RU2469695C2 - Elena mustafaeva's massage technique - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: technique is based on deep penetrating malaxations by the impact on basic reflex nervous centres along spines through nerve skin receptors with a deep and smooth effect both on connective tissue: fascias, ligaments and tendons, and on muscles. The malaxations are preceded by back stroking. Spiral, circular, dashed and double spiral malaxation motions are used. All the massage manipulations involve saw-like rubbing and stretching of muscular tissues by forearms along the spinal column. The procedure is completed by back vibration and percussions, as well as massage manipulations on upper and lower extremities. The malaxation being a basic massage manipulation follows the rubbing. Then thoracocervical spine is massaged from the back side with the massage procedure completed by stretching of cervical muscles preceded by adjuvant reflex therapy.

EFFECT: higher percentage of recovery rate, massage comfort with eliminated pain syndrome.

43 cl, 36 dwg, 4 ex

Description

The invention relates to medicine, namely to massage methods that are used in the treatment of patients from various diseases, as well as for the purpose of their prevention.

To date, various massage methods are known that are used both for therapeutic and prophylactic purposes. All of them can be divided into three groups. The first group consists of methods of massage using the hands of a masseur. This is the so-called manual massage. The second group consists of massage methods using various devices. They are also called instrumental massage methods. The third group consists of methods that combine using both massage devices and manual massage. As methods analogs can be called methods of massage given in the descriptions of patents of the Russian Federation. For example, the invention under the name “Massage Method” according to the RF patent No. 2070023, under the name “Massage Method” according to the RF patent No. 2103971, under the name “Method for correcting the weight and figure of a person by manual massage according to Yu. A. Volynkin” according to the RF patent No. 2109503 , entitled "Method of therapeutic massage" according to the patent of the Russian Federation No. 95106894 ". As analogous methods can also be called "Method of therapeutic massage" according to patent No. 2163796, "Method of mini massage" according to patent No. 2180550, "Method of back massage and device for its implementation" according to patent No. 2189214, "Method of massage" according to patent No. 2118904, “The method of correcting the figure and weight of a person by manual massage according to V.I. Kisselgof” according to the patent No. 2219890, “The method of surface balancing massage” according to the patent No. 2224494, “The method of vibroacoustic restorative massage and device for its implementation” according to the patent No. 2229278 , "Vibration Vacuum Method a self-oscillation mode of massage and device for its implementation "patent №2252739,« massage method "patent №2259186,« Method for performing massage "patent №2279269. As an analogue method, you can also give a description of the massage called “Holistic pulsating massage” by Tove Browning, available at http://solwi.spb.ru/05_massazh/massazh.htm.

However, the massage method described on the site is known (see http://healthy-back.livejournal.com/40437.html). The named method of massage is known in practice as a rolfing, named after its author Ida Rolf. It is also called structural integration. This method of massage is the closest in technical essence and the achieved result when it is used in relation to the new invention (prototype). This prototype method is actually a direct physical intervention used for psychological modification of a person. According to the author, a well-functioning human body remains straight and vertical with a minimum of energy expenditure, despite the force of gravity. But under the influence of stress, it can adapt to the latter and distort. The most significant changes occur in the fascia, that is, the connective tissue covering the muscles. Structural integration is a system that seeks to return the human body to the correct position and the right lines through deep and often painful stretching of the muscular fascia, accompanied by a direct deep impact. The goal of structural integration is to bring the body to better muscle balance, to better fit the lines of gravity, closer to the optimal posture, in which you can draw a straight line through the ear, shoulder, thigh bone and ankle. This leads to a balanced distribution of the weight of the main parts of the body: head, chest, pelvis and legs, to more graceful and effective movements. Psychological trauma or even minor physical damage can result in small but permanent changes in the body. Bones or muscle tissue are slightly displaced, and the build-up of connective tissue prevents them from returning to their place. Violation of the lines occurs not only at the site of direct damage, but also at fairly distant points of the body in compensation. For example, if a person unconsciously spares a damaged shoulder for a long time, it can affect the neck, the other shoulder, or the hips. When performing rolfing, as a massage method, massage manipulations are carried out primarily with fasciae, which are the connective tissue and which support and bind the muscles and skeletal system. During rolfing, the muscle fascia is manipulated in order to relax it and so that the surrounding tissue can occupy a physiologically correct position. The massage therapy process in this case is based on deep massage using fingers, finger joints and elbows. The method of massage on the rolfing consists of 10 main classes, during which reorganization of movement in the joints occurs. The first lesson covers a large part of the body, with special focus on the muscles of the chest and abdomen that control breathing, as well as on the femoral ligaments that control the mobility of the pelvis. The second lesson focuses on the feet, leg conversions, ankles, aligning the legs with the torso. The third is mainly devoted to stretching the sides, especially to the large muscles between the pelvis and chest. The fourth, fifth and sixth classes devote the release of the pelvis. One of the important tasks of rollerfacing is to make the pelvis more mobile, inscribed in other lines of the body. The seventh lesson is concentration on the neck and head, on the muscles of the face. The eighth, ninth and tenth lessons are the organization and integration of the body as a whole. Work on certain parts of the body often releases old memories and contributes to deep emotional discharges. At the same time, the goal of rolling is primarily physical integration. The psychological aspects of the process do not become a subject of special attention. Many of those who combined rolfing with some form of psychological therapy or growth work noted that rolfing helps to release psychological and emotional blocks, helping to advance in other areas. Thus, rolfing is actually muscle spinning and is similar to untangling "tangled" muscles. To this is added relaxation, which is often followed by an “emotional outburst”, liberation from emotional blocks.

But this closest analogue (prototype) also has drawbacks like the other analogs described above. The disadvantages of the closest method of massage, that is, rolfing, are as follows. This massage method is very painful and often traumatic. The stronger the muscle tension, the greater the pain and the more painful massage manipulations are required. The patient in the process of conducting a massage called "rolfing" constantly feels discomfort, tension. In fact, with this method of massage, the patient is on the verge of pain. In addition, in practice, often the therapeutic effect that must be obtained cannot be achieved. This is explained by the fact that a deep massage effect in this case is directed only to the fascia, sharply and “roughly”, and often does not affect the ligaments and tendons, as well as directly the muscles that need massage treatment.

The task set by the developer of a new massage method was to create a massage method that would increase the percentage of patients recovering, as well as improve the comfort of massage for the patient. The technical result achieved in the process of solving the task set before the developers was the ability to exclude painful cider when performing massage manipulations.

The essence of the invention lies in the fact that in the massage method based on deep penetrating kneading, deep penetrating kneading is carried out by affecting the main reflex centers of the nervous system of the spinal column along the spinous processes, gently touching the skin and through the nerve receptors deeply and smoothly acting as a connective tissue: fascia, ligaments and tendons, and on the muscles, while prior to performing stroking the back, and after all massage kneading operations, perform a massage opera ило sawtooth grinding, then perform a passive massage operation to stretch the muscle tissue with the forearms along the spine, then perform vibration and clap operations, as final auxiliary massage operations of the back, after which massage operations of the upper and lower extremities are performed, and the kneading operation, as the main massage operation in this case, carried out after grinding operation, then massaging the cervicothoracic region from the back, completing its zigzag passive operation th stretching muscles of the cervical spine, which is carried out before reflexology, massage as an auxiliary operation.

The essence of the invention also lies in the fact that in the method of massage stroking the back, as a preliminary massage operation, perform the inner side of the palm, making it smoothly and continuously. In addition, the essence of the invention lies in the fact that in the massage method, stroking the back begins with the sacrum, capturing the gluteal region, and moves crosswise to the shoulders, then returns to its original position.

At the same time, the essence of the invention lies in the fact that in the massage method, as the first main operation, kneading with the tips of the index and middle fingers of the right hand in their bent form with spiral movements is performed.

The invention also consists in the fact that in the massage method, kneading is performed with the tips of the index and middle fingers of the right hand in their half-bent form with spiral movements, starting from the sacrum, smoothly penetrating into the connective tissues and muscles.

In addition, the essence of the invention also lies in the fact that in the massage method immediately after kneading the sacrum, they go on to perform manipulations with spiral movements along the spine, rising up along the spinous processes, with light penetrating movements, capturing the left shoulder, and then continuously perform the reverse movement to the sacrum.

The invention also consists in the fact that in the massage method, kneading with spiral movements of the buttocks and muscles along the spinous processes is periodically alternated.

In addition, the essence of the invention lies in the fact that in the method of massage during kneading with spiral movements of the lumbosacral section, reflexotherapy is carried out, most energetically massaging the four biologically active points of Shan Liao, Tsi-Liao, Zhong-Liao and Xia-Liao with one minute each finger of the right hand with penetrating movements counterclockwise alternately, moving down along the meridian of the bladder.

The invention also consists in the fact that in the massage method, after a complex of massage manipulations, kneading with spiral movements proceeds to kneading in circular movements, and massaging in this case is carried out with the tips of the thumbs of both hands, gradually penetrating through the connective tissue between the vertebral joints from top to bottom alternately along the spinous processes .

In addition, the essence of the invention also lies in the fact that in the massage method after a complex of massage manipulations of kneading in circular movements, stroke is performed by stroke extruded in the interphalangeal joints and located at an angle of 30 ° to the massaged surface with the tips of the index and middle fingers of the right hand along the spine with deep penetration of fingers into the thickness of the muscles, intensively acting on the connective tissue, and do it smoothly and sparingly.

At the same time, the essence of the invention also lies in the fact that in the massage method, stroking is performed along the spinous processes of the spine from top to bottom, alternating it with kneading in a circular motion and performing reflexology, while massaging the biologically active points of fei-shu and hsin-shu neck of the thoracic region, each of which is massaged for one minute, and the massaging of the points is carried out by penetrating counterclockwise movements with the index finger of the right hand, moving from top to bottom along the meridian of the bladder, Acting on points alternately.

In addition, the essence of the invention lies in the fact that in the massage method, after a complex of massage manipulations of hatching, kneading manipulations are carried out with circular movements with the base of the palm, and circular kneading with the base of the palm is done from top to bottom along the spine with both hands describing large circles and the exercise is started by pressing movements with the base of the palm, and end with the middle phalanges of the back surface of the brush, thereby returning to its original position, while the movement is performed alternately by both hands.

In addition, the essence of the invention lies in the fact that in the massage method during the manipulation of kneading in circular movements with the base of the palm, it is alternated with kneading with spiral movements of the fingers, circular movements of the fingers and hatching.

In addition, the essence of the invention lies in the fact that in the massage method after circular kneading with the base of the palm, the tips of all fingers of both hands of the muscles, fascia, ligaments and tendons are spiral-shaped kneading.

At the same time, the essence of the invention lies in the fact that in the massage method after spiral kneading with the tips of all fingers of both hands, they go on to roll, as a kind of kneading, performing it with the base of the left hand and supporting the shoulder muscle with the right hand, then the skin is displaced in a circular motion and carry out the roll towards the thumb of the left hand, after which, capturing and stretching the muscle, continue to do massage manipulations from top to bottom to the buttocks.

In addition, the essence of the invention lies in the fact that in the massage method after rolling, as a kind of kneading, they switch to double ring kneading, while gripping the muscle in the ring between the thumb and forefinger of both hands, and the reception is carried out, moving from bottom to top, shifting skin in opposite directions - towards the thumb and forefinger.

