FIELD: medicine.
SUBSTANCE: versions of invention relate to medicine, methods of manual therapy of degenerative-dystrophic spinal diseases. First version of method involves exposure by distraction of spinal column (SC) and simultaneous transposition of injured vertebral motor segments (VMS) with further fixation in preset position. Transposition of each injured VMS in lumbar and/or thoracic spines are carried out simultaneously with distraction of SC by means of smooth shifting of injured VMS vertebra in required direction of action of fingers of working hand of doctor on spinous process (SP), during patient sitting with hands stop on bearing surface during slow deep breath with chest. Wherein other hand controls over patient's chest movement by synchronous with breath lifting of patient's chest with low pressure in area of costal arches upwards or application of doctor's hand palm as reference point of direction of inhalation. Second version concerns action on cervical part of SC. Wherein transposition of each injured VMS in cervical spine is carried out simultaneously with distraction of SC by smooth shifting of injured VMS vertebra in required direction of action of fingers of working hand of doctor on spinous process during patient sitting in relaxed condition with hands stop on support surface. Wherein other hand is locking anatomically correct position of patient's head in relation to SC. Distraction is carried out by exposing on head within nuchal line in cranial direction. Displacement of injured VMS vertebra in required direction can be performed also during patient sitting with head thrust on frontal surface on arranged one on another fists of hands, elbows bent to stop on support. Fixation of anatomically correct position of patient's head in relation to SC and distraction are carried out by stretching in cranial direction and/or by single compensatory pressure at nuchal line area in cranial direction. Displacement of injured VMS vertebra in required direction can be performed also during patient sitting vertically aligned with his back with hands stop on support surface. Distraction of head is made by action within nuchal line of first and second working hands of doctor in cranial direction. Fixation of anatomically correct position of patient's head is made by circumference of patient's lower jaw with fingers of other hand with support of wrist base at sternum apex.
EFFECT: method enables three-dimensional movement of specific VMS irrespective of forms, conditions and arrangement of elements of adjacent VMS without risk of damaging vertebral bone structures, spinal cord, surrounding soft tissues, which expands therapeutic possibilities, improves clinical effectiveness, reducing its duration.
13 cl, 6 ex
