RU2405522C1 - Method of thromboplastin synthesis correction in children with scoliosis - Google Patents

Abstract

FIELD: medicine. ^ SUBSTANCE: invention belongs to medicine, notably to haematology and orthopaedics. For thromboplastin synthesis correction in children 8-12 years old with scoliosis is prescribed complex of treatment, including daily remedial gymnastics, two courses of massage and daily swimming for at least 20 minutes a day, during 6 months. ^ EFFECT: method enables thromboplastin synthesis normalisation in children with scoliosis, significantly sanitate children with scoliosis due to improvement of tissues' microcirculation. ^ 7 ex

Description

The invention relates to medicine, namely to hematology and orthopedics.

Analogues of the proposed method for the normalization of thromboplastin formation in children with scoliosis do not exist.

In the literature, there are separate recommendations for the appointment of physical therapy (exercise therapy), massage and swimming with scoliosis. However, never before has a treatment complex consisting of daily exercise therapy, two courses of massage and daily swimming been used in children 8-12 years old with scoliosis in order to normalize their thromboplastin formation.

The aim of the invention is the normalization of thromboplastin formation in children with scoliosis.

The essence of the proposed method lies in the fact that to normalize thromboplastin formation for children 8-12 years of age for 6 months, daily exercise classes, two courses of massage and daily swimming for at least 20 minutes a day are prescribed.

The method allows to normalize thromboplastin formation in children with scoliosis within 6 months. Subject to the subsequent recommendations of the proposed method, it is possible to maintain thromboplastin formation at a normal level, which will significantly improve the health of children with scoliosis, improving their microcirculation of tissues, thereby accelerating growth and development, making it possible to fully realize the genetic program of child development.

The inventive method is as follows.

The formation of endogenous thromboplastin is determined by Biggs R., Douglas A.S., Macparlane R.G. The formation of thromboplastin in human blood. // J. Physiol. 1953. - vol. 119, No. 1. - p. 89-104.

The principle of the method. The activity and time of formation of thromboplastin from the component of the plates, deprothrombin plasma and serum of the test blood according to the thrombin time of the test plasma in one-minute intervals. When this mixture is incubated with calcium for 3-6 minutes, highly active thromboplastin is formed.

The following ingredients are required to determine endogenous thromboplastin:

1. a platelet suspension;

2. deprothrombin plasma;

3. serum;

4. calcium chloride.

Reagents:

1. 0.1 m solution of sodium oxalate;

2. 1/40 m calcium chloride solution;

3. 0.15 m suspension of barium sulfate;

4. saline solution.

In a silicone tube that contains 0.6 ml of a 0.1 m solution of sodium oxalate, 5.4 ml of blood is drawn from a vein with a dry needle. Carefully mix the contents of the tube. At the same time, 1-2 ml of blood is taken into another tube, from which serum is then obtained.

Preparation of a platelet suspension: oxalate blood in a silicone tube is centrifuged for 5-7 minutes at 1500 rpm. The plasma is aspirated with a silicone pipette into another silicone or plastic tube. Platelet-rich plasma is centrifuged for 30 minutes at 3,000 rpm. Platelets settle to the bottom of the tube. A plasma that contains virtually no platelets is aspirated into a separate tube, and physiological saline is added to the platelets, carefully mixed and centrifuged again for 30 minutes at 3000 rpm. Saline is aspirated and the platelet washing procedure is repeated again. After washing the platelets twice, physiological saline is added to the sediment, equal to 1/3 of the amount of oxalate plasma taken for centrifugation. The contents are well mixed, getting a working suspension of platelets.

Preparation of a solution of deprothrombin plasma: 0.5-1 ml of platelet-free plasma, which was collected after centrifugation for 30 minutes at 3000 rpm, is deprothrombinized with a barium sulfate suspension, as described above. Deprothrombin plasma is diluted with saline in a ratio of 1: 4.

Preparation of serum solution: 1-2 ml of venous blood taken in a dry test tube, put in a water bath at 37 ° C for 2 hours. Serum is separated from the blood clot by centrifugation and diluted with saline in a ratio of 1: 8.

