Device for correcting asymmetry of the pelvis, joints and muscles

Abstract

The invention relates to medicine, and more particularly to diagonal traction therapy, kinesiotherapy, manual therapy, osteopathy and rehabilitation medicine. A method for correcting asymmetry of the pelvis, joints and muscles relative to the spine comprises a set of actions, in which opposing muscles, ligaments and joints are tensed and relaxed. Procedures designed to remove metabolic waste products from the muscles are carried out, and a set of physical exercises for the relevant muscle groups are performed. Carrying out said method on the proposed device makes it possible to overcome muscle retraction, eliminate contractures, boost the immune system, improve central nervous system function, regulate internal organ function, dispel functional blocks, and relax the deep muscles of the spine.

Description

[0001] METHOD AND DEVICE FOR ELIMINATION OF ASYMMETRY OF THE PELVIS, JOINTS AND MUSCLES

[0002] The invention relates to medicine, namely to diagonal traction, kinesio and manual therapy, osteopathy, and restorative medicine. It can be used to treat and correct displacement and distortion of the pelvis and to eliminate the consequences of functional distortion of the pelvis, shoulder and knee joints.

[0003] In a complex of medical and preventive sports activities for improving the health of the human body, as well as in the field of medical and sports exercise machines.

[0004] A method for improving the health of the spine and joints is known (Patent for Invention No. 2545447, A61H 1 / 00, published on March 27, 2015) using a device for improving the health of the spine and joints (Patent for PM No. 137194, IPC A61F5 / 00, published on February 10, 2014). The method includes expanding the intervertebral spaces with derotation of the vertebrae using a device for improving the health of the spine and joints, containing a wedge-shaped device made sliding from two semi-wedges adjacent to each other with flat sides. However, the known method and device have a number of disadvantages:

[0005] This method is not very effective, as it does not provide long-term results and does not eliminate the asymmetry of muscle groups in any plane in relation to the spine.

[0006] A method for improving the health of the spine and joints with multi-plane deformation and a device for improving the health of the spine and joints with multi-plane deformation are known

[0007] SUBSTITUTE SHEET (RULE 26) (Patent for Invention No. 2644267, published 08.02.2018, IPC A 61F5 / 61, A61H 7 / 00). First, the ligament-tendon apparatus is relaxed, the spaces between the transverse processes of the vertebrae are increased, they are aligned in the frontal plane, then the rotation of the vertebral bodies is eliminated by acting on the spinous processes, then retrolisthesis is eliminated and the displaced spinous processes are aligned in the sagittal plane, the remaining rotation is eliminated by acting on the transverse processes. To implement the methods, the proposed device is used, which contains removable and insertable stops and wedges.

[0008] The known technical solution has the following disadvantages: it is not very effective, since it does not provide a long-term result and does not eliminate the cause of the disease (asymmetry of muscle groups in relation to the spine in any plane).

[0009] The objective of the proposed invention is to eliminate the shortcomings of the prototype, namely, to increase the effectiveness of the therapeutic effect to eliminate the asymmetry of the pelvis, joints and muscle groups in relation to the spine.

[0010] The technical result is a more effective symmetrical alignment of body parts, groups of joints, and a reduction in tissue trauma due to the distribution of the forces of impact of the biomechanical parameters of the human skeleton.

[0011] The problem is solved by the fact that the method for eliminating the asymmetry of the pelvis, joints and muscles in relation to the spine, including the performance of exercises, consists in laying the patient on his back on the bed of the device and fixing the right leg with a belt, with the left leg with a straightened knee the patient makes abducting vertical movements, providing resistance in the direction from top to bottom, then fixing the left leg with a belt, and with the right leg with a straightened knee the patient makes abducting

