RU2798669C1 - Method of manual influence on the human body through fasciopathy - Google Patents

Abstract

FIELD: massage techniques.

SUBSTANCE: invention relates to the methods of performing manual therapy, and can be used to detect and correct reversible functional and structural disorders of the body through fasciopathy — mobilization, correction and restructuring of the fascial frame of the human body along the anatomical meridians. Dysfunctional areas are identified by alternately performing directed deformation of fascial tissues by means of mechanical effort and subsequent relaxation. The specified deformation is carried out by pressing on the skin with a perpendicular force of 0.2–0.3 N and creating tension in the fascia by shifting the pressure point by 0.5–1 cm by creating a longitudinal force without detaching from the skin. The dysfunctional area is determined with successive displacements in different directions, determining in which of them such a displacement requires the application of a longitudinal force of more than 0.3 N. Correction of the specified area is carried out by alternately shifting the pressure point in the direction of the dysfunctional area, fixing tissues in this position on 5–10 s, shifting the pressure point in the opposite direction, relaxing the tissue and changing the pressure point with a change in the direction of the shift.

EFFECT: method allows to improve fluid-exchange processes and mobility in tissues.

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Description

The invention relates to massage techniques, namely, to methods for performing manual health therapy, and can be used by masseurs, kinesiologists, osteopaths, osteopaths, fitness trainers, as well as other specialists in body-oriented health practices to detect and correct reversible functional and structural body disorders through fasciopathy - mobilization, correction and restructuring of the fascial frame of the human body along the anatomical meridians (Myers Thomas, Anatomical Trains. Moscow: Eksmo, 2019).

From the prior art, various methods of influencing the fascia and muscles are known, based on massage for ligaments, bones and muscles, which are carried out by moving the subcutaneous fascia and muscles. The skin fold is formed in the direction where it is thicker and more painful, and some sections of the skin fold and subcutaneous fascia are displaced relative to others with moderate compression (T.V. Kogan Osteopathy. M., ACT, 2016, 128 p., L.K. Razlomy, A. A. Skoromets "Manual medicine", Novokuznetsk, 1994, No. 7, A. Auberville, A. Aubin, Motility in osteopathy. A new concept based on embryology, translated from French, ed. I. A. Egorova, M., Practical Medicine, 2017, 192 pp., ill.).

The disadvantage of the methods described in the literature is the high probability of injury and the need for multiple repetitions of procedures to achieve a positive effect. In addition, the disadvantage of the known massage method is the lack of control over the state of the anatomical meridians and the fascial frame of the body, since the effect is mainly on the muscles and ligamentous apparatus.

Also known from the prior art are diagnostic, testing and correction methods based on manual influences produced by osteopathy and osteopractice techniques, which are used on various parts of the body and tissues of the body. Known methods produce manual effects, while determining violations in the tissues, and carry out the correction by restoring (normalizing) the condition of the flow of metabolic processes in the tissues. An important feature of osteopractical methods of testing and correction is the use of the tactile and mechanoreceptor apparatus of the hands of an osteopath, the analytical and synthetic abilities of his brain and practical experience. This combination allows, due to the highly sensitive receptor apparatus, to perceive and analyze the changes occurring in the process of manual influences and to identify violations in tissues, make decisions and determine methods of correction.

However, in the course of diagnosis and therapy by known methods of osteopathic and osteopractical correction, the ongoing changes in the viscoelastic state of the human fascial framework are not controlled during exposure, namely, the state of elasticity of the anatomical meridans (trains) of the whole body does not appear separately. This drawback is common in relation to known both osteopathic methods and methods of osteopractice, as a result of which their use can lead to uncontrolled changes and disruption of metabolic processes in tissues, and deterioration of health.

