RU2166921C2 - Method for treating cervical osteochondrosis - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves administering special Wu-Shu exercise complex. External rotation of arms for achieving trapezoid muscle relaxation and relaxation of the muscle lifting the scapula is done in the first complex. Traction massage movements are applied to the area of short cervical extensors for achieving relaxation of the given muscle group during the second complex. Then the body assumes the lowest position. The next exercise is done for achieving traction in the cervical part of the vertebral column. Then, load is repeatedly applied to the hip joints and lower extremity muscles. The following exercise involves isometric tension of the musculus pectoralis major, the musculus pectoralis minor and inferior muscles fixing scapula. A series of smooth circular arm movements are done and the neck rotations are concurrently done. EFFECT: enhanced effectiveness of muscle regulation. 7 dwg

Description

 The invention relates to medicine, namely to neurology and reflexology, can be used in the complex treatment of cervical osteochondrosis.

 A known method of treating neurological manifestations of the cervical spine (application N 96111347/14, 06/18/06, A 61 H 39/00, B.I. N 3.98), which consists in a method of treating cervical osteochondrosis using manual therapy and therapeutic exercises physical education, which is based on the principle of post-isometric relaxation. The disadvantage of this method is that when this method is applied to biologically active points (BAP) of a general strengthening effect without taking into account the energy state of the channel-meridional system.

 There are also known methods of treating spinal osteochondrosis using the Tai Chi Chuan gymnastics method, which consist in correcting pathobiomechanical changes in the kinematic chain of the spine, as well as in activating the channel-meridional system (Gavaa Luvsan. "Traditional and modern aspects of reflexology" -M.: Science 1990). The disadvantage of this gymnastics is the lack of focus on cervical osteochondrosis, as well as the difficulty in learning the complexes. It was noted that with successful influence on the energy state in the canal-meridional system during Tai Chi Chuan gymnastics, a slight correction of pathobiomechanical changes in neurological manifestations of spinal osteochondrosis is noted (Wang Wai Chen "Dynamics of pathobiomechanical changes in lumbar osteochondrosis under the influence of gymnastics U-Shu // Manu-therapy U-Shu // in arthrovertebrology. - Novokuznetsk, 1990, - from 101-104.

 Closest to the claimed is the Original U-Shu gymnastics complex for lumbar osteochondrosis (B.Ch. Van Effectiveness of using U-Shu differentiated complexes for lumbar osteochondrosis: Abstract of thesis. Candidate of Medical Sciences. Novosibirsk, 1990 - 22с).

 The disadvantage of the prototype is that this method is not used for cervical osteochondrosis due to the predominant effect on the muscles of the lower back without taking into account pathobiomechanical changes in the cervical spine.

 The objective of the present invention is to increase the effectiveness of the method of treatment and create a more stable remission.

 The task is achieved by the fact that the correction of pathobiomechanical changes and energy correction in the channel-meridional system is carried out by sequentially performing differentiated exercises of U-Shu gymnastics. Moreover, in the first exercise, external rotation of the forearms is performed to relax the trapezius muscle and the muscle that raises the shoulder blades, while the eyes follow the fingers of the hand, in the direction of which the cervical spine is rotated. In the second exercise, traction-massaging movements are performed in the region of short neck extensors to relax this muscle group; in the 3rd exercise, the body is set to the lowest possible position in order to strengthen the musculo-ligamentous apparatus of the lower extremities and lower back; in the 4th exercise, traction is performed in cervical spine, in the 5th again the load is applied to the hip joints and muscles of the lower extremities, in the 6th exercise isometric tension of the small and large pectoral muscles and lower fixators of the left atki in 7th exercise carried out a series of soft, circular motions of the hands in order to relax the muscles of the upper limbs with simultaneous rotation of the neck.

 During all exercises, eye synkinesia is performed to passively overcome muscle resistance.

 When conducting differentiated exercises, an effect on the energy imbalance in the P, Gi, E, RP, C, TR channels is noted, correcting the syndromes of redundancy and insufficiency.

