RU2823199C1 - Method for recovery of human locomotor apparatus - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine and can be used for recovery of human locomotor apparatus. Physiotherapy procedures, such as physical training, massage and hydrotherapy are performed. Physical training includes performance of exercises of support, motor and ascending rhythm with limited, free and hyper-movable amplitude of movement. At first, the exercises are performed passively with the help of an instructor, and then independently. Massage is performed by manual and mechanical action on human skin. Neuromuscular correction is performed by manual actions of specialist hands on patient’s muscles, which include fixation of muscle attachment point by specialist hands and squeezing motions with finger or palm edge in forward and backward direction of muscular tissue. Hydrotherapy is carried out in a shower cabin by simultaneous multi-temperature action of water jets on a human body under pressure.

EFFECT: method provides recovery of human locomotor apparatus.

9 cl, 10 dwg, 2 ex

Description

The invention relates to the field of medicine, in particular to methods of restoring the body during health-improving and therapeutic procedures [A61N 1/00, A61N 5/06, A61N 23/00, A61F 7/00, A61M 21/00].

There is a known METHOD FOR COMPREHENSIVE REHABILITATION OF PATIENTS AFTER A NEW CORONAVIRUS INFECTION (COVID-19) [RU 2748452, published: 05/25/2021], in which a circular shower with fresh water at a temperature of 35-36°C is used for 3 minutes, after which a manual superficial chest massage is performed spine for 15 minutes, they also carry out suggestive psychotherapy and aeroionotherapy in the natural conditions of the Belokurikha resort during a walk. A circular shower and manual superficial massage of the thoracic spine are carried out in a course of 10 procedures, daily from 08 to 10 o'clock.

However, this method has a disadvantage:

- unsatisfactory quality of restoration of the human body;

- the impossibility of providing regulation of temperature and water pressure when exposed to water jets on a person.

There is a known METHOD FOR INDIVIDUAL REHABILITATION OF THE ORGANISM [RU 2183484, published: 06.20.2002], including a preliminary determination of the patient’s autonomic profile, characterized in that the rehabilitation of the body is carried out by regulating the activity of the autonomic nervous system using a set of physiotherapeutic procedures, and in the case of predominance of the parasympathetic nervous system each of the rehabilitation sessions is carried out according to a program focused on toning, initially exposing the body to high temperature effects (65-100°C) and gradually reducing the level of thermal conditions of the procedures performed with breaks for rest and herbal medicine; in the case of predominance of the sympathetic nervous system, each of the rehabilitation sessions is carried out according to a program focused on a relaxing effect, first exposing the body to procedures whose thermal regime corresponds to normal body temperature, and gradually increasing the temperature of the procedures, with breaks for rest and herbal medicine, if there are average indicators, each of the rehabilitation sessions is carried out at a temperature of 36-40 °C according to a program focused on harmonization, initially paying attention to relaxing and warming effects.

However, this method has a disadvantage:

- unsatisfactory quality of restoration of the human body.

The closest analogue is the REHABILITATION METHOD [RU 2175251, published: 10.27.2001], including physiotherapy procedures - hydrotherapy, heated air treatment and steam inhalation procedures, massage, manual therapy, heat therapy, carried out in sessions over time sequentially, characterized in that it is additionally introduced therapeutic procedures - physical therapy for at least 40 minutes, repeated treatment with heated air and steam inhalation procedures for at least 5 minutes, superficial reflexology for at least 10 minutes and psychotherapy procedures, and for each therapeutic procedure or physiotherapy procedure they are performed in a session with a procedure or procedures of psychotherapy, while physical therapy is carried out before hydrotherapy with sequentially performed psychotherapy procedures - self-hypnosis of a feeling of peace and relaxation, exercises in body-oriented therapy, exercises for visualization of images associated with actualized sensations in the body, verbal influence; during hydrotherapy, a psychotherapy procedure is simultaneously carried out for at least 10 minutes - a therapeutic dialogue for active self-programming of behavior; when treating with heated air and steam inhalation procedures, the psychotherapy procedure is consistently performed for at least 10 minutes - instilling images and beliefs of confidence in recovery and the curability of the disease; during massage, for at least 30 minutes, the psychotherapy procedure is consistently performed - dialogue on active self-programming of behavior; during manual therapy, color and music procedures aimed at relaxation are carried out sequentially or synchronously for at least 10 minutes; during heat treatment, for at least 10 minutes, a psychotherapy procedure is sequentially performed - instilling images and beliefs of confidence in the recovery and curability of the disease, repeated treatment with heated air and steam inhalation procedures are carried out after heat treatment while simultaneously carrying out a psychotherapy procedure - instilling behavioral options in situations not related to the disease; superficial reflexology is carried out after repeated treatment with heated air and steam inhalation procedures with sequentially performed psychotherapy procedures - the suggestion of behavioral options aimed at accelerating recovery, meditation and musical exercises.

The main technical problems of the prototype are:

- unsatisfactory quality of restoration of the human body;

- the impossibility of providing regulation of temperature and water pressure when exposed to water jets on a person.

The technical result of the invention is to restore the health, functional state and ability to work of a person.