The closest in technical essence to the proposed technical solution is a method of healing effects on the human body, including the identification of dysfunctional areas by alternately performing directed deformation of fascial tissues through mechanical effort and subsequent relaxation (see patent EA 031004, class A61H 7/00, publ. October 31, 2018). In a known method, the deformation of the myofascial trigger zone is carried out by kneading and twisting the subcutaneous fascia and muscles to reduce pain. Kneading is carried out by grabbing the fascia and muscles with the hands of the operator, followed by pressure on them, repeating up and down movements, and stretching the muscles and fascia between the hands of the operator. At the same time, pressure on the fascia and muscles is alternated with their stretching at a frequency of 5-10 alternations per minute until the minimum resistance of the body tissues is felt, the tension of the tissues is kept at the achieved resistance barrier, after which the muscles and fascia are twisted in the direction of the greatest resistance until the maximum tissue resistance is reached. on the barrier, hold them for 90-120 s until relaxation is felt, after which they are applied directly to the soft tissues in the epicenter of pain by kneading the skin folds with subcutaneous fatty tissue with moderate compression and intense twisting of the tissues around the trigger zone.

The disadvantages of the known method are the relatively low efficiency and the lack of long-term therapeutic effect.

The technical task is to eliminate the above shortcomings, expand the arsenal of massage techniques to implement a healing effect on the body and develop a general healing effect on the body fascia, leading to both local and global correction of reversible violations of the viscoelastic properties of the fascial tissues of the body, i.e. creation of a method for correcting the fascial framework, which improves blood flow and lymphatic drainage, as well as straightening the deformed fascia by a series of layered multi-vector displacement of the superficial fascia following the anatomical meridians of the body.

The technical result is to improve fluid exchange processes and mobility in tissues. The problem is solved, and the technical result is achieved by the fact that according to the method of health-improving effects on the human body, including the identification of dysfunctional areas by alternately performing directed deformation of fascial tissues through mechanical effort and subsequent relaxation, the specified deformation is carried out by pressing on the skin with a perpendicular force of 0, 2-0.3 N and creating tension in the fascia by shifting the pressure point by 0.5-1 cm by creating a longitudinal force without detaching from the skin, while the dysfunctional area is determined with successive displacements in different directions, determining in which of them such a displacement requires the application of a longitudinal force of more than 0.3 N, after which the specified area is corrected by alternately shifting the pressure point in the direction of the dysfunctional area, fixing the tissues in this position for 5-10 s, shifting the pressure point in the opposite direction, relaxing the tissue and changing pressure points with a change in the direction of the offset. During the correction, preferably at least 8 displacements are carried out from different pressure points. It is advisable to stop the correction after the displacement of the previously dysfunctional area by 0.5-1 cm can be carried out by creating a longitudinal force of less than 0.3 N. Deformation can be carried out using the operator's palms.

In FIG. 1 shows the layout of myofascial meridians on the back surface of the body according to T. Myrs;

in fig. 2 - the same on the front surface of the body;

in fig. 3 - diagram of the stage of identifying a dysfunctional area, sectional view (arrows show the direction of displacement);

in fig. 4 - diagram of the correction stage, sectional view (arrows show the direction of displacement);

in fig. 5 - the same, top view (bold arrows show the direction of movement in the first phase, thinner arrows - in the second).

The proposed method of health-improving effects on the human body is to conduct a massage procedure that directly changes the fascial tissue (fascia). According to the latest scientific research, the superficial fascia is connected with all organs and structures of the body, and with the right influence on it, it is possible to have a corrective effect on the entire body.

The procedure includes two main stages: identification of dysfunctional areas through mechanical effort and subsequent relaxation and their correction, which can be carried out using a dynamometric device or directly with the palms of an experienced operator (when the doctor performs manual exposure by combining his hands and body with the examined into a biomechanical system). patient tissues). Without loss of generality, the following presentation will mainly be of the operator.

When exercising according to the proposed method, the operator puts his palms on the area of the body area on the myofissial meridian 1, where correction is required (for example, there is swelling or a pain point), and creates a deformation in it by pressing on the skin. For "immersion" in the layer of superficial fascia 2 through the layers of skin 3 and subcutaneous fat 4, pressure is applied with the palms with a perpendicular force F in the range of 0.2-0.3 N (which corresponds to a weight of 20-30 grams and eliminates the impact on the muscles 5).