 Regulation is performed between the muscles that exercise tonus-force relationships in the cervical spine.

The novelty of the method
1. The correction of a non-optimal motor stereotype is carried out with the upper cross syndrome in order to relax tense muscles and strengthen relaxed ones.

 2. During the complex, an energy correction is noted in the channels P, Gi, RP, E, C.

3. A set of 7 sequentially performed exercises provides correction as pathobiomechanical changes (PBMI), which is present in case of neurological manifestations of cervical osteochondrosis (NSPO)
4. Eye synkinesia contributes to better twisting of the spine in the cervical spine and isometric muscle tension.

5. Correction of tonus-force relationships between short flexors and short extensors of the head leads to:
5.1. a change in positonic relationships in the cervical region;
5.2. creating conditions for improving blood circulation in the vertebro-basilar basin;
5.3. reducing the frequency of reflex-compression syndrome of the lower oblique muscle of the head.

 6. The method consists of a set of interconnected movements that affect the energy imbalance in the channels specified in clause 2, and the correction of a non-optimal motor stereotype.

 The invention is illustrated by the application, where in FIG. 1-7 graphically shows a diagram of all movements.

 The essence of the method is as follows.

 1. The orientation of the exercise is necessary depending on the PBMI. Additionally, before conducting W-Shu gymnastics, self-mobilization techniques are performed to correct a non-optimal motor stereotype. During the exercise it is necessary to monitor the correct position of the head - "the head is suspended by the crown." It is necessary to master the correct pose at rest while sitting, standing, and then while moving.

2. The predominant load on the legs and lumbar with the aim of relaxing the muscles of the upper limbs and shoulder girdle. For this purpose, it is necessary during the exercise to observe a number of requirements:
A. hand movements are smooth, rounded;
B. hands during exercise do not fully straighten;
V. internal tension in the hands is removed (mental images such as "hands move in a viscous environment", etc. help).

 3. It is necessary to carry out exercises at a slow pace, without sharp jerking movements, in a moderately limited volume, accessible to the patient, without pain and other unpleasant sensations, with a gradual increase in load (as you train, take a lower stance during the exercise).

 4. As you master the exercises, it is advisable to combine exercises with the respiratory rhythm, while breathing should be abdominal. For its better assimilation, carry out additional exercises such as "inhalation by the stomach" with a load lying on your back.

 5. When moving, perform the "empty" step, ie move the center of gravity to one limb.

 6. Creation of a certain psycho-emotional state of concentration on performed movements or on an internal object.

Characteristics of the differentiated complex W-Shu
The proposed W-Shu complex consists of seven exercises (Figs. 1-7). The complex is easy to learn, easy to remember and has several advantages, unlike traditionally performed gymnastics.

 1. Exercise involves maintaining a comfortable position when performed in a moderately limited amount available to the patient.

2. Gymnastics does not require special venues or gyms, as 2 m ^{2 is} enough to complete the exercises.

 3. All movements are performed while maintaining the vertical axial load, which avoids excessive loads on the spine.

 4. Movements are performed due to the hip, knee, ankle joints, which allows you to relax the muscles of the neck and prevents trauma to the tissues of the affected PDS.

 5. Carrying out exercises in isometric mode contributes to the formation of muscle corset.

Each exercise is constructed in such a way as to activate channels according to the U-Sin rule. At the same time, the state of the channel-meridional system is monitored by the method of classical Chinese medicine (Gavaa Luvsan. "Traditional and modern aspects of reflexology" -M .: Nauka, 1990.)
Exercises are divided into left-side and right-side options and, as they master, can be grouped into various combinations. The W-Shu gymnastics complex has virtually no contraindications. Difficulties may be noted when performing some exercises in connection with orthopedic defects of the musculoskeletal system.

 EXERCISE N 1 (Fig. 1).