The specified technical result is achieved due to the fact that the method of restoring the body, including the sequential implementation of physiotherapy procedures - physical education, massage and hydrotherapy, characterized in that physical education includes training the physiological properties of skeletal and smooth muscles, cardiac muscle by performing exercises of supporting, motor and ascending rhythm with a limited, free and hypermobile working range of joint amplitudes, massage through manual and mechanical action on human skin is aimed at changing the electrical activity and electrical conductivity of human skin, regulating sweating and influencing the lymph nodes and lymphatic fluid in the human body, after the massage neuromuscular correction is performed , which includes manual and mechanical impact on human muscles to change the sensitivity of the neuromuscular spindles of skeletal muscles, hydrotherapy involves the simultaneous impact of water jets at different temperatures on the human body under pressure.

In particular, mechanical action includes the sliding movement of stones, river pebbles, sandstone, and limestone over human skin.

In particular, the mechanical action includes the sliding movement of wooden scrapers over human skin.

In particular, mechanical action involves the sliding movement of metal scrapers over human skin.

In particular, wooden scrapers are made with a semicircular convex and concave working surface, made of aspen, birch, and larch.

In particular, metal scrapers are made of copper and silver with semicircular convex and straight pointed working surfaces.

In particular, hydrotherapy involves the simultaneous impact of water jets at different temperatures on the human body with the same pressure.

In particular, hydrotherapy involves the simultaneous impact of water jets at different temperatures on the human body with different pressures.

In particular, hydrotherapy involves the simultaneous impact of water jets at different temperatures on the human body with pulsating pressure.

Brief description of the drawings.

In fig. 1 shows wooden scrapers, top view.

In fig. Figure 2 shows wooden scrapers, front view.

In fig. Figure 3 shows metal scrapers, front view.

In fig. Figure 4 shows metal scrapers, top view.

In fig. Figure 5 shows a shower cabin with horizontal water-carrying pipes, front view.

In fig. Figure 6 shows a longitudinal section of a shower stall along line A - A.

In fig. Figure 7 shows the location of the outlet in the water-carrying pipe, view B.

In fig. Figure 8 shows a shower cabin with vertical water-carrying pipes, front view.

In fig. 9 shows a shower cabin on wheeled supports.

In fig. Figure 10 shows the position of the shower cabin on articulated and height-adjustable supports above a couch with a lying patient.

The figures indicate: 1, 2 - water-carrying pipes; 3 - stand; 4 - holder; 5, 6 - working pipes; 7 - water tap; 8 - bracket; 9 - outlet holes; 10, 11 - highways; 12 - water temperature regulator; 13 - adjustable water pump; 14 - pressure gauge; 15 - water source; 16 - supports; 17 - breakers.

Implementation of the invention.

The method of restoring the body includes sequential implementation of physiotherapy procedures - physical education, massage and hydrotherapy.

Physical education includes training the physiological properties of skeletal and smooth muscles, and cardiac muscle by performing exercises of supporting, motor and ascending rhythm.

The patient performs support rhythm exercises without changing the initial position in the horizontal plane from the positions lying on his back, lying on his stomach, lying on his side, standing on all fours, in a sitting position in static and dynamic modes.

In particular, in the static mode: from the initial “lying on his back” position, the patient, with the help of an instructor, performs body turns of 180 degrees, i.e. rolls over onto his stomach and back onto his back.

In particular, in the dynamic mode: from the initial “lying on his back” position, the patient independently turns the body 180 degrees, i.e. rolls over onto his stomach and back onto his back.

In particular, in the static mode: from the initial position “lying on his stomach,” the patient, with the help of an instructor, performs body turns of 180 degrees, i.e. rolls over onto his back and back onto his stomach.

In particular, in the dynamic mode: from the initial position “lying on his stomach,” the patient independently performs body turns of 180 degrees, i.e. rolls over onto his back and back onto his stomach.

In particular, in the static mode: from the initial position “lying on its side”, the patient, with the help of an instructor, performs body turns of 180 degrees, i.e. turns over to the other side and back.

In particular, in the dynamic mode: from the initial position “lying on its side” the patient independently performs body turns of 180 degrees, i.e. turns over to the other side and back.

In particular, in the static mode: from the initial position “standing on all fours”, the patient, with the help of an instructor, swings the body forward and backward, as well as from side to side, while leaning on 4 points - palms and knees.

In particular, in the dynamic mode: from the initial position “standing on all fours” the patient independently swings the body forward and backward, as well as from side to side, while leaning on 4 points - palms and knees.

In particular, in the static mode: from the initial “sitting position” the patient, with the help of an instructor, turns the body to the left and right up to 90 degrees relative to the initial position.

In particular, in the dynamic mode: from the initial “sitting position” the patient independently turns the body to the left and right up to 90 degrees relative to the initial position.

Supportive rhythm exercises are performed in cases of musculoskeletal dysfunction due to diseases of the musculoskeletal system and diseases of the central/peripheral nervous system, leading to immobility of a child or adult: dorsopathy, flat feet, arthrosis, arthritis, post-traumatic complications, cerebral palsy, neuromuscular pathologies, etc. .P.