In addition, the essence of the invention lies in the fact that in the massage method after performing all kneading operations, they go to sawtooth rubbing along the spine from top to bottom with the ulnar edges of the hands of both hands, rhythmically shifting or stretching the back tissue in opposite directions, without affecting the deep muscles, but acting on the muscles located directly under the skin, then they switch to transverse sawtooth rubbing from top to bottom along the spine on the muscles adjacent to the spine, performing symmetry sometimes to the left and right of the vertebrae also by the ulnar edges of the hands of both hands parallel to each other, they continue to move the hands alternately in the direction towards each other from top to bottom along the spine.

In addition, the invention consists in the fact that in the massage method, after performing a sawtooth grinding, they pass to a passive massage operation of stretching the muscle tissue with the forearms along the spine, while the forearms are placed on the middle of the patient’s back, then the forearms are slowly extended, swinging the torso with oscillatory movements, and then one of the forearms is brought to the neck, and the other to the base of the spine, to the buttocks, thus stretching the spine with a small amplitude exceeding the normal volume movements in the intervertebral joint and not allowing any anatomical damage to the joints of the spine.

At the same time, the essence of the invention lies in the fact that in the massage method after the massage operation, stretching the muscle tissue with the forearms along the spine proceeds to the vibration massage operation, which is performed by the inside of the palm on the large muscle groups of the back and during which constant oscillating-trembling movements are performed in direction perpendicular to the skin surface, then pat, as a kind of shock techniques, performing it alternately with both hands due to fast movements s, while the fingers of the II-th to V-tightly closed, in the first half-bent position, wherein the I-th finger is pressed against the middle phalanx II-th finger, having a bucket shape and blows applied fingertips and the palm of bases.

In addition, the essence of the invention lies in the fact that in the massage method during massage of the upper extremities, intensive movements are carried out towards the heart, and less intense from the heart, fixing the patient’s wrist with one hand and zigzag stroking the inside of the palm from the bottom with the other , pre-lubricating the hands with oil, while the I-th finger of the other hand is closed with the rest.

In addition, the essence of the invention lies in the fact that in the massage method for massage of the upper extremities, each limb is wrapped around the limbs with the palms of the hands and begins to rub it from the bottom up, grabbing the shoulder, pressing the palms firmly against the massaged region of the upper limb, performing rhythmic movement of the brushes from oneself alternately up, rubbing the shoulder joint.

At the same time, the essence of the invention lies in the fact that in the massage method during massage of the upper extremities they are helically kneading with the fingertips, while the patient’s wrist is fixed with the left hand, and the tips of the second and third fingers are bent with the second and fourth right the hands perform a spiral-shaped kneading with penetration into the connective tissue both clockwise and counterclockwise, initially treating the muscles of the shoulder girdle, simultaneously moving to the shoulder and also the shoulder joint, gradually penetrating deeply into the fingers muscles and treating the joints of the supraclavicular and subclavian region, then switch to the muscles of the free part of the upper limb and complete the reception with the forearms.

In addition, the essence of the invention lies in the fact that in the massage method for massage of the upper extremities they are kneaded by the base of the palm, grasping the patient’s wrist and shifting the brush away from each other towards the forearm, moving towards the shoulder and treating the shoulder supraclavicular and subclavian area, and then the shoulder joint, performing a top-down reception rhythmically, and returning more smoothly.

The invention also consists in the fact that in the massage method during massage of the upper extremities they are double kneading, capturing the muscles of the patient's forearm in the ring between the thumb and the rest of the closed, performing it from the bottom up and describing the circles with the hands in the direction of each other.

In addition, the essence of the invention lies in the fact that in the massage method during massage of the upper limbs, a vibration massage operation is performed, which is performed by the inside of the palm of the hand on large muscle groups of the upper limbs, while the hands make constant vibrational-trembling movements in a direction perpendicular to the skin surface .

In addition, the essence of the invention lies in the fact that in the massage method during massage of the upper extremities they are patted with both hands alternately, while the fingers of the hands from the second to the fifth are tightly closed in a bent position, and the first finger is pressed to the middle the phalanx of the second finger in the form of a bucket, and blows are applied with the fingertips and the bases of the palm, creating a vacuum in the bucket.

At the same time, the essence of the invention lies in the fact that in the massage method during massage of the upper limbs, reflexology is carried out, which is performed together with other types of kneading, while the index finger of the right hand is gradually penetrated by counterclockwise spiral movements, acting on biologically active points ji-chuan, located in the center of the axillary fossa, shao-hai, located on the inner - ulnar side of the elbow, and shao-chun, located on the radial side of the little finger, for 30 seconds on each.

In addition, the essence of the invention lies in the fact that in the massage method for massage of the lower extremities, the manipulations begin with the ankle, fixing it with one hand, and with the sliding sweeping movements, they stroking up to the buttocks, capturing the gluteal and outer thigh area, bringing the working hand back down on the side of the foot to the foot, while the hand with the inside of the palm fits snugly on the massaged area of the legs.

The invention also consists in the fact that in the massage method during massage of the lower extremities, rubbing from the ankle joint by both hands with the inside of the palm of the hand is carried out, while the thumb is withdrawn to the maximum in the opposite direction, while wrapping around the joint, performing straight rubbing rhythmically with both palms up, the brushes are moved alternately towards the buttocks, then, having processed the gluteal region, the brushes are returned to their original position.

In addition, the essence of the invention lies in the fact that in the massage method during massage of the lower extremities, the patient’s ankle joint is encircled with the palms of both hands, then the skin and muscle cover of the massaged area are displaced, describing large circles, press on the muscle with the base of the palm, then continue the displacement along the muscle fibers to the gluteal region, treating the gluteal region, then make circular movements down to the ankle joint with one hand, also putting pressure on the muscles with the base of the inner side of the palm and the other brush is fixed ankle of the patient by repeating the reception of the ankle initially upwards and then downwards.

In addition, the essence of the invention also lies in the fact that in the massage method for massage of the lower extremities, the method of spiral kneading is performed with the tips of the thumbs, describing them with small circles in the form of spirals, while the brushes are moved alternately from the bottom up, and the thumbs are maximally taken away. and the remaining fingers in a bent position clasp and fix the lower limb, while processing the place of attachment of the triceps muscle of the leg, then process the calf and soleus muscle of the leg, the muscles of the thigh of the lower extremity, then move on to the pelvic region, then continue to perform top-down massage manipulations now with one hand, fixing the ankle joint, while doing spiral-shaped kneading with the tip of the index and middle fingers of the working hand in the buttocks, then treat the free part hips, completing the massage with penetrating movements with the tips of the thumb of the working hand into the deeper layers of the calf muscle.

However, the essence of the invention lies in the fact that in the massage method for massage of the lower extremities, double ring kneading is performed with squeezing, while gripping the calf muscle with both hands in the ring between the 1st finger along with the elevation at its base, and the remaining four support the muscle from the side and are the support for the thumb, which “crushes” the underlying muscle in circular movements, while massage manipulations begin at the base of the calf muscle from the bottom up, continuing to move the muscles along the mouse of the fibers in a circular motion, with the brushes moving alternately towards each other towards the thumb, then, returning to its original position, alternate it with squeezing the calf muscles, while squeezing is also carried out by capturing the calf muscle between the first finger and the other four , and carry out the squeezing of both hands at the same time.

In addition, the essence of the invention lies in the fact that in the massage method during massage of the lower extremities, the inside of the palm of the palm is vibrated from top to bottom and bottom to top, the brush is oscillating — trembling movements in the direction perpendicular to the skin surface, while the vibration is carried out stably by hand, in contact with massaged surface of the body, each time tearing away from it, as a result of which it assumes the character of vibration-trembling shocks following one another.

However, the essence of the invention lies in the fact that in the massage method during massage of the lower extremities, patting is performed, in which massage manipulations are performed with the fingertips and the base of the palm, while the fingers from the second to the fifth are tightly closed in a bent position, and The 1st finger is pressed to the middle phalanx of the 2nd finger in the shape of a bucket, while the blows are applied with the fingertips and the base of the palm.

In addition, the essence of the invention lies in the fact that in the massage method for massage of the lower extremities, reflexotherapy massage manipulations are performed, which are performed with the index finger of the right hand, penetrating in a counterclockwise spiral motion, acting on the biologically active points of huang-tiao, cheng-fu, wei-chung, cheng shan, kun-lun, yun-chuan and tai si.

In addition, the essence of the invention lies in the fact that in the massage method for massage of the cervicothoracic part from the back, massage manipulations are performed with two hands stroking, applying brushes one after the other and completely covering the neck area, while the movements are performed in waves.

At the same time, the essence of the invention lies in the fact that in the massage method for massage of the cervicothoracic part from the back, massage manipulations of spiral-shaped kneading with the tips of the half-bent first, second and third fingers of the right hand are performed both on and against clockwise, with penetrating movements along the spinous processes of the cervicothoracic region from top to bottom, and when processing the neck region from the 1st cervical vertebra, the skin and muscle are shifted by fingers with their fingers down to the shoulder girdle, kneading the supraohumeral and scapular regions simultaneously, and pass about t of the right shoulder blade to the left, then bring the brush to its original position.

In addition, the essence of the invention lies in the fact that in the method of massage during circular kneading with the fingertips of the cervicothoracic part from the back, massage manipulations of the circular kneading are performed along the spinous processes from top to bottom with the tips of the thumbs of both hands alternately from the center to the periphery, capturing the collar region and returning the brush to its original position, then with the tips of the II, III, IV, and V fingers in a rake-like position with both brushes alternately in a circular motion work out the base area h turnips and medulla oblongata, at the same time, periodically treated with fascial sheath for sternoclavicular-mastoid and trapezius muscles, then again treated with neck and suprascapular region.

At the same time, the essence of the invention lies in the fact that in the massage method for massage of the cervicothoracic part from the back, massage manipulations of double ring kneading are performed, while both muscles are gripped in the ring between the thumb and the four other fingers and they are shifted from top to bottom towards each other, then process the supraclavicular region from left to right, returning the brush to its original position.

In addition, the essence of the invention lies in the fact that in the massage method for massage of the cervicothoracic part from the back, massage manipulations of circular kneading with squeezing are performed, while the reception is performed with both hands, at the same time they capture and squeeze the muscles of the shoulder girdle between the I-th and with the rest of the fingers, followed by its displacement towards the I-th finger from the center to the periphery, and the muscle is captured and lifted by bending the fingers only in the metacarpophalangeal joints, leaving the fingers straight, and return by brush to its original position.

However, the essence of the invention lies in the fact that in the massage method for massage of the cervicothoracic part from the back, massage manipulations of vibration and rubbing are performed, while the vibration is performed with two fingers that are set perpendicularly or at an acute angle to the massaged area, and Performing vibrations of the masseur’s brushes produce vibrational-trembling movements in a direction perpendicular to the skin surface and labile along the entire massaged area, then sawtooth rubbing with a rib both palms of the hands, while one hand goes “toward you”, the other “away from you” in the area from the 7th cervical to the 1st thoracic vertebra.

In addition, the essence of the invention lies in the fact that in the massage method for massage of the cervicothoracic region from the back, reflexotherapy is carried out, pressures on biologically active points i-feng, feng chi, jian-wai-shu, tianzong and feng fu with the tip of the index finger gradually penetrating counterclockwise, while the pressure is performed alternately at each point for 3 seconds.

