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METHOD FOR TREATING PATIENTS AT JUVENILE CEREBRAL PALSY

机译:青少年脑瘫患者的治疗方法

摘要

FIELD: medicine, neurology.;SUBSTANCE: the present innovation deals with elaborating remodeling of motor act as a new type of curative physical training that affects directly the system of motor regulation in central nervous system by taking into account the localization of the focus of its organic lesion in children in case of cerebral palsy. One should affect the muscles in preset area, moreover, it is necessary to detect posture-tonic lesions and those of the volume of basal physiological motor stereotypes from this posture while examining a patient in the following sequence of postures: in back lying position, in abdomen lying position, in side lying position, on one's hands and knees position and at standing position; then, at the first stage of impact it is necessary to correct posture-tonic lesions: for this purpose in the first detected pathological posture one should choose a key joint or joints for the impact out of the joints the position of which is considered to be pathological for this posture by taking into account the predominant localization of lesion focus in central nervous system, that is, at predominant lesion of cerebral cortex - these joints are distal among all affected ones; at predominant lesion of subcortical structures - these are proximal joints, and at stem-spinal lesion - these are vertebral joints; then it is important to detect the target muscles being antagonists of the muscles the hyperfunction of which gives the joint its pathological position and stimulate them with multiple stretching in statics at first by capturing manually the areas of tendinous fixation of these muscles towards the bones, and then - during passive reproducing physiological basal motor stereotype in which this target muscle takes part by capturing manually the ends of muscular fibers beyond the area of their tendons; moreover, the target muscles should be chosen in the following order depending upon their function: rotation, flexing-unbending, adducting-abducting; at the second stage of the impact one should correct the determined failure of locomotions in basal physiological motor stereotypes, for this purpose in the framework of affected physiological chain of muscular contractions it is necessary to detect a key muscle by taking into account the predominant localization of lesion focus, similarly to the first stage, to affect it several times by stretching at capturing by the ends of muscular fibers to reproduce the movement at trajectory of physiological stereotype.;EFFECT: higher efficiency of therapy.;3 ex
机译:领域:医学,神经病学;研究方向:本创新涉及精心设计的运动行为重塑,将其作为一种新型的治疗性体育锻炼,考虑到其运动焦点的定位,从而直接影响中枢神经系统的运动调节系统小儿脑瘫时有器质性病变。一个人应该影响预设区域的肌肉,此外,有必要从该姿势中检测姿势紧张性病变和基础生理运动定型量的那些,同时按以下姿势序列对患者进行检查:仰卧姿势,腹部卧位,侧卧位,手和膝盖位以及直立位;然后,在撞击的第一阶段,必须纠正姿势性强直性病变:为此,在第一个检测到的病理性姿势中,应该从一个位置被认为是通过考虑到病变集中在中枢神经系统中的主要部位(即大脑皮层的主要病变),对这种姿势进行病理分析-这些关节在所有受影响的关节中都位于远端;在主要的皮层下结构病变处-这些是近端关节,在干-脊髓病变处-这些是椎骨关节;然后,重要的是要检测目标肌肉是肌肉的拮抗剂,该肌肉的功能亢进使关节处于病理位置,并首先通过手动捕获这些肌肉向骨骼的肌腱固定区域来在静态中多次拉伸来刺激它们,然后然后-在被动繁殖生理基础运动刻板印象期间,该目标肌肉通过手动捕获超出肌腱区域的肌纤维末端来参与;此外,目标肌肉应根据其功能选择以下顺序:旋转,弯曲屈伸,内收外展;在冲击的第二阶段,应纠正基础生理运动刻板印象中确定的运动失败,为此,在受影响的肌肉收缩生理链框架内,有必要通过考虑主要的肌肉定位来检测关键肌肉。与第一阶段相似,通过在肌肉纤维末端捕获时拉伸以在生理刻板的轨迹上再现运动来使病灶聚焦多次受到影响;效果:更高的治疗效率; 3 ex

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