Exercises for cervical osteochondrosis, provided they are performed correctly and regularly, can significantly alleviate the patient's condition and slow down the progression of the disease..

For the first time, gymnastics is performed under the supervision of a specialist for adequate and complete assimilation of the technique of movements.. In the future, you can ask him to record a video or draw up a diagram with pictures to repeat the program at home.. Also, at the initial appointment, the entire complex is corrected for the individual characteristics of the patient.. Therapeutic exercise at home is prescribed for repeated courses of treatment.

The specialist must teach the patient the correct exercise technique Indications and contraindications for exercises Indications:.

Restoration of motor activity, exercise therapy is especially effective in the postoperative period (fibrosis prevention).

Maximum extension of the effect of conservative therapy in the remission phase.

Creation of a dense muscular frame for the purpose of additional support function for the spinal column.

Strengthening metabolic processes in tissues by stimulating blood circulation.

As a preventive therapy in people with a clinically and instrumentally unconfirmed diagnosis (for example, risk groups associated with a particular profession).

Exercises for osteochondrosis of the cervical spine have a number of contraindications:.

The phase of pronounced clinical manifestations (physical activity serves as an additional pain stimulus).

Terminal stages of oncological diseases, especially in the case of involvement of bone structures.

Decompensated diseases of the cardiovascular system (intractable arterial hypertension, angina pectoris, thrombophlebitis).

Neurological diseases with severe destruction of cartilage and bone tissue (intervertebral hernias in the stage of sequestration).

Mental disorders (schizophrenia).

Therapeutic effect Provided that the exercises are performed correctly and systematically, the following positive effects occur:.

restoration of normal function of the affected joint;

development of fibrous-modified joint components (with minor damage);

strengthening of regeneration processes in tissues at the cellular level;

effective strengthening of the muscular frame;

increase in the vertical size of deformed vertebrae.

You can also perform gymnastic exercises with a general strengthening purpose, since moderate physical activity has a positive effect on overall health..

General recommendationsGymnastics has a number of general recommendations that must be followed to improve the quality of charging:.

Preliminary examination and establishment of an accurate diagnosis of osteochondrosis, since in the presence of diseases with similar symptoms, other treatment options may be required.

The class is preceded by a standard warm-up and stretching of the muscles.. This is necessary to prepare all structures for the subsequent set of exercises in order to prevent sprains and muscle spasms..

The course of treatment must be completed in full and within a strictly defined time frame.. Unauthorized termination and shift of classes is not allowed (there is a risk of falling into the acute phase of the disease).

In treatment, the most simple techniques are used, since gymnastics can be prescribed to different groups of the population (difference by sex, age). The main goal is versatility.

It is necessary to exclude exercises that cause severe pain syndrome..

All physical exercises alternate with relaxing ones (prevention of overexertion and spasms).

A combination of several methods of treatment is allowed (physiotherapy, exercise therapy, drug treatment).

Techniques of execution There are different methods of treating osteochondrosis with the help of exercise therapy, which differ in sequence and duration, but have similar therapeutic effects..

Author's technique.

Characteristic.

Bubnovsky's technique.

The most popular author's technique, has 60-70% positive feedback. It is required to thoroughly stretch the muscles before starting gymnastics.

Gitt technique.

It refers more to manual therapy methods and has a long session time - up to 1.5 hours. In the long term, the most effective method, but studies on this topic are few. It is permissible to perform with pain syndrome.

Shishonin's technique.

Does not require good physical fitness and has good results (up to 50%).

Dikul's technique.

Effectively prescribe to prevent muscle atrophy in the postoperative period.

Butrimov's technique - Has a good effect on the restoration of sensory disorders (eliminates vertebral artery syndrome). Not a classic treatment option (focused more on neck stretching).

When performing gymnastics at home, it is permissible to combine various techniques to form the optimal one in each case..

Typical exercises for osteochondrosis are considered without detailing the author's methods.

Author's methods for the treatment of osteochondrosis with the help of exercise therapy have been developed and are being applied. Exercises in the supine position1. Lying on the stomach, perform extensor movements in the thoracic and cervical spine with throwing the head back. Hands should serve as a support for the body.. Quantity - 5-10 times.

Lying on your back, perform twisting movements (lifting the upper half of the body). The lower limbs may be slightly bent. Quantity - 5-10 times.

