RU2545447C1 - Method of spine and joints rehabilitation - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method includes spreading intervertebral spaces with the derotation of the vertebrae with the application of a device for the rehabilitation of the spine and joints, which contains a wedge-shaped device, made spreadable of two semi-wedges, adjoining each other with flat sides. The semi-wedges are provided with upper and lower handles with a spring installed between them for their return and fitting of the semi-wedges. The device additionally contains a handle for clamping, pressing and turning the semi-wedges. One surface of the handle is made anatomically copying the contours of the hand palm surface, with the lower surface anatomically copying the palm surface of 2-5 palm fingers. The handle has a slot for a monolithic projection on the upper handle, making it possible to install the handle from the horizontal to vertical position when it rotates on a bolt, inserted into a hole in the handle and projection. Holes, providing the fixation of the handle in a required position by inserting a pin in them, are made in the upper part of the projection. The semi-wedges, passing into the handles, have a flat joining surface, with working planes with hollows, anatomically copying the contours of the butt end part of articular processes and pasted with a softening material, are made on the reverse side. A rest for the hand on the upper handle has a surface, anatomically similar to the surface between 1 and 2 palm fingers, and a hole for the thumb. First, the device is used to enlarge the intervertebral spaces, starting with S1-L5, then overlying, by an impact with the device semi-wedges on transverse processes with the further elimination of antero- or retrolisthesis and rotation of the vertebrae. After that, the transverse axis of the pelvis is matched with the axis of the shoulder girdle in the frontal plane, traction of the thoraco-lumbar, and lumbar parts is performed on a couch with the lifted foot end with loop fixation of the shorter extremity in the ankle area. Then, the wedge-shaped part of the device is introduced between rudiments of spinous processes on the base and lower part of the sacrum and the derotation of the sacrococcygeal joint is realised. After a complex of impacts reclinators, pads, heel pads are used.

EFFECT: reduced consumption medical personnel labour, setting elements of the spine and its joints into the normal anatomical position, the possibility of elongation of time intervals between rehabilitation sessions.

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Description

The method of healing the spine and joints relates to medicine, namely to the healing of a deformed spine, the effects of injuries, diseases of large and small joints, joints, for example, sacrococcygeal, tibia, etc.

The prior art method and device for correcting the spine and joints, containing a wedge-shaped device, which is made sliding from two interconnected along the axis of the wedges adjacent to each other with flat sides, while the wedges are equipped with handles with a return spring installed between them, providing contact and breeding half wedges (RU No. 2220697, publ. 10.01.2004).

The method taken as a prototype reduces the physical effort of a specialist, increases the intervertebral space with a decrease in the impact of a herniated disc on the elements of the spinal cord.

However, the use of a known method using a prototype device revealed the following disadvantages:

- the introduction of half wedges requires a lot of physical effort, which forces the healer to additionally press on the base of the half wedges;

- the inability to carry out the impact of only one half-wedge, since both half-wedges move apart at the same time;

- the working side of the half-wedge due to the presence of a flat beveled surface slides from the surface of the spinous processes, bone elements that form the joint;

- half-wedges do not allow the rotation of the vertebrae and elements of the joints due to their sliding off the bone elements;

- the device cannot displace one bone part of the components of the joint, the vertebral-motor segment with simultaneous tight rigid fixation of the other part forming the spine, joint;

- on the handles of the device there is no emphasis for 1-2 fingers, which leads to slipping of the hand with the introduction of half wedges in the tissue healing;

- given the different angle of departure of the spinous processes of the spine and the location of the bones that form the joints, it is impossible to stably establish the angle of influence of the semi-wedges with a biasing effect on the interspinous processes, on the transverse processes of the vertebrae, ribs, articulating with the transverse processes of the vertebrae, bone elements of the joints of the musculoskeletal device.

The task is to develop a method of healing the spine and joints using a device for healing the spine and joints, reducing the labor costs of the health-improving apparatus, with the possibility of more effective impact on the spine and joints of the musculoskeletal system.

The technical result is expressed in achieving a reduction in labor costs from the side of the health worker, a more effective effect on the spine and joints of the musculoskeletal system by bringing their elements to a normal anatomical location, significantly increasing the intervals between sessions of healing the spine and joints.

Prior to the method, we interview, test: visual, palpation and using declinators.

The recovering one talks about his health problems, we ask clarifying questions.

We carry out testing at the following positions:

1. The recovering person lies on his stomach, his feet hang from a banquet, it is possible in shoes, to determine how a person walks by the nature of the soles wear and establish a limb shortening. The hands are placed under the forehead, elbows to the sides, holding the ankles, sipping, we achieve maximum straightening of the body. On the feet or soles of shoes located in the same plane, we determine the difference of the lower extremities (if there were no fractures or other pathology with shortening of the limbs). Determine the valgus-varus position of the feet. Having bent the patient’s knees at an angle of 90 ° relative to the bench, soles in the horizontal plane, compare the length of the legs. The parallelism of the soles at the same height by 50% eliminates the anatomical shortening of the entire limb. In the supine position, the hips are raised at an angle of 90 relative to the bench, always with a recliner under the lower back. Otherwise, the pelvis in many test subjects freezes in the air - there is no contact with the surface of the bench and the slightest torsion of the pelvis will not give accurate measurement indicators. We put the level on the knees from above and get information about the length of the hips. If they are the same, then there is no anatomical shortening. Conclusion: shortening of the lower extremity only due to distortion of the pelvic bones. Next, we place instead of the hands - a lining under the forehead, in order to maintain the position of the head and the whole body in the sagittal plane, we ask you to extend your arms at the seams along the body with straightened fingers, and determine if there is a shortening of the upper limb. In addition to visual determination, you can use 2 devices - levels, we apply them to the shoulder blades and on the pelvic bones. As a rule, one of the shoulder blades is protruded, and one of the ilium below is the torsion of the pelvis and shoulder girdle. The degree of torsion is determined by the thickness of the lining under the shoulder and contralaterally under the pelvic bone, increasing or decreasing until the indicators at both levels are not horizontally equal. The sum of the two pads gives information about the degree of twisting of the spine relative to the pelvis. Commentary on the subjective sensations of the recovering person provides corrective information. After wellness manipulations using the device, we use the control method to compare the results of positive dynamics - alignment of the musculoskeletal system in the frontal plane without declinators-lining. Painful sensations when bending the knees to a perpendicular position relative to the plane of the bench indicate a violation in the knee joint. And the resulting painful muscle contracture and forced elevation of one of the halves of the pelvic bones indicates stiffness of the hip joint or a more serious joint disease. Side movements of the shin from side to side or rotation provide additional information about problems in the knee or hip joints, or both at the same time.