Such exercises are aimed at the formation and correction of supporting positions and points - elbows, knees, feet, hands, with contraindications to vertical loads, for example, grade 3 - 4 scoliosis, diseases of the musculoskeletal system, some cardiovascular diseases, etc. ), which is used in the correction of patients with limited mobility and pronounced disorders of balance and coordination, dizziness and severe pain syndromes.

A slow rhythm means a temporary, from 10 to 20 s, holding the body in a certain fixed position in a specific position or evenly performing movements over a certain time, for example, from 30 to 60 s.

When performing motor rhythm exercises, the patient performs exercises along axes and planes in static and dynamic modes.

Motor rhythm exercises are performed when motor function is impaired: functional disorders of gait and running - lameness, post-traumatic and/or post-operative shortening of the limbs, limitation of the body's motor capabilities - clumsiness, disturbances in coordination and synchronization of movements, functioning of the vestibular apparatus, spatial orientation, etc.

Motor rhythm exercises are complex movements performed simultaneously in different planes - twisting, bending, turning. At the same time, from the starting position, the patient performs exercises with the direction of muscle tension along the anatomical axes: up and down, left and right, forward and backward, including with equipment - balls, sticks, circle.

When performing motor rhythm exercises in a static mode along the anatomical axes up and down, the patient rests his feet on a hard, flat surface, for example, a floor covering, and, with the help of an instructor, alternately raises his right and left legs in front of him, bending at the knees.

When performing motor rhythm exercises in a static mode along the anatomical axes to the left and right, the patient rests his feet on a hard, flat surface, for example, a floor covering, and, with the help of an instructor, alternately moves his right and left legs to the side.

When performing motor rhythm exercises in a static mode along the anatomical axes forward and backward, the patient rests his feet on a hard, flat surface, for example, a floor covering, and, with the help of an instructor, performs swings alternately with his right and left legs.

In the dynamic mode, the patient independently performs movements around his own axis, for example, turning the body, and also performs walking movements and hanging on the horizontal bar.

The ascending rhythm involves the patient performing exercises in a slow rhythm and in increasing and decreasing rhythms from the initial positions lying, sitting, standing, and in motion.

With an ascending rhythm, exercises are performed by the patient in the frontal or sagittal plane from below/upward or forward/backward, i.e.:

- from the initial standing position, leaning on both feet, the patient bends his torso and back back; and bending forward;

- from the initial standing position, leaning on both feet, the patient bends forward;

- from the initial standing position, leaning on both feet, the patient stands on the balls of his feet, stretches his arms, chest and neck upward, trying to reach up to something.

With an ascending rhythm, exercises are performed with prolapse of the internal organs of the small pelvis, with postural disorders - kyphosis, stooping, with ankylosing spondylitis, with hyperkyphosis and stooping, scoliosis and smoothed curves of the spine, impaired flexion/extension of large joints, including muscle contracture.

When performing exercises at a slow rhythm, the patient alternately changes the position of his body, namely:

- from the initial position lying on his stomach/lying on his back, the patient stands on both legs with his eyes open/closed, and, resting his feet on a hard, flat surface, straightens up and stretches his arms up;

- from the initial position, standing still without changing body position and in motion (with changing body position, bending forward/backward, right/left), the patient alternately performs exercises with maximum multidirectional muscle tension/effort: up/down (arms stretch up/legs tend downwards by standing on the heels, the exercise is performed only statically, without changing the position of the body), diagonally (abduction and fixation of the left arm through the side upward at an angle of 150-160 degrees / abduction and fixation of the right leg to the side at an angle of 35-45 degrees, in motion - with a tilt to the left/right/forward), parallel (stretching the left side of the body up with the right leg lifting off the floor surface/right side - supporting and vice versa), forward/backward (arms raised up above the head, starting position on one leg, the other leg is moved to the side at an angle of 20-30 degrees and vice versa, in movement - with a forward tilt, tilts to the left are performed while leaning on the left leg, tilts to the right - while leaning on the right leg).

When performing exercises in increasing and decreasing rhythms, the patient performs:

- voluntary exercises with 3-7 minutes of constant movement in the horizontal plane without getting up from a supine position;

- voluntary exercises with 4-8 minutes of constant movement in a vertical plane while standing, without squatting and without bending, up/forward/backward/twisting;

- voluntary exercises with 5-9 minutes of constant movement in all planes.

Massage involves decreasing/increasing electrical activity and decreasing/increasing electrical conductivity of human skin, regulating sweating and influencing the lymph nodes and lymph fluid in the patient's body through manual and mechanical pressure on the patient's skin.

During massage, manual action on a person’s skin is carried out with the hands of a massage therapist, in particular with fingers, palms and elbows.

During massage, the mechanical effect also includes the sliding movement of stones, river pebbles, sandstone, and limestone over human skin. Mechanical action also includes the sliding movement of wooden and metal scrapers over human skin.

Wooden scrapers are made with a semicircular convex and concave working surface, made of aspen, birch, and larch.

Metal scrapers are made of copper and silver with semicircular convex and straight pointed working surfaces.

The side and end rectilinear pointed working surfaces of metal scrapers are used to slide over the skin with varying degrees of pressure, changing its electrical activity.

