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A set of exercises LFK

Classes consist of a variety of restorative and special exercises.

Patients should use the following criteria:

• performing only exercises that do not exceed the threshold of mild pain;

• increasing the load in order to adapt the body well to them should be gradual.

Indications for the appointment of exercise therapy:

- bypassing the acute manifestations of the disease during

beginning subsidence of pain;

- in the subacute and chronic stages.

Contraindications:

- an acute period of the disease with a pronounced pain

a syndrome;

- the presence of symptoms of increasing compression of the roots

spinal cord.

The main tasks of medical gymnastics are:

- stimulation of normalization of blood circulation in the belt-

nicholosacral cervicothoracic areas and affected limb;

- restoration of normal range of motion;

- reduction of pain;

- strengthening weakened muscles of the trunk and limbs,

restoration of their normal tone, relaxation

strained muscles;

- Improving and strengthening the whole body of the patient.

With pronounced pain, the procedures at the beginning of the course of treatment are carried out individually, and later in groups.

The duration of the procedure is from 10-13 minutes at the beginning and up to 15-30 minutes - in the middle and end of the course of treatment.

The total number of procedures per treatment course is 10-20. Therapeutic gymnastics procedure is carried out in the gymnastics hall under the guidance of an instructor once a day.

FIRST COMPLEX (SUBSTITUTE PHASE)

Exercises are performed 2 times a day, repeating each 8-10 times, in a sparing starting position - lying on your back to completely eliminate the vertical axial load on the spinal column (some movements need to be done by placing a large sofa cushion or cushion under your feet).

1. Flex and unbend the feet, while clenching and straightening the fingers;

2. The left leg is bent at the knee. Bend and unbend the right leg in the knee, sliding the heel on the bed or floor. The same, changing the position of the legs;

3. Alternately raise your hands up;

4. Bend your left leg at the knee. Take the right one to the side. The same, changing the position of the legs;

5. Describe circles with arms bent at the elbows;

6. Bend your knees. Pull to the stomach, then the left, then the right knee (walking lying);

7. Bend your arms with your fingers touching your shoulders;

8. Bend your legs at the knees. Take aside first one, then another knee;

9. Raise your hands up - inhale. Grasp the knee with your hands and pull it to your stomach - exhale. The same with the other leg;

10. Perform stops in circular motions;

11. Feet on the roller. Diaphragmatic breathing - take 3-5 breaths, exhaling, raising the chest, the stomach is motionless;

12. Lift the pelvis, resting on the arms extended along the torso and the thoracic spine;

13. Bend your knees, palms folded at the back of the head. Lift your head and tighten your abdominal muscles;

14. For 4-6 seconds, tighten and relax the gluteal muscles;

15. Bend your legs at the knees. Hands up - inhale, hands to the knees, lift the body and stretch forward - exhale;

16. Bend your leg at the knee. Straighten it, squeezing a foot on the floor. The same with the other leg;

17. Make the same movement as in exercise 16, with two legs at the same time;

18. Lift the pelvis, straining the abdominal muscles and buttocks;

19. Exercises 19-20 perform standing on all fours;

20. Sit on your heels without taking your hands off the floor; Bend your back, but, returning to its original position, do not bend.

SECOND COMPLEX (1-2 weeks after exacerbation)

Exercises are performed lying on your back and standing on all fours - this is the most physiological initial position at the recovery stage. With it, as well as when lying down, vertical axial load on the spine is excluded, the affected segment and muscles are unloaded as much as possible, the motor load on neighboring vertebrae is distributed evenly.