 1. IPP.

 2. The right leg steps forward and bends at the knee. Body weight is transferred to the left leg. At the same time, both hands rise to the chest level, palms down.

 H. The weight of the body is transferred to the right leg, while the right hand, turning in an arc down and back, rises with the palm up from the hip back to the level of the eyebrows. Fingers are directed forward. Palm up. The housing rotates to the right as much as possible. The eyes are fixed on the right hand.

 4. The center of gravity is fully transferred to the right leg. The left leg proceeds to the right, forming an angle, the top of which passes between the toes. The wrist of the left hand rotates smoothly so that the palm is facing up. The body and neck are maximally turned to the right. A look follows the right hand.

 5. Continuing the previous exercise, the right leg rotates outward and takes a step forward, body weight is transferred to the right leg. At the same time, the arm makes an arc around the body, turning back to the right, the palm rotates outward as much as possible. It is necessary to delay the movement at extreme amplitude by 1-2 with an eye on the fingers of the right hand.

 6. Repeat movement 4.

 7. IPP.

 EXERCISE N 2 (Fig. 2).

 1. IPP.

 2. Hands rise in front of the chest, while turning the palms up, and rise to eye level.

 3. The arms turn around, making an arcuate movement, and end the movement on the back of the neck, clasping her hands and making massaging-traction movements.

 4 and 5. Continuing the previous movement to lower your hands while bending the legs in the knee joints, it is necessary to ensure that the lumbar and cervical lordosis are not amplified. Hands are spread apart, the right hand is straightened in the elbow joint, the left "pulls the bowstring." In the extreme position, linger for 1-2 seconds.

 6. Continuing the previous exercise, unfold your hands with your palms to each other and bring them closer to eye level, as if holding the ball in front of you. Turn the body and neck slowly to the neutral position. A look follows the fingers.

 7. Hands drop to the level of the lower back.

 8. IPP.

 EXERCISE N 3 (Fig. 3).

 1. IPP.

 2. The right leg steps forward and bends at the knee. Body weight is transferred to the left leg. At the same time, both hands rise to the chest level, palms down.

 3. The weight of the body is transferred to the right leg, while the right hand, turning in an arc down and back, rises with the palm up from the hip back to the level of the eyebrows. Fingers are forward, palm up. The housing rotates to the right as much as possible. The eyes are fixed on the right hand.

 4. The center of gravity is fully transferred to the right leg. The left leg proceeds to the right, forming an angle. The wrist of the left hand rotates smoothly so that the palm is facing up. The body and neck are maximally turned to the right. A look follows the right hand.

 5. Continuing the previous exercise, the right leg rotates outward and takes a step forward, body weight is transferred to the right leg. At the same time, the arm makes an arc around the body, turning back to the right, the palm rotates outward as much as possible. It is necessary to delay the movement at extreme amplitude for 1-2 s, watching the fingers of the right hand.

 6 and 7. Continuing the previous exercise, the left arm from under the elbow, making an arc to the left, outward-upward, turns outward-upward. At the same time, the left leg rises, the thigh forms a horizontal surface of the earth.

 8 and 9. Continuing the "arc", the left hand makes a movement to the right-down. Body weight is distributed on both legs. The stand should be taken as low as possible.

 10. Continuing the previous exercise, the right hand goes upward in an “arc”, completing a semicircle. Body weight is transferred to the left leg. The position is a mirror image of position 7.

 11. IPP.

 EXERCISE N 4 (Fig. 4).

 1. IPP.

 2. Hands rise in front of the chest, while turning the palms up, and rise to eye level.

 3. The hands are turned around, making an arcuate movement, and end the movement at the level of the heart.

 4. Continuing the previous movement, lower your hands while bending the legs in the knee joints, while ensuring that the lumbar and cervical lordosis are not amplified.

 5 and 6. Continuing the previous exercise, turn the body and neck to the right slowly, to the maximum. At the same time, the arms unfold as far as possible right-back-up. A look follows the fingers.