When palpation of the spine there are traumatic changes in the spinous processes that do not correspond to physiological parameters in the form of anterolisthesis. In this case, the position of the vertebral bodies in this zone can be physiological - without deformations. This can be detected - clarified by palpation, palpating the position of the transverse processes of adjacent vertebrae relative to the frontal plane.

2. The recovering person lies on his back, on a roll-reclinator under the lower back. Sipping on the ankles for longitudinal alignment of the body. The inconvenience of the situation informs about the straightening of the lumbar lordosis. Please straighten your knees and fix, then raise both legs up at an angle of 90 ° relative to the surface of the bench. Please connect the heels and the socks apart. We and heals are able to see that one leg looks shorter. The difference between the feet is an indicator of the degree of torsion of the pelvis.

If you hold your legs in this position longer, then in some cases we see how gradually the legs are aligned. Thus, we determine the degree of pathofixation of the torsion of the pelvic bones and lumbar spine. With further holding the legs in this position, in some cases we see that the initially shortened limb gradually becomes elongated. This situation informs about the pathology in both hip joints, not the congruence of the femoral heads in the acetabulum. As a rule, this characterizes dislocations, subluxations or manifestations of coxarthrosis.

3. Before recovery, we examine the healed person facing the mirror in a full-height standing position. Legs are slightly apart, straightened at the knees. The recovering person participates and comments on his observations. Defined together:

a) which wing of the ilium is higher than the other and the presence of lateral displacement of the thigh;

b) determine which shoulder is higher or lower, in case of doubt, the straightened arms of the healed are superimposed symmetrically on the hips, and determine which hand the fingers look lower on;

d) we compare the contours of the torso and hip parts of the body, the asymmetry of the navel, the fat folds in the frontal plane, the gaps with drooping arms;

c) depending on the stiffness of the spine, the majority of people recovering when using the heel declinator under an elongated limb feel the body deflecting toward the elongated limb and toward the vertical, as well as redistribution of blood, expressed by heating the entire half of the body from the side of the shortened limb and cooling from the side of the elongated one. If this does not happen, then the healed person fails even more towards a shortened lower limb. From the side of the shortened limb, pain and muscle tension, and even greater deviation from the vertical, intensify. Please remember your feelings and after the healing procedure we test again in front of the mirror, until we achieve the necessary symmetry by selecting the height of the heel-reclinator from the side of the elongated limb,

e) we are testing the patient in a sitting position, we ask you to remember all the unpleasant sensations, such as: difficulty in nasal breathing, incomplete lung volume, dry mouth, asymmetric tension in the lumbar region and deviation from the vertical before and after the procedure, choosing a lighter for the sciatica tubercle from the side of an elongated limb and without it; Also, to contrast the sensations, we suggest trying to put the same lint-recliner under the sciatic tubercle from the side of the shortened limb.

To eliminate the asymmetry of the musculoskeletal system and as a result of the asymmetry of the blood supply to the body, it is necessary to use certain lining-recliners under the sciatic tubercle. This preserves the biomechanics of the spine in a sitting position.

Maintaining further symmetry of the blood supply to the body around the clock with the help of recliners is the key to health and longevity, since reparative mechanisms of self-healing are activated.

To do this, we use declinators-rollers under the lower back, under the neck and head in a supine position and on the sides. Approximately 8 hours, the person is in an upright position: we use individual insoles, heels, or heels and their combination while walking, running and standing. For about 8 hours a person is in a sitting position, we use a lint-recliner under the sciatic tubercle and a lumbar recliner to the back of the chair- (seat) to maintain lumbar lordosis.

According to the laws of biomechanics, the deviation of the longitudinal axial sacrum occurs towards the elongated lower limb, and the twisting relative to the frontal plane is averaged relative to the torsion of the pelvic bones. We did not meet twisted spines.

We do not use measurements of body asymmetry on the scales, and we consider them not objective: with "S" - shaped scoliosis. The difference in calf and thigh masses also distorts the weighing indices, since the asymmetry of the spine from the concavity decreases the body weight and increases the blood supply and muscle mass from the contralateral side. The patient's torsion of the pelvic bones is distorted by weighing indicators, as a study on 2 scales is carried out in the frontal plane. It is biased to conduct studies prior to procedures in the elderly with a non-extensible knee or flattening of one of the feet. Weighted studies are also biased due to the asymmetry of osteoporotic bones. The combination of varus and valgus feet shifts the center of gravity of the body standing on the scales.

We found that most often patients fall asleep in a pose on the right side with the left leg bent at the knee and set aside from the longitudinal axis of the spine + -90 ° Thus, body weight is distributed not into two reference points: hip and shoulder, but in three: plus knee. This eliminates the weight of the upper thigh, and reduces pressure on the abutment points of the hip and shoulder joints. Thus, the sleeping person on the right side reduces the compression formed in contact with the rigid surface of the bed and achieves a more stable body position. The shoulder and hip joints experience compression of the soft tissues under the influence of body weight and gravity, not adapted to such angular anticongruency. The atypical position of the femoral head in the acetabulum forms a subluxation repeating from night to night, becoming a chronic subluxation. If lying on your side pulls the knee cranial,

to the chin, then the deformation of the hip joint increases. Our empirical observations showed that due to sleep in this position appears dry mouth, deterioration of nasal breathing through the left nasal passage, unpleasant sensations, heaviness in the left inguinal region and left hypochondrium, snoring, apnea, etc. These sensations interfere with long-term position in this position, because of this intermittent sleep, forces you to roll over. On the right side, to reduce pressure on the shoulder joint from the resulting compression, in which the head of the humerus compresses the soft tissues of the joint and the shoulder blade protrudes, it is forced to lean back slightly. This reduces the destructive effect of joint compression, but at the same time there is a twisting of the spine, "corkscrew." As a result, the pose represents a vicious composition in which the pelvic bone on the left side is displaced ventrally under the weight of the thigh, and the shoulder girdle is dorsal to reduce bulging of the scapula.

