RU2368374C1 - Static platypodia treatment method - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine and namely to orthopedics. Together with physical therapy and physical therapy, the patient is additionally exposed to centrifugal forces in the 'head-lower limbs' direction on short-radius centrifuge with rotation speed of 36-42 rpm during 10-15 minutes once a day and at the course duration of 10-15 sessions.

EFFECT: method allows improving efficiency and reducing platypodia treatment periods.

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Description

The invention relates to medicine and medical equipment, namely to traumatology and orthopedics, and can be used to treat patients with static flat feet and other deformities of the feet.

The human foot performs a supporting function when standing and walking, allows you to reliably rest on the surface, while maintaining the severity of your own body. The base of the foot is its skeleton, consisting of 26 bones. Connecting with each other, the bones of the foot form an elastic arch facing upwardly convex; the back of the foot rests on the calcaneal tubercle, in front on the heads of the metatarsal bones. The joints of the foot are held together by numerous ligaments. Of particular importance among them are the interosseous talacaneal bifurcated ligament, which strengthens the transverse joint of the tarsus, and the long plantar, which is one of the puffs of the longitudinal arch of the foot. In addition to ligaments, muscles also take part in strengthening the foot. The coordinated work of all joints, ligaments and muscles is the basis of the biomechanics of the foot, allowing the foot to perform a spring or cushioning function. The spring function of the foot is based on the work of the longitudinal and transverse arches. When walking, the arches of the foot, as it were, smooth out the shock load, not allowing it to spread to the overlying joints: knee, hip.

The most common violation of foot biomechanics is flat feet. Flatfoot is a weakness of the musculo-ligamentous apparatus of the foot, which leads to a flattening of the arches of the foot, both longitudinal and transverse.

There is a method of treating flat feet, in which sessions of isometric training of the deep muscles of the lower leg due to flexion of the foot with extension of the knee are performed. Before each session, the electromyographic activity of the inner head of the calf muscle is recorded during flexion of the foot with maximum effort and thresholds are set equal to the upper - 75% and the lower - 50% of the maximum amplitude of the envelope of electromyographic activity. Then, during the session, registration of the electromyographic activity of the inner head of the calf muscle is continued and isometric training of the deep muscles of the lower leg is carried out using biological feedback with the graphics of a computer game. Moreover, the game is stopped when the envelope of electromyographic activity goes beyond the upper or lower thresholds. The thresholds are changed during training, depending on the state of the muscles. At the same time, training sessions are carried out from 2 to 5 times a week lasting 15-45 minutes with a course of treatment of 15-25 sessions (1).

The disadvantage of this method is the availability of expensive equipment, low therapeutic efficacy and the inability to use this method with flat feet of the 3rd degree.

There is also known a method of treating flat feet, the essence of which is that they perform a warming massage of the back of the foot, kneading the muscles that form the longitudinal arch of the foot, with more intense effects on weakened muscles, the restoration of the spring function of the foot is controlled by the value of the subsidence of the navicular bone feet when the patient moves from a sitting position to a standing position, when the subsidence does not exceed 3-4 mm, in the presence of functional blocks of the joints of the feet, they eliminate them, Minani muscles produce several sessions to restore the spring function of the foot, which prevents the recurrence of the disease (2).

The disadvantage of this method is the low therapeutic efficacy.

A known method of treating patients with osteoarthritis in combination with flat feet by the combined effects of balneotherapy, peloid, EHF therapy prescribed daily, and the simultaneous wearing of arch supports, characterized in that the support element of arch supports is made in the form of a titanium nickelide plate curved in a sagittal plane, the plate is divided into longitudinal fragments, the ends of which are bent in the direction opposite to the direction of bending. As balneotherapy, common sodium chloride baths with a concentration of 30-40 g / l, a temperature of 36-37 ° C, a duration of 10-12 minutes, for a course of 8-10 procedures are used. EHF-therapy is carried out by exposure to biologically active points with a frequency of 40-43 GHz, the duration of exposure to one biologically active point is 4-5 minutes, the total procedure time is 20-40 minutes, per course of 10 procedures. Peloid therapy uses applications of peat at a temperature of 40-42 ° C on the affected joints and the corresponding reflexogenic zones of the spine, not more than 2-4 large joints in one procedure, lasting 20-30 minutes, for a course of 8-10 procedures. The method allows to improve the functional parameters characterizing the state of the peripheral neuromotor apparatus of the extremities, in which they are complexly affected by balneotherapy, peloid, EHF therapy and at the same time wear arch support in shoes (3). This method is taken as a prototype.

