cm. The treatment was carried out according to the proposed method.

After nine sessions, the circumference of the lower abdomen became 81.5 cm, the volume of the buttocks - 94 cm, the abdominal circumference at the navel - 74 cm.

Example 2. Nikitenko Valentina Ivanovna 55 years old. Director of a travel company. Before treatment, the lower abdominal circumference was 91 cm, the volume of the buttocks was 102 cm, the abdominal circumference at the navel was 96 cm. The treatment was carried out according to the proposed method.

After ten sessions, the circumference of the lower abdomen became 83 cm, the volume of the buttocks - 96 cm, the abdominal circumference at the navel - 89.5 cm.

Example 3. Shirokova Ramilya Mikhailovna, 52 years old, teacher. Before treatment, the circumference of the lower abdomen was 101 cm, the volume of the buttocks was 107 cm, the circumference of the abdomen at the navel was 94 cm. The treatment was carried out according to the proposed method. After ten sessions, the circumference of the lower abdomen became 91 cm, the volume of the buttocks - 99 cm, the circumference of the abdomen at the navel - 82 cm.

Thus, the results of the study show that after nine procedures, significant changes are observed, indicating the high efficiency of this type of massage. The course is from five to ten procedures performed twice a week. The result of the massage lasts from seven months to three years.

The advantages of the proposed method in its high efficiency and the possibility of radical changes in the figure without invasive intervention, the use of various diets and medications.

The final result is impressive: the stomach is flat again, the skin is smooth and elastic, the tone of the abdominal muscles rises, and normal lumbar flexion is restored. The volume of the waist and hips decreases, the ideal silhouette is formed in the patient. Moreover, the achieved result remains for a long time, namely from seven months to three years. The undoubted advantage of the proposed method is the absence of any undesirable effects and a rehabilitation period.

Information sources

1. A.V. Kondrashev, S.V. Khodarev, E.V. Kharlamov. Massotherapy. - Rostov-on-Don: Publishing House Phoenix, p.329.

2. N.A. Belyakov, G. B. Seidova, S. Yu. Chubrieva, N. G. Glukhov. Metabolic syndrome in women. SPb., 2005, p. 250-277.

3. L.V. Latmanizova. Essay on the physiology of arousal. M., "Higher School", 1972, S. 46-50.

4. Classical massage. Complete Encyclopedia. - St. Petersburg: Publishing House “VES”, 2001, p.250.

Claims (1)