At the same time, the essence of the invention lies in the fact that in the massage method for massage of the cervicothoracic part from the back, massage manipulations are performed with the tips of all the bent fingers of both hands at the same time, then the neck muscles are stretched in wavy movements in the form of vibration smoothly “towards themselves”.

Evidence of the possibility of implementing a new massage method with the implementation of the specified purpose is given below on a specific example of a massage method. This characteristic example of a specific massage method according to the invention does not in any way limit the scope of legal protection of the invention. In specific examples, only an illustration of a new massage method is given.

Given as a specific example of the invention, the massage method is illustrated graphically, where:

figure 1 shows the massage operation of stroking;

figure 2 shows the massage operation of spiral kneading with the tips of the index and middle fingers;

figure 3 shows the massage operation of circular kneading with the tips of the thumbs of both hands;

figure 4 shows the massage operation stroke hardening;

figure 5 shows the massage operation of circular kneading the base of the palm;

figure 6 shows the massage operation of the spiral kneading with the tips of all fingers;

figure 7 shows the massage operation of the run, as a kind of kneading;

on Fig shows a massage operation to perform manipulations double ring kneading;

figure 9 shows the massage operation of the sawtooth grinding;

figure 10 shows a passive massage operation of stretching muscle tissue with the forearms along the spine;

11 shows a massage operation of vibration;

on Fig shows a massage operation pat;

on Fig shows a massage operation stroking the upper limbs;

on Fig shows a massage operation grinding the upper limbs;

on Fig shows a massage operation of spiral kneading with the fingertips of the upper limbs;

on Fig shows a massage operation of circular kneading with the base of the palm of the upper limbs;

on Fig shows a massage operation double ring kneading of the upper limbs;

on Fig shows a massage operation of vibration of the upper limbs;

on Fig shows a massage operation patting the upper limbs;

on Fig shows a massage operation of reflexology of the upper limbs;

on Fig shows a massage operation stroking the lower extremities;

on Fig shows a massage operation rubbing the lower extremities;

on Fig shows a massage operation of circular kneading with the bases of the palms of the lower extremities;

on Fig shows a massage operation of spiral kneading of the lower extremities;

on Fig shows a massage operation double ring kneading with squeezing the lower extremities;

on Fig shows a massage operation of vibration of the lower extremities;

on Fig shows a massage operation patting the lower extremities;

on Fig shows a massage operation of reflexology of the lower extremities;

on Fig shows a massage operation stroking the neck;

on Fig shows a massage operation of a spiral kneading neck;

on Fig shows a massage operation of circular kneading of the neck;

on Fig shows a massage operation double ring kneading the neck;

on Fig shows a massage operation of circular kneading with squeezing the neck;

on Fig shows a massage operation of vibration - rubbing the neck;

on Fig shows a massage operation of neck reflexology;

on Fig shows a passive massage operation of stretching the muscles of the neck.

A new way to massage the body is as follows. All massage manipulations begin with the preparatory operation of stroking the back, as shown by the lines with arrows in figure 1. Stroking is performed by the inner side of the palm, making it smooth and continuous. This massage manipulation begins with the sacrum, capturing the gluteal region, and moves crosswise to the shoulders, then returns to its original position. This technique is repeated 2-3 times. When stroking, the masseur is to the left of the patient. The duration of this massage manipulation is 5 minutes. Smooth and even stroking helps to apply oil to the skin, as well as move from this preparatory operation to kneading operations, as the main operations of the new massage method. Performing gently and slowly this massage operation, thereby reducing the excitability of the patient’s nervous system. It also helps reduce pain in injuries and diseases of the neuromuscular system. Stroking speeds up the lymph flow, prepares the patient for further massage manipulations. In addition, stroking helps to establish contact between the patient's body and the hands of a massage therapist.

After the preparatory massage operation, stroking proceeds to kneading muscles, fascia, ligaments and tendons with the tips of the index and middle fingers of the right hand in their bent form, and this is done in spiral movements. This kneading is performed in spiral movements, as shown by the arrow lines in FIG. 2. Performing this manipulation, the masseur stands to the left of the patient. Begin manipulation with the lumbosacral. The tips of the index and middle fingers in circular movements counterclockwise, starting from the sacrum, smoothly penetrate into the connective tissue and muscles. This massage operation is the first massage kneading operation that is performed on the spinal column. It is performed 2-3 times. Then, with sweeping movements in the form of a figure eight, they pass from one buttock to another, performing this also 2-3 times. After that, without interrupting movements, they again switch to the sacrum, performing the previously described manipulations. From the sacrum, they go on to perform manipulations along the spine. On the spinous processes, rising upwards, with light penetrating movements, capture the left shoulder. Then they continuously perform the reverse movement to the sacrum.

Then, all the above manipulations are performed in their mirror image, and in this case, the massage therapist is to the right of the patient. In other words, in this case, a spiral-shaped kneading is carried out along the spine upward, on the right side, capturing the right shoulder. Kneading buttocks and muscles along the spinous processes periodically alternate. These massage manipulations are performed until the muscles of the back and buttocks are completely relaxed. This set of manipulations is 15 minutes. When kneading the lumbosacral, four biologically active points are most vigorously massaged: shan-liao, tsy-liao, chjun-liao and xia-liao. This is necessary to improve the effect of tuning the body to self-regulation. Vigorous massaging of these points from the position of Chinese traditional medicine strengthens the body’s energy, nourishes the blood, opens channels for the unhindered flow of energy along the meridian of the bladder. Each named biologically active point is massaged one minute with the index finger of the right hand with penetrating movements counterclockwise alternately, moving down along the meridian of the bladder. This buttock exercise helps to influence the reflex centers in the lumbosacral, which are associated with the parasympathetic part of the autonomic nervous system. Since the parasympathetic nervous system in the lumbar is responsible for the excretory functions of the body, it also helps to expand the blood vessels and initiate the general work of the body, and relieves pain. This allows you to more effectively act already with circular kneading, as the main massage operation, on the main reflex zones of the body.

After a complex of massage manipulations, kneading with spiral movements proceeds to kneading in circular motions, which are performed, as shown by the lines with arrows in Fig. 3. Massaging in this case is carried out with the tips of the thumbs of both hands, smoothly penetrating through the connective tissue between the vertebral joints from top to bottom, alternately along the spinous processes. Massage on this part of the back is given most of the time until the back muscles are completely relaxed and, as massage experts say in such a case, "the back will not settle and will not recover." This massage manipulation helps to influence the reflex zones of the motor segments, which are closely connected with all hierarchical organized levels of integration of the central nervous system, autonomic, humoral-hormonal. This is due to the fact that from the spinal cord along the autonomic nerve fibers, impulses come to all internal organs, blood vessels, sweat glands, etc. Such an effect helps to normalize blood flow and lymph flow, as well as normalize metabolism in the body. In addition, this massage manipulation helps to eliminate compaction and deposition of salts around the vertebrae, to establish trophic muscle tissue. When performing this massage operation, the masseur stands at the head of the patient.

Next, perform massage manipulation called "hatching", as shown by the lines with arrows in figure 4. In essence, hatching is a combination of massage operations such as kneading and rubbing. Hatching is performed similarly to the massage operation "hatching", as a type of grinding. The task of hatching in this case is to penetrate the deeper muscles and connective tissues with your fingertips than when rubbing. Perform hatching with the tips of the index and middle fingers of the right hand along the spine with deep penetration of the fingers into the thickness of the muscles. Masseur stands at the head of the patient! It intensively affects the connective tissue. But at the same time they do it smoothly and sparingly. The fingers of the masseur in this case should be straightened, maximally bent in the interphalangeal joints and be at an angle of 30 ° to the massaged surface. Stroking is used to soften tissues, increase elasticity and mobility. It, in particular, is used in the treatment of skin and ligamentous contractures, deforming skin scars, burns. This technique eliminates hardening in the muscles, skin, and subcutaneous fat. Perform hatching along the spinous processes of the spine from top to bottom. As the muscles and their fascia relax, the fingers penetrate as deep as possible. Penetration of the fingers into the thickness of the muscles helps to act on the connective tissue, which connects the bones and muscles. This relieves muscle tension not only of the superficial muscles, but also of the deep. Massage manipulations with connective tissue help to penetrate deeper into the muscle layers and improve the conduction reflex to the tissues of the spinal cord and internal organs. In this case, the massage therapist is at the head of the patient. This exercise is alternated with the circular kneading shown in figure 3, since it is auxiliary in this method of massage. These techniques are the basis for body shaping. Hatching takes 20 minutes, and the entire complex is 60 minutes. When it is used, wellness ointments and gels with the addition of oils are used to ensure the sliding effect of the hands of a masseur. In the cervicothoracic region, biologically active points are also used to improve the effect of body tuning on self-regulation. According to Chinese folk medicine, these fei-shu and hsin-shu points stimulate blood circulation and eliminate blood stasis. During hatching, massage manipulations with biologically active points of fei-shu and hsin-shu are carried out, each of which is massaged for about one minute.

Massaging the points is carried out by penetrating counterclockwise movements with the index finger of the right hand, moving from top to bottom along the meridian of the bladder, acting on the points in turn.

After hatching, they pass to circular kneading with the base of the palm, as shown in Fig. 5. The method of performing the reception is as follows. Circular kneading with the base of the palm is done from top to bottom along the spine, with both hands describing large circles, they act directly on the muscles. The exercise begins with pressing movements with the bases of the palm, ends with the middle phalanges of the back surface of the hand, thereby returning to its original position. The movement is performed alternately with both hands. The masseur in this case stands at the head of the patient. Under the influence of this kneading, blood flow increases, oxidative-excretory processes are activated, tissue nutrition improves, it is a kind of passive gymnastics for muscles. This exercise can be accelerated.

After circular kneading with the base of the palm, the hands move to spiral kneading with the tips of all fingers of both hands, as shown in Fig.6. The exercise is performed in the same way as in figure 2, only the massage therapist does this while standing on the right side of the patient. This exercise is used for symmetrical processing of the muscle corset. This helps to penetrate deeper into the lumbar-thoracic transition along the spinous processes. A masseur is standing to the right of the patient.

After the spiral kneading with the tips of all the fingers of both hands, they go on to roll, as a kind of kneading. Roll forward, as shown in Fig.7. It is performed with the base of the left hand, supporting the shoulder muscle with the right hand. Further, the skin is displaced in a circular motion and rolled towards the thumb of the left hand. After that, capturing and stretching the muscle, continue to do massage manipulations from top to bottom to the buttocks. In this case, the massage therapist stands to the right of the patient, and performs massage manipulations on the muscles on the left side. All this allows you to remove decay products from the muscle into the skin and stimulate the respiratory and nutritional processes of the skin. It also helps restore skin turgor, that is, make it more elastic.

After rolling, as a kind of kneading, proceed to double ring kneading, as shown in Fig. 8.

This massage operation consists in capturing muscle in the ring between the thumb and forefinger of both hands. Reception is carried out, moving from bottom to top, shifting the skin in the opposite direction, i.e. towards each other to the thumb and forefinger. This technique is combined with the roll-up described previously and illustrated in FIG. In this case, the knurling is done from top to bottom, and from the bottom up they do massage operations of double ring kneading. A masseur is standing on the right, and performs a combination of these techniques on the left side of the back. Then the massage therapist moves to the left side of the patient and does the same combination of exercises on the right side of the patient's back. This is necessary for the symmetrical processing of the muscle corset. Performing this technique improves skin turgor, relieves stress, removes toxins from the skin.