Of the two forced positions, the body at the subconscious level chooses the least destructive, preferring to stay on the left side for the longest time during sleep. In this case, as a rule, the straightened right leg is laid on the bent at the knee and allotted laterally to the left, the right part of the pelvic bone is again displaced dorsally. This posture during sleep partially compensates for twisting the spine, but exacerbates the displacement of the left side of the pelvic bone ventrally-caudally. The sleeping shoulder displaces the right shoulder ventrally, but mostly dorsally. Thus, to some extent, on the left side, the mirrored pose of falling asleep on the right side is repeated. Sleep on any side on a rigid basis causes sagging - scoliosis of the spine, due to which there is an asymmetry of the blood supply to the body, since from the side of sagging there is an edge compression by the vertebral bodies of the nerve plexuses coming from the dorsal

brain to organs, and from the side of a hard bed - a fan-shaped regional extension between the vertebral bodies. During a systole of the heart, a portion of blood is not distributed symmetrically throughout the body. The upper body due to compression of the nerve plexuses and overcoming gravity receives significantly less blood than the lower one with fan-enlarged edge gaps between the vertebral bodies and taking into account gravity. Preference for sleep on the left side over time becomes a forced habit. This is also due to the fact that the function of the radiculomedullary artery of the lumbar enlargement, located approximately at the level of Th8-Th10 segments of the spinal cord and passing 75% to the left (Adamkevich artery), is less disturbed in this position. We found that the intestines function better on the left side during sleep. That is why traditionally, patients who need an enema are placed on their left side. With a lumbar recliner at the side, the procedure is more effective. On anti-anatomic beds, the concave side of the upper body is less well supplied with blood and the greater the degree of scoliosis, which depends on constitutional features (the width of the pelvis, shoulder girdle, and body weight), the greater the degree of circulatory disturbance. The correct position during sleep on the back is the most optimal posture, especially for women. When creating an anatomical surface: a soft elastic roller-reclinator under the lower back, corresponding to the parameters of a sleeping one and a pillow with a roller, taking into account the anatomy of the neck, soft so that the blood vessels do not squeeze the blood supplying the head and the neck is not deformed, being on the roller with the same pressure, like the head on the flat part of the pillow. Only in this position does the facial muscles relax, does gravity participate in smoothing wrinkles and there is no need to do cosmetic skin tightening and people look younger. Practice has shown that in some patients with

fixed straightened lordosis, a cushion under the lower back is not convenient immediately, but only after wellness procedures, restoration of lordosis. It is important to note that only in the supine position during sleep does lordosis of the back and neck remain due to recliners under the lower back and neck, and in the side pose, unfortunately, it does not always remain, due to the habit of sleeping in the fetal position, but the spine does not deform in the sagittal plane.

Sleep on the stomach is evolutionarily unacceptable by our ancestors, who lived among predatory animals and aggressive neighbors. And at present, the police put the detainees on their stomach during the detention, because this is the most helpless position. In addition, if there is no opening for breathing in the pillow, the sleeper is forced to lay his head on his side, the neck is twisted and at the same time hyperextension occurs. This situation causes an asymmetry of the blood supply to the brain, unevenly increasing intracranial pressure, and often strokes occur in the morning and it is in people sleeping in this position. Especially such a pose is harmful to women. Due to compression, blood circulation and lymphatic drainage of the mammary glands are disturbed. Clarification of the "favorite" postures of a healthy sleep helps to understand the chronic deformities of the musculoskeletal system and eliminate them using recliners in the future.

The claimed method is carried out using our proposed device for the improvement of the spine and joints. The proposed device (Fig. 1) includes:

1 - a handle movable in the sagittal plane for pressing, pressing and turning half-wedges. The handle has a surface anatomically similar and repeating the contours of the palm surface of the hand and a lower surface anatomically repeating the palm surface of 2-5 fingers. The handle has a groove for a monolithic protrusion 17 for movable connection with the handle 18. α the angle of the possible installation of the handle 1 from horizontal to vertical position. A change in the angle of position is possible due to the bolt 2, and the pin 14 inserted into the hole 15 and into the holes 16 ensures the fixation of the handle 1 at the angle chosen in the work.

2 - a bolt for a movable connection with a handle 1.

3 - wedge, consists of two half-wedges 5 and 4 with the possibility of breeding and closing due to the information and breeding of the handles 18 and 19.

4 - a half-wedge, closed with a half-wedge 5, form a wedge 3, which is the working part when introduced into the desired area of impact.

5 - a semi-wedge that goes into the handle 18, just as the half-wedge 4 goes into the handle 19. The half-wedges have a flat contact surface and working planes with recesses in them 10 and 11 on the reverse side, anatomically repeating the contours of the ends of the articular processes.

6 - the spring holding the handles in the open state, and the half wedges 5 and 4 in the closed state, forming a wedge 3.

7 - connection by a bolt, along the axis of which there is a smooth closure of the handle 18 and 19 with the simultaneous divergence of half wedges 5 and 4.

8 - local gluing like huskies or similar material of both half wedges to soften when exposed to tissues of the joint (s) gap (s) of joints, joints, transverse and spinous processes.

9 - after inserting the wedge into the joint space, when pulling the handle 19 from the bottom up to the handle 18, the pressure occurs only with a half-wedge 4. Stable holding the device and pressing the upper handle 18 down leads to a shift of the half-wedge 5. Compression of two handles 18 and 19 at once produces an average effect on the expansion of the joint space. Arrows indicating the direction of displacement, in the first case β, in the second ω.

10 - the notch in the half wedge 5 is located in the center for congruent emphasis on the end face, for example, of the spinal process of the vertebra located in the position of rotation or retrolisthesis, which allows to increase the articular spaces, to carry out derotation without sliding half wedges.

11 - a recess to prevent slipping when exposed to the spinous processes. Together with the hole 10 form a thin wedge for introduction into the tissue of the affected area.

12 - an emphasis for a hand, has an anatomically similar surface surface between the thumb 1 and 2, which makes it possible to press forward while pressing the handle 18 while lowering the handle in the direction of arrow ω, forming additional pressure.

13 - hole for the thumb on the stop 12, which makes it possible more strong steady pressure device.

14 - a pin inserted in the hole 15 in the handle 1 for fixing at different angles, as appropriate and selectively in the holes 16.

15 - hole in the handle 1 for inserting the studs while fixing in different positions of the handle 1 with the stud 14, inserted into one of the selected holes 16.

16 - holes located in a semicircle relative to the bolt connection 2 located on the protrusion of the device for selective connection with the handle 1, the locking pin 14.

17 - a monolithic protrusion on the handle 18 for connecting the handle 1 and fixing with a bolt 2, with the possibility of changing the angular position of the handle 1 as appropriate, followed by fixing with a pin 14 in the direction of the arrow α, after aligning with one of the holes 16.

18 - handle turning into a semi-wedge 5, moving along the arrow ω.

19 is a handle turning into a semi-wedge 4, moving along the arrow β.

Work with the device.

After visual and palpation testing, we proceed to recovery.

Heals in the supine position, elbows to the sides, forehead on the hands. The device increases the intervertebral spaces, acting on the transverse processes of the vertebrae as follows.

We smoothly introduce two half-wedges in the closed state into the space between the transverse processes of the necessary segment of the spine and repeatedly slowly squeezing the handles, we increase the space from the side of the scoliotic concavity with the gradual removal of the closed half-wedges. We act in the same way from the contralateral side. You can alternate the impact on one and the other side repeatedly. There is a pump effect, “pumping” of disks with biological fluid during the formation of periodic negative pressure in the intervertebral space, the depreciation and reposition capabilities of the pulpous nucleus increase, wedge-shaped protrusion of the disks is eliminated and they return to their physiological position. In the intervals between segments there is a restoration

disc cylindricality, their height, the elimination of protrusions and intervertebral hernias.