To search for fixations 6 of the fascial frame and accurately determine the corresponding dysfunctional area 7, the operator creates a dynamic tension with a force F in the fascia by shifting the pressure point by 0.5-1 cm with his hands by creating a longitudinal force without detaching from the skin (i.e., shifting upper layers of the skin relative to the lower). By making successive layer-by-layer displacements of the superficial fascia 2 in different directions (from oneself, towards oneself, left and right, clockwise and counterclockwise), following the myofascial meridians of the 1 body, one marks the directions in which there are restrictions on the movement of the fascial tissue - there is a resistance barrier , as well as the direction of movement in which the tissue moves freely. At the same time, the pressure created by the hands does not change and remains within 0.2-0.3 N (20-30 grams) to avoid muscle displacement. Section 7, in which such a longitudinal displacement requires the application of a longitudinal force of more than 0.3 N, is determined to be dysfunctional. The choice of the indicated critical value of 0.3 N is due to the experimentally revealed features of the structure of the superficial fascia, its mobility and elasticity.

Having found the zone of dysfunction and noting the directions of movement in which the tissue moves the least, the operator proceeds to correction. To do this, keeping the pressure under the palms no more than 0.3 N (30 grams), the operator performs two phases of the corrective movement.

First phase: with one or both hands the tissue is displaced in the direction of the fixation zone and, reaching the barrier, which was previously defined as a dysfunctional area 7 (where, when the tissue is tensioned, the pressure under the hands exceeds 0.3 N), the operator fixes the tissue in this position for 5 -10 Seconds. Experimentally, it was found that the specified time is sufficient to correct fascial fixation 6. With a shorter fixation time, the structure of the connective tissue does not change and collagen fibers do not have time to rebuild. In the future, a repetition of the procedure is required. With a longer exposure time, the lower layers of muscles 5 begin to be involved in the process, which significantly reduces the effectiveness of the impact. Determination of elasticity and fixation of fascia 2 (disturbances in the mobility of tissue layers relative to each other) is carried out according to the data of the dynamometer device or tactile sensations perceived by the operator through the receptor apparatus of his own hands.

The second phase: then the tissue is displaced in the opposite direction (from the found fixation site) and the tissue is relaxed. At the same time, the operator notes how much the amplitude of movement has changed in contrast to the initial one, at which fixation 6 (and the corresponding dysfunctional area 7) was found.

The operator then changes the pressure point to change the direction of the offset and repeats the first and second phases of the corrective motion. Thus, the process of correcting the identified fixations 6 of the fascial frame of the body is carried out according to certain tactile sensations and is carried out by repeated combined multi-vector manual effects on fascia 2, following the direction of least tissue resistance leading to dysfunctional area 7.

During the correction, displacement is carried out 8-10 times from different pressure points or until the sensation of fixation 6 under the arms completely disappears (when the displacement of the previously dysfunctional area by 0.5-1 cm can be carried out by creating a longitudinal force of less than 0.3 N.) . In this case, the range of motion in all directions will become the same.

Control of manual impact on tissues and control of the process of restructuring of fascial tissue in response to the operator's impact is carried out by assessing the restoration of fascia 2 mobility in the places of its previous fixation.

In this case, the impacts are carried out with a minimum amplitude - no more than two centimeters - and a very low speed of movements no more than once every 2-3 seconds to obtain the most accurate tactile information about the fixation of fascial structures, otherwise the muscle layers are also included in the movement, which levels out the proposed way of healing.

The determination of the specified properties of elasticity and fixation of the fascia is carried out according to the data obtained in tactile sensations perceived by the operator through the receptor apparatus of his own hands, which reveal violations of the mobility of tissue layers relative to each other, or according to the indications of any dynamometer device known from the prior art that can determine the generated force in the required range of values.

The use of the invention allows to improve the general physical condition and increase the adaptive reserves of the body within several sessions.