[0012] SUBSTITUTE SHEET (RULE 26) vertical movements, providing resistance in the direction from top to bottom, then lift the patient into a sitting position, fix the patient's left hip joint in a sitting position in the recess in the end part of the device and make swinging movements of the upper body with a fixed position to the right side, the patient clasps his hands on the back of his head and touches his left knee with his right elbow, then fix the patient's right hip joint in a sitting position in the recess in the end part of the device and make swinging movements of the upper body with a fixed position to the left side, the patient clasps his hands on the back of his head and touches his right knee with his left elbow, then in a kneeling position on the bed of the device, secure the lower leg with a belt, and place the patient's feet in the hole in the middle between the two parts of the bed and make a backward movement with outstretched arms and a thrown back head and without changing the position lower the patient into a sitting position on his knees,then, without changing the vertical position, begin to lift the patient to a kneeling position and without stopping, bending the back outward, the patient's head touches the bed, the upper body is lifted in the reverse order, then, using a pair of vertical posts with rubber straps and cuffs in the patient's kneeling position on the bed, fix the arms and, with a straight back, perform vertical movements with the upper body up and down at an angle of 45 degrees, then, using a pair of vertical posts in the prone position, using rubber straps with fixing cuffs, bend the left leg at the knee joint and make a lifting movement with the leg up, at the same time, with the right hand bent at the elbow, fix the body on the bed and bring the leg to its original position, then, using a pair of vertical posts in the prone position, using rubber straps with fixing cuffs, bend the right leg at the knee joint and make a lifting movement with the leg up,at the same time, with the left hand bent at the elbow, fix the patient's body on the bed and bring the leg to its original position,

[0013] SUBSTITUTE SHEET (RULE 26) position, the course of eliminating asymmetry is completed upon reaching the ratio of parameters in accordance with figure 17: A1=A2; B1=B2; B1=B2; G1=G2; D1=D2 and B1; B2; D1; D2 should be symmetrical to the axis of the spine C.

[0014] The set task is also achieved by performing osteopathic massage before performing the exercises.

[0015] The stated task is achieved in that the device for eliminating the asymmetry of the pelvis, joints and muscles in relation to the spine, which is a couch and used to implement the method, includes a base, a frame with adjustable supports, a bed containing head and torso parts and a frame lifting and lowering drive, wherein the frame is pivotally connected to the base by two pairs of vertical posts and contains two pairs of removable horizontal posts at the head and foot ends, the head part of the bed has an opening for the face, the torso part of the bed is provided with fixation elements in the middle part, and in the end part - a recess for fixing the hip joint, into which a removable insert is placed flush.

[0016] The stated objective is also achieved by the fact that the fixation elements are sling straps for fixing at least the left and right legs and feet.

[0017] The set task is also achieved by the fact that it contains foot pedals for controlling the level of raising and lowering the bed, connected to the drive for raising and lowering the frame.

[0018] The proposed invention is illustrated by the following graphic materials:

[0019] Fig. 1 shows a general view of the couch, view %, without vertical posts.

[0020] Fig. 2 shows a general view of the couch, viewed from the head, without vertical posts.

[0021] Fig. 3 shows a general view of the couch with vertical posts.

[0022] SUBSTITUTE SHEET (RULE 26) Fig. 4 shows an example of using a belt to fix the patient’s leg.

[0023] Fig. 5 and 6 show the use of a couch and a recess to fix the hip joint on the patient's left side.

[0024] Fig. 7 and 8 show the use of a couch and a recess to fix the hip joint on the patient's right side.

[0025] Fig. 9 and 10 - use of a couch and a belt with fixation of the patient's shin. Raising and lowering the upper part of the body up and down with a backward tilt.

[0026] In Fig. 11,12,13 - use of a couch and a belt with fixation of the patient's shin. Raising and lowering the upper part of the body up and down with a forward bend.

[0027] In Fig. 14, 15, 16 - the use of vertical posts and bands with cuffs for traction effect.

[0028] Fig. 17 is a schematic representation of the human skeleton with the axes of symmetry indicated, where C is the axis of symmetry of the spine;

[0029] A1 - diagonal of symmetry of the left shoulder and right hip joints;

[0030] A2 - diagonal of symmetry of the right shoulder and left hip joints;

[0031] B1; B2 - symmetrical relationships of readings B1 and B2 in relation to the axis of the spine in any plane;

[0032] B1 - diagonal of symmetry of the left hip and right knee joints;

[0033] B2 - diagonal of symmetry of the right hip and left knee joints;

[0034] G1 - diagonal of symmetry of the left hip joint and right ankle;

[0035] G2 - diagonal of symmetry of the right hip joint and left ankle;

[0036] SUBSTITUTE SHEET (RULE 26) D1; D2 - symmetrical relationships of the readings D1 and D2 in relation to the axis of the spine in any plane;