The impact occurs along the longitudinal axial spine, on the ventrally located ligamentous apparatus of the vertebral bodies, transverse processes, as well as on the ligamentous apparatus of the spinous processes in a balanced manner. Otherwise, if you begin to influence the spinous processes first, this leads to a wedge-shaped increase in the gaps, an expansion in which the interspinous ligaments overstrain between the spinous processes and a strong compression of the marginal parts of the vertebral bodies forms in the ventral part. In the presence of ventrally displaced discs, especially dehydrated, sequestration can occur on one side, and wedge-shaped protrusions form or increase from the dorsal part of the vertebral bodies.

After increasing the spaces between the transverse processes and relaxing the ligamentous apparatus, we proceed to expand the interspinous spaces. The wedge-shaped part of the device is inserted into the desired interspinous gap by the refined part of the midpoints of the semi-wedges formed by the recesses 10 and 11, and is installed between the spinous processes. Gently squeeze the wedge, and then unfold it with handles and handle at the required angle for derotation, shifting clockwise or counterclockwise. Simultaneously with the expansion, vertebral rotations are eliminated using the processes as short levers. A preliminary increase in the intervertebral spaces of the deformed and adjacent segments excludes the destruction of dehydrated and compressed discs, and their sequestration at the time of exposure. The extension of the half wedges is carried out smoothly, painlessly with a gradual deepening. This is especially necessary in the presence of fish or with a decrease in height.

vertebral bodies, with overgrown osteophytes and overstressed articular and ligamentous apparatus.

And only after the restoration of the articular spaces, the elimination of rotation, we proceed to eliminate antero- or retrolisthesis.

The recovering person lies on his stomach, resting on his elbows, and clenched fists are under the chin. This creates the most comfortable, stable posture with a relaxed spine bent to the bench, which provides edge compression of the vertebral bodies from the side of the deflection, and a ventral-fan extension. This position makes the ventral displacement of the vertebral body easier and less traumatic, restores the joints and soft tissue structures of adjacent segments. We firmly hold the device by the handle 1 and handle 18 with an emphasis for the hand 12. We install the device so that the notch of the half-wedge is congruent to the end face (top) of the displaced spinous process, and the notch 11 on the half-wedge 4 rests on the upper surface of the lower spinous process. For some time, we press on the dorsally displaced spinous process with a retention of 1 min. up to 2 min ... Periodically pressing until the vertebra is displaced to the physiological position in the spine.

We increase the intervals between adjacent vertebrae. Half-wedges due to the notches are introduced into the interspinous spaces less painfully, and carry out parallel expansion at the time of compression of the handles 18 and 19. Half-wedges with notches 10 and 11 are more maneuverable, congruent due to the sphericity of the shape to the surface of the spinous processes, which facilitates the derotation of the spinous processes or elements of joints musculoskeletal system. The pressure is increased if the handle 18 is simultaneously lowered down along the arrow ω, at the moment of longitudinal pressure by the handle 1 and the stop 12.

Thus, elimination of deformations of the spine and joints is possible, the nerve plexuses coming from the spinal cord in these segments are restored, and trophic joints are improved. With a static holding of the device on the back (spine) and pressing the lower handle 19 to the upper 18, one of the half wedges is pressed in the caudal direction. It is used in the elimination and anterolisthesis to increase intervertebral spaces.

Device features.

After the survey, visual inspection and palpation testing of posture, spinal deformity, protrusion, functional blocks, we proceed to recovery.

1. We expand the space between the processes of the vertebrae. A wedge consisting of two half-wedges is inserted between the transverse processes of the vertebral bodies, and, if necessary, between the ribs. At the beginning, we slowly push the half-wedges in the problem segments, and then on the contralateral side. Thus, the smooth alternating expansion of the spaces between the transverse processes creates the effect of relaxing the ligaments, which have a property similar to seat belts in cars, makes it possible to eliminate compression and rotational damage to the intervertebral discs. The position of the transverse processes and ribs becomes parallel due to the elimination of lateral wedge-shaped protrusions and centralization of the pulp nuclei, as well as the restoration of turgors and depreciation properties of the discs. Next, we introduce closed semi-wedges between the spinous processes, for example, rotated relative to each other, and by smoothly compressing the arms, we expand the gap between them.

2. After relaxing the ligamentous apparatus, turning the device clockwise or counterclockwise, as appropriate, deploy the spinous processes towards each other in a physiological

position. The effect of derotation is achieved by the action of two device handles and a handle. We have the same repositional effect on the desired segment of the spine. After the cessation of sufficient exposure, the height of the disc is maintained. A similar effect is applicable for the expansion of large and small joints: costal, collarbone, sternum, hip, knee, ankle, sacroiliac, symphysis, etc. During the ongoing manipulations of the device, a constant dialogue with the healed is carried out and his comments can be used as corrective. 3. Elimination of retro- or anterolisthesis. When working with the device, we lay the person being healed on the stomach, while the forehead is located on the hands. We conduct palpation testing - please bend on outstretched arms. Remember your feelings and the possibility of maximum deflection. At this moment, by palpation, we fix all bulging vertebrae, retro- or anterolisthesis, rotation, straightened areas of the spine. Next, heal the laid one so that the emphasis is on the elbows, and clenched fists are under the chin. The pose must be steady. We increase the intervertebral gaps above and below adjacent segments. We install a wedge 3 hole 10 on the end (top) of the displaced spinous process. The device located in the hand is combined with the longitudinal axial spinous process and the direction of the force on its apical part. For congruence of the notch with the end face of the spinous as a pad, you can use an additional flap of thick, soft (1-2 mm) skin or a towel in 2-3 layers. With a smooth movement, holding the device with the left palm on the handle 1, and pressing the stop 12 with the right palm, lower the handle 18 down. We produce a force displacement of the semi-wedge 5, which displaces the body of the bulging vertebra into the physiological position. Moreover, each moment of exposure is amplified by the pressing movement of the handle 1 and the stop 12 at the same time. Manipulation

it is necessary to repeat until the result is fully achieved, and in the lumbar region, pressures are carried out in the cranial-ventral and caudal-ventral directions, alternately from both sides, until the result is achieved.

When acting on the cervical spine, we install the device under a certain, as appropriate, angle between the spinous processes relative to the sagittal plane and at the same time we reposition, extend and rotate the vertebral bodies. If necessary, you can reposition by pressing on the transverse processes of the neck. Thus, it is possible to eliminate cervical scoliosis and kyphosis and restore functional lordosis.