 7. In the extreme position, the palms are open up, you need to stretch for 2-3 seconds.

 8 and 9. Hands are lowered left-back-down. The legs are bent at the knee joints.

 10. IPP.

 EXERCISE N 5 (figure 5).

 1. IPP.

 1. Raise the right leg so that the thigh is parallel to the surface. The foot is freely lowered. Hands rise straight in front of the body. The right hand is slightly ahead of the left. The gaze is directed at the hands at eye level.

 3 and 4. Lower the right leg to the right as far as possible. The feet are parallel. Get down on your right foot as low as possible. Hands smoothly turn their palms down.

 5 and 6. Body weight is transferred to the right leg. The left leg is straightened. Maximize the right foot, body and right arm as far as possible to the right, twisting the body and body. A look follows the right hand. The hand jerks along the arc with the open palm. Hold the movement for 2-3 seconds in the extreme position.

 7. Continuing the previous exercise, move the weight of your body to the right leg, the left leg takes a step ahead of the right. The left hand goes in an arc upward, turning with the back side out. Body weight continues to remain on the right foot.

 8. The left leg bends at the knee joint. The left hand moves in an arc down and back. The fingers of the left hand are set in a pinch, fingers down.

 9. IPP.

 EXERCISE N 6 (Fig. 6).

 1. IPP.

 2, 3, 4. Body weight moves to the right leg. Hands make a circular motion in front of themselves and make a jerky movement.

 5. The body is transferred to the right leg and turns to the right. The left foot rotates inward.

 6. Continuing the previous exercise, the left leg rises, hands complete a circular motion and are set with palms opposite each other - "pick up the ball."

 7 and 8. The foot is lowered, the right hand makes a circular motion down-left-up and is set with the palm toward you. The left hand is positioned near the right elbow.

 9. IPP.

 EXERCISE N 7 (Fig.7).

 1. IPP.

 2. Hands rise to the level of the heart, palms down.

 H. Body weight is transferred to the right leg. The right hand makes a circular upward motion, the palm is rotated inward. The left hand is set near the elbow of the right hand.

 4. The right arm is straightened, the right leg simultaneously steps to the left.

 5. Body weight is transferred to the left leg. At the same time, the left hand continues to move along the arc up, and the right hand - along the arc down.

 6. Body weight has completely shifted to the left foot. In this case, the palms rotate outward and the left hand makes a jerky movement.

 7. Body weight is transferred to the right leg. Exercise is similar to 3.

 8. The exercise is similar to 4.

 9. The exercise is similar to 5.

 10. Exercise is similar to 6.

 11. IPP.

 It is necessary to carry out exercises at a slow pace, without sharp jerking movements in a moderately limited volume, accessible to the patient without pain and other unpleasant sensations with a gradual increase in load (as you train, it is advisable to take a lower stance during the exercise). As you master the exercises, it is advisable to combine exercises with the respiratory rhythm, while breathing should be abdominal.

 Example No. 1. Patient P.S.I. 33 years.

 Received with complaints: for acute pain in the cervical spine, radiating to the right shoulder and right elbow joint. The pain intensifies when moving in the neck.

 From the anamnesis: considers himself ill for 7 years. Regarding this exacerbation, he was treated in a clinic for 16 days. Conducted physiotherapy, drug therapy. As a result of the treatment, no effect was observed.

 Objectively: The condition is satisfactory. Gentle walk. Smoothed cervical lordosis. Palpation is determined by soreness of SZ-4, C5-6 vertebrae, paravertebral tissue in this area is moderately painful, soreness in the area of the trapezius muscle on the right. Along the channel V marked pain is noted, along the channel VB - moderate. Tendon reflexes live d = s. There are no sensitive violations. R-gr. SHOP: Osteochondrosis C3-4, C5-6. Chronically recurring non-progressive course, cervicobrachialgia syndrome, 3 degrees of severity of clinical manifestations. Subluxation on Kovacs C3-4-5.

 According to the Voll method, an increase in the UEF threshold above 60 was observed for channels V and VB.