Lying on your back:

1. Bend and unbend alternately the feet (10 times);

2. Bend and unbend alternately legs at the knees (10 times);

3. First raise one, then the other hand up and stretch (5-7 times). If you have a partner, ask him to slightly pull your hands (3-5 times);

4. Perform exercise 4 of the first complex (5-7 times);

5. Repeat exercise 5 of the first complex with straightened legs (10 times);

6. Tighten the left knee to the stomach.
Lift the straightened right leg up. The same - changing the position of the legs (3-7 times);

7. Do the 12th exercise from the complex (10 times);

8. Bend your legs at the knees, fold your hands on your stomach. Raising your head and shoulders, linger in this position for 2-4 seconds (5 times);

9. Stretching your legs, strain and relax the gluteal muscles for 6-7 seconds;

10. Bend the legs at the knees and, clasping their hands, pull them to the stomach (5-7 times);

Standing on all fours:

1. Sit on your heels without taking your hands off the floor, as in exercise 19 of the I complex (10 times);

2. Spread your legs apart. Turn your torso to the left, moving your left arm aside. The same - in the other direction (5 times);

3. Bend your back, repeating exercise 20 of the first complex (5-7 times);

4. Raise your right hand forward, take your right foot back without raising it high. The same is with the left hand and foot (5-7 times);

5. Legs apart. Try to touch the elbow of your left hand with the knee of your right foot. The same, changing the leg (5 times);

6. Without taking your hands off the floor, sit on your left heel, while pulling your right foot back (half-twine). The same with the other leg (5 times);

7. Exercises 17-20, perform lying face down, placing a roller under the stomach;

8. Using your hands, rest your chin. Lift your right leg off the floor and hold it hanging for 4-5 seconds. Same thing with the left foot (5 times);

9. Leaning on the arms extended to the sides, raise your head and shoulders above the support and hold this pose for 4-5 seconds (5 times);

10. Fold your elbows bent under the chin. First take one, then the other leg strictly to the side (7-10 times);

11. Bend your knees (5-7 times).

THIRD COMPLEX (on the path to recovery)

Starting position (and. P.) For exercises 1-5 - lying on your back, legs bent at the knees.

1. Straighten your leg at the knee, crushing your foot on the floor. The same with the other leg (8-10 times);

2. Lift your hands straight up behind your head - inhale. Grasp the knee with your hands and press it to your chest - exhale. The same with the other leg (5 times);

3. Lift the pelvis, as in exercise 12 of the first complex (10-12 times);

4. Fold your arms over your chest. Lift your head, tensing the abdominal muscles (5-7 times);

5. Bend and unbend alternately legs at the knees (10 times);

6. Bend the legs at the knees and, clasping their hands, pull them to the stomach (5-7 times);

7. Sit on your heels without taking your hands off the floor, as in exercise 19 of the first complex (10 times);

8. Spread your legs to the sides. Turn your torso to the left, moving your left arm aside. The same - in the other direction (5 times);

9. Bend your back, repeating exercise 20 of the first complex (5-7 times);

10. Raise your right hand forward, take your right foot back without raising it high. The same is with the left hand and foot (5-7 times);

11. Fold your elbows bent under the chin. First take one, then the other leg strictly to the side (7-10 times);

12. Bend the legs at the knees (5-7 times);

13. Lying on your back. Arms apart and legs bent at the knees. Turning the torso to the right, connect your hands in front of you. The same is in the other direction (8-10 times);

14. Lying on the right side, pull the legs bent at the knees to the stomach. The same, turning on the left side (10 times);

15. Standing straight, palms grasp the lower back. Pull in your stomach, fix this position for 8-10 seconds (5 times);

16. Standing 1-2 steps from the bar, located at chest level, and holding her hands, lean forward. Feel how the muscles of the back are stretched (8-10 times);

17. Perform a vis on the crossbar, standing facing her. Turn the pelvis left and right, slightly bending the legs at the knees (5-8 times);

18. Kneeling, step your hands on the floor, spreading them to the sides and tilting the body to the left, then to the right (5 times).

19. Without taking your hands off the support, first sit on your left and then on your right thigh (5 times).

20. Repeat exercise 6 of the second complex.

21. Complete the set of exercises with relaxation: lie quietly for 5 minutes on your back, without straining your muscles, placing a roller under your legs.
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