Semicircular rectilinear pointed working surfaces of metal scrapers are used for longitudinal and transverse deep (1-3 cm) pressure on human skin and muscles for the purpose of irritation, stimulation, and contraction of muscle tissue.

After the massage, neuromuscular correction is performed, which includes manual and mechanical pressure on the human muscles to change the sensitivity of the neuromuscular spindles of skeletal muscles.

When implementing neuromuscular correction procedures, the patient independently performs active movements, as well as, with the help of a specialist, passive, active-passive, passive-active movements and active manual influences of the specialist’s hands on the patient’s muscles and the lever organization of movements.

Active manual influences on a specific muscle include a specialist performing finger fixation at the site of muscle attachment and light squeezing movements with a finger or the edge of the palm towards its origin to stretch the muscle tissue and in the opposite direction to shorten it.

The lever organization of movements includes the performance of simple (movements in one joint), complex (movements in two or more joints), combined (multidirectional simultaneous movements, for example, twisting and bending) and parallel/alternate combined lever movements (movements of two or more parts of the body, for example, simultaneous or alternate raising of arms and legs).

Hydrotherapy involves the simultaneous effect of water jets at different temperatures on the human body, alternating with the same pressure, with different pressures and pulsating pressure.

For hydrotherapy with the same and different pressures, a shower cabin is used (see Fig. 5), which includes water-carrying pipes 1, 2, mounted on a stand 3 by means of holders 4, and working pipes 5, 6. On each water-carrying pipe 1, 2 is mounted water tap 7, and a bracket 8 is mounted in the upper part of the rack 1. The shower cabin is made of a cylindrical shape. The stand 3 and working pipes 5, 6 are mounted on the cylindrical surface of the shower stall.

Water-carrying pipes 1, 2 are located parallel to each other and connected to working pipes 5, 6.

In particular, water-carrying pipes 1, 2 can be C-shaped and located horizontally (see Figure 5) or straight and located vertically (see Figure 8).

One side of the water-carrying pipes 1, 2 is made open for connection with working pipes 5, 6 by means of a water tap 7, and the other side of the water-carrying pipes 1, 2 is made closed for rigid connection with working pipes 5, 6.

The walls of the water-carrying pipes 1, 2 have outlet holes 9 and are directed towards the working area. In particular, the outlet holes 9 can be arranged in a staggered pattern with respect to the holes 9 of adjacent water-carrying pipes 1, 2.

Lines 10, 11 are mounted to the central parts of working pipes 5, 6 for parallel supply of water of different temperatures and pressures to water-carrying pipes 1, 2. On each line 10, 11, a water temperature regulator 12, an adjustable water pump 13 and a pressure gauge 14 are mounted. Working pipes 5, 6 are connected to the water source 15 through lines 10, 11.

Under the stand 3, the working pipes 5, 6 and in the upper part of the shower stall, supports 16 are mounted on the bracket 8 (see Fig. 5).

The shower cabin (see Fig. 5) is used in a vertical position both for patients without disabilities and for patients with disabilities - wheelchair users.

Depending on the height of the patient without disabilities or the height of the wheelchair user from the floor level, water supply to the “extra” water-carrying pipes 1, 2 is shut off using water taps 7.

Water temperature regulators 12 set the required water temperature in each main line 10, 11 and water-carrying pipes 1, 2. For example, in main line 10 and, accordingly, water-carrying pipes 1, the water temperature is set to 20 ° C, and in main line 11 and, accordingly, water-carrying pipes 2, the water temperature is set to 40 °C.

By means of adjustable water pumps 13, the required water pressure is established in the corresponding line and, accordingly, at the outlet of the outlet openings 9 of water-carrying pipes 1, 2. By means of pressure gauges 14, the water pressure in the corresponding line is controlled, which ensures the same or different pressure in lines 10 and 11.

To ensure pulsating pressure, water flow breakers 17 are installed in lines 10 and 11.

The shower stall (see Fig. 8) is used in a vertical position for patients without disabilities.

The shower cabin (see Fig. 5) is also used in a horizontal position for bedridden patients with disabilities. To do this, the shower cabin is turned 90° relative to the floor surface in such a way that the working pipes 5, 6 are located parallel to the floor surface and along the couch with a bedridden patient (see Fig. 10), and the water-carrying pipes 1, 2 are located above the bedridden patient. In this case, the necessary supports 16, due to the hinge, are deflected 90° relative to the floor surface and the length of the supports 16 is adjusted depending on the height of the couch with a lying patient.

Support rhythm exercises allow you to form, strengthen and develop the patient’s support plane, his support positions and body positions in static and dynamic exercise modes.

Performing exercises in a static mode without changing the initial position of the body allows you to form a correction and develop muscle control and control of the front and rear parts of the body (correction and development of muscle forces up, down and to the sides) from the starting position.

Performing exercises in a dynamic mode allows you to form a correction and develop the correct motor algorithms for movement in the horizontal plane.

In addition, performing dynamic exercises allows you to develop coordination and synchronization of the patient’s movements, develop the speed and accuracy of movements and actions on a stable and unstable support, i.e. standing on a hard, flat surface on two legs and alternating right and left legs.