After performing all kneading operations, they go to sawtooth grinding, as shown in Fig.9. In all known massage methods, grinding, like a massage operation, is carried out immediately after the stroking operation. With the new massage method, grinding and, in particular, sawtooth grinding, is carried out after all kneading operations. When performing this massage operation, the back tissue in different directions is rhythmically shifted or stretched. In this operation, the deep muscles are not affected, but affect the muscles located directly under the skin. Sawtooth grinding is the main technique for both sick and healthy joints. Perform a sawtooth grinding along the spine from top to bottom with the elbow edges of the brushes of both hands. The skin is displaced by the elbow edges of the hands in the opposite direction towards each other, along the spine from top to bottom. Then they switch to transverse sawtooth grinding from top to bottom along the spine on the muscles adjacent to the vertebra. The technique is performed symmetrically to the left and right of the vertebra, also with the elbow edges of the hands of both hands, located parallel to each other. And they continue to move the brush alternately in the direction towards each other from top to bottom along the spine. Reception is performed vigorously 2-3 times.

Vigorous stretching and tissue displacement enhances blood circulation by expanding blood vessels and accelerating blood flow in them. In this massage method, rubbing is used at the end of the procedure on the back, as the muscles due to deep kneading are already prepared and rubbing will not bring pain when there are scars and adhesions, but on the contrary, with increased blood flow it contributes to faster oxidation of unoxidized metabolic products in tissues and their removal from the body. After kneading during grinding, the blood flow becomes more unhindered and effective for the resorption of hardenings in the connective, muscle and other tissues.

After performing a sawtooth grinding, they proceed to the massage operation of stretching the muscle tissue with the forearms along the spine, as shown in Fig. 10. This is the final massage operation. It is the operation of stretching muscle tissue with the forearms along the spine that is actually a passive massage operation. She painlessly mobilizes the joints of the spine. Since tissues and muscles have already been worked out thanks to all massage kneading operations and sawtooth grinding operations, as a rule, such a complex of massage operations in the pathology of the spinal column leads to the disappearance of pain and restoration of the relative distance between the vertebrae. Perform the reception as follows. The forearm is placed in the middle of the patient's back. Further, the forearms are slowly extended, swinging the torso with oscillatory movements. Then one of the forearms is taken to the neck, and the other to the bases of the spine, to the buttocks. Thus, a spine is stretched with a very small amplitude, slightly exceeding the normal range of motion in the intervertebral joint, not allowing any anatomical damage to the joints of the spine. Perform it 3 times.

After a complex of massage operations, depending on the individual physiology of a person, depending on his condition, pathology and specifics, the following massage operations are used.

Vibration is applied as shown by the arrow lines in FIG. 11. Vibration is performed on the inside of the palm of the hand on large muscle groups of the back. When performing a massage, the masseur’s brushes vibrate and tremble in the direction perpendicular to the skin surface. Vibration is constant, not intermittent. Jittering tremors follow each other. Repeat 2-3 times. Slight shaking of the tissues has a calming effect on the central nervous system, contributes to a better outflow of lymph.

Slam, as a kind of shock techniques, is used, as shown by the arrow lines in Fig. 12. A slap is a type of percussion technique. It is performed alternately by both relaxed hands due to quick movements. Moreover, the fingers on the hands from the second to the fifth are tightly closed in a bent position, the first finger is pressed to the middle phalanx of the second finger, that is, it has the shape of a bucket. The blows are applied with the fingertips and the bases of the palm. Perform throughout the back 2-3 times. Reception has a pronounced effect on the peripheral and central nervous system. With an energetic and quick conduct, the tonic acts and normalizes blood pressure. A special place in the new method of massage is massage of the upper and lower extremities. Massage of the upper limbs spend 10-15 minutes on each limb. Its variety is as follows.

Stroking the upper limbs is shown by the arrow lines in Fig. 13. The method of performing the reception is as follows. The upper limbs are massaged separately. When working on the upper limbs follow a certain procedure. When massaging the upper limbs, more intensive movements are used towards the heart, and lighter ones are used in the opposite direction to facilitate blood flow back to the heart. Massage begins with stroking. The masseur stands on his side at the level of the patient's hips, facing him, with one hand fixes the patient’s wrist, with the other makes a zigzag stroking from the bottom up, pre-lubricating the hands with oil to distribute it throughout the patient’s arm. With a zigzag stroking, I finger can be closed with the rest, receive the inside of the palm of the hand. Stroking is done quickly and easily. Light stroking has a pronounced calming effect on the central peripheral nervous system. With a gradual acceleration of intake, lymph flow along the large lymphatic vessels also accelerates. When exposed in this way to the skin, the ducts of the sweat and sebaceous glands open, and blood circulation and skin nutrition are enhanced.

The rubbing of the upper limbs is shown by the lines with arrows in Fig. 14. It is performed earlier than kneading, because, having worked out the reflex centers of the cervicothoracic region on the back, the hands are already relaxed and prepared to receive rubbing, and this contributes to unhindered blood flow. The method of performing the reception is as follows. They grasp the patient’s hand with palms at the base of the hand and begin to rub the arm from the bottom up, grabbing the patient’s shoulder. With palms tightly adjacent to the massaged area, the hands move rhythmically from each other upwards, capturing the patient’s shoulder region and carefully rubbing the shoulder joint. Reception is performed several times, making sure that the skin temperature has increased by 1.5-3 degrees C ° and the patient's hand has become warm. This method of grinding helps to increase blood circulation by expanding blood vessels and accelerating blood flow in them. Helps accelerate the absorption of hardenings, pathological deposits and the accumulation of fluids in tissues, stretching scars and adhesions. Often in the joints, changes occur, leading to pain and limited mobility during rotation, adduction and abduction of the upper limb. When rubbing, the bloodstream washes the joint abundantly, contributes to the unhindered nutrition of the connective tissue of the joint, as well as the production of synovial fluid.

Spiral kneading with the fingertips of the upper extremities is shown in Fig. 15. The method of performing the reception is as follows. A masseur is standing to the right of the patient facing him. With the left hand, the patient’s wrist is fixed, with the tips of the half-bent II and III fingers, the IV goes as an auxiliary, with the right hand they conduct spiral kneading with penetration into the connective tissue counterclockwise. First, the muscles of the shoulder girdle are treated, then they proceed to massage the shoulder and shoulder joint. Carefully with a gradual deep penetration of the fingers into the muscles, the joint is treated in the supraclavicular and subclavian region. Then they proceed to massaging the muscles of the free part of the upper limb, and complete by massaging the forearms. Since deep penetration through the connective tissue into the muscles allows you to work with the nerves of the brachial plexus and their branches, the anterior and posterior muscles of the free part of the upper limbs are treated. In this case, considerable attention is paid to the nerves of the brachial plexus, which have short and long branches. This helps in restoring the mobility of the joints of the upper extremities, as well as relieving muscle tension in the innervated region of the brachial plexuses. Since the plexuses are formed by the anterior branches of the Vth - VIIIth cervical vertebrae and partly of the Ith thoracic region, and the spinal nerves communicate with the sympathetic part of the autonomic nervous system, the exciting system, it prepares the body for increased activity, for stressful situations as physical and mental nature. With an increase in blood pressure, these manipulations facilitate the distribution of blood, take it to the surface layers of the skin and from internal tissues, and conduct it to the brain, heart, and muscular and skeletal systems. As a result, a natural outflow of blood from the veins of the upper extremities occurs, and this helps to remove the edema. Stimulation of the brachial plexus and its spinal branches leads to the restoration of the neuromuscular system, makes it work, establish metabolic processes. This is due to the fact that with the accumulation of metabolic products, such as lactic, phosphoric and other acids, a decrease in oxygen supply and depletion of energy resources, muscle fatigue occurs. This is true for injuries and chronic diseases of the spine, such as osteochondrosis, with excessive loads.

Circular kneading with the base of the palm of the upper limbs is shown in Fig.16. Perform it as follows. The masseur is standing to the right of the patient at the level of the hips facing the patient. They begin circular kneading with the bases of the palm, grasping the patient’s wrist. Next, the brushes are shifted from themselves alternately towards the forearm, advancing towards the shoulder. Then the shoulder joint of the supraclavicular and subclavian region is treated. Reception is performed from top to bottom rhythmically, and return more smoothly. Reception is repeated several times. This technique is combined with double ring kneading, as shown in Fig. 15, and the effect of these two massage manipulations is the same.

Double ring kneading of the upper limbs is shown in Fig.17. It is performed as follows. The masseur is standing to the right of the patient at the hip level facing him. Reception is performed in the direction from the bottom up. The muscles of the forearm of the patient’s arm are captured in the ring between the thumb and the rest closed. And they make a movement from bottom to top, describing circles with brushes in the opposite direction to each other. Under the influence of these massage manipulations, blood flow increases, oxidative-excretory processes are activated, tissue nutrition improves. This is a kind of gymnastics for the muscles, due to which the muscles receive oxygen abundantly. These manipulations contribute to the resorption of seals accumulated in chronic diseases.

The vibration of the upper extremities is shown in FIG. Massage manipulations are performed on the inside of the palm of the hand on large muscle groups of the upper limbs. When vibrations are performed, vibrational-trembling movements are performed with brushes in a direction perpendicular to the skin surface. Vibration is produced not intermittently, constantly. Oscillating-trembling movements replace each other. This massage operation is repeated 2-3 times. Reception causes a concussion of the massed tissues, affects the sensory, motor, secretory nerves and the central nervous system. The patting of the upper extremities has an analgesic effect, shown in Fig. 19. It is performed as follows. A masseur is standing to the right of the patient at the level of his hips. Perform the reception with both brushes alternately. The fingers of the masseur’s hands from the second to the fifth fingers are tightly closed in a bent position, the first finger is pressed to the middle phalanx of the second finger. Thus, the brush is a bucket shape. The blows are applied with the fingertips and the bases of the palm, creating a vacuum in the bent fingers. This helps to take the administration painlessly for the patient. The effect of this massage operation is that shock techniques act tonic in various painful processes, help to reduce and even stop pain. In addition, this massage operation is a distraction when massaging tissues located next to painful areas.

Reflexology of the upper extremities is shown in Fig.20. This massage operation is performed in conjunction with all types of kneading. The index finger of the right hand is gradually penetrated by twisting movements in a counterclockwise spiral into the muscles, thus acting on biologically active points for 30 seconds. On the upper extremities, such points as ji-chuan (located in the center of the axillary fossa), shao-hai (located on the radial side of the elbow bend), and shao-chun (located on the radial side of the little finger) are used.

The effect of this massage operation is that it eliminates the main pathological symptoms, such as heart rhythm disturbance, cerebrovascular insufficiency, headache, symptoms of impaired liver and gall bladder function, pain on the anterior inner surface of the arm, anxiety, memory loss, psychosis.