The device allows to eliminate retrolisthesis by pressing on adjacent vertebral bodies and on the flat part of the transverse processes or ribs. To do this, we increase the intervals of adjacent vertebrae and alternately pressing a half-wedge 5 on the flat part of the transverse processes of the bulging, i.e. the vertebra displaced dorsally, swing by alternate pressure with different efforts on the handle 1 and focus 12 with the simultaneous shift of the handle 18 down. This gives an addition to the force of pressure. At this point, the bulging body of the vertebra descends to the physiological position in the retrolisthesis position. Anterolisthesis is similarly eliminated, but the vertebra is displaced to the dorsal side.

The method using the device makes it possible to eliminate retrolisthesis with rotation of the vertebral bodies with special manipulations:

After increasing the intervertebral spaces in adjacent segments of the spine and relaxing the intervertebral ligaments, we press the device on the lateral surface of the spinous process of the vertebra in the rotational position. Immediately carry out bias pressure on the dorsally located transverse process

on the opposite side of the vertebra. In this case, the spinous process is aligned in the sagittal plane, and transverse in the frontal plane of the body. Then, alternately, we apply pressure to the transverse processes, swinging and displacing the vertebral body ventrally to the physiological position in the spine. If necessary, these same methods of exposure to the device are carried out counter-laterally on adjacent vertebrae until the spine is completely aligned.

Improvement in the lumbar region and lower thoracic and thoracic regions is more effective if the healer in the supine position rests on the elbows, clenched fists are under the chin, and the plane of the bench has the ability to change the angle relative to the horizontal, as appropriate.

It is imperative to use a wedge-shaped reclinator under the lower legs to relax the back muscles in the supine position.

The technical result is achieved:

Thanks to the effect of the device, the connections between the musculoskeletal system and internal organs are restored.

Due to the smooth effect on the ligamentous apparatus of the joints, through soft pads, elderly, pregnant and children easily and less painfully tolerate manipulations. With the help of the device, the procedures, in most cases, pass quickly, the healed do not get tired of them.

Thanks to the device, you can recover at the time of exacerbation, contrary to the recommendations of neurologists and manual therapists, do not intervene at the time of acute pain. Each vertebral body can be repositioned in 3 planes as part of the spine, gently releasing the restrained nerve plexuses and improving trophism.

Due to the smoothness of the controlled effects of the device, the risk of irreversible over stretching with rupture of ligaments and destruction of the compressed discs is eliminated.

Due to the capabilities of the device, percussion techniques are not used.

Due to the correct exposure to the device, there is no need for painkillers and cooling, pre-heating, electrical stimulating, etc. procedures.

Thanks to the developed device that facilitates the healing procedures, they can be carried out by female specialists, saving energy in the health-improving.

Thanks to the device, the main recovery occurs in a stable position on the elbows, with clenched fists under the chin. This position creates a temporarily increased lordosis, which can be increased by placing an elastic declinator-lining under the elbows. In this position, defects in the segments of the spine, the “soldered chain effect” are much more pronounced, and as the device impacts, the healers feel a gradual and smooth increase in the deflection of lordosis and a decrease in hyperkyphosis of the thoracic spine. With extension, a fan-shaped marginal expansion is formed on the ventral side of the vertebral bodies, and at the moment the device acts on the dorsal part of the spine, when the intervertebral spaces expand, the moment of almost spontaneous repositioning of the retrolistine vertebrae to the physiological position is formed, ventrally.

The method is as follows:

The recovering person lies on the stomach, elbows to the sides, forehead on the hands. We increase the intervertebral spaces, acting on the transverse processes, using the proposed device.

The impact begins with the segment S1-L5, and then on the upstream. To do this, we smoothly introduce the device’s half-wedges in the closed state, pressing the space between the transverse processes of the segment and repeatedly slowly squeezing the handles, increasing the space by expanding the half-wedges. The impact is carried out slowly and with little or no pain.

With scoliotic deformity, the space is increased, first from the side of concavity of the spine, then from the contralateral side.

In the absence of deformity, but in the presence of a degenerative process, for example, an intervertebral hernia, they first act on the side of its localization, and from the opposite side, gently, gently, focusing on the sensations of the healing, relaxing the ligaments - eliminate sequestration, eliminating pain spasm, repeatedly alternating effects. In any cases, the effect is carried out either in one session or in several rare sessions.

As a result of such an impact, as we have established, the pump effect occurs, the “pumping” of the discs with biological fluid during the formation of periodic negative pressure in the intervertebral space, increasing the depreciation and reposition capabilities of the pulpous nucleus and disc, eliminates the wedge-shaped protrusion of the discs and their return to physiological position. In the intervals of the segments, the cylindrical shape of the discs, their height, and protrusions and intervertebral hernias are restored.

Alternate contralateral action occurs in a plane passing close to the center of the segments, along the longitudinal axial spine.

Thus, there is a uniform, transverse impact on the ventrally located ligamentous apparatus of the vertebral bodies and the ligamentous apparatus located dorsally, balanced, parallel and congruent. Otherwise, when the action begins with the spinous processes, a wedge-shaped increase in the intervals is formed, at which the ligaments are overstretched between the spinous processes, and a strong compression of the marginal parts of the vertebral bodies forms in the ventral part of the segments. In the presence of ventrally displaced disks, especially dehydrated ones, they are sequestered, and wedge-shaped protrusions form or increase from the dorsal part. In this case, tear and overextension of the interspinous ligaments is possible.

With an increase in the intervertebral spaces with a smooth, gradual effect on the transverse processes, mobilization and relaxation of the ligamentous apparatus both from the ventral and dorsal sides occur. Only after this we eliminate the antero- or retrolisthesis and rotation, using the device as follows:

The recovering person lies on his stomach, rests on his elbows, clenched fists are under the chin - the most comfortable, stable posture with a relaxed spine bent to the banquet. The edge compression of the vertebral bodies from the side of the deflection, and the ventral-fan extension makes it possible to displace the bulging vertebrae ventrally, to restore the joints and soft tissue structures of adjacent segments. We install the device so that the forces of action from the half wedges on the bulging vertebra coincide with the longitudinal axial spinous process, i.e. notch 10 of the half-wedge congruently adjacent to the end part of the spinous process. Steadily

we hold the device by the handle and handle 18 with an emphasis for the hand 12. For some time we press and hold for about 1 min, release and again produce a stronger pressure until it is completely displaced to the physiological position of the bulging vertebra. We increase the gaps between adjacent spinous processes and eliminate the contralateral deviations, i.e. derotation of the spinous processes.