Performing motor rhythm exercises allows you to expand the patient’s motor activity along axes and planes, as well as form the correction and rehabilitation of multifunctional and complex motor algorithms. Namely: improve muscle properties for twisting, stretching and shortening; develop adaptive capabilities of muscle contractions under the changing rhythm of exercises in accelerated and slow execution.

Performing static exercises allows the patient to develop a deep muscular sense of all parts of the body and improve the patient’s orientation in space, develop the importance of other systems of perception and control (except for visual-motor), restore the correction of balance and center of gravity.

Performing ascending rhythm exercises allows you to develop coordination and synchronization of the patient’s movements, the ability to manage and control the body’s center of gravity and sense of balance, as well as the speed of motor reactions.

The use of massage allows not only to regulate the level of electrical activity and electrical conductivity of human skin and skeletal muscles, but also to correct deprivation, in particular sensory and emotional, during physical and mental stress, including post-traumatic stress disorder.

The use of wooden scrapers during massage, in particular those made of aspen, birch, and larch, allows to reduce the electrical activity of the patient’s skin and increase muscle mobility in areas of a large number of lymph nodes, increasing the lymphatic drainage effect and regulation of sweating, reducing muscle tone and stress tension.

The use of metal scrapers during massage allows you to increase the electrical activity of the skin and electrical conductivity in the large skeletal muscles of the patient’s body, thereby increasing blood flow in the irritated muscles, helping to increase muscle tone and general motor activity of the patient. In addition, the use of metal scrapers made of copper and silver during massage effectively affects the human body in removing it from depressive states and reducing long-term stress.

The use of wooden and metal scrapers in massage allows you to use not only the upper layers of the skin, but also the muscles.

In particular, the presence of a semicircular convex shape of the scraper allows you to more actively and efficiently work on various areas of the patient’s body, improve the condition of the skin, smooth out wrinkles, eliminate swelling, and improve blood circulation.

The presence of a semicircular concave surface of a wooden scraper is designed to impact the patient’s knee, elbow joints, arms and legs to ensure maximum contact of the scraper with the skin and muscles.

The use of wooden scrapers made from aspen allows you to relieve pain, reduce skin irritation, and reduce its electrical activity.

The use of birch wooden scrapers can reduce pain and tension in muscles, including after physical exertion, and also helps improve ventilation of a person’s lungs.

The use of wooden larch scrapers can have an antibacterial effect on the patient’s skin, reduce inflammation and cleanse pores.

In particular, metal scrapers are made of copper and silver with semicircular convex and straight pointed working surfaces.

The use of metal scrapers made of copper can improve skin elasticity, help prevent age-related changes and the appearance of various spots, and suppress fungi on human skin, which are the main cause of various changes on the skin. Copper conducts electricity very well, which penetrates human skin through biologically active points that have less resistance. This current, penetrating through the point, activates it, leading to harmonization of the body. In addition, copper has antiseptic and bactericidal properties.

The use of silver metal scrapers provides antibacterial properties to human skin during massage.

Making scrapers with a semicircular convex surface provides a “rough” effect on human skin, in particular the back, abdomen, arms, legs and neck, or on areas of the body where maneuverability is required, such as the chest.

The use of wooden and metal scrapers with a semicircular convex surface allows you to normalize lymph flow, improve blood supply to tissues, and saturate the skin with oxygen and nutrients. The action of the semicircular surface of the scraper allows you to smooth out human skin and ensure its elasticity, remove toxins and harmful substances.

The use of wooden scrapers with a semicircular concave surface allows for maximum contact with human skin on the upper and lower extremities.

The sliding movement of stones across a person’s skin increases immunity, improves blood circulation, improves skin condition, and removes toxins from the body. In addition, the use of hot stones allows you to expand human blood vessels, and the use of cold stones allows you to narrow them, which ensures “vigor” of the entire body system.

The sliding movement of river pebbles over a person’s skin allows them to more actively influence various points of the human body, stimulating which improves metabolism in the body and blood circulation.

The sliding movement of sandstone and limestone over human skin allows the stones to retain heat during massage and are used mainly for hot massage procedures.

Performing neuromuscular correction procedures allows you to increase/decrease the sensitivity of the neuromuscular spindles of skeletal muscles using mechanical action (manual active influence or lever organization of movements), including complex movement disorders (cerebral palsy, acute cerebrovascular accidents and subarachnoid hemorrhages, vegetative conditions, neuromuscular diseases, dyskinesias and hyperkinesis of various origins, etc.).

Neuromuscular correction also allows you to rehabilitate muscle properties through rhythmic stimulation and impact on the somatic nervous system (afferent and efferent).

The use of hydrotherapy, including contrast procedures with simultaneous different-temperature effects of water jets on the human body, alternating with the same and different pressures, makes it possible to normalize blood pressure in patients, have a beneficial effect on the cardiovascular system and provide an invigorating effect, including: improve blood circulation, relax the body, reduce pain, strengthen blood vessels, restore the functions of the gastrointestinal tract, accelerate the regeneration of tissues and skin cells, harden the body, strengthen the immune system, improve metabolism.

The use of the claimed method of restoring the body will restore the health, functional state and ability of a person to work.

Clinical case No. 1.

Patient A., born in 2011, has been observed since September 2019.