Test procedure: 0.1 ml of platelet-free plasma, which remained after centrifugation for 30 minutes at 3000 rpm, is added to a series of agglutination tubes (7-8) in a water bath at 37 ° C (part of this plasma was taken for deprothrombinization). Separately, 0.3 ml of a platelet suspension, 0.3 ml of a solution of deprothrombinized plasma, 0.3 ml of a solution of serum, 0.3 ml of a 1/40 m solution of calcium chloride are poured into an empty tube, also in a water bath, and the stopwatch is turned on. After every minute, 0.1 ml of this mixture and 0.1 ml of a 1/40 m solution of calcium chloride are simultaneously introduced into one of a number of tubes, which contains plasma without platelets, and another stopwatch is switched on. Shaking the tube, note the coagulation time of the plasma. The minute study is continued until the thrombin time of the plasma is as short as possible. This prothrombin time characterizes the activity of thromboplastin, and the minute at which the mixture coagulated is the time of thromboplastin formation. Normally, thromboplastin is formed at 2-4 minutes, and its activity is 12-14 seconds.

When registering an acceleration of the formation and / or an increase in the activity of thromboplastin, children with scoliosis are prescribed the proposed treatment complex.

The first component of the method is recommended physical exercises below.

The complex consists of several parts: warm-up (exercise 1), exercises lying on your back, lying on your stomach and standing. Rest between exercises is performed in the initial position (i.e. if the exercise is lying on your back, we also rest in this position, you do not need to get up or sit down).

1. Unloading the spine. All exercise therapy exercises traditionally begin with exercises to unload the spine. The classic exercise is walking on all fours. Duration 2-3 minutes. We lay down on the litter on his back. Exercises on the back are designed primarily to strengthen the abdominal muscles.

2. "Traction" of the spine. Lying on your back, with your heels stretch "down", with your crown - "up". We perform 3-4 "traction" for 10-15 seconds.

3. The bike. Lying on your back, arms behind your head or along the torso, make movements with your feet that mimic a bike ride. Important: most of the amplitude of leg movements should be "lower" than the body, you don’t need to dabble over your stomach, you need to straighten the leg alternately close to the floor. The pace is medium. We perform 2-3 sets of 30-40 seconds.

4. Scissors. Lying on your back, arms behind your head or along the torso, perform the neighboring horizontal and vertical swings with your feet. Important: it is desirable to produce horizontal swings closer to the floor. The pace is medium. We perform 2-3 sets of 30-40 seconds. Now we turn over to the stomach. Exercises on the abdomen are designed primarily to strengthen various back muscles.

5. Traction. It is carried out similarly to exercise 2, only on a stomach.

6. Swimming. The starting position is lying on the stomach, legs are straight, the head rests on the back of the palms. We bend in the lower back (head, upper body, arms and legs are raised, fulcrum is the stomach). Holding this position, we perform movements simulating swimming breaststroke:

arms forward, legs apart

arms to the sides, legs to connect

arms to shoulders, legs still together.

We perform 2-3 sets of 10-15 repetitions with a short rest between sets (5-10 seconds).

7. Scissors. Lying on his stomach, legs are straight, his head rests on the back of his hands. Raise your legs and perform the surrounding horizontal and vertical swing legs. Important: when performing this exercise, the hips must be torn off the floor. The pace is medium. We carry out 2-3 approaches for 30-40 seconds.

8. Retention. Lying on his stomach, legs are straight, his head rests on the back of his hands. Raise the legs and upper body, caving in the lower back (head, upper body, arms and legs raised, fulcrum - stomach). Legs together, arms to the sides, palms turned up. Statically freeze in this position for 10-15 seconds. Important: it is advisable not to hold your breath, while performing this exercise, the hips must be torn off the floor. Perform 3-4 repetitions with a short rest between repetitions (5-10 seconds).

Then the baby gets up.

9. Rotation by hand. Exercise for scapula fixators. Standing in front of the mirror (controlling posture), elbows to the side, fingers to shoulders. Perform the rotation of the hands back (clockwise). Important: this exercise does not need a large range of motion, on the contrary, the elbows should make a small circle when rotating. The pace of execution is slow. We perform 2-3 sets of 20-30 seconds with a short rest between sets.

10. Squats. Posture exercise. Standing in front of the mirror (controlling posture), arms to the side, palms turned up. In this position, while maintaining a beautiful posture, we stand on the toes, then squat, again on the toes and in the starting position. We carry out 5-10 such squats with short rest. The pace of the exercise is slow.