The recesses in the semi-wedges, forming a thin wedge - a wedge in the wedge, are introduced between the spinous processes less painfully and deeper, due to which they carry out more parallel expansion at the time of compression of the handles of the main device. The thin wedge formed by the recesses 10 and 11 is more maneuverable and congruent in the joint spaces during derotation of the spinous processes, as well as other joints: shoulder, elbow, wrist, knee, ankle, etc. The pressing force increases-is summed up, if at the same time with the handle 1 shifted forward, lower the handle 18 in the direction of the arrow ω, which moves the half-wedge 5 with the notch 10 forward and the forward shift, while simultaneously acting on the stop 12 on the handle 18.

Combine the axial spinous process with the direction of exposure. Statically hold and gradually produce increasing pressure on the end (apex) of the spinous process, the vertebral body of which is in the position of retrolisthesis. Hold the pressure for about a minute to relax the ligaments. Due to the previously enlarged spaces between adjacent vertebral bodies, the bulging vertebra is displaced ventrally-cranially and occupies a physiological position. When the device is held statically on the spine and the lower handle is pressed to the upper arrow β, a half-wedge 4 is pressed in the caudal-ventral direction. If necessary, you can rotate the device 180 ° or bypass the bench.

The increase in the intervertebral spaces with the simultaneous rotation of the vertebrae on the neck has its own peculiarities: we move the chair away from the table so that the healed person can lean forward with his back straight and put his forehead on his fists lying on the edge of the table, his elbows hang down. We ask you to bend your neck up, after which we perform manipulations on increasing the intervertebral spaces with simultaneous derotation on the neck. Installing the device at an angle determined by expediency between the spinous processes relative to the sagittal plane and at the same time we make the extension and derotation of the vertebral bodies.

In all cases, the extension of the semi-wedges is carried out smoothly with a gradual coarsening. This is especially necessary if the testing reveals the presence of “fish” or with a compression-reduced height of the vertebral bodies, with overgrown osteophytes and overstressed articular and ligamentous apparatus of the processes.

Next, the combination of the transverse axis of the pelvis with the axis of the shoulder girdle in the frontal plane is performed without the proposed device. The patient is laid with a roll-declinator under the side, for example, on the left side. He puts his left outstretched arm under his head. The left leg is straightened. The right leg is bent at the knee, the foot is fixed to the popliteal region of the left leg, the knee hangs down relative to the support plane. A health-care worker standing on his right leg, with his left, fixes the bent right leg of the healer, with his right hand resting against the right shoulder of the healer, and with his left hand with his elbow or palm against the ileal crest of the pelvis. The recovering takes back a shoulder. At this moment, the healer makes a strong pressure with the left elbow on the upper pelvic bone, displacing it ventrally-caudally, and the right shoulder - in the dorsal-cranial directions. For fidelity, this technique can be repeated several times and each time the patient at the time of unwinding should be maximum

relaxed. Manipulations performed lying on your side or on your back, especially on the derotational twisting when aligning the pelvis and shoulder girdles, must be carried out using a recliner for the lumbar region. This preserves the physiological position of the spine and excludes regional compression of the vertebral bodies. The use of a recliner during the described manipulations with a preliminary increase in the intervertebral spaces makes it possible to heal less painfully and, therefore, more effectively, without risk of destruction of the discs and nerve plexuses.

After this manipulation, the healed fit into a pose on the stomach, face down in the hole for free breathing, arms along the body. Under the ankle joints, a wedge-shaped recliner with a height that lifts them by 10-25 cm. Thus, the back muscles relax and do not interfere with palpation testing. Under the shoulder, we displace a ventrally displaced dense lining such as felt of the required thickness and a contralaterally similar lining under the ileum of the pelvis to align the position of the body in the frontal plane. Thus, further exposure of the device between the transverse processes from the side of the scoliotic concavities makes it possible to even out the gaps between them, with subsequent selective pressure on them in the sagittal plane, dragging the vertebral bodies towards the concavity of the spine, achieving parallelism and parallelism of the transverse axes of the shoulder girdle and pelvis.

It is necessary to make sure by palpation before lifting the healed to a vertical position in the absence of a partial return of the vertebral bodies to the position of retrolisthesis and rotation.

After making sure of the absence of retrolisthesis, rotation, we carry out traction of the lumbar and lumbar spine on a bench with a raised leg end:

On the plane of the bench, changing the angle of inclination relative to the horizontal plane, we reveal the shortened limb of the patient. We fix it by the shin and foot with a soft tape that is not stretchable and about 5 cm wide. We put the tape on the Achilles tendon in the middle part, and grasp the end of the foot with the ends. We bring them under the middle of the foot from below, connect and attach to the edge of the bench upward so that the body slides with its mass on the inclined plane of the bench and produces spontaneous traction of the spine, and the pelvic bone, displaced cranially, was held by the tape for a shortened limb. The degree of self-extension of the spine depends on the angle of inclination of the plane of the bench. In the position of the body at an angle, you can raise your head resting on your elbows, creating the effect of temporary hyperextension during exposure. This increases the efficiency of healing and, as the spine is being worked out, the healed person feels an increase in lumbar lordosis - the lumbar section bends to the bench, and chest kyphosis straightens.

A way to improve the spine, including the cervical spine, is possible only after the preliminary expansion of the intervertebral spaces and the elimination of functional blocks and pressure should be soft and smooth. Then the effect on the joint tissues is softened and recovery is prolonged over time.

At the end of the healing session, align the sacrococcygeal joint relative to the vertical axis. To do this, between the rudiments of the spinous processes of the sacrum we introduce the wedge-shaped part of the proposed device and further manipulation resembles the action of a screwdriver in the slot of a screw. With the handle 1 and the upper handle 18 of the device, we unfold the sacrum in the desired direction to a vertical position relative to the longitudinal axial spine. This is necessary to fully restore the S1-L5 segment and eliminate

often traumatic contact of the coccyx with the pelvic membrane, giving difficult to cure pain. Perhaps the impact of the device on the base of the sacrum, and on the lower part with lateral pressure.

The technical result is realized due to:

1. There is no need for preliminary procedures, rehabilitation can be carried out at an acute phase, in contrast to the technique of manual therapists.

2. Due to the possibility of the method carried out using the device, with subsequent fixation by certain declinators, sessions are rare, approximately every two to three weeks or once a month, and recovery often occurs in 3-5 sessions, which is not burdensome for healers. We recommend the number and necessity of repeated sessions individually, but the convalescent decide on the basis of their well-being and our explanations of how the body will respond to recovery with possible short-term deterioration due to improved blood supply to the whole body.