Stroking the lower extremities shown in Fig.21. Massage of the lower extremities is an important procedure, especially for large muscle groups that are located in the buttocks and legs. However, overwork and disease of the lumbosacral spine leads to such consequences as varicose veins and edema, since these areas are closely related. Massage manipulations begin with stroking. The duration of this massage operation on each limb is 10-15 minutes. In this case, the massage therapist is standing near the lower limb on which the massage will be primarily performed. Massaging the limbs is carried out from the bottom up. Start with the ankle with stroking movements, pre-lubricating the hands with oil, doing this with the inside of the palm, which fits snugly on the massaged area of the limbs. Further, having fixed the ankle with one hand, with the other with sliding sweeping movements, the limbs are stroked upwards to the buttocks, capturing further the gluteal region and the outer thigh area. Then return the hand of the working hand down the side of the leg to the foot. Perform this massage operation 2-3 times.

This massage operation reduces the excitability of the nervous system, reduces pain in injuries and diseases of the musculoskeletal system, and also speeds up the lymphatic flow, as stroking is associated only with large lymph vessels passing along.

Rubbing the lower extremities is shown in Fig.22. In this case, the masseur stands on the side of the leg. Massage surgery begins with rubbing the ankle joint with the palms of both hands. The thumb is taken as far as possible in the opposite direction. They wrap around the joint, performing straight-line rubbing rhythmically with both palms upward, the hands move alternately towards the buttocks. Massage the gluteal region and return the brush to its original position. Reception is performed several times until the skin becomes warm. In the presence of varicose veins of the lower extremities, this massage operation is performed in a special way. The palms do not fit tightly on the massaged area of the leg, while bypassing the significantly dilated veins on the legs. First, the surface layers of the skin are treated, making sure that the surface turgor of the skin is relaxed. And only after that they penetrate into the deeper layers of the skin. This is necessary in order not to harm the patient, but to reduce the painful condition of the skin and superficial layers of the muscles. Rubbing enhances blood circulation, promotes faster oxidation of unoxidized metabolic products in tissues and their removal from the body, helps to accelerate the resorption of hardening of pathological deposits and the accumulation of fluids in tissues. With neurological manifestations of osteochondrosis, rubbing with a gradual increase in the effect on the skin and muscle tissue reduces pain along the nerve trunks, as well as in places of nerve endings.

Circular kneading with the bases of the palms of the lower extremities is shown in Fig.23. The masseur in this case faces the patient on the side of him. Both hands grasp the patient's ankle joint. Then, the skin and muscle cover of the massaged area begin to shift alternately in circular sweeping movements, while simultaneously exerting pressure on the muscle with the base of the palm. Then they continue to shift muscle fibers to the gluteal region, and then carefully process the gluteal region. Then, circular movements are conducted down to the ankle joint with one hand, also exerting pressure on the muscles with the base of the palm, and the patient’s ankle joint is fixed with the other hand. Repeat the reception from the ankle from the bottom up, and then carry out similar movements from top to bottom. Perform this technique 2-3 times. With varicose veins, pressure is gradually produced from the skin into the muscle, in order to avoid painful sensations in which the muscle experiences a spasm and is not able to open. The pace at the same time is fast, but soft with a gradual increasing pressure from the skin to the muscles. This kneading technique prepares the neuromuscular apparatus for further deeper penetrating kneading techniques, as it has a calming effect and reduces muscle tone. This massage operation is essentially passive gymnastics for the superficial muscles, mobilization for connective tissue, as it stimulates the receptors of muscle tissue, which creates conditions that change the state of the central nervous system.

Spiral kneading of the lower extremities is shown in Fig.24. In this case, the masseur stands on the side of the patient facing him at the base of the foot. The method of spiral kneading is performed with the tips of the thumbs, describing small circles in the form of spirals. The brushes move alternately from bottom to top. Thumbs are maximally laid aside towards each other. The remaining fingers of the masseur’s brushes in a bent position clasp and fix the limb. Moreover, they play an auxiliary role in the displacement of the skin and kneading muscles of the massaged area. Initially, the place of attachment of the triceps muscle of the leg in the area of the calcaneal tuber is initially treated, then it is transferred to the Achilles tendon, which is connected to the tendon of the soleus muscle. Then, the calf and soleus muscle of the lower leg, the muscles of the free part of the lower limb, that is, the thigh muscles, are treated. Then they move to the pelvic region, to the gluteal muscles. Having treated the buttocks, they continue to perform the massage in the opposite direction, now with one hand from top to bottom, fixing the ankle joint, and with the other doing the actual massage manipulations. Spiral kneading is performed with the tip of the index and middle fingers of the working hand in the buttocks. Then they treat the thigh area, completing the massage with penetrating movements using the tips of the thumb of the working hand in the deeper layers of the calf muscle.

Penetration is carried out between two heads of the gastrocnemius muscle (lateral and medial). This penetration also allows you to treat the deep tibial muscle, since in the popliteal fossa vertically descends, passing between the heads of the calf muscle, the tibial nerve together with the tibial artery. The nerve is directed into the ankle-popliteal canal, and along its entire length numerous muscle branches depart from it. For example, such as the branch of the triceps muscle of the leg, the branch of the long flexor of the fingers, as well as the branch of the big toe and the branches of the plantar and popliteal muscles. Therefore, at this stage, the implementation of massage with penetration into the deep layers of the calf muscle focuses special attention, performing several times on the lower extremities from the bottom up and when returning to its original position from top to bottom to the ankle joint, carefully working out the deep muscles of the lower leg. Massage manipulations are performed to the maximum relaxation of the muscles of the lower limb. The functional characteristic of the muscles of the lower extremities distinguishes the muscles that produce the movement of the thigh in the hip joint, lower leg, knee joint, and the muscles involved in the movement of the foot. For example, in the hip joint, movement occurs around the three axes of rotation as a result of the work of six functional muscle groups that produce flexion and extension, abduction and adduction, pronation and supination of the thigh. Flexion and extension of the thigh in the hip joint is carried out by muscles located respectively in front and behind the transverse axis. In order for these muscle functions not to suffer, there must be a clear connection between the spinal nerves and the corresponding segment of the body. When leaving the intervertebral foramen, the nerve is divided into four branches: anterior, posterior, connective and meningal. Meningal innervates the lining of the spinal cord, the posterior branches innervate the skin of the occipital region, the skin and muscles of the posterior region of the neck, back, lumbar region and buttocks. The front branches, the largest, innervate the skin and muscles of the neck, chest, abdomen, upper and lower extremities. In the thoracic region, these branches retain a metomeric structure (intercostal nerves). In the remaining parts of the body, the nerve branches are connected to each other, forming the following plexuses: cervical, brachial, lumbar, sacral, from which the peripheral nerves depart. In the motor functions of the lower extremities, the lumbosacral plexus plays an important role. This plexus is formed by the anterior and posterior branches of the I-III lumbar, partially XII thoracic and IV lumbar (lumbar plexus), V lumbar with I-IV sacral and partially IV lumbar spinal nerves. Also, long and short branches of nerves come out of these plexuses, which directly innervate the muscles and skin of the lower extremities. The short branches include: the internal obturator nerve, piriform, square muscle nerve, superior gluteus, gluteus maximus, genital. The long branches include: posterior cutaneous nerve of the thigh, sciatic, tibial (branch of the sciatic), common peroneal (branch of the sciatic). Working with these nerves allows you to quickly and efficiently restore the motor functions of the muscles of the lower extremities.

Double ring kneading with squeezing the lower extremities is shown in Fig.25. When performing this operation, the masseur stands on the side of the patient, facing him. At the same time, the gastrocnemius muscle is grabbed by the hands of both hands into the ring between the 1st finger along with the elevation at its base, the other four fingers support the muscle from the side and are the support for the thumb, which, as it were, “crushes the underlying muscle in circular movements.”

Massage begins at the base of the calf muscle in a direction from the bottom up and continues to displace the muscles along the muscle fibers in a circular motion. In this case, the brushes are moved alternately towards each other towards the thumb. Returning to the starting position, alternating the reception of double ring kneading with squeezing the calf muscles. Squeezing is also carried out by capturing the calf muscle between the 1st finger and the other four, which are the support for the thumb. Squeeze at the same time with both hands. The movement is carried out in the upward direction, having performed the squeezing method. Alternate double ring kneading with squeezing 2-3 times. Since this technique is passive gymnastics for the muscles, it helps to mechanically “loosen and crush” the hardening in it. Under the influence of this kneading, oxidation-excretion processes are activated, namely the removal of lactic acid from muscle tissue, which allows to reduce muscle tone and improves muscle tissue nutrition with oxygen.

The vibration operation of the lower extremities is shown in FIG. In this case, the masseur is on the side of the patient. Vibrate the inside of the palm from top to bottom and from bottom to top. Brush make vibrational-trembling movements in the direction perpendicular to the skin surface. Vibration is produced stably. At the same time, the hand that comes into contact with the massaged surface of the body is torn off from it each time, as a result of which the movements take on the character of vibrational-trembling shocks following one after another. Mild concussion of the massaged tissue has a calming effect on the nervous system, has an analgesic effect, which can be used for various injuries and diseases of the musculoskeletal system, as well as for completing massage of the lower extremities.

The operation of patting the lower extremities is shown in Fig.27. The masseur in this case stands on the side of the patient. Perform this massage operation alternately with both relaxed hands due to quick patting movements. The fingers of the masseur from the second to the fifth are tightly closed in a bent position, and the first finger is pressed to the middle phalanx of the second finger (bucket shape). The blows are applied with the fingertips and the base of the palm. Energetic and quick massage shock manipulations act on the patient's body tonic, but at the same time, with various painful processes, they help reduce and even stop pain. Therefore, these manipulations are used as a distraction when massaging tissues located next to painful areas.

The operation of reflexology of the lower extremities is shown in Fig. 28. Perform this massage operation together with all types of kneading on the lower extremities. With the index finger of the right hand, they penetrate counterclockwise spiral movements in such points as: shuang-tiao, chen-fu, wei-chung, chen-shan, kyun-lun, yun-chuan, tai-si.

Exposure to Cheng Shan points, wei-chung softens muscles, relieves spasm, stimulates blood circulation, and relieves pain. And the impact on the points of kun-lun, cheng-fu, huan-chiao improves the condition of the gastrointestinal tract, relieves pain in the lumbar region, pain in the external genital organs, pain in the spine, hip joint, thigh, lower leg, heel, Vth a finger. Exposure to tai chi, yong-chuan points improves the condition of the kidneys, eliminates urinary disorders, and also eliminates urinary retention, cures diseases of the internal organs, diseases of the ear, throat, nose, eyes, neuropsychiatric disorders, depression, fears, stops the toothache pain.

