FIELD: medicine. SUBSTANCE: method involves administering myofascial massage of gluteal area in prone position by sequentially layer-by-layer stretching gluteus and piriform muscles beginning from sacroiliac articulation in the direction of the greater trochanter on both sides. Then, myofascial massage of lumbar zone by sequentially layer-by-layer stretching iliocostal muscles beginning from spinous processes of lumbar vertebrae towards lateral body surface in transverse direction with respect to the muscles on both sides. Next to it, alternating action is applied to wings of iliac bones to move them in correct position using the lower extremity of the same name bent in knee joint as lever in fixing talocrural articulation. Springy pressure is applied with a hand to posterior inferior spine of the iliac bone on the side of a wing rotated forwards. External rotation of the femur is concurrently carried out with the other hand by moving the crus to median line of the body. The movements are repeated 5-10 times. Iliac bone wing is moved in correct position rotated backwards. To do it, springy pressure is applied with a hand to posterior superior spine of the iliac bone. Internal rotation of the femur is concurrently carried out with the other hand by moving the crus outwards with respect to median line of the body. The movements are repeated 5-10 times. Then, iliac bone wing positions are checked on symmetry of anterior or posterior superior spines. Hand palm is moved to sacrococcygeal symphysis and fingers are placed on the sacrum base. Several springy movements of the sacrum are produced in ventral direction to achieve sacrococcygeal symphysis capsule ligament apparatus relaxation. Next to it, push manipulation and clockwise rotation is done at prestress stage if sacrum has left inclination, counterclockwise rotation is done if sacrum has right inclination. Postisometric mobilization of pubic symphysis is carried out in placing the patient in dorsal position. The postisometric mobilization of pubic symphysis is carried out in placing the patient in lying dorsal position with legs bent in knee joints and hip joints by actively separating the knees apart under slight resistance from the part of physician hands during 3 s. The procedure is repeated after increasing the femur separation angle to 30 deg and then to 45 deg. Then the physician places his forearm between patient knees and active bringing together of the femurs is carried out during 3 s. Then, femur separation angle is increased to 30 deg, the patient separates the knees apart in active mode and the physician applies resistance force for 3 s. Then, femur separation angle is increased to 45 deg, the patient separates the knees and the physician applies resistance force for 3 s. Then, the places his forearm between patient knees and the patient tries to draw the femurs together during 3 s. EFFECT: enhanced effectiveness of treatment; eliminated functional blockage in the pubic symphysis and contractures of lumbar muscles and gluteus. 2 cl
Authors
Dates
2003-04-10—Published
2001-06-06—Filed