[0037] The method of eliminating the asymmetry of the pelvis, joints and muscles in relation to the spine is a set of actions in which tension and relaxation of the opposite muscles, ligaments and joints are performed. Techniques are carried out aimed at removing metabolic products from the muscles and performing a set of physical exercises for the necessary muscle groups. The stages of therapy are performed in the form of exercises on the stated couch. The first stage is to overcome the opposing force, the second stage is exercises to overcome the force of gravity of one's own body. This method includes a load on the muscles and joints by performing a set of special physical exercises and massage procedures. At the same time, intermuscular coordination is corrected and strength endurance is restored. The next stage includes exercises for stretching the muscles, forming biomechanical correct movement with constant control of muscle work.The next stage of exercises is to develop the strength endurance of the muscles that support the diagonal and natural position of the joints, and to strengthen intermuscular coordination.

[0038] The device for carrying out the above method is a couch having a frame 1 equipped with a pair of supports 2 connected to each other by upper crossbars 3, the lower part of the supports also has longitudinal and transverse crossbars 4. The frame 1 is designed with the possibility of horizontal reciprocating movement (lowering and raising) due to the presence of an electric drive 5, the first end of which is pivotally connected to the frame 1. On the frame 1 there is a bed, which has a head part 6 and a body part 7 (can be supplemented with a removable panel 7a). The head part 6 has an opening for the face 8. The body part 7 has elements for

[0039] SUBSTITUTE SHEET (RULE 26) fixation (belts): belt for fixing the right leg 9, belt for fixing the left leg 10, belt for fixing the feet 11. At its end, the torso section 7 has a recess for fixing the hip joint 12, which is formed when the insert 13 is removed. A pair of removable vertical posts 14 equipped with belts and cuffs for fixing the arms and legs of patients can be additionally inserted into the frame 1 in the leg section. Parts 6 and 7 of the bed are located at a small distance from each other. The couch is equipped with foot pedals for controlling the level of raising and lowering the bed, connected to the drive for raising and lowering the bed frame (the position on the drawings is not assigned).

[0040] An example of a specific application of the method and device.

[0041] The method for eliminating asymmetry of the pelvis, joints and muscles in relation to the spine is carried out as follows:

[0042] - at the beginning of the appointment, we diagnose the patient by visually and palpating the position of anatomical landmarks from the ankle joint to the cervical spine and, if any abnormalities are detected, we determine the sequence of further actions.

[0043] - then we use techniques aimed at removing metabolic products from the muscles and performing a set of physical exercises for the necessary muscle groups. We perform the stages of therapy in the form of exercises on the declared device - a couch. We load the muscles and joints by performing a set of special physical exercises and massage procedures. At the same time, we correct intermuscular coordination and restore strength endurance.

[0044] 1. The patient is placed on his back on bed 6 and the right leg is secured with belt 10, while the left leg with the knee straight is used to make vertical abducting movements (the patient

[0045] SUBSTITUTE SHEET (RULE 26) provides possible resistance) at a possible angle from top to bottom (Fig. 4).

[0046] 2. Next, the left leg is fixed with belt I, and with the right leg and straightened knee, vertical abducting movements are performed (the patient provides possible resistance) at a possible angle.

[0047] 3. Raise the patient to a sitting position. Fix the patient's left hip joint in a sitting position (with the feet facing the face opening) in recess 13 and perform swinging movements of the upper body with a fixed position to the right side, clasp the hands at the back of the head (at the end of the amplitude, the patient should touch the left knee with the right elbow) with the right leg slightly raised above the couch, (Figs. 5 - 6)

[0048] 4. Fix the patient's right hip joint in a sitting position, with the legs (towards the opening for the head) in recess 13 and perform swinging movements of the upper body with a fixed position to the left side, clasp the hands at the back of the head (at the end of the amplitude, the patient touches the right knee with the left elbow) with the right leg slightly raised above the couch (Figs. 7 - 8).

[0049] 5. In the kneeling position on the bed 6 of the couch, secure the lower leg with the fixing elements of the belt 12, and place the patient's feet in the opening between the parts of the couch 7 and 8, with arms extended and head tilted back, move backwards as far as possible and, without changing the position, begin to slowly lower the patient into a sitting position on his knees (Fig. 9 - 10).