3. Restoring the symmetry of the musculoskeletal system and blood supply with subsequent use to maintain the effect of a set of declinators. This stops further asymmetric destruction of the body and asymmetric blood supply at any age. The use of temporary hypertrophy makes it possible for half of the body that is lagging behind in development to catch up until the end of growth, and the affected organ to recover. Reducing hypertrophy in one part of the body, we redistribute the total blood volume with individual emphasis-declinators. We restore not only the hemodynamic symmetry, but we can also artificially create, if necessary, dynamically controlled

local temporary hyper- or hypotrophy, which is controlled by comparing blood pressure on arms and legs before recovery and in comparison after. When testing, it is possible to use a thermal imager.

4. The healing method can be used in the field, in zones of conflict and destruction, after many injuries and shell shocks. The non-invasiveness of the proposed method does not require sterile operating rooms, hospital rooms with large daylight windows, since a wellness specialist who has achieved a certain tactile sensitivity of the fingers and the perfection of our method using the device can perform restorative procedures in need of help in absolute darkness, on the ground or sex, deaf and dumb and do not know Russian. Knowing perfectly the anatomy of the musculoskeletal system, using palpation testing, if necessary, without undressing and not inflating.

5. There is a theory that most of the blockages are due to the infringement of the meniscus with subsequent pathology of the disc or joints of the limbs.

The method using the device allows you to smoothly increase the joint space and, in the resulting space of the joint space, with negative pressure, the meniscus returns to its original physiological position with the subsequent restoration of the original shape of the joint spaces of the musculoskeletal system. This makes it possible to self-align the musculoskeletal system, returning to the vertical axis, by transferring fixed scoliosis to scoliotic posture and further straightening to the physiological norm, using declinators to maintain the achieved effect - to fix the aligned musculoskeletal system in space.

Use of declinators.

After eliminating gravitational pathological effects on the musculoskeletal system, restoring congruency and mobility of the spine and joints with the proposed method using the device, it is necessary to select according to the parameters and explain to the well-being about the future use of a set of declinators individually selected for use in the vertical and horizontal positions of the patient.

1. In case of spinal deformity, accompanied by a distortion of the pelvic bones up to 10 mm and shortening of one of the limbs, it is necessary to use a reclinator-heel from the elongated side. If the skew is more than 10 mm, it is necessary to use the insole and heel in the total combination or thickened sole of the shoe. This reduces the load on the forefoot and eliminates the development of transverse flatfoot. Using a set of reclinators restores the normal position of the spine. The base of the sacrum assumes a normal position, which allows you to get rid of scoliotic posture, kyphoscoliosis in the future. The symmetry of blood supply is restored due to the elimination of regional compression of the vertebral bodies from the side of the concavities of the spine and compression of the nerve roots. Excessive pathological compression on the hip joint from the side of the shortened leg is distributed symmetrically evenly on both joints. By adjusting the height of the reclator from the side of the elongated limb, during the emergency restoration of the head and neck of the femur from the side of the short extremity, it is possible to create a temporary dynamically controlled hypertrophy of the affected joint to accelerate the repair effect and reduce joint compression. When using a heel or heel, plus insoles, or heels for shoes with a horizontal sole up to 10 mm, it must be taken into account that

when using shoes with medium or high heels, the height of the pads varies in the direction of reduction.

The heel should be made of a light-elastic material, such as micropores, with an organoleptic coating, made of genuine leather in contact with the heel to take a congruent shape, while maintaining a certain lifting height of half the body. So that the heel does not move, strengthening with double-sided tape is possible. In horizontal shoes, for tightness and elimination of displacement, a corrugated surface is provided with a plane in contact with the shoe, which makes it possible to use it by shifting into different shoes.

2. If there is a skew of the pelvis and scoliotic posture, it is necessary to use a low-elastic reklinator-lining of a certain thickness in the format with a small book in a soft cover, felt, a folded towel, and the like: under the sciatic tuber in the sitting position on the side of an elongated limb. This helps to restore physiological bends of the spinal column and symmetric gravitational load. Lining thickness varies:

- Regarding the material of which the lining is made.

- Regarding growth.

- Regarding the degree of distortion of the pelvic bones and scolitic posture.

- Regarding body weight.

3. The seat should be equipped with a roller-declinator under the neck to maintain a physiological cervical lordosis with an individual fit for each healed. This makes it possible to unload the cervical spine.

The feeling of a well-chosen individually tailored headrest is a periodic reference while sitting, to preserve the posture of the entire spine.

4. If there is a torsion of the pelvic bones, we recommend that you use a lint declinator from the side of the dorsal displacement of the pelvic bone, while lying on your back. To do this, fasteners are sewn to tight-fitting panties that look like a back pocket into which a piece of felt or other similar material is tightly inserted. The thickness of the liner depends on the degree of torsion. This lining creates a congruence in the position of the femoral head in the acetabulum and accelerates the reparative process. When turning on its side, during sleep, the liner does not interfere.

5. In a kneeling position: parquet work, physical exercises, work on the beds, etc. use a lining, for example, of felt, from the side of an elongated limb equal in height to the selected heel pad or use only one knee pad from the same side, focusing on your feelings.

Many specialists working with the spine ignore the use of declinators for fixing the musculoskeletal system, which exclude asymmetric deforming forces of gravity and the use of which is necessary immediately after the transfer of scoliosis to scoliotic posture and only then there is the possibility of eliminating scoliotic posture, maintaining or restoring joint congruency and symmetry of the blood supply to the body.

Without fixation in the space of the musculoskeletal system, a specialist who undertakes to improve the musculoskeletal system destroys the adaptively created architectonics of the musculoskeletal system without offering anything to maintain positive dynamics-statics. This initiates an increase in deformation.

of the musculoskeletal system, since the adaptive pathogenic fixation is destroyed, and the gravitational pressure is not symmetrical and a progressive process of further deformation occurs that worsens the state of the healed.

The method corrects spinal deformity, restores joint congruency using a device, followed by mandatory fixation by lining declinators of different materials, the softness and elasticity of which depends on the purpose, individually selected sizes and thickness, which is very important at an early stage at the time of growth of the musculoskeletal system . The symmetry created by the recliners of homeostasis and the musculoskeletal system enables further physiologically-symmetric development of the body, with dynamic correction consisting in a gradual decrease in the thickness of the reclinators, until they are completely canceled by the time growth is completed. Thanks to the use of a set of reclinators, congruent joints that fix the musculoskeletal system in a physiological position manage to form by the time growth is completed. From the set of declinators we leave the declinator - an emphasis under the lumbar region, a neck-head rest and an emphasis on the backs of seats, which in life must be adjusted due to changes in height and weight.

During wellness manipulations, in the supine position, it is necessary to use a recliner lining in the form of an elongated wedge of elastic material under the lower leg. The task of raising the feet by 10-25 cm (depending on growth), due to the bending of the knees, the powerful back muscles relax and the healing process is more effective and less painful.

