METHOD FOR MANUAL SELF-CORRECTION OF LIMITING AMPLITUDE OF CERVICAL SPINE EXTENSION IN PATIENTS WITH CERVICAL DORSOPATHY Russian patent published in 2024 - IPC A61H1/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely vertebroneurology, orthopaedics, therapeutic physical training, osteopathy and manual therapy. First, the patient conducts a warm-up in the form of successive exercises, including head tilts and its turns to the right and left, a diagonal tilt, flexion, head circular motions from a straight position and from a rotation position, extension, with a certain number of repetitions and duration of rest. After the warm-up, there is a rest break of 3–10 seconds. Then the patient performs manual exposure aimed at increasing the amplitude of cervical spine (CS) extension – an extension component at a rate that does not cause any negative sensations. To this end, the patient sits down facing a horizontal surface located at the level of the boundary between the middle and lower thirds of the patient's sternum, patient’s elbows are on a horizontal surface in front of him, the patient’s forearms and fingers are freely directed upwards, the chin is symmetrically located on the bases of both palms open upwards, without pressure on the palm. By gaze the patient fixes the position of the specified reference object, on which the visible field of view ends. Touching the edge of the palms with the chin, the patient protracts the head forward with simultaneous extension into the CS, fixing the change in the position of the given reference object on which the visible field of view ends. Further, the patient, without taking his elbows off the horizontal surface, makes a springy movement in CS for 1 second – by pressing his/her chin on his/her palms in the direction from top to bottom and forward, intensifying the protraction and fixing the dynamics of increasing the amplitude of the extension in the CS by further change in the position of the given control object in the visible upward field of view. When performing the extension component, the lateroflexion and rotation movements in the SC are excluded. It is followed by rest for 3–10 seconds and the patient repeats extension component 7–15 times in the first two weeks of training, with an increase in the number of repetitions from the third week of training from 15 to 30 times; rest between repetitions is 3–10 seconds, exercises are performed 1–3 times a day.

EFFECT: method enables the patient to painlessly increase the amplitude of the CS extension in various types of cervical dorsopathy in the express self-help mode.

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