After massage operations on the lower extremities, they go on to massage the neck. The massage takes 15-20 minutes. Stress and tension tend to “concentrate” in the neck. This tension extends to the muscles and fascia of the head, which is one of the most common causes of headaches. Since stress builds up for a long time, the effects of this voltage extend to the lap belt. In this case, the conduction functions of the spinal cord suffer, through which the ascending and descending paths pass, which transmit information to the spinal cord and brain and connect the cerebral cortex, subcortical nuclei and the formation of the brain stem with spinal cord motor neurons, which influence the higher parts of the central nervous system on skeletal muscle activity. The immediate extension of the spinal cord in humans is the medulla oblongata. The medulla oblongata and the bridge of the brain, or the warolium bridge, together with the middle and intermediate brain form the brain stem. The brain stem includes a large number of nuclei of the ascending and descending paths. The reticular formation located in the brain stem is of great functional importance. The accumulation of nerve cells leads to the formation of nuclei, which are the centers of more or less complex reflexes. Of the 12 pairs of cranial nerves connecting the brain to the periphery of the body - its receptors and effectors, 8 pairs (V-XII) originate in the medulla oblongata. The reflex function of the medulla oblongata is that it has a number of vital centers: respiratory, cardiovascular and food centers. Thus, the main biological role of the medulla oblongata is to ensure the constancy of the internal environment of the body. Due to connections with proprioreceptors, the medulla oblongata acts as a regulator of skeletal muscle tone, regulates the functioning of the spinal cord. This regulation is aimed at the functional unification of all segments of the spinal cord, at providing conditions for its holistic activity. The medulla oblongum carries out more subtle forms of adaptive reactions of the body to the external environment compared to the spinal cord. That is why the massage operations described below are of great importance in the new massage method and are the last stage of the general complex of massage operations.

Stroking the neck is shown in Fig. 29. Method of reception: the patient lies on the table face down, puts his hands under his head. The frontal part of the head is placed on the back of the palm. The masseur initially occupies a position to the left of the patient. Perform massage movements from top to bottom. Reception stroking is performed with 2 hands. The brushes are applied one after the other, completely covering the neck area so that the far arm of the massage therapist with respect to the massaged area is in front of the nearest. The movement is performed in waves, while distributing the oil on the massaged area. Reception is performed 2-3 times.

Effect: this technique, when performed slowly, removes the excitability of the nervous system, and has a pronounced calming effect.

Spiral kneading of the neck with the fingertips shown in Fig.30.

Method of reception: the masseur is standing to the left of the patient facing him. The masseur performs spiral-shaped kneading with the tips of the half-bent I, II, III fingers of the right hand, counterclockwise by penetrating movements along the spinous processes of the cervicothoracic region from top to bottom. It processes the neck area from the I cervical vertebra, shifts the skin and muscle down with the fingers to the shoulder girdle, kneads the suprahumeral and scapular region at the same time, passes from the right shoulder blade to the left, then brings the brush to its original position. Performs reception 3-5 times. Effect: when deep and prolonged kneading get a calming effect, which reduces muscle tone. It also contributes to the mechanical loosening of the muscles and crushing hardening in them.

The circular kneading of the neck with the fingertips is shown in FIG. The masseur in this case occupies a position at the head of the patient. Circular kneading is performed along the spinous processes from top to bottom with the tips of the thumbs with both hands alternately from the center to the periphery, capturing the collar region, and then returning the brush to its original position. Then, with the tips of the II, III, VI, VI and V fingers, in the rake-like position, with both hands, alternately in circular motions work the base of the skull in the area of twelve pairs of cranial nerves, affecting the region of the medulla oblongata. Next, fascial vaginas for sternocleidomastoid and trapezius muscles are periodically treated. Then the neck and suprascapular region are treated again. Reception performs 3-5 times. Due to chronic overstrain or consequences of osteochondrosis over time, in the area of the attachment of the sternocleidomastoid and trapezius muscles, in the area of the cranial nerves, in the region of the medulla oblongata, seals and adhesions appear that impede the functions of these organs. With the help of deep penetrating kneading, they significantly reduce muscle tone, increasing lymphatic drainage and blood circulation, activating redox processes. Thus, the work of the reflex and conduction functions of the spinal cord and brain is established, and edema is eliminated. By working in this way, the deep muscles of the neck act on the anterior branches of the four upper cervical spinal nerves, as well as the cervical plexus. The skin branches of the cervical plexus, the so-called sensitive nerves, innervate the skin of the occipital region, auricle, external auditory canal, neck. The muscle branches innervate the long muscles of the head and neck, the anterior and posterior scalene muscles, the lateral and anterior rectus muscles of the head, the muscle that raises the scapula, and the trapezius and sternocleidomastoid muscle, which is responsible for bilateral reduction of these muscles when the head is thrown back behind these features. Unilateral contraction of this muscle contributes to the tilt of the head to the side and its simultaneous rotation in the opposite direction. Massage of these muscles restores the mobility of the neck and head in different projections.

Double ring kneading of the neck is shown in Fig. 32. The masseur in this case is facing the patient to the right of the patient. With both hands, they grab the muscle in the ring between the thumb and the four other fingers and shift the muscle from top to bottom towards each other, while the hands are moved towards each other. Then process the supraclavicular region from left to right, then return the brush to its original position. All described is repeated 3-5 times. This technique affects the state of the neuromuscular system, performs the function of squeezing and removing lactic acid. Beneficial effect on muscle tissue receptors.

Circular kneading with squeezing the neck is shown in Fig. 33. When performing this massage operation, the masseur occupies a position to the right of the patient, facing him. In this case, the reception is performed with both brushes. At the same time, the muscles of the shoulder girdle are gripped and squeezed between the 1st and the remaining 4 fingers, followed by its displacement towards the 1st finger from the center to the periphery. Capture and lifting of the muscle is carried out due to flexion of the fingers only in the metacarpophalangeal joints, the fingers are left straight, the hands are returned to their original position. Perform the reception 3-5 times. Effect: beneficial effect on the neuromuscular apparatus, reduces overstrain, fatigue and tension of the muscles of the neck and shoulder girdle. It also contributes to the squeezing of lactic acid, due to this there is a normal supply of oxygen and nutrients to muscle tissue.

Massage operation of vibration-grinding of the neck is shown in Fig. 34. In this case, the massage therapist is standing to the right of the patient, facing him. In this case, vibration is performed with 2 fingers, which are set perpendicularly or at an acute angle to the massaged area. When vibrations are performed, vibrational-trembling movements are carried out with brushes in a direction perpendicular to the skin surface. Then, a sawtooth rubbing by the edge of both palms of the hands is made so that one hand goes towards itself, and the other from itself in the region of the VIIth cervical - Ith thoracic vertebra. Vibration in combination with other massage techniques promotes a better outflow of lymph, interstitial fluid and venous blood, relieves muscle tone and tension. After vibration, a grinding procedure is performed, which leads to an unimpeded increase in blood circulation due to vasodilation, normalization of blood pressure, since not all patients can rub the neck area so as not to excite the nervous system. In this case, grinding helps to accelerate the resorption of hardenings, pathological deposits and accumulations of fluids in tissues.

Massage neck reflexology operation is shown in Fig. 35. When performing this massage operation, the masseur occupies a position to the right of the patient, facing him. At the same time, pressure is applied to the biologically active points with the tip of the index finger, and this is done with penetrating movements inward counterclockwise. Pressure is performed alternately at each point for 3 seconds. Massage of i-feng, feng-ch points helps to improve blood circulation on the affected side and restores the function of damaged nerves and their areas, also promotes resorption of swelling, relieves pain, restores mobility at the points of muscle attachment. In addition, this manipulation relieves pain in the neck, nape, shoulder girdle, relieves the pathology of limited mobility of the fourth finger. Massage of jian-wai-shu and tian-zui points relieves swelling and pain in the neck, face, restores hearing, eliminates nervous breakdown, restores normal bowel function. The feng fu point is the projection site on the skin of the medulla oblongata. Her massage stimulates the transport of oxygen-enriched blood to the brain through the vertebral artery, and also increases the outflow of waste blood from the brain through the veins, and improves blood supply to the brain.

Passive massage operation for stretching the neck muscles is shown in Fig. 36. When performing this massage operation, the masseur stands at the head of the patient, facing him. At the same time, with the tips of half-bent fingers from the 1st to the Vth, both hands stretch the muscles of the neck in wavy movements in the form of vibration, smoothly, towards themselves. Repeat this manipulation three times. This helps to restore the normal distance between the vertebrae, which improves the functioning of the musculoskeletal system and the functions of the spinal cord and brain.

A new massage method is more gentle, but no less penetrating into the deep layers of the patient’s muscle tissue than the prototype method. This is important for the patient, as he should be completely relaxed during the massage, feel the comfort and pleasure of the massage manipulations. The patient during treatment using the new massage method does not feel discomfort. Discomfort, accompanied by pain, always leads to muscle tissue hypertonicity and blocks the penetration of the fingers of the hands of the masseur to the necessary points in the process of performing massage manipulations. That is why when carrying out massage it is impossible to achieve the maximum positive effect if the patient experiences discomfort and especially pain during the massage. In connection with the foregoing, it should be noted that the use of the new massage in practice will eliminate the pain syndrome in patients when performing massage manipulations, as well as increase the percentage of patients' recovery.

Below in the form of features are descriptions of the application of the proposed method of massage for various specific pathologies.

Feature 1. An example of the healing effect of the new massage method on the main diseases of the musculoskeletal system. If the patient has diseases of the cervicothoracic spine, then this will be reflected in the region of the upper extremities, in the muscles of the head, neck, back and chest. This is manifested in the form of neurological syndromes of osteochondrosis. For example, in the chest it may be intercostal neuralgia. In addition, this leads to atrophy of the muscles of the upper extremities and back, their excessive tension, to a violation of mobility in the joints of the upper limbs, such as the shoulder, elbow joints, joints of the hands. Due to problems in the cervicothoracic spine, venous blood stagnates in the spinal canal and decay products are not removed on time, if the process lasts for years, salt deposition in the ligaments, tendons and along the edges of the spine is added to everything else. In order to stop or prevent degenerative processes in the upper limbs, in the muscles of the back and chest, as well as in the cervico-thoracic spine, massage is carried out primarily on the spinous processes of the cervicothoracic section along the spine in order to affect the reflex centers of this section. They do this in order to establish a connection between the spinal cord and the brain through nerve roots with strictly defined parts of the body (upper limbs, back and chest muscles). This connection also occurs with the autonomic nervous system, and it, in turn, helps to establish the work of blood flow and lymph flow. The pathological condition of the spine is one of the main causes of impaired lymph circulation. Blood in a large circle carries oxygen and nutrients to all organs and tissues of the body, and it takes and removes decay products from the body. With this pathology of metabolism, lymphatic drainage is disturbed, which leads to tissue edema, as a result of overflow of interstitial spaces. Only after massage on the spinous processes is it advisable to massage the muscles of the back, chest and upper limbs.

Feature 2. If the patient has a disease of the spine in the lumbar or lumbosacral spine, then the consequences of these diseases will extend to the region of the sacrum, buttocks and lower extremities. Initially, fatigue and hardening of the muscles occurs, then pain comes, especially with improper load on the joints of the spine. Since in a chronic disease in the lumbosacral region there is no normal innervation of these parts of the body through the spinal roots, blood flow and lymph flow are disturbed and varicose veins develop, as well as joint disease of the lower extremities. In order to stop or prevent degenerative processes in the lumbosacral in the lower extremities, as well as muscle cramps in the buttocks, massage is carried out primarily on the lumbosacral along the spine. In this case, they affect the centers of the muscles of the lower extremities. Massage in this area helps to establish a connection through the nerve roots of the spinal cord with the lower extremities, as well as with the autonomic autonomic system, which in turn helps to establish blood flow and lymph flow in this part of the spine and in the lower extremities. Restored blood flow helps to establish metabolism, produce synovial fluid in the joints of the lower extremities. In other words, first you need to massage the lumbosacral, and only after that you need to do massage on the lower extremities.