 Pulse diagnostics: increased strength and filling of the pulse at points V and VB, redundancy in the SMM of these channels.

 Diagnosis: Osteochondrosis C3-4, C5-6. Chronically relapsing non-progressive course, exacerbation, growth phase, irritative stage, cervicalgia syndrome on the right, 3 degree of clinical manifestations.

 After the course of treatment, which included, in addition to needle reflexology, the Original W-Shu gymnastics complex - the pain syndrome was almost completely stopped. Palpation in the paravertebral region mild pain, along the channels V and VB there is no pain.

 Pulse diagnostics: it was noted that the strength and filling of the pulse were equalized at points V and VB. According to the Voll method, the UEF threshold was observed within 50–65 in channels V and VB.

 During follow-up observation for 1 year, manifestations of osteochondrosis were observed once after severe physical exertion, for a short time (1 - 2 days).

 Example No. 2. Patient G.K.S. 49 years old.

 Received with complaints: pain in the neck, radiating to the left elbow joint, on the back surface of the forearm. Nocturnal paresthesia of the hands.

 From the anamnesis: considers himself ill for 20 years. This exacerbation within one month. Treated: with drug therapy, physiotherapy, acupuncture in the clinic. As a result of the treatment, a slight improvement is noted.

 Objectively: The condition is satisfactory. Restrictions of movements in the neck, elbow joint, shoulder joint. Palpation is determined by dull pain of C3-4, C5-6-7 vertebrae.

 Tendon reflexes live d = s.

 R-gr. SHOP: Osteochondrosis C3-4, C5-6-7. Instability C3-4. Unco-vertebral arthrosis C3-4-5.

 Pulse diagnostics: decreased strength and filling of the pulse at points V and VB, insufficiency in the SMM of these channels. According to the Voll method, a decrease in the UEF threshold below 50 on channels V and VB was noted.

 Diagnosis: Cervical osteochondrosis C3-4, C5-6, chronically relapsing, non-progressive course, exacerbation, stationary phase, irritative stage, cervicobrachialgia syndrome on the left, 3rd degree of clinical manifestations, smth night paresthesia of the hands.

Conducted a course of thermotherapy and acupuncture (10 days) for BAP:
After the course of treatment, the pain syndrome almost completely stopped. Palpatory mild soreness in the region of C3-4, C5-6 vertebrae. Pain along the channels V and VB stopped. Pulse diagnostics: equalization of strength and filling of the pulse at all points was noted. According to the Voll method: the UEF threshold in channels V and VB was observed in the range of 50-60.

 During follow-up observation during the year, the manifestation of osteochondrosis was observed once, after severe physical exertion. Shortly 2-3 days.

 The proposed treatment method is effective for the relief of pain in cervical osteochondrosis without the use of drug therapy, contributes to the achievement of stable remission.

Claims (1)

 A method of treating cervical osteochondrosis by conducting therapeutic exercises U-Shu, characterized in that they correct pathobiomechanical changes and affect the energy imbalance in the channels P, Gi, E, PP, C, by correcting the syndromes of redundancy and insufficiency by sequentially performing differentiated exercises of gymnastics U -Shu, while in the first exercise, external rotation of the forearms is performed to relax the trapezius muscle and the muscle that raises the shoulder blades, while the eyes follow the fingers hands, in the direction of which the cervical spine is rotated, in the second exercise they carry out traction-massaging movements in the region of short neck extensors to relax this muscle group, in the third exercise the body is placed in the lowest possible stance to strengthen the musculo-ligamentous apparatus of the lower extremities and lower back, in the fourth exercise, traction is performed in the cervical spine, in the fifth, the load on the hip joints and muscles of the lower extremities is again carried out, in the sixth exercise oestriasis isometric tension small and the pectoralis major muscle and lower blade clamps in the seventh series of exercise carried soft, circular motions hand, relaxing the muscles of the upper limbs with simultaneous rotation of the neck.

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