[0050] 6. Next, without changing the vertical position, begin to slowly lift the patient to a kneeling position and without stopping (with the head down and arms extended up) without changing the vertical position of the patient's legs, bending the back outward, the patient's head touches the couch. Raising the upper part

[0051] SUBSTITUTE SHEET (RULE 26) of the body is made in the reverse order (Fig. I-13).

[0052] 7. Using a pair of vertical posts 15 with rubber straps and cuffs, with the patient kneeling on the couch, fix the arms and, with the back straight, begin slow vertical movements of the upper body up and down at a 45-degree angle (Fig. 14 - 15).

[0053] 8. Using a pair of vertical posts 15, in a prone position, using rubber straps with fixing cuffs, bend your left leg at the knee joint and perform a lifting movement with your leg upwards, preferably to the possible result, while at the same time, with your right hand bent at the elbow, fix your body on the couch, having achieved the result, slowly returning your leg to its original position (Fig. 16).

[0054] 9. Using a pair of vertical posts 15, in a prone position, using rubber straps with fixing cuffs, bend the right leg at the knee joint and perform a lifting movement with the leg upwards, preferably to the possible result, while at the same time, with the left hand bent at the elbow, fix the patient's body on the couch, having achieved the result, slowly return the leg to its original position (Fig. 16).

[0055] 10. The ratio of parameters: A1=A2; B1=B2; B1=B2; G1=G2; D1=D2 should be equal respectively and all parameters should be symmetrical to the axis of the spine C.

[0056] 11. The next stage of exercises is to develop the strength endurance of the muscles that support the diagonal and natural position of the joints, and to strengthen intermuscular coordination.

[0057] 12. Subsequently, a visual and palpatory determination of the position of anatomical landmarks from the ankle joint to the cervical spine is carried out, and if any violations of their

[0058] SUBSTITUTE SHEET (RULE 26) is eliminated by diagonal traction action using correction belts.

[0059] During repeated examinations, they make sure that the disorders have been eliminated and the effect is stopped. They perform sets of exercises of diagonal traction therapy in such a way as to even out the ratio and imbalance of muscle tone. During repeated examinations, the state of muscle tone is monitored at each session and, if it is diagonally aligned, the treatment procedure must be performed at least ten times.

[0060] The use of the method of restoring and aligning the ratios of biomechanical parameters of the human musculoskeletal system using traction effects and eliminating the asymmetry of the pelvis, joints and muscle groups in relation to the spine in any plane allows for the selection of individual programs of personal therapy to eliminate asymmetrical positions and asymmetrical loads on the muscles of the lower extremities of the hip, knee and ankle joints of biomechanical disorders of the human skeleton.

[0061] This therapy, together with the use of the proposed device, is aimed at restoring joint function; due to the dosed tension, the effectiveness of the effect lies in the fact that the joint moves with a diagonal amplitude.

[0062] An example of the practical application of a new method of treating patients.

[0063] Patient Svetlana Aldu — ova 42 years old weight 64 kg. Office worker. After a horse ride, when descending from the horse, she fell, caught on the stirrup, and suffered a pelvic injury. More than six months have passed since the injury and complete disappointment from visiting specialists.

[0064] SUBSTITUTE SHEET (RULE 26) To eliminate the asymmetry of the pelvis in relation to the spine, the exercises were performed in the following sequence: patient S. was placed on his back on the bed of the device and the right leg was fixed with a belt, with the left leg with a straightened knee, patient S. made abducting vertical movements, providing resistance in the direction from top to bottom, then the left leg was fixed with a belt, and with the right leg with a straightened knee, patient S. made abducting vertical movements, providing resistance in the direction from top to bottom,

[0065] Then patient S. was lifted into a sitting position, the patient's left hip joint was fixed in a sitting position in the recess in the end part of the device and swinging movements of the upper body were performed with a fixed position to the right side, patient S. clasped his hands on the back of his head and touched his left knee with his right elbow, then the patient's right hip joint was fixed in a sitting position in the recess in the end part of the device and swinging movements of the upper body were performed with a fixed position to the left side, patient S. clasped his hands on the back of his head and touched his right knee with his left elbow,

[0066] Then, in a kneeling position, on the bed of the device, the lower leg was secured with a belt, and the feet of patient S. were placed in the hole in the middle between the two parts of the bed and with arms extended and head thrown back, a backward movement was made and without changing the position, the patient was lowered to a sitting position on his knees, then without changing the vertical position, the patient began to rise to a kneeling position and without stopping, bending his back outward, patient S. touched the bed with his head, the upper part of the body was raised in the reverse order.