Feature 3. If the patient has osteochondrosis in the cervicothoracic and lumbar spine, then massage is carried out along the spinous processes along the entire spine and only then massage of the upper and lower extremities.

Feature 4. If the patient has a fracture or chronic disease of the upper extremities, massage is performed on the cervicothoracic region. This helps to remove edema from the upper extremities much more effectively. And only then do massage of the upper limbs.

Feature 5. If the patient has a fracture or pathology of diseases of the lower extremities, massage is performed primarily on the lumbosacral spine. It also helps relieve swelling from the lower extremities. Only after this, massage of the lower limbs with pathology is performed.

Feature 6. If the patient has a metabolic disorder, as a result of which the fullness of the body develops, massage is also performed primarily on the spinous processes along the spine for 20 minutes. To establish communication through the nerve roots of the spinal cord and brain with organs, the main parts of the nervous system, especially with the autonomic nervous system, which controls the metabolic processes and also helps to establish blood flow and lymph flow. This helps relieve internal edema in the body, remove excess fluid. This contributes to weight loss in both men and women. The same method is used for modeling facial massage (essential effect), removing internal edema from the muscles of the head, which contributes to a significant effect.

Massage along the spinous processes along the entire spine with circular penetrating movements with your fingertips for a long time is the basis for the prevention of the above diseases. In this case, cosmetic balms, gels and aromatic oils are used during the massage.

The following are examples of effective treatment of the claimed method.

Example 1. Patient E., 40 years old, a housewife who previously worked as a cook, is currently a disabled person of group II.

Diagnosis: ankylosing spondylitis - a chronic systemic disease of the joints with a primary localization of the process in the sacroiliac joints, joints of the spine and paravertebral soft tissues. The inflammatory process in the joints is due to immunological mechanisms, as well as irreversible stiffness of the spine, muscle tension with constant atrophy.

It was treated several times by various methods (sanatoriums, physiotherapy, potent medicines).

After the treatment, the basis of which was the claimed method of massage, the patient's condition improved significantly. Pain in the joints, sacroiliac joints of the spine decreased, mobility in these joints, as well as in the hip joint was restored, as the patient had complications in the form of stiffness of the hip joint.

In fact, this massage method prevented muscle atrophy in the sacroiliac joints, as well as muscles of the lower extremities. It is important to note that the patient was removed excess fluid from the body, as it acquired excess volume due to the fact that she took potent drugs, as well as hormonal drugs. Excess volume and weight had a very negative effect on the patient’s condition, which is not permissible in the presence of a diagnosis of ankylosing spondylitis. The patient undergoes a general massage course of the claimed method twice a year, the course of which is 10 days.

Example 2. Patient A., 48 years old, teacher of the Russian language. Diagnosis: deforming arthrosis of the knee joints of the lower extremities, acquired as a result of "wear" and metabolic degenerative changes in the body. The nature of the disease is chronic, as a result of which mobility in the knee joints and ligaments was lost. Synovial fluid was not produced in the required amount, which caused severe pain, as the joints rubbed against each other. Due to degenerative metabolic processes in the body, the patient acquired excess weight and volume, which is extremely contraindicated in the diagnosis of arthrosis.

The patient was treated several times with various methods: physiotherapy, drug treatment. Doctors suggested an operation to replace the knee joints. After the treatment, which was based on the claimed method of massage, mobility in the joints was restored, excess fluid was removed from the body. The patient significantly reduced weight, left swelling of the lower extremities. As a result, the patient refused the operation, since the need for it disappeared. Currently, the patient is undergoing prophylactic massage by the claimed method twice a year for ten sessions.

Example 3. Patient Yu., 43 years old, entrepreneur - driver. Diagnosis: fracture in the ankle joint. The patient had complications due to a fracture, chronic swelling of the ankle joint, there was no mobility. Blood supply and metabolism were impaired. Due to chronic edema, one leg was significantly larger than the other, which prevented the patient from walking. He was treated several times by various methods, underwent a course of physiotherapy, drug treatment. After treatment with the claimed method, edema in the ankle joint area was significantly reduced, mobility was restored. The patient underwent a course of 10 massage sessions by the claimed method.

Example 4. Patient V., 50 years old, entrepreneur. Diagnosis: cervicobrachial sciatica, as a result of which a loss of sensation and atrophy of the upper limb - the arm developed. It was treated several times by various methods, after the treatment of the disease with the claimed method, the sensitivity of the upper limb, its mobility was restored, the pain went away. The patient began to turn her head. She completed a course of general massage for 10 sessions (2 sessions).

Example 5. Patient G., 55 years old, housewife. Diagnosis: radiculitis of the lumbosacral spine. Nature of the disease: chronic osteochondrosis of the spine. The inflammatory process of the roots of the spinal cord was caused by hypothermia. When moving, the pain intensified, the patient was forced to transfer the weight of the body to the healthy side, which led to a curvature of the spine and overstrain of the back muscles. It was treated several times by various methods, including acupuncture. After treatment with the claimed method, the function of the spinal roots of the lumbosacral region was restored. The pain localized in this part of the spine along the sciatic nerve is stopped, the muscle strain is removed. The patient could carry out movement freely. She completed a three-time massage course of 10 sessions.

Example 6. Patient A., 32 years old, housewife. Diagnosis: Crohn's disease, impaired bowel function, due to the absence of villi on the inner walls of the intestine. Since the patient takes drugs that are vital for intestinal function, which leads to side effects, it has a negative effect on the peripheral nervous system of the cervicothoracic spine. With inflammation of the spinal roots of this department, the pain was also localized in the upper limb along the median nerve, which impaired the function of the upper limbs. There was also limited mobility in the cervicothoracic region, so pain occurred when turning the head to the side. It was treated several times by various methods, underwent a course of physiotherapy, drug treatment. After treatment with the claimed method, side effects from taking the drugs on the peripheral and central nervous system were eliminated. The patient undergoes a course of general massage for 10 sessions every 2-3 months.

Example 7. Patient L., 48 years old, housewife. Diagnosis: obesity due to metabolic degenerative changes in the menopause. The patient underwent plastic surgery in the abdomen. Since the patient has a disease in the form of a disc herniation of the lumbar spine, she was prescribed drug treatment with hormonal drugs, as a result of which she again acquired excess volume and weight. After the treatment by the claimed method, the metabolism was restored, which led to the removal of excess fluid from the body, and the metabolism in the fatty tissue was also established. The patient undergoes a course of general massage 10 sessions 2 times a year, but without affecting the part of the spine affected by a hernia.

Claims (43)

