METHOD OF RESTORATIVE CORRECTION OF PELVIC FLOOR MUSCLE FAILURE AND DORSOPATHY OF LUMBAR SPINE Russian patent published in 2023 - IPC A61H1/00 A61H7/00 A61P3/00 A61P3/02 A61K31/593 

FIELD: medicine.

SUBSTANCE: invention relates to the restorative treatment of pelvic floor muscle failure and dorsopathy of the lumbar spine. First, physical exercises are performed daily for 1–18 months: the first exercise is to strengthen the ligaments that suspend the loops of the small and large intestines — sliding movements along the anterior abdominal wall in the caudo-cephalic direction are performed bimanually, before going to bed, lying on the back and bending the knee joints lower extremities, within 2 minutes, 3 to 5 hand movements, once daily. A second exercise is also performed and is aimed at improving blood supply to all parts of the intestine, the said exercise is performed alternately on the right and left sides in a horizontal position and hip joints bent at right angles, when the hands are placed under the formed skin fold and medium-amplitude throwing movements to the opposite side are performed for 1 minute once a day, daily, at any convenient time. A third exercise is performed daily to improve intestinal motility and resorption, the said exercise is performed lying on the back with the legs bent at the knee joints in two stages following each other. At the first stage, light stroking movements with the hands are made along the anterior abdominal wall in an arbitrary direction with attraction for 30–60 seconds, after which the patient proceeds to the second stage: the hands are placed on the sides, immersed in the soft tissues, and a movement counter to each other is performed, closing with the fingers into the lock along the midline of the body, the skin fold formed during the movement of the hands is clamped between the bones of the metacarpus of both hands, after which low-amplitude shaking movements are performed for 2 minutes in the caudo-cephalic direction. Then the fingers of the patient’s leading hand are placed in the epigastric zone and pinch the soft tissue into the fold, pulling it in the ventral direction, the formed roller is picked up by the second hand, and intense high-amplitude shaking movements are performed, maintaining the caudo-cephalic vector for 2 minutes, once a day, daily, at any convenient time. The fourth exercise is performed in a standing position in two stages: at the first stage, the legs are spaced shoulder-width apart and slightly rotated outward at the knee and hip joints, the chest is protruded forward by abducting the shoulder joints backwards and bringing the shoulder blades together, the wrists are supported in the wrist joints, the fingers are maximally spread apart, the neck extends and the head is thrown back, and the lower jaw moves forward slightly. A deep breath is taken simultaneously with all the indicated movements. The duration of the first stage is from 3 to 5 seconds. Next, the patient immediately proceeds to the second stage, in which the legs are also shoulder-width apart, but rotated inwards at the knee and hip joints, the patient squats along with flexion of the spinal column in the cervical, thoracic and lumbar regions, the chin is pressed to the chest, the hands are located between the inner surfaces of the thighs touching each other with the backs of the palms. At the same time, with all the indicated movements of the second stage, a deep exhalation is performed and the duration of this second stage is from 2 to 5 seconds. After this, the entire exercise cycle is repeated, performed at any convenient time, 2–5 cycles daily, from 15 to 30 seconds in total. In addition, throughout the entire course, vitamin D3 10,000 IU is taken once a day and daily wearing of corrective shapewear with support for the anterior abdominal wall from the time the patient gets out of bed, throughout the day, taking it off only before going to bed.

EFFECT: method provides a faster and more pronounced reduction in pain, improved tone of the pelvic floor muscles, increased effectiveness in preventing the progression of pelvic floor muscle failure comorbid with dorsopathy, and a reduced risk of side effects of rehabilitation during the course.

1 cl, 2 tbl, 5 dwg, 3 ex