The practical use of the claimed method is illustrated by the following examples.

Example #1

3 brothers, 14 years old - triplets. All were diagnosed with cerebral palsy. Each of them has individual characteristics of spasticity of the limbs and body.

1 brother has a strong spasticity of the legs. He cannot straighten his legs on his own. At the same time, he can move with a walker. When testing the posterior surface line and the anterior surface line of the body, fixations were found along almost the entire anatomical meridian from the feet to the very back of the head, especially pronounced in the pelvis and knees. A fasciopathic correction procedure was carried out - the legs from the foot to the waist were worked out by layered fascial displacement. The operator palpated immersed in the fascial layer and by multi-vector displacement, determining the fixation zones, mobilized immovable tissue areas. Already in 1 session, a significant decrease in spasticity of both legs was noted. The teenager was able to straighten his legs on his own, the boy noted a clear relief.

Brother 2 also has a strong spasticity of the legs, but the mobility of the legs is much higher. The quality of life is significantly worsened by the spasticity of the hands, which does not allow him to operate normally with objects. When testing the line of the arms, as well as the anterior surface line of the body, fascial fixations were found in the region of the thoracic region and forearm. The operator also worked with the soft fascial mobilization technique. By the end of the 1st session, which lasted 60 minutes, the teenager was able to straighten his fingers on his hands, straighten and bend his arms on his own. To consolidate the result, the boy was prescribed a course of massage.

The 3rd brother has the most complex form of cerebral palsy, he has severe spasticity of the whole body, which led to severe deformity of the thoracic region and spiral twisting of the pelvis. Testing of the anatomical meridians of the body showed tension in the pelvis and thoracic region. On the right side of the chest, the ribs were severely deformed and pushed forward. When positioned on the back, the teenager cannot lie flat, part of the body is always elevated due to constant spasticity. Massage and physiotherapy did not give any clear improvement. During the session, work was carried out with the whole body - the anatomical meridians, including the anterior superficial line, the posterior surface line, the frontal deep line, and also the lines of the hands, were released from fixation by the method of fasciopathy. By the end of the 1st session, it was possible to eliminate a significant distortion of the pelvis - the teenager was able to lie flat on the bed. Over the next 2 sessions, spasticity was removed from the legs and the ribs were aligned on the right side by eliminating fixations in the thoracic region. The results of the correction were visible not only to the operator due to his palpation testing, but also to the mother - the teenager visually leveled out, the costal arch on the left and right became more symmetrical.

Example #2

Newborn, age 1 month, boy. Congenital torticollis. The standard method of correction by position did not give a result. The child did not sleep well, took the breast with great difficulty. Palpation examination of the anatomical meridians showed fixation and tension of the fascia along the posterior superficial line. The proposed method was worked out the entire anatomical meridian. After the 1st session, the mobility of the head increased significantly, but at the 2nd session, newly appeared fixations were found already along the anterior surface line in the neck and pelvis. Mobilization of the fascial framework in these areas led to the elimination of torticollis. The mobility of the child's head was restored. Parents noted improvement in sleep, nutrition returned to normal.

Example #3

Newborn, 3 months old, boy. The parents complained about the restless sleep of the child. It was noted that he could not sleep in a crib on his own for more than 15 minutes. Parents constantly had to hold and rock the child in their arms alternately throughout the day. Palpation testing of the infant showed the absence of increased muscle hypertonicity. However, when testing the anatomical meridians according to the proposed method, numerous fixations were found in the neck, abdomen, knees and cranial aponeurosis. Already after the first session according to the proposed method, which lasted 30 minutes, the parents noted improvements: the child began to fall asleep faster in his arms and he could be transferred to the crib. To consolidate the result, 3 more sessions were carried out.