[0067] Then, using a pair of vertical posts with rubber straps and cuffs, the patient S. was fixed in the kneeling position on the bed.

[0068] SUBSTITUTE SHEET (RULE 26) arms and with a straight back, they performed vertical movements with the upper part of the body up and down at an angle of 45 degrees, then using a pair of vertical posts in a prone position, using rubber belts with fixing cuffs, bending the left leg at the knee, they made a lifting movement with the leg upwards, at the same time, with the right hand bent at the elbow, they fixed the body of patient S. on the bed and brought the leg to its original position, then using a pair of vertical posts in a prone position, using rubber belts with fixing cuffs, bending the right leg at the knee joint, they made a lifting movement with the leg upwards, at the same time, with the left hand bent at the elbow, they fixed the patient's body on the bed and brought the leg to its original position, this completed the first appointment.

[0069] After the second appointment, the patient felt relief in the pelvic area, and pain syndromes in the jaw area disappeared. The course of asymmetry elimination was completed when the following parameter ratio was achieved: A1=A2; B1=B2; B1=B2; G1=G2; D1=D2 and B1; B2; D1; D2. Patient S. completed a course of 10 appointments.

[0070] Difference in values ​​before treatment: A1>A2 = 9 cm; B1>B2 = 7 cm

[0071] The difference in values ​​after treatment: A1>A2 = 1 cm; B1>B2 = 1 cm tends to O.

[0072] 1. Patient Amr Sim - 29 years old, weight 97 kg. Airborne serviceman, more than 100 parachute jumps. The patient complained of severe, persistent pain in the pelvis and right thigh.

[0073] To eliminate the asymmetry of the pelvis in relation to the spine, exercises were performed in the following sequence: patient A. was placed on his back on the bed of the device and the right leg was fixed with a belt, the left leg was straightened

[0074] SUBSTITUTE SHEET (RULE 26) with his knee, patient A. made vertical abducting movements, providing resistance in the top-down direction, then the left leg was fixed with a belt, and with his right leg, with a straightened knee, patient A. made vertical abducting movements, providing resistance in the top-down direction,

[0075] Then patient A. was lifted into a sitting position, the patient's left hip joint was fixed in a sitting position in the recess in the end part of the device and swinging movements of the upper body were performed with a fixed position to the right side, patient A. clasped his hands on the back of his head and touched his left knee with his right elbow, then the patient's right hip joint was fixed in a sitting position in the recess in the end part of the device and swinging movements of the upper body were performed with a fixed position to the left side, patient A. clasped his hands on the back of his head and touched his right knee with his left elbow,

[0076] Then, in a kneeling position, on the bed of the device, the shin of the leg was secured with a belt, and the feet of patient A. were placed in the hole in the middle between the two parts of the bed and with arms extended and head thrown back, a backward movement was made and without changing the position, the patient was lowered to a sitting position on his knees, then without changing the vertical position, the patient began to rise to a kneeling position and without stopping, bending his back outward, patient A. touched the bed with his head, the upper part of the body was raised in the reverse order.

[0077] Then, using a pair of vertical posts with rubber straps and cuffs, in the patient A. position, kneeling on the bed, the arms were fixed and, with a straight back, vertical movements of the upper body were performed up and down at a 45-degree angle, then, using a pair of vertical posts, in the prone position, using rubber straps with fixing cuffs, bending the left leg

[0078] SUBSTITUTE SHEET (RULE 26) in the knee, they made a lifting movement with the leg upwards, at the same time with the right hand bent at the elbow they fixed the body of the patient A. on the bed and brought the leg to the original position, then with the help of a pair of vertical posts in the prone position with the help of rubber belts with fixing cuffs with the right leg bending at the knee joint they made a lifting movement with the leg upwards, at the same time with the left hand bent at the elbow they fixed the body of the patient A. on the bed and brought the leg to the original position, this completed the first reception.

