| 摘要 |
FIELD: medicine.SUBSTANCE: invention refers to medicine, pulmonology and can be used for the integrated treatment of chronic bronchitis. The pre-formed physical factors are used, and a manual therapy is conducted to eliminate functional blocks of a thoracic spine. The integrated exposure to the pre-formed physical factors involves a diadynamic therapy. At the beginning, the presence of an imbalance of thoracic muscle tonus from the right and left is detected, and the relaxed region is exposed to the diadynamic therapy applying toning manipulations by means of Tonus-1 apparatus starting with a full-wave continuous pulse current at frequency 100 Hz for 3 min and changing an electrode pole from (-) to (+) for the following 3 min; that is followed by the half-wave rhythmic exposure for 1 s, with a pause of 1 s, continued for another 3 min, and changing the electrode pole from (-) for (+) for the following 3 min. The procedure is terminated by exposing the back muscles to postisometric relaxation preceded by isometric stress of the above muscles. Herewith, initially the patient sits with his/her back turned to the doctor, clenches his/her fists and fixes them on his/her sacral bone. The doctor initially stands behind the patient's back at arms' length, stretches his/her arms and fixes his/her hands on the patient's elbow joints; the doctor holds his/her back straight and sets one foot back to keep balance. The patient inhales and presses his/her sacral bone for 5 s with his/her elbows pulled back and shoulder rotated outside; this position is held for 7-9 s. While the patient exhales, the doctor stretches the patient's back muscles inactively, pulls the patient's elbows forth, rotates the patient's shoulder inside; the patient's fists are still held on his/her sacral bone. The manipulation is performed 5 or 6 times for 1 or 2 minutes as a part of the integrated procedures for 12-15 min in the therapeutic course, daily.EFFECT: method provides normalising the thoracic muscles tonus, improves the external respiration function, eliminating the functional blocks that enables increasing the effectiveness of the integrated treatment of chronic bronchitis, relieving its clinical course, avoiding acute periods for a long period of time (up to 1 year).2 ex |