Diagnosis: cerebral palsy, CNS ROP, tetraparesis, epilepsy, ASD, amblyopia, hip dysplasia on both sides, deformation with top.

Initial examination August 2019 at a specialized center for children and adolescents with disabilities.

As a result of examination of patient A. by neuropsychologist E. it was established:

The child has an asthenic build, a weak muscular corset, does not hold his head for a long time, there is no visual contact, emotional inexpressiveness, reactions are monotonous, sound-speech activity is practically absent, but there is the word Styopa (he pronounces the father’s name vaguely and incompletely).

Motor activity is manifested in sitting and lying positions with arm movements in a very limited range; there are no movements with outstretched arms. Turn the head approximately 25 degrees in each direction, the main position of the head is looking down. The legs practically do not move, do not bend. The contracture is pronounced during flexion/extension of the ankle joints. Pronounced synkinesis in the hands.

Sensorimotor development is impaired. Low sensitivity in almost all parts of the body; there is no reaction in the lower extremities, but reflexes are preserved (remote reaction).

When talking, there is a reaction of the pupils, it also reacts to intonation, sound volume and music (including rhythmic tapping on the body), there is a reaction to bright light - it squints or closes its eyes.

He hears well, does not respond to calls, there is a reaction to a continuous source of sound (music or rhythm).

According to the parents, no results were noted after the rehabilitation.

Based on the results of the examination and diagnosis of functional disorders in accordance with the International Classification of Functioning (ICF), it was offered to take a free special course “Method of restoring the body.”

Purpose of the course: formation and development of proprioceptiveness, correction of sensorimotor disorders.

The course included:

1. Massage is an indirect effect on the skin and nearby muscles of the child in order to increase the action potential using natural materials.

2. Gymnastics is a set of passive and passive-active exercises aimed at:

- formation of positive and negative emotional reactions;

- physical reactions of resistance and interaction, i.e. on the development of the basic properties of muscle tissue.

3. Neuromuscular correction - direct impact (stimulation) of individual muscles in order to form and correct contraction/extension, antagonistic and synergistic mechanisms of muscle interaction.

4. Water procedures - procedures aimed at improving physical (temperature) perception in order to form and correct sensorimotor and proprioceptive development (contrast rubdowns and showers).

Class structure:

One day - massage and water treatments.

The second day is gymnastics and neuromuscular correction.

Classes were held twice a week (Saturday and Sunday) for 90 minutes.

From September 2019 to September 2020, more than 70 classes were conducted.

During this time, the program obtained the following results:

Sensorimotor development and proprioceptiveness - improved skin and muscle sensitivity, increased amplitude of movements, including the appearance of a hand grip, and began to hold objects. Support on all fours appeared, she began to move around the apartment a lot, the play and social space expanded, and she began to take an interest in what was happening in other rooms. Many sounds appeared accompanying this or that action, the vocabulary increased to 20 separately pronounced words, gestures and emotionality appeared (she began to laugh out loud, shouting demanding something), i.e. The "mask-like face" disappeared. I learned to roll over onto my stomach and back. Improvement in sensorimotor disorders, epilepsy attacks have disappeared and are still absent to this day.

NOVEMBER 2, 2020 DADDY’S REVIEW:

“Our daughter is 9 years old. She has been disabled since childhood. When she was 7 months old, doctors made a terrible diagnosis - cerebral palsy, epilepsy, mental retardation. For us it was like a bolt from the blue; it was as if the world had turned upside down in front of us. After that, how many anxious days and sleepless nights did we spend next to our sweet daughter? We visited different hospitals and clinics that were known to us. Several times we were admitted to the Yakut Republican Medical Center at the PNO department (psychoneurological department), studied in rehabilitation centers in Yakutsk, went to the rehabilitation center in Neryungri twice, were in the Belokurikha sanatorium, for treatment in China (Li Chao and Yanjiao clinic ), in the cities of Novosibirsk, Moscow and St. Petersburg. But it seemed to us that everything was unsuccessful. Of course, there were some changes for the better, but my daughter still did not feel real life. She didn’t make contact, didn’t walk, didn’t speak, didn’t see well. Even the attending physician at the PNO of the Yakut Medical Center directly said that “she has only water in her head, you can plan a second one.” We were in despair...

In 2017, when they were undergoing treatment in Novosibirsk, healers from Buryatia B. and his wife D., who were working with A., said that “everything will be fine, your daughter will gradually develop, for this you need to work with her a lot . And you need to look for a healer in your homeland, he walks somewhere near you.” These strong, bright, gifted people we respect opened our eyes and gave us confidence in life. And in September 2019, we went to neuropsychologists E. and E. in Yakutsk. They specifically recruited 3 children with severe diagnoses and began training free of charge using their individual methodology. We started taking our daughter once or twice a week, because... They had everything written down in advance and their workload was enormous.

We have been going for the first year and the results are obvious. Our daughter has become completely different. She began to clearly speak individual words, speaks to us enthusiastically and emotionally (most of them in her own language), her vocabulary increases every day, she sings along to very complex melodies, she has a conscious look, she shows her character, she has become more energetic and demanding. Sensitivity has appeared and she remembers words. We are slowly learning the poem. We started going to a correctional school. She no longer likes to be scolded, gets offended, pretends. It is clear that her artistic talent is awakening. If before she didn’t even cry during injections or didn’t react to tickling, now she’s already afraid of pain and tickling, i.e. the head starts to work.