The second component of the claimed method is to conduct two courses of massage.

A massage session begins from the back, from the side of the curvature, then the neck, lower back, and pectoral muscles are massaged.

The following techniques are applied: stroking of all kinds, rubbing, squeezing, kneading and vibration. Massage techniques for scoliosis are used depending on muscle tone. The duration and rhythm of their implementation should be the same in each massaged area until the muscles are completely relaxed. Massage techniques alternate with stroking and shaking. Subsequent massage sessions help strengthen muscles and increase their tone.

The back is massaged in the supine position, under the abdomen and under the ankle joints, rollers or small pillows are laid, hands are lowered along the body, the head is turned to the side opposite to scoliosis. Optimal for massage of the chest and abdomen is the supine position, and it is better to put soft ridges under the head and knees. Hands the patient stretches along the body. Massage of the lateral surfaces of the body is carried out in the position of the child lying on his side, opposite to the curvature of the spine. The duration of the massage procedure is 30-40 minutes daily, the treatment course consists of 20-25 sessions, during six months massage courses are carried out twice - at the beginning of treatment and 3 months after the end of the first course.

During a massage session, the patient’s position is lying on his stomach (the masseur is standing on the right), lying on his back (the masseur is on the patient’s left) or lying on the opposite side of chest scoliosis (the masseur is behind him — behind).

A child with scoliosis lies on his stomach, a massage therapist stands on the side of chest scoliosis. First, general strokes of the entire surface of the back are performed (planar, grasping, rake-like ironing), then a sedative, relaxing effect on the upper part of the trapezius muscle is performed (stroking, rubbing with fingers - circular, continuous labile vibration), rubbing, kneading, vibration on an elevation in the region thoracic scoliosis (comb-like grinding, striking, chopping, kneading the forceps along the long muscles of the back); all techniques for toning, stimulation to be carried out locally. After this, the area of lumbar concavity is massaged (all techniques for relaxing, stretching, acting sedatively - stroking, rubbing, vibration only labile, continuous).

The child turns on his left side. In this position, methods of pulling the right iliac crest are used. After that, the child lies on his stomach. Continue massage of the scoliosis area in the lumbar region, in the area of convexity (all methods of stimulation, toning - kneading, intermittent vibration, all varieties to strengthen the muscular cushion). Then, the subscapular region (left shoulder blade) is relaxed and stretched, paying attention to the intercostal space (rake stroking, rubbing, labile vibration), pulling the left corner of the shoulder blade from the concavity of the spine, stimulating and toning the shoulder girdle, muscles above the left shoulder blade, upper trapezius muscle (grinding kneading, intermittent vibration, as well as shock techniques).

The child rolls onto his back. In this position, massage the front surface of the chest.

In the subclavian and supraclavicular areas, as well as in the area of the pectoral muscles on the left, all techniques are used to stimulate, strengthen the muscular corset (rubbing, kneading, intermittent vibration, shock techniques). In the area of the anterior rib hump (bulging), receptions are performed with pressure on this area with backward movements, alignments; massage manipulations with the aim of stimulation, toning. On the front abdominal wall, abdominal press, all methods of stimulation, toning are performed (rubbing comb-like, kneading, intermittent vibration, shock). On the upper part of the pectoral muscles on the right, they do all the techniques for relaxing and pulling the shoulder back, aligning the plane of the shoulders. The massage is completed by general stroking of the entire back, shoulders.

The third component of the claimed method is the daily swimming of the child in the sea, river or pool for at least 20 minutes a day.

Example 1. Child R., 9 years old, with scoliosis of the first degree, blood was taken from the ulnar vein and the time of formation and activity of thromboplastin was determined, which amounted to 1.3 min and 10.1 s, respectively. The child was prescribed daily exercise therapy for 12 months. The child was regularly examined during treatment. Simultaneously with the examination, the activity and time of thromboplastin formation were determined.

After 12 months of treatment, the child's signs of scoliosis decreased, and the activity and time of thromboplastin formation experienced a small dynamics, amounting to 10.3 s and 1.8 min, respectively. Parents of the child were invited to comply with the following recommendations according to the claimed method.

Example 2. Child M., 8 years old, with scoliosis of the II degree, blood was taken from the ulnar vein and the time of formation and activity of thromboplastin was determined, which amounted to 1.5 min and 9.8 s, respectively. The child was prescribed 4 courses of massage for 12 months with a repeat of them at intervals of 3 months. The child was regularly examined during treatment. Simultaneously with the examination, the activity and time of thromboplastin formation were determined.