1. A massage method based on deep penetrating kneading, characterized in that deep penetrating kneading is carried out by acting on the main reflex centers of the nervous system of the spinal column along the spinous processes, gently touching the skin and through the nerve receptors deeply and smoothly acting as on the connective tissue: fascia, ligaments and tendons, as well as on the muscles, while before they are performed, stroking the back, and after all massage kneading operations, perform a sawtooth massage operation erasure, then a passive massage operation is performed to stretch the muscle tissue with the forearms along the spine, then vibration and patting operations are performed, as the final auxiliary massage operations of the back, after which the upper and lower extremities massage operations are performed, and the kneading operation, as the main massage operation in this case, carried out after the grinding operation, then massaging the cervicothoracic region from the back, completing it with a zigzag passive operation of muscle stretching cervical spine, before which reflexology is carried out, as an auxiliary massage operation. 2. The massage method according to claim 1, characterized in that stroking the back, as a preliminary massage operation, perform the inner side of the palm, making it smoothly and continuously. 3. The massage method according to claim 1, characterized in that the stroking begins with the sacrum, capturing the gluteal region, and moves crosswise to the shoulders, then returns to its original position. 4. The massage method according to claim 1, characterized in that as the first main operation, kneading with the tips of the index and middle fingers of the right hand in their bent form with spiral movements is performed. 5. The massage method according to claim 1, characterized in that the kneading is performed with the tips of the index and middle fingers of the right hand in their bent form in spiral movements, starting from the sacrum, smoothly penetrating into the connective tissues and muscles. 6. The massage method according to claim 1, characterized in that immediately after kneading the sacrum, they go on to perform manipulations with spiral movements along the spine, climbing up the spinous processes, with light penetrating movements, capturing the left shoulder, then continuously perform the reverse movement to the sacrum. 7. The massage method according to claim 1, characterized in that the kneading with spiral movements of the buttocks and muscles along the spinous processes is periodically alternated. 8. The massage method according to claim 1, characterized in that when kneading with spiral movements of the lumbosacral spine, reflexology is carried out, most energetically massaging the four biologically active points of Shan Liao, Qi-Liao, Zhong-Liao and Xia-Liao for one minute each finger of the right hand with penetrating movements counterclockwise alternately, moving down along the meridian of the bladder. 9. The massage method according to claim 8, characterized in that after a complex of massage manipulations, kneading with spiral movements proceeds to kneading in circular movements, and massaging in this case is carried out with the tips of the thumbs of both hands, smoothly penetrating through the connective tissue between the vertebral joints from top to bottom alternately along spinous processes. 10. The massage method according to claim 9, characterized in that after a complex of massage manipulations of kneading in a circular motion, stroke is performed by stretching in the interphalangeal joints and at an angle of 30 ° to the massaged surface with the tips of the index and middle fingers of the right hand along the spine with deep penetration of fingers into the thickness muscles, intensively affecting the connective tissue, and do it smoothly and sparingly. 11. The massage method according to claim 10, characterized in that the hatching is performed along the spinous processes of the spine from top to bottom, alternating it with kneading in a circular motion and performing reflexology, while massaging the biologically active points of the fei-shu and Xin-Shu of the cervicothoracic region, each of which is massaged for one minute, and the massaging of the points is carried out by penetrating counterclockwise movements with the index finger of the right hand, moving from top to bottom along the meridian of the bladder, acting on the points in turn. 12. The massage method according to claim 10, characterized in that after a complex of massage manipulations of hatching, they perform kneading manipulations with circular movements with the base of the palm, and circular kneading with the base of the palm done from top to bottom along the spine with both hands, describing large circles, and begin the exercise by pressing movements with the base of the palm , and end with the middle phalanges of the back surface of the brush, thereby returning to its original position, while the movement is performed alternately with both hands. 13. The massage method according to p. 12, characterized in that when manipulating the kneading in circular movements with the base of the palm of his hand, it alternates with kneading with spiral movements of the fingers, circular movements of the fingers and hatching. 14. The massage method according to p. 12, characterized in that after circular kneading with the base of the palm go to a spiral kneading with the tips of all fingers of both hands of the muscles, fascia, ligaments and tendons. 15. The massage method according to 14, characterized in that after the spiral kneading with the tips of all fingers of both hands, they begin to roll, as a kind of kneading, performing it with the base of the left hand and supporting the shoulder muscle with the right hand, then shift the skin in a circular motion and carry out the roll towards the thumb of the left hand, after which, capturing and stretching the muscle, continue to do massage manipulations from top to bottom to the buttocks. 16. The massage method according to claim 15, characterized in that after rolling, as a kind of kneading, they proceed to double ring kneading, while gripping the muscle, shifting the skin directly in the opposite direction to the thumb and forefinger. 17. The massage method according to claim 1, characterized in that after performing all kneading operations, they go to sawtooth rubbing along the spine from top to bottom with the ulnar edges of the hands of both hands, rhythmically shifting or stretching the back tissue in opposite directions, without affecting the deep muscles, then they pass to transverse sawtooth grinding from top to bottom along the spine on the muscles adjacent to the spine, performing symmetrically to the left and right of the vertebrae also with the ulnar edges of the hands of both hands located parallel to each other, then continue to move the brush alternately in the direction of each other from top to bottom along the spine. 18. The massage method according to claim 1, characterized in that after performing a sawtooth grinding, they pass to a passive massage operation to stretch the muscle tissue with the forearms along the spine, while the forearms are placed on the middle of the patient’s back, then the forearms are slowly extended, swinging the torso with oscillatory movements, and then one of the forearms is brought to the neck, and the other to the base of the spine, to the buttocks, thus stretching the spine with a small amplitude exceeding the normal range of movements in the intervertebral internal joint and to prevent any damage to anatomical joints of the spine. 19. The massage method according to claim 1, characterized in that after the massage operation, stretching the muscle tissue with the forearms along the spine proceeds to the vibration massage operation, which is performed by the inside of the palm on the large muscle groups of the back and during which constant, continuous vibrational-trembling movements are performed in the direction perpendicular to the surface of the skin, then pat, as a kind of shock techniques, performing it alternately with both hands due to fast movements, at m fingers of the hands of the II-th to V-tightly closed, in the first half-bent position, wherein the I-th finger is pressed against the middle phalanx II-th finger, having a bucket shape and blows applied fingertips and the palm of bases. 20. The massage method according to claim 1, characterized in that during the massage of the upper extremities carry out intensive movements towards the heart, and less intense towards the heart, fixing the patient’s wrist with one hand and zigzagging with the other hand stroking the inside of the palm from the bottom up , pre-lubricating the hands with oil, while the I-th finger of the other hand is closed with the rest. 21. The massage method according to claim 1, characterized in that during the massage of the upper limbs grab each limb with palms at the base of the brush and begin to rub it from the bottom up, grabbing the shoulder, resting tightly with the palms of the massed region of the upper limb, performing rhythmic movement of the brushes away from you alternately up, rubbing the shoulder joint. 22. The massage method according to claim 1, characterized in that during massage of the upper extremities they are held spiral-shaped kneading with the fingertips, while the patient’s wrist is fixed with the left hand, and the tips of the second and third fingers are bent with the second and fourth fingers of the right carry out spiral kneading with penetration into the connective tissue both clockwise and counterclockwise, initially treating the muscles of the shoulder girdle, simultaneously moving to the shoulder, as well as the shoulder joint, gradually penetrating deep into the muscles with your fingers and processing the joint you supraclavicular and subclavian area, then move on to the free part of the upper limb muscles and ending reception forearms. 23. The massage method according to claim 1, characterized in that during massage of the upper limbs they are kneaded by the base of the palm, grasping the patient’s wrist and shifting the brush away from each other towards the forearm, moving towards the shoulder and treating the shoulder of the supraclavicular and subclavian area, and then the shoulder joint, performing a top-down reception rhythmically, and returning more smoothly. 24. The massage method according to claim 1, characterized in that during massage of the upper extremities they are double kneading, capturing the muscles of the forearm of the patient’s hand in the ring between the thumb and the rest of the closed, performing it from the bottom up and describing circles with the brushes in the direction of each other. 25. The massage method according to claim 1, characterized in that during the massage of the upper extremities, a vibration massage operation is performed, which is performed by the inside of the palm of the hand on large muscle groups of the upper extremities, while the hands make constant vibrational-trembling movements in the direction perpendicular to the skin surface . 26. The massage method according to claim 1, characterized in that during massage of the upper limbs they are patted with both hands alternately, while the fingers of the hands from the second to the fifth are tightly closed in a bent position, and the first finger is pressed to the middle the phalanx of the second finger in the form of a bucket, and the blows are applied with the fingertips and the bases of the palm, creating a vacuum in the bucket. 27. The massage method according to claim 1, characterized in that during the massage of the upper limbs, reflexology is carried out, which is performed in conjunction with other types of kneading, while the index finger of the right hand is gradually penetrated by counterclockwise spiral movements, affecting biologically active points: ji-chuan, located in the center of the axillary fossa, shao-hai, located on the inner - ulnar side of the elbow, and shao-chun, located on the radial side of the little finger, for 30 s each. 28. The massage method according to claim 1, characterized in that during the massage of the lower extremities, the manipulations begin with the ankle, fixing it with one hand, and the other with sliding sweeping movements, stroking up the buttocks, capturing the gluteal and outer thigh area, returning the working hand brush down on the side of the foot to the foot, while the hand with the inside of the palm fits snugly against the massaged area of the legs. 29. The massage method according to claim 1, characterized in that during massage of the lower extremities, rubbing from the ankle joint with both hands by the inside of the palm of the hand is carried out, while the thumb is withdrawn to the maximum in the opposite direction, while wrapping around the joint, performing straight rubbing rhythmically with both palms up , and the brushes are moved alternately towards the buttocks, then, after processing the gluteal region, the brushes are returned to their original position. 30. The massage method according to claim 1, characterized in that during the massage of the lower extremities the ankle joint of the patient is clasped with the palms of both hands, then the skin and muscle cover of the massed area are displaced, describing large circles, press on the muscle with the base of the palm, then continue the displacement along the muscle fibers to the gluteal region, treating the gluteal region, then makes circular movements down to the ankle with one hand, also putting pressure on the muscles with the base of the inner side of the palm, and with the other with a fixi they break the patient's ankle joint, repeating the intake initially from the ankle joint from bottom to top, and then from top to bottom. 31. The massage method according to claim 1, characterized in that during the massage of the lower extremities they perform the method of spiral kneading with the tips of the thumbs, describing them with small circles in the form of spirals, while the brushes are moved alternately from the bottom up, and the thumbs are maximally taken away. the remaining fingers in a bent position grasp and fix the lower limb, while processing the place of attachment of the triceps muscle of the leg, then process the calf and soleus muscle of the leg, thigh muscles, then go on and the pelvic region, then continue to perform top-down massage manipulations now with one hand, while fixing the ankle joint, while doing a spiral-shaped kneading with the tip of the index and middle fingers of the working hand in the buttocks, then treat the area of the free part of the thigh, completing the massage with penetrating movements with using the tips of the thumb of the working hand into the deeper layers of the calf muscle. 32. The massage method according to claim 1, characterized in that during the massage of the lower extremities, double-ring kneading is performed with squeezing, while gripping the calf muscle with both hands in the ring between the 1st finger along with the elevation at its base, and the remaining four support the muscle from the side and are a support for the thumb, which “crushes” the underlying muscle in circular movements, while massage manipulations begin at the base of the calf muscle from the bottom up, continuing to displace the muscles along the muscle fibers in circular movements, moreover, the hands are mixed alternately towards each other towards the thumb, then returning to their original position, alternating it with squeezing the calf muscles, while squeezing is also carried out by capturing the calf muscle between the first finger and the other four, and squeezing at the same time with both hands. 33. The massage method according to claim 1, characterized in that during the massage of the lower extremities, the inner side of the palm is vibrated from top to bottom and from bottom to top, vibrating-trembling movements are carried out with a brush in a direction perpendicular to the skin surface, while the vibration is carried out stably by hand, in contact with massaged surface of the body, each time tearing away from it, as a result of which it assumes the character of quiver-trembling tremors following one after another. 34. The massage method according to claim 1, characterized in that when massaging the lower extremities, a pat is performed, in which massage manipulations are performed with the fingertips and the base of the palm with both hands due to rapid movements, while the fingers from the second to the fifth are tightly closed in a bent position, and the 1st finger is pressed to the middle phalanx of the 2nd finger in the form of a bucket, while the blows are applied with the fingertips and the base of the palm. 35. The massage method according to claim 1, characterized in that during the massage of the lower extremities, reflexotherapy massage manipulations are performed, which are performed with the index finger of the right hand, using counter-clockwise spiral movements, acting on the biologically active points of huang-tiao, cheng-fu, wei-chung, cheng shan, kun-lun, yun-chuan and tai si. 36. The massage method according to claim 1, characterized in that during the massage of the cervicothoracic region from the back, massage manipulations are stroking with two hands, applying brushes one after the other and completely covering the neck area, while the movements are performed in waves. 37. The massage method according to claim 1, characterized in that during massage of the cervicothoracic region from the back, massage manipulations of spiral-shaped kneading with the tips of the half-bent I, II and III fingers of the right hand both clockwise and counterclockwise arrows with penetrating movements along the spinous processes of the cervicothoracic region from top to bottom, and when processing the neck region from the I-th cervical vertebra, the fingers and skin are moved down by the fingers to the shoulder girdle, kneading the supraohumeral and scapular regions simultaneously and go from the right shoulder blade to the left, lead the brush to its original position. 38. The massage method according to claim 1, characterized in that during circular kneading with the tips of the fingers of the cervicothoracic part from the back, massage manipulations of the circular kneading are performed along the spinous branches from top to bottom with the tips of the thumbs of both hands alternately from the center to the periphery, capturing the collar region and returning the brushes to their original position, then with the tips of the second, third, fourth, and fourth fingers in a rake-like position with both brushes alternately in a circular motion work out the area of the base of the skull and elongated ligaments, however, periodically process the fascial sheaths for the sternocleidomastoid and trapezius muscles, then again treat the neck and suprascapular region. 39. The massage method according to claim 1, characterized in that during the massage of the cervicothoracic part from the back, massage operations are performed for double ring kneading, while with both hands they capture the muscle into the ring between the thumb and the four other fingers and make a downward shift towards each other friend, then process the supraclavicular region from left to right, returning the brush to its original position. 40. The massage method according to claim 1, characterized in that during the massage of the cervicothoracic region from the back, massage manipulations of circular kneading with squeezing are performed, while the reception is performed with both hands, at the same time gripping and squeezing the muscles of the shoulder girdle between the 1st and with the rest of the fingers, followed by its displacement towards the I-th finger from the center to the periphery, and the capture and lifting of the muscle is carried out by bending the fingers only in the metacarpophalangeal joints, leaving the fingers straight, and return the brushes to the original floor voltage. 41. The massage method according to claim 1, characterized in that during massage of the cervicothoracic region from the back, massage manipulations of vibration and rubbing are performed, while the vibration is performed with two fingers that are set perpendicularly or at an acute angle to the massaged area, moreover, when performing the vibrations of the masseur’s brush produce vibrational and trembling movements in the direction perpendicular to the skin surface and labile along the entire massaged area, then sawtooth rubbing by the edge of both palms of the hands is performed, at Ohm, one hand goes “on itself”, the other “on itself” in the area from the VI I-th cervical to I thoracic vertebra. 42. The massage method according to claim 1, characterized in that during the massage of the cervicothoracic region from the back, reflexology is carried out, pressure on biologically active points i-feng, feng-chi, jian-wai-shu, tian-tzu and feng- fu with the tip of the index finger gradually penetrating counterclockwise, while the pressure is performed alternately at each point for 3 s. 43. The massage method according to claim 1, characterized in that during massage of the cervicothoracic region from the back, massage manipulations are performed with the tips of all the bent fingers of both hands at the same time, then the neck muscles are stretched in wavy movements in the form of vibration smoothly “towards themselves”.

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