Example #4

Girl teenager 16 years old, 4th degree of scoliosis. For more than 5 years, he has been undergoing correction procedures to maintain his condition, which, however, do not improve his condition. Testing anatomical meridians according to the proposed method revealed strong fixation in the thoracic spine along the deep frontal line, fixation along the posterior and anterior surface lines in the pelvic region. When implementing the method, the operator removed the fixations of the fascial tissue, applying a series of multi-vector displacements, passing through all the anatomical meridians where the fixation was noted. Correction was carried out in the direction from the feet to the pelvis and further from the pelvis to the neck. For 6 sessions of correction by the method of fasciopathy, it was possible to reduce scoliosis to the level of the first degree. Upon completion of the correction, exercise therapy was recommended to consolidate the result.

Example #5

Woman 65 years old. Complaints of back pain in the lumbar region. She was examined at the clinic, where she was diagnosed with 6 protrusions in the thoracic region and 2 spinal hernias in the lumbar region. Manual influences by methods of massage and physiotherapy did not give a long-term improvement in the condition. Testing anatomical meridians according to the proposed method showed fixation in the lumbar region along the posterior surface line. Orthopedic tests showed severe leg overload and pelvic displacement. Using the proposed method in the first session, the operator relieved stress and restored the normal movement of blood and lymph in the legs. In the second session, fixations in the pelvis were removed, and in the next two sessions, the entire posterior surface line was worked out separately. Sessions were held once every two weeks. After the fourth session, the woman noted a significant improvement in her condition, improved back mobility and no pain.

Example #6

Man 73 years old. Complaints of severe dizziness, which arose due to an overdose of sleeping pills. Testing according to the proposed method showed significant fixation of the fascial frame in the neck and cranial aponeurosis, which made it difficult to venous outflow. The operator of the proposed method of fasciopathy removed tension and fixation in the chest, neck and head. The removal of fixations as a result of a series of multi-vector movements gave a positive result after the first session. The man noted a significant reduction in dizziness.

The proposed method of fasciopathy was tested on 576 clients of different ages and different localization and severity of pain. The healing effect on the human body according to the proposed method made it possible to achieve positive changes in the subjective and objective state of clients. The condition of the clients after the sessions was monitored for 8 months in 110 who applied for the healing procedure, all of them had a stable improvement in their health.

Thus, it was experimentally shown that the health-improving correction of the fascial system of the body by the proposed method of fasciopathy allows for a wide range of manual manipulations, such as muscular-diaphragmatic re-adaptation, arthro-stabilization correction of the foot and knee, correction of the sutures of the skull and venous sinuses, correction of the brain and facial skull, neurovegetative correction, neurovertebral correction of the spine, visceromotor correction of internal organs, aesthetic modeling of the face and décolleté, aesthetic modeling of the buttocks and breasts, viscerosomatic correction, neuropsycho-emotional.

The use of this invention allows, by reducing discomfort and the time of its manifestation in the process of wellness massage within several sessions, to improve the general physical condition and increase the adaptive reserves of the body by improving fluid exchange processes and mobility in tissues.

Claims (7)

1. A method of manual influence on the human body through the method of fasciopathy, including the identification of dysfunctional areas by alternately performing directed deformation of fascial tissues through mechanical effort and subsequent relaxation, characterized in that the specified deformation is carried out by pressing on the skin with a perpendicular force of 0.2-0.3 N and creating tension in the fascia by shifting the pressure point by 0.5-1 cm by creating a longitudinal force without detaching from the skin, at the same time, the dysfunctional area is determined with successive displacements in different directions, determining in which of them such a displacement requires the application of a longitudinal force of more than 0.3 N, after that, the specified area is corrected by alternately shifting the pressure point in the direction of the dysfunctional area, fixing the tissues in this position for 5-10 s, shifting the pressure point in the opposite direction, relaxing the tissue and changing the pressure point with a change in the direction of displacement. 2. The method according to claim 1, characterized in that at least 8 displacements from different pressure points are carried out during the correction. 3. The method according to claim 1, characterized in that the correction is stopped after the displacement of the previously dysfunctional area by 0.5-1 cm can be carried out by creating a longitudinal force of less than 0.3 N. 4. The method according to claim 1, characterized in that the deformation is carried out using the palms of the operator.

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