But it has one drawback. She is very shy around strangers. And as soon as we are left alone, he immediately shows his leadership qualities, begins to command with his imperious, commanding voice, fights, screams. More of course goes to our mom. We believe that we are on the right path. We convey our deep gratitude to our angels E. and E., our bow to the ground!

We will never forget E.’s prophetic words: “Your girl’s intellect is preserved. We’ll work” (text and grammar preserved).

In the second year of classes, game classes were added to the program, because Patient A. began to understand and accept the distribution of functions. In addition, aquatic rehabilitation procedures were added in the shower cabin in a sitting and standing position in the suspension system.

Class structure:

Massage - 45 min.

Gymnastics in the format of play sessions - 45 min.

Shower cabin - 20 min.

Neuromuscular correction - 30 min.

Over the two years of studying the program, the following results were obtained:

Confidently crawls on all fours, holds his head up, sits without support for a long time, during classes or games at school and at home he comments in short phrases, asks meaningful questions, and has demonstrated the ability to dialogue. Jokes appeared: “your love has come” (a phrase said to mom about her father coming home).

The main effect of the passage was obtained through regular classes during the Grant of the Head of the Republic of Sakha (Yakutia), i.e. during everyday activities. 24 face-to-face sessions lasting 60 minutes were conducted. each:

Massage - 7 lessons/45 min. and shower 7 lessons/20 min.;

Gymnastics - 7 lessons/45 min. and shower 7 lessons/20 min.;

Neuromuscular correction - 5 lessons/45 min. and shower - 5 lessons/20 min.;

Classes with a neuropsychologist - 5 lessons/45 min. and neuromuscular correction 5 lessons/30 min.

MARCH 2022 MOM'S REVIEW:

“In the fall of 2019, at a rehabilitation center for children and adolescents with disabilities, we met neuropsychologist E. And he, after looking at A., said that her intelligence was intact. And for the first time in 8 years we heard that our baby could understand everything, and we immediately seized upon it to speak. At that time, A. did not react to the name and did not perceive speech addressed to her. There was no speech, except for the word Styopa, she moved slowly on all fours, did not stand, mostly sat and lay. And fortunately for us, it was in the center of B. (a public organization of parents with children with cerebral palsy) that he recruited 3 children with cerebral palsy for classes on a charitable basis, without payment. We studied on Sundays. Then they teamed up with E. and opened a motor correction center and began further training using their own proprietary method. We go 1-2 times a week. Over these 2.5 years, A. has changed dramatically. I became a completely different person. She spoke. At the age of 9, I first heard the word mom consciously from her. Now I am her mother, mother, Toka, Tonya, Tokanai. Whatever your mood calls for. Answers questions. Commands the dog. Sings a lot. I gained weight and stretched out. Involuntary hand movements are gone. She confidently began to crawl on all fours. She began to react emotionally to everything. The back straightened. Taught the correct step movements. In the fall of 2021, my daughter and I were offered to participate in the Grant project of the Head of the Republic of Sakha (Yakutia) “National culture and ethnic traditions of healing the Sakha people in the author’s ethno-rehabilitation program.” We were just happy that we were chosen. We completed 2 courses of rehabilitation (physical therapy, massage, ethno-rehabilitation, examination by a doctor, tests, ultrasound, MRI) and 2 courses of home rehabilitation. We were drawn up an individual program for home rehabilitation and were given all the equipment for the program. After the course, A. became more mobile. Strength appeared in my arms and legs. My vocabulary expanded, my reaction to everything became quicker, and eye contact appeared. They began to confidently stand at the support. Walks with support. At school, teachers and relatives immediately noticed improvements. At the rehabilitation center where we have now entered, the massage therapist and exercise therapy instructor said that in 9 years of working with such well-functioning muscles, they had never seen a child with cerebral palsy. After rehabilitation, my headaches went away, I forgot the word osteochondrosis. Previously, only injections helped. Body reporting has passed. When I was pregnant with my first child. This was 22 years ago. She fell and hit her tailbone. And from that moment on, it periodically bothered me. I couldn’t walk much and immediately started to get sick. After rehabilitation I can even walk 22,000 steps a day and nothing bothers me. How I endured this pain for 22 years, sometimes I could barely get out of bed. And in the center they took it and fixed it. And I saw for myself that if a person’s otuor is broken, then it can be restored. The course of ethno-rehabilitation is not only our physical body, but also our energetic one. We learned how to breathe correctly with the diaphragm. If we do not breathe with the diaphragm, then our lymph does not pump and health problems begin. Here we were restored, taught, and then it is up to us to return to our previous way of life or move forward to a happy life. Our family is very grateful to this project, E., E., D., A. for your professionalism, for all the good deeds you do” (text and grammar preserved).

Currently, patient A. feels well, studies at school and communicates with teachers, answers questions, and is interested in a lot.

Clinical case No. 2.

