COVYAVYKIN METHOD (intensive neurophysiological rehabilitation system, synin) - highly efficient treatment for patients with cerebral palsy, osteochondrosis, consequences of injuries and organic lesions of the nervous system.
Content
The basis of the rehabilitation method
The rehabilitation system is based on a polymodal approach with the use of versatile effects on the patient. The main component of the technique is the biomechanical correction of the spine and large joints, in combination with the complex of therapeutic measures: reflexology, therapeutic physical education, massage system, rhythmic gymnastics, mechanotherapy and apitherapy.
To form the correct stereotype of movements, a biodynamic correction program of movements using suit is used «Spiral».
When looking for new approaches to the rehabilitation of patients with motor disorders and their motor re-erection, we decided to apply the achievement of relatively new science - integrative anatomy and physiology. One of the directions of this science is the study of muscle functional relationships when driving.
Motor functions of muscles
As a result of research, it was shown that for optimal implementation of motor functions, the muscles are functionally combined into groups - longitudinal muscle associations, muscle pairs (which are traditionally corrected during rehabilitation) and muscle spirals. Our attention was attracted by muscle spirals, which are important for the formation of those motor functions in which not only one body segment is involved, and we need a coordinated joint work of the body and limbs.
Muscular spirals, moving on one side of the body to another and combining the right and left half of the body, provide: symmetry and normal empty of the body under gravity conditions; Cross coordination of the work of the belt of the upper and lower limbs during locomotions (walking, running, jumping). Muscular spirals support the axial skeleton, dynamically fix the position of the head, retain the physiological bends of the spine, take part in the breathing motions of the chest, and also ensure the stability of the position of the body and the movement of the limbs. The formation of muscle spirals in humans occurs in parallel with the development of motor functions.
Under cerebral paralymps, the pathological development of motor functions is accompanied by a distorted functioning of existing muscle spirals and the formation of pathological muscular chains. Therefore, one of the tasks of the rehabilitation of patients with motor disorders is to reproduce muscle spirals of the body and limbs, normalization of muscle operation and the formation of the correct motor stereotype.
Devices correction movements
The first device for correction of movements in patients with children's cerebral paralysis was a modified suit «Penguin», Created back in the 70s as a means of preventing the negative impact of weightlessness on the body of the cosmonaut. The overalls were an elevated system of elastic thrust, which created additional loads on the muscles along the axis of the human body and partially recreated the action of the force of earth. In early 90s, this costume was modified and adapted to use in patients with cerebral palsy and was named suit «Adeli».
Work on his improvement continued, and at the end of the 90s was the created costume «Gravistat», which gave a wider possibility of influencing the patient's reflex apparatus.
Applying these ideas, we developed a holistic biodynamic correction program of movements, which aimed at building new motor skills. This is carried out by forming the proper operation of muscle spirals of the body and the extremities of the patient, applying the principles of dynamic correction of movements.
All program classes are conducted using a specially developed movement correction costume «Spiral».
Suit correction movement «Spiral»
Suit correction movement «Spiral» provides applications for additional external efforts that Fix The movements of the limbs, the position of the body and activate the stream «Right» propriceceptive (tactile, tactile) information.
It is a system of elastic elastic thrust, which spiral shaped on the body and limbs and are attached to special support elements - vest, shorts, kneads, elbow, semi-porters and boots. The entire outer surface of the supporting elements is made with a special material suitable for attaching elastic thrust. The absence of rigid parts in the support elements significantly expands the range of possible exercises of therapeutic physical education.
Suite thrust, thanks to their elastic properties, provide the necessary corrective efforts, and a special lumpy surface of the thrust makes it possible to attach them to the supporting elements anywhere and thus arbitrarily choose the application point and the direction of the action of this effort, depending on the nature of the violation of the movements and the treatment goal.
Correction suit «Spiral» It is used when conducting classes of mobilizing gymnastics, mechanotherapy, in occupations on the treadmill, game rehabilitation devices and with the usual motor activity of the child. The systematic repetition of the correct movement contributes to his memorization of the nervous system and, in the future, automatically use it.
The gradual formation of a new motor stereotype approximate to the physiological, is achieved by increasing the multiplicity, diversity of movements and the corresponding selection of forces and vectors of corrective costume efforts.
By stimulating the compensatory capabilities of the children's body and activating the brain plasticity, this system creates a new functional state in the body of a child, which opens up opportunities for faster motor and mental development of the child.
Diversed therapeutic influences of this method, mutually complementary and reinforcing each other, are aimed at achieving the main goal of rehabilitation - to improve the quality of life of patients.
It is important to note that this system is not an alternative to existing rehabilitation methods, it only complements and significantly expands the effectiveness of the use of existing methods of rehabilitation treatment. A new functional state created as a result of the use of the system of intensive neurophysiological rehabilitation, against the background of normalization of muscle tone, restoring the mobility of the joints, improving trophic and blood circulation, opens up fundamentally new opportunities for the development of the child and increase the effectiveness of the use of other rehabilitation techniques.
The developed biodynamic correction program of movements is an important component of the Kozyavkin technique and aims to form a proper motor stereotype. All classes of this program are held using movement correction suit «Spiral», What significantly expands the possibilities of rehabilitation of patients with impaired posture and movements.
The Kozyavkin method was developed over 15 years ago, and since then more than 15 thousand patients, including about 7 thousand patients from Germany, Austria, Switzerland, France and many other countries of the world have passed the rehabilitation course on this system. More than 40 families from the United States have also been repeatedly visited Ukraine and successfully passed intensive neuroreability.
Back in 1993, this rehabilitation system was officially recognized and due to its effectiveness received wide international authority. In the encyclopedic edition of the children's orthopedics, edited by the German professor of Netarda, in 1997, the Katyavkin technique was included in the four most effective conservative methods of rehabilitation of patients with cerebral palsy.
Statistical analysis of medical data of group 12,256 patients who have passed the rehabilitation course according to the Kozyavkin method confirmed the high efficiency of this system. The normalization of the muscle tone was marked in 94% of patients, head control skills in the lying position - in 75% of patients, 62% of patients who have not previously sit down, mastered this skill; The formation of self-walking skills was recorded in 19% of patients who used to have not previously, and 87% of patients after the rehabilitation course were able to openly compressed in a fist brush.
Rehabilitation according to the Kozyavkin method is carried out in Lviv and Truskavets (Ukraine). In July 2003, along with a rehabilitation center «Elite» and the Institute for Medical Rehabilitation Problems, the International Replacement Treatment Clinic, built, taking into account the peculiarities of the rehabilitation of patients with children's cerebral paralysis.