After 12 months of treatment, the child's signs of scoliosis decreased, and the activity and time of thromboplastin formation experienced a small positive dynamics, amounting to 10.4 s and 1.7 min, respectively. Parents of the child were invited to comply with the following recommendations according to the claimed method.

Example 3. Child Sh., 12 years old, with scoliosis of the first degree, blood was taken from the ulnar vein and the time of formation and activity of thromboplastin was determined, which amounted to 1.6 min and 10.0 s, respectively. A 12-month-old baby was prescribed daily swimming in the pool for at least 20 minutes a day. The child was regularly examined during treatment. Simultaneously with the examination, the activity and time of thromboplastin formation were determined.

After 12 months of treatment, the child's signs of scoliosis decreased, and the activity and time of thromboplastin formation improved, amounting to 11.0 s and 1.8 min, respectively. Parents of the child were invited to comply with the following recommendations according to the claimed method.

Example 4. Child P., 11 years old, with scoliosis of the II degree, blood was taken from the ulnar vein and the time of formation and activity of thromboplastin was determined, which amounted to 1.4 min and 9.9 s, respectively. The child for 12 months was assigned daily exercise therapy and daily swimming in the pool for at least 20 minutes a day. The child was regularly examined during treatment. Simultaneously with the examination, the activity and time of thromboplastin formation were determined.

After 12 months of treatment, the child's signs of scoliosis decreased, and the activity and time of thromboplastin formation experienced a small positive dynamics, amounting to 10.9 s and 1.8 min, respectively. Parents of the child were invited to comply with the following recommendations according to the claimed method.

Example 5. Child L., 8 years old, with scoliosis of the II degree, blood was taken from the ulnar vein and the time of formation and activity of thromboplastin was determined, which amounted to 1.6 min and 10.5 s, respectively. The child was prescribed daily exercise classes and 4 courses of massage with a frequency of 3 months for a 12 month old baby. The child was regularly examined during treatment. Simultaneously with the examination, the activity and time of thromboplastin formation were determined.

After 12 months of treatment, the child's severity of signs of scoliosis decreased, and the activity and time of thromboplastin formation improved, being 11.0 s and 1.7 min, respectively. Parents of the child were invited to comply with the following recommendations according to the claimed method.

Example 6. Child Zh., 12 years old, with scoliosis of the first degree, blood was taken from the ulnar vein and the time of formation and activity of thromboplastin was determined, which amounted to 1.5 min and 10.9 s, respectively. A child for 12 months was prescribed 4 courses of massage with a frequency of 3 months and daily swimming in the pool for at least 20 minutes a day. The child was regularly examined during treatment. Simultaneously with the examination, the activity and time of thromboplastin formation were determined.

After 12 months of treatment, the severity of signs of scoliosis decreased, and the activity and time of thromboplastin formation experienced positive dynamics, amounting to 11.4 s and 1.7 min, respectively. Parents of the child were invited to comply with the following recommendations according to the claimed method.

Example 7. Child S., 10 years old, with scoliosis of the II degree, blood was taken from the ulnar vein and the time of formation and activity of thromboplastin was determined, which amounted to 1.4 min and 10.2 s, respectively. A 6-month-old child was prescribed daily exercise therapy, 2 courses of massage - one at the beginning of treatment, the second 3 months after the end of the first and daily swimming in the pool for at least 20 minutes a day. The child was regularly examined during treatment. Simultaneously with the examination, the activity and time of thromboplastin formation were determined.

After 6 months of treatment, the child disappeared signs of scoliosis, and the activity and time of thromboplastin formation returned to normal, amounting to 13 s and 2.8 min, respectively. Parents of the child were invited to follow the recommendations given to the child in the future.

Using the proposed method of normalizing thromboplastin formation in hematology and orthopedics will help not only to level the signs of scoliosis, but also to optimize the growth and development of the child, microcirculation in the tissues, improving it as a whole, while correcting posture.

Claims (1)

A method for the correction of thromboplastin formation in children aged 8-12 with scoliosis, including the appointment of daily physical therapy, two courses of massage and daily swimming for at least 20 minutes per day for 6 months.