Patient M., 27 years old, after a road traffic accident that occurred on April 5, 2020, with numerous injuries: explosive comminuted fracture of the 5th lumbar vertebra with spinal cord contusion, intestinal rupture, closed fracture of the left clavicle, open fracture of the femur of the right leg.

Patient M. came to the rehabilitation center for a consultation at the beginning of May 2021 in a state of moderate severity: “she moved only with support, very slowly, the lower part of the body from the line of injury completely lost sensitivity. My toes and feet didn't move. The gait was slow and “reproduced by inertia,” that is, the accompanying person was a support and regulator of walking (according to patient M.), there were no movements of the legs back and to the sides, dysfunction of the pelvic organs (complete lack of control and sensitivity), suppressed psycho-emotional condition (did not go out into society, practically did not communicate with anyone, constantly sat at home alone, took painkillers on a regular basis, slept poorly due to pain).”

After consultation, a course of ethno-rehabilitation was prescribed, the purpose of which was to restore skin and muscle sensitivity to correct functional disorders of the body and motor algorithms.

The ethno-rehabilitation course included:

- massage (7 sessions) - to restore skin and muscle sensitivity, correct biomechanical muscle interaction (work of agonist, synergist, antagonist muscles);

- gymnastics (7 lessons) - to restore motor skills and algorithms;

- neuromuscular correction (7 sessions) - to restore the supporting (support points), motor (regulation of the ratio of muscle work in anatomical planes: anterior-posterior, left-right, upper-lower) and ascending (coordination, synchronization of movements) rhythms;

- aquatic rehabilitation (9 sessions), using a shower cabin - to restore skin and muscle sensitivity, stimulate motor skills and algorithms.

At the end of the ethno-rehabilitation course, the following results were obtained:

1. Complete restoration of skin sensitivity in the lower part of the body, with the exception of the perineum and the scar from the operation.

2. Restoration of muscle sensitivity in the lower part of the body, with the exception of the inner surface of the left leg, the perineal area (control and sensitivity of the pelvic organs - the urge to urinate and defecate has been restored).

3. Movement of the fingers and feet of both legs, walking backwards and to the sides have been restored.

4. Independent walking without support, backwards and to the side, has been restored.

5. Improved coordination and synchronization of movements (independent exercises on fitballs and balance beams).

6. Constant pain in the legs went away, sleep improved.

7. The volume of communication and communication has sharply increased, mood has improved, independent movement around the city has appeared: shops, cinema, etc.

8. Returned a 3-year-old child back to her place from her parents.

9. I returned to my hobby - baking cakes.

10. Got a job as an administrator.

Claims (9)

1. A method for restoring the human musculoskeletal system, including performing physiotherapy procedures - physical education, massage and hydrotherapy, characterized in that physical education includes performing exercises of supporting, motor and ascending rhythm with a limited, free and hypermobile range of motion, at first the exercises are performed passively with the help of instructor, and then independently, and support rhythm exercises, characterized by performing exercises without changing the starting position, include: from the starting position lying on your back, perform body turns 180 degrees - roll over onto your stomach and back onto your back; from the starting position lying on your stomach, perform 180-degree body turns - roll over onto your back and back onto your stomach; from the starting position lying on your side, perform a 180-degree body turn - turn over to the other side and back; from the starting position, standing on all fours, swing the body forward and backward, as well as from side to side; from the starting position while sitting, perform torso turns left and right up to 90 degrees relative to the starting position; motor rhythm exercises, characterized by performing exercises in different planes, include: twisting, bending, turning the body, alternate lifting, bending, abducting and swinging the legs; ascending rhythm exercises, characterized by performing exercises in increasing and decreasing rhythms, include: alternating changes in the initial position of the body: lying, sitting, standing, in motion, performing movements from bottom to top, forward to backward, right to left; massage is carried out by manual and mechanical action on human skin and neuromuscular correction by manual influence of a specialist’s hands on the patient’s muscles, which includes fixing the muscle attachment site with the specialist’s hands and squeezing movements with a finger or the edge of the palm in the forward and reverse direction of the muscle tissue; hydrotherapy is carried out in a shower stall by simultaneous exposure of water jets at different temperatures to the human body under pressure. 2. The method according to claim 1, characterized in that the mechanical action includes the sliding movement of stones: river pebbles, sandstone, limestone over human skin. 3. The method according to claim 1, characterized in that the mechanical action includes the sliding movement of wooden scrapers over human skin. 4. The method according to claim 1, characterized in that the mechanical action includes the sliding movement of metal scrapers over human skin. 5. The method according to claim 3, characterized in that the wooden scrapers are made with a semicircular convex and concave working surface, made of aspen, birch, and larch. 6. The method according to claim 4, characterized in that the metal scrapers are made of copper and silver with semicircular convex and straight pointed working surfaces. 7. The method according to claim 1, characterized in that hydrotherapy involves the simultaneous impact of water jets at different temperatures on the human body with the same pressure. 8. The method according to claim 1, characterized in that hydrotherapy involves the simultaneous multi-temperature effects of water jets on the human body with different pressures. 9. The method according to claim 1, characterized in that hydrotherapy involves the simultaneous multi-temperature effects of water jets on the human body with pulsating pressure.