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How is post isometric relaxation of the muscles of the cervical spine

Postisometric relaxation of neck muscles called the method of manual therapy aimed at reducing muscle tone in the cervical spine to fully restore its functions. Pain is the constant companion of pathological conditions in the human body. Cause of sharp pains in the neck is most frequently a displacement of the articular surfaces between the vertebrae and, as a consequence, the violation in this movement. This leads to strain muscles around the joints, which causes aching or shooting pain in the neck or occipital region upon rotation of the head, the implementation of tilting.

postizometricheskaya relaksaciya myshc dlya shejnogo otdela pozvonochnika

Due to constant muscle tone around the joint causal organism is not able to adjust the offset. This requires special exercises and assistance of a chiropractor.

The technique

Based postizotonicheskoy relaxation (PIR) is the application of the momentum (specific force) from the outside, which is resistance "responded" to all muscle fibers around the joint. This is followed by the total relaxation that gives you the opportunity to stretch the muscles, free the joints, to eliminate the offset. As a result of the manipulation:

  • Takes place pain;
  • Relax tense muscles;
  • Releases the muscle joint from "clutches";
  • Restored adequate blood supply and innervation to the joint.

Rules and conditions relaxation

Postisometric muscle relaxation for the cervical spine – treatment with indications and contraindications. It involves physical effects on the human body, therefore, has its own rules and approaches.

Indications for PIR

These include:

  • Muscle pain of any etiology;
  • Relaxation of muscles for the performance of other procedures in the cervical spine;
  • Regional pastorally muscle imbalance (violation of the adequate balance between contractile and relaxing the capacity of muscle fibers);
  • Local hypertonicity;
  • The total stiffness of the neck (typical of the elderly);
  • Degenerative changes of the cervical spine.


There are a number of situations associated with the primordial condition of the patient, in which the conduction is contraindicated, as in these cases, manipulation is a danger to health and life:

  • The refusal of the patient to severe pain during the procedure;
  • Cardiovascular diseases in decompensation;
  • Pulmonary insufficiency II-III degree;
  • Separately available vascular pathology (thrombosis, thrombophlebitis, thromboembolism, atherosclerotic lesion of cerebral vessels, etc.);
  • Skin pathology in the cervical (eczema, purulent diseases, etc.);
  • Fever.

The conduction

First, let's discuss in detail the manipulation. The doctor explains why the procedure is needed, warns about possible pain and complications. The patient should weigh the "pros" and "cons" and to make an independent decision.

It is important the correct position of the patient: a fixed body, movable remains only the cervical spine. The doctor also occupies a certain initial position, taking into account hygiene, postures, movements and ergonomics. According to the method of PIR, exercises conducted with strict observance of successive phases:

  1. Isometric tension;
  2. Isometric relaxation;
  3. Stretching the muscles of the cervical.

Immediately before the first phase is the preparatory phase – identification of barrier limits muscle movements. It is important to bring a causal joint in the direction of restriction and the greatest possible tension in hypertonic muscle up to gain pain.

Isometric approach involves working all the muscles at once, i