Lying on your back, try to bring the chin to the chest as much as possible while fixing the cervical region in the phase of maximum flexion for 10 seconds. Quantity - 5-10 times.

In the position on all fours, produce maximum flexion and extension of the spine (simultaneous training of the thoracic and cervical regions). Number of executions - 5-10 times.

From a reclining position (knees bent, legs under the body, the stomach touches the bent limbs) to produce the maximum extension of the head and neck towards the arms extended forward. Number of executions - 5-10 times.

Exercises in a standing positionStand straight, feet shoulder-width apart.

Perform head turns towards the right and left shoulder with fixation for 10 seconds in each position. Number of runs - 5-10 times in each direction.

Tilt the head forward / backward, right / left with fixation in this position for 5-10 seconds. Number of exercises - 5-10 times.

Make circular movements clockwise and counterclockwise 5 times.

Move your shoulders and head forward at the same time, and then lean back at the same time. Number of runs - 5-10 times in each direction.

Make tilts with the whole body to the right and left side with maximum extension (the cervical and thoracic spine are simultaneously involved). Number of runs - 5-10 times in each direction.

Tilt the whole body forward / backward (maximum stretching of the whole body).

Sitting exercisesThis is the most suitable option for the elderly.

Tilts and rotations of the head, similar to those performed in a standing position.

Turning the body to the sides with a maximum turn of the head (pulling the chin over the right or left shoulder). Number of executions - 5-10 times.

Sitting on the floor, perform flexion / extension of the body towards the lower limbs and back (ideally touch the lower limbs with the stomach). Number of executions - 5-10 times.

Sitting on the floor, make half-tilts of the body (angle not more than 40 degrees) to the right and left side with simultaneous stretching of the cervical spine. Number of executions - 5-10 times.

Sitting on a chair, fix the upper limbs behind the back and carry out the arching of the spinal column with a return to its original position. Number of executions - 5-10 times.

Sitting on a chair with a fixed upper part of the body, tilt the head as far back as possible with fixation for 5-10 seconds in this position. Number of executions - 5-10 times.

Elderly patients can easily perform a set of exercises while sitting on a chair. It is permissible to modify any exercise using specialized equipment (gymnastic sticks and weights). Performing any of the presented movements does not require good stretching, the patient can perform each of them as far as possible (the main condition is the absence of excessive muscle strain).

General information about the disease Spinal osteochondrosis is a degenerative-dystrophic slowly progressive disease that is associated with damage to the intervertebral disc, vertebrae and neurovascular structures.

Features of development in the cervical segment of the spine (may occur at any other level):.

The disease goes through a number of stages in its development (the stage of chondrosis, the stage of instability of the vertebral discs, the stage of intervertebral hernia and the final stage of fibrosis). At each stage there are differences in the clinical picture and treatment.

Occurs more often in people over 45 years of age, since dystrophic natural rarefaction of bone tissue begins (phenomena of osteoporosis).

Has no exact cause and no etiological treatment, only symptomatic.

The classic symptom of the disease is pain of various localization and intensity..

The initial stages of the disease may occur due to compression of the nerve or vascular structures.. A feature of the cervical region is the dominance of the vertebral artery syndrome (hypoxia of the frontal and occipital lobes of the brain and the occurrence of visual and auditory disorders).

The cervical region has the smallest area of \u200b\u200bthe vertebrae and a disproportionate load on them (the second most common level at which osteochondrosis occurs, the first is lumbar).

The clinical picture is represented by four syndromes.

Clinical Syndrome.

Description.

Static.

Associated with disruption of the normal structure of intervertebral discs (annulus fibrosus, nucleus). Characteristic symptoms - pain, impaired motor activity.

Vascular.

Associated with vascular compression. Characteristic symptoms - impaired sensory activity (numbness, tingling, constriction).

Neurological.

Associated with compression of the nerve roots (directly in the spinal cord or when exiting the spinal cord). Characteristic symptoms - local pain in the zone of innervation of the affected nerve, impaired function of the innervated organs.

Trophic.

Associated with malnutrition of tissues and slowing down regeneration processes. There are no external manifestations (works at the cellular level).

The syndromes are given in order to understand the necessary points of influence during exercise (for example, muscle stretching somewhat facilitates the compression of the vertebrae on nearby structures and eliminates neurological, vascular manifestations of the disease).

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