A method of modeling a figure in the conservative treatment of obesity, by massage, characterized in that the first stage is performed powerful, frequent movements of the hands with massage balls inserted in the palms towards each other along the inner thigh, starting from the knee and up for 20-25 s alternately on one and the other leg, three times, in the second stage, relaxing rolling movements of the ball with one hand on the inner surface of the thigh are performed, and the other is carried out by pulsating movements of the ball on the back of the thighs and with a frequency of once and a second for 10-15 seconds, 2-3 times, alternately on one and the other leg, in the third stage they perform wide, intense rubbing movements along the entire length of the leg with the palmar surface of the fingers with balls embedded in the palm, 20-30 s, 3-4 times alternately on both legs, at the fourth stage, deep relaxing movements are performed with the palmar surface of the fingers of the forearms, movements are also performed along the entire length of the leg, for 40-50 s, first on one and then on the other leg , at the fifth stage, carry out the same movements as at the fourth stage, but localized on the gastrocnemius muscle, for 20-25 s, first on one and then on the other leg, at the sixth stage, frequent, intense, compressive circular movements are performed by the fingers of both hands with simultaneous rolling of the forearm balls along the entire length of the leg, 4-5 times, alternately on both legs in the seventh stage, perform frequent, pulsating, grasping movements on the calf muscles with a frequency of 2 times per second, for 15-20 s, 2-3 times, alternately on both legs, in the eighth stage intense hatching stimulation and movements of the fingers with the balls of the gluteal region inserted in the palm of the hand clockwise, for 20-25 seconds, alternately on both buttocks, 4-5 times, at the ninth stage, firmly, fork-like locking of the fingers, with the balls inserted in the palm of the hand, vibrate around the gluteal region in a clockwise direction, for 15-20 s, alternately on both buttocks, 6-8 times, at the tenth stage, simultaneously, with the thumbs and balls fixed with the remaining fingers, perform circular kneading of the paravertebral muscles of the back, simultaneously, from both the parties , for 2-3 minutes, at the eleventh stage, with all the fingers of both hands with balls inserted in the palm of your hand, they step over them, at an angle of 80-90 ° to the massaged surface, to stimulate the waist area with the highest possible frequency simultaneously on both sides for 20-25 s, at the twelfth stage, deep relaxing movements are performed with the palmar surface of the fingers with balls embedded in the palms and forearms over the entire surface of the back, for 40-50 s, at the thirteenth stage, the same movements are performed, but the forearms make a circular motion for f 30-40 s, at the fourteenth stage, the third, fourth, fifth fingers of the hands, set at an angle of 10-15 °, with balls inserted into the palms intensively with a frequency of 3-4 times per second, stimulate the gluteal region with jerky movements, alternately on both buttocks, 4-5 times, at the fifteenth stage, the base of the palm with embedded balls very slowly relax the gluteal region, for 20-30 seconds 2 times, alternately on each side, at the sixteenth stage, grabbing the roller with the first fingers of both hands and the base of the palm with nested balls from massaging tissue in the buttock area, it is shifted clockwise very intensively with a frequency of at least 15 times per second, alternately on each side, at the seventeenth stage, the roller from the massaged tissue is inserted with the second, third, fourth fingers of one hand with balls inserted between the fingers , with the second hand, also with the second, third, fourth fingers of the palm surface, shift it across the buttock area, conditionally dividing it into 4-5 parts, very slowly once each part is worked out, first on one side, then on the other, on in the eighteenth stage, very intensively, fixing the ball with the second and third fingers of one hand, perform hatching movements with a frequency of 5-6 times per second throughout the buttock area, and with the second hand, after the first hand, perform deep stroking of the forearm, fixing the ball, at the nineteenth stage with the radial part of the forearm one hand, fixing both balls, and with the palmar surface of the other, deeply stroking the back of the thigh and buttocks for 40-50 s, first on one side, then on the other, at the twentieth stage, with the base of the palm with nested balls, they intensively roll the balls along the back of the thigh and buttocks for 30-40 s, first on one side, then on the other, at the twenty-first stage, continuing the movements of the previous stage on the back of the thigh and buttocks, with the other hand move to the latissimus muscles backs, working on them for one minute, first on the one hand, then on the other, on the back they perform the same movement, at the twenty-second stage, the radial part of the forearm of one hand, fixing the ball, and with the palm surface with the ball inserted, making the other deep kneading with frequent, intense circular movements of the front surface of the thigh for 40-50 s, first on one side, then on the other, at the twenty-third stage, with one hand stroking the front of the thigh with two balls embedded in the palm of the hand, with the other hand go to kneading the abdominal region for 20-30 s, first on one side, then on the other, at the twenty-fourth stage, the second, third and fourth fingers of both hands with nested balls are performed, stepping them at an angle of 80-90 ° to the massaged surfaces, stimulation of the anterior abdominal wall clockwise, for 40-50 s, at the twenty-fifth stage, fixing the ball with the radial part of the forearm of one hand, and with the palm surface with the ball in the other, deep kneading is performed with frequent, intensive circular movements of the front surface of the thigh during 15-20 s, first on one side, then on the other, at the twenty-sixth stage, the second, third and fourth fingers of both hands with nested balls set at an angle of 10-15 ° perform intensive tissue displacement in the longitudinal and in the transverse direction, simultaneously in the thighs and abdomen, alternately, 4-5 times for 10-15 seconds, at the twenty-seventh stage, holding hands with balls embedded in the palm of the hand, apply pressure with the first fingers, displace the tissues in different directions in the front the abdominal wall, for 40-50 s, at the twenty-eighth stage, with the tips of the second, third, fourth fingers of one hand with balls inserted between the fingers, the tissues are intensively displaced back and forth, from the knee joint upwards, and the ulnar part of the forearm of the other hand, fix ya ball, perform circular movements in the same direction, 3-4 times, alternately on both legs, at the twenty-ninth stage, perform a deep zigzag stroking of the front surface of the thigh with balls inserted into the palms of the palms, for 25-30 s, 3-4 times, alternately on both legs, at the thirtieth stage, they perform deep circular stroking of the oblique muscle region with balls placed in the palms of the hands, for 30-40 seconds, at the thirty-first stage, intensive, frequent, two times per second pressure is applied in the oblique muscles with balls placed in the palms of the hands alternately on both sides, 5-6 times for 10-15 s on each side, the course is from five to ten procedures performed twice a week.

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