To determine the thickness or height of declinators-linings used to maintain the symmetry of the musculoskeletal system and, as a consequence, the symmetry of blood supply to bone structures,

muscles and organs, a thermal imager can be used. Under the control of a thermal imager, it is convenient to vary specially created minor hypertrophy in limbs and other bone structures that are lagging behind development.

An example of spinal healing.

Young man K., 19 years old, from the ensemble “Dances of the peoples of the world”, while at the beginning of 2013 on the high mountain plateau of the Caucasus, fell down the mountain. At the same time, he hit his back and rolled on his side for about 10-15 meters. Only bruises were diagnosed in the regional medical institution. I walked with a limp with a wand. Dancing resumed only after 4 months. In 2014, at the next medical examination, they revealed scoliotic curvature of the spine, distortion of the pelvis, but continued to dance. Addressed a problem - lower back pain. At the moment of "pa", when in a jump it is necessary to land on both knees, arms spread out to the sides, a sharp pain pierced. Gritting his teeth, almost on one leg, imperceptibly went into the background. In the future, the deterioration of health gradually increased. I could not participate in performances. There were problems when walking, sitting, while sleeping. Examination revealed spinal deformity in the frontal, sagittal and horizontal planes: scoliotic deformity with the main arch in the lumbar spine, vertebra rotation in the S1-L5 segment, L5 retrolisthesis, pelvic distortion with lengthening of the lower limb on the side of the caudal displacement of the pelvic bone, rotation and deviation from vertical sacrococcygeal joint.

Improvement is carried out in the following sequence:

1. Using our device for healing the spine and joints, we first increased the intervertebral spaces

the effect of semi-wedges on the transverse processes. Eliminated rotation of the vertebra in the S1-L5 segment, retrolisthesis L5.

2. Further, without using the device, the transverse axis of the pelvis was combined with the axis of the shoulder girdle in the frontal plane as described in the description of the techniques. Traction was performed on the couch with a raised leg end due to its own weight, thoracolumbar, lumbar, and traction was carried out with loop fixation in the ankle joint of a shortened limb.

3. After making sure of the achievement of elimination of vertebral displacements, they again used the device for derotation of the sacrococcygeal joint by introducing the wedge-shaped part between the rudiments of the spinous processes on the base and lower part of the sacrum and acting on the principle of a screwdriver, as well as lateral counter lateral pressure, achieving a vertical position.

4. After a set of actions, taking into account the detected pelvic distortion of 10 mm, under the elongated limb put a heel pad with a height that eliminated the pelvic distortion of 10 mm. The recovering one used a lining under the sciatic tubercle on the side of an elongated limb, which eliminated the distortion of the pelvis.

After 5 sessions with an interval of 2 weeks, the pain stopped and in the future (observation for a year) were not disturbed.

The implementation of the method for improving the joint is illustrated by a specific example.

Pavel M., 28 years old. There was an injury: a fracture of the external, internal ankles, a tear of the ligaments of the tibiofibular joint. After bone fusion, arthrosis of the tibia was revealed. Complaints of pain when walking in the joint, limiting the back flexion of the foot by 10-15 °.

A wedge was introduced at each session between the tibia in the front in the projection of the tibia of the tibia head and smoothly unclenching the semi-wedges by the action of ventrally stretching the syndesmosis and ligament of the head for relaxation. Next, the wedge was inserted from the front between the ankle of the fibula and the talus and, smoothly acting, stretched the syndesmosis and the anterior talon-fibular ligament dorsally-cranially, thus eliminating the varus displacement of the foot.

As a result of such influences, using the device for healing the spine and joints, the intertibial joint was stretched due to mobilization of the ligaments, which led to an increase in the ankle forks and the elimination of ligamentous contracture of the tibiofibular syndesmosis. The back flexion of the foot was restored in full.

Bibliography

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Claims (8)

1. The method of healing the spine and joints, including the separation of the intervertebral spaces with the rotation of the vertebrae using a device for healing the spine and joints, characterized in that they use a device for healing the spine and joints, containing a wedge-shaped device made of two semi-wedges adjacent each other with flat sides, while the semi-wedges are equipped with upper and lower handles with a spring installed between them to return handles and adjoining half wedges, the device further comprising a handle for pressing, pressing and turning the half wedges, one surface of the handle is anatomically repeating the contours of the palm surface of the brush, the lower surface is made anatomically repeating the palm surface of 2-5 fingers of the brush, the handle has a groove for a monolithic protrusion on the upper a handle that allows you to set the handle from horizontal to vertical position when rotating on a bolt inserted into the hole on the handle and protrusion in the upper portions of the protrusion are provided with holes that secure the handle in the desired position by inserting studs into them, the half-wedges passing into the handles have a flat contact surface, and working surfaces with recesses are made on the reverse side, anatomically repeating the contours of the end part of the articular processes, and glued with a softening material , the palm rest located on the upper handle has an anatomically similar surface surface between the 1st and 2nd fingers of the hand and the hole for the thumb on the palm, the effect was they are revealed in the above sequence, first the device increases the intervertebral spaces, starting from S1-L5, and then overlying, by the action of the device’s semi-wedges on the transverse processes, followed by elimination of the antero- or retro-lysthesis and rotation of the vertebrae, then without using the device they combine the transverse axis of the pelvis with the axis of the shoulder girdle in the frontal plane, traction is carried out, due to its own weight, thoracolumbar, lumbar divisions on the couch with a raised leg end with a loop in the ankle opnogo joint shortened limb, then re-use the device by inserting the tapered portion between the device rudiments spinous processes on the base and the lower part of the sacrum, carrying derotation sacrococcygeal joint, after effects conducted using complex reclinators, pads, heel cushions. 2. The method according to p. 1, characterized in that when the spine is deformed, accompanied by a skew of the pelvis to 10 mm and a shortening of one of the limbs, use a heel declinator from the elongated side, and if the skew is more than 10 mm, the insole and heel in the total combination are used. 3. The method according to p. 1, characterized in that they use a lining under the sciatic tubercle from the elongated limb. 4. The method according to p. 1, characterized in that they use a declinator in the form of a roller to ensure physiological lordosis of the cervical spine. 5. The method according to p. 1, characterized in that with concomitant torsion of the pelvic bones, a lining is used from the side of the dorsal displacement until the transverse axis of the pelvis is restored. 6. The method according to p. 1, characterized in that in the position of the healed on his knees using a lining-knee pad on the side of an elongated limb, equal in height to the selected heel pad. 7. The method according to p. 1, characterized in that in the supine position, a lining in the form of a wedge under the lower legs is used to relax the back muscles. 8. The method according to p. 1, characterized in that they use a declinator with individual parameters in the form of a roller for the lumbar in the supine position, on the sides, while sitting.

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