The disadvantage of this method is the high cost and duration of treatment.

The aim of the invention is to increase the effectiveness of treatment flatfoot and reduce treatment time.

This goal is achieved by the fact that after physiotherapy and physiotherapy treatment, the patient is exposed to centrifugal forces in the head - lower limbs direction in a short-range centrifuge at a speed of 36-42 rpm, for 10-15 minutes, 1 time per day with a course of 10-15 sessions.

Comparison of this method with other known in the field of medicine showed its compliance with the criteria of the invention.

This method is implemented as follows: the patient is placed on a lodgement of a centrifuge with a radius of 2 m in a horizontal position, our device for treating foot deformities is mounted on a centrifuge and its position is adjusted according to the patient’s height. The patient places his feet on the pedals of the device so that the midfoot is located on the higher protrusions of the base of the pedals of the device. When the centrifuge rotates, the effect of radial accelerations imitating the effect of Earth's gravity arises in the head-lower limb direction. The center of rotation, at the same time, is at the level of the head, and the lower extremities are located on the periphery. Gravity overloads arising from a given acceleration linearly depend on the radius of rotation and vary from zero in the center of rotation to the maximum values at the stop level. The rotation speed of the centrifuge is 36-42 rpm. The rotation time is 10-15 minutes. The procedure is performed once a day with a course of 10-15 sessions. Thus, it is at the level of the feet that the maximum pressure gradient occurs, while at the same time at the level of the head, the pressure does not change. In this case, redistribution of blood circulating in the body occurs with its preferential deposition in the legs, due to which collateral circulation is enhanced, microcirculation is improved and conditions are created for optimization and activation of metabolic processes. This will increase the effectiveness of complex treatment and reduce its time.

When using this method, there is a simultaneous effect of gravitational, mechanical, magnetotherapeutic factors on the feet, which improves blood circulation, increases the permeability of biological membranes, accelerates redox processes and improves trophism in the tissues of the foot. Also, with the movement of the feet, the leg muscles involved in the formation of the arch of the foot are trained. Due to the longer protrusions of the base of the pedals of the device, we get additional support for the arch of the foot. All this contributes to a more effective and faster cure of patients.

Clinical example. Patient K., 16 years old, sought outpatient care for pain in the foot, fatigue of the legs and the inability to perform complex physical exercises. Diagnosed with "Flat feet of the 2nd degree." The following treatment was provided: 10 massage sessions, 12 therapeutic gymnastics procedures, 10 heat treatment procedures and 12 gravity therapy sessions on short-range centrifuges at a rotation speed of 36-42 rpm, for 10-15 minutes, 1 time per day. As a result of the treatment revealed: the disappearance of pain in the foot, a longer ability to perform physical exercises, an improvement in the Streater, Friedland index and an improvement in the electromyography of the leg muscles.

It is advisable to use the method in orthopedic departments, in centers of sports medicine and physiotherapy exercises and physical therapy clinics under the supervision of a medical specialist.

Information sources

1. RF patent No. 2152769, M.C. A61H 1/00, 2000

2. RF patent No. 2185136, M.C. A61H 1/00, 2002

3. RF patent No. 2271194, M. Cl. A61H 33/04, 2006

Claims (1)

A method of treating static flat feet, including physical therapy and physiotherapeutic treatment, characterized in that the patient is exposed to centrifugal forces in the direction of the head - lower limbs on short-range centrifuges at a speed of 36-42 rpm, for 10-15 minutes, 1 time per day with a course duration of 10-15 sessions.