[0079] After the first appointment, the patient felt relief in the pelvic area; pain syndromes in the hip area disappeared. The course of asymmetry elimination was completed when the following parameter ratio was achieved: A1=A2; B1=B2; B1=B2; G1=G2; D1=D2 and B1; B2; D1; D2. Patient A. underwent 8 appointments.

[0080] Difference in values ​​before treatment: A1>A2 = 9 cm; B1>B2 = 7 cm

[0081] The difference in values ​​after treatment: A1>A2 = 1 cm; B1>B2 = 1 cm tends to 0.

[0082] Physiotherapy on a new couch allows you to overcome muscle retraction, eliminate contractures, improves immunity, improves the functioning of the central nervous system, normalizes the functioning of internal organs, removes functional blocks and relaxes the deep muscles of the spine, allows you to overcome muscle retraction.

[0083] SUBSTITUTE SHEET (RULE 26)

Claims

Invention formula A method for eliminating asymmetry of the pelvis, joints and muscles in relation to the spine and a device for its implementation 1. A method for eliminating asymmetry of the pelvis, joints and muscles in relation to the spine, including performing exercises, characterized in that the patient is placed on his back on the bed of the device and the right leg is fixed with a belt, the patient makes abducting vertical movements with the left leg with a straightened knee, providing resistance in the top-down direction, then the left leg is fixed with a belt, and the patient makes abducting vertical movements with the right leg with a straightened knee, providing resistance in the top-down direction, then the patient is raised to a sitting position, the left hip joint of the patient is fixed in a sitting position in a recess in the end part of the device and swinging movements of the upper body are made with a fixed position to the right side, the patient clasps his hands behind his head and touches his left knee with his right elbow,then the patient's right hip joint is fixed in a sitting position in the recess in the end part of the device and swinging movements of the upper body are performed with a fixed position to the left side, the patient clasps his hands behind his head and touches his right knee with his left elbow, then in a kneeling position on the bed of the device, the lower leg is secured with a belt, and the patient's feet are placed in the hole in the middle between the two parts of the bed and with outstretched arms and a thrown back head, a backward movement is made and without changing the position, the patient is lowered to a sitting position on his knees, then without changing the vertical position, the patient begins to rise to a kneeling position and without stopping, bending the back outward, the patient's head touches the bed, the upper body is raised in the opposite direction, SUBSTITUTE SHEET (RULE 26) sequence, then using a pair of vertical posts with rubber straps and cuffs in the patient's kneeling position on the bed, fix the arms and with a straight back perform vertical movements with the upper body up and down at an angle of 45 degrees, then using a pair of vertical posts in the prone position using rubber straps with fixing cuffs, bend the left leg at the knee joint and lift the leg up, while at the same time fix the body on the bed with the right hand bent at the elbow and return the leg to its original position, then using a pair of vertical posts in the prone position using rubber straps with fixing cuffs, bend the right leg at the knee joint and lift the leg up, while at the same time fix the patient's body on the bed with the left hand bent at the elbow and return the leg to its original position, the course of eliminating asymmetry is completed when the ratio of parameters in accordance with the figure is achieved 17: A1=A2;B1=B2; B1=B2; G1=G2; D1=D2 and B1; B2; D1; D2 should be symmetrical to the axis of the spine C.; 2. The method according to paragraph 1, characterized in that before performing the exercises, osteopathic massage is performed.

3. A device for eliminating asymmetry of the pelvis, joints and muscles in relation to the spine, which is a couch and used to implement the method according to claim 1, including a base, a frame with adjustable supports, a bed containing a head and torso portions and a frame lifting and lowering drive, wherein the frame is pivotally connected to the base by two pairs of vertical posts and contains two pairs of removable horizontal posts at the head and foot ends, the head portion of the bed has an opening for the face, the torso portion of the bed is provided with fixation elements in the middle portion, and in the end portion - a recess for fixing the hip joint, into which the SUBSTITUTE SHEET (RULE 26) a removable insert is placed.

4. The device according to paragraph 3, characterized in that the fastening elements are sling straps for fastening at least the left and right legs and feet.

5. The device according to paragraph 3, characterized in that it contains foot pedals for controlling the level of raising and lowering the bed, connected to the drive for raising and lowering the frame. SUBSTITUTE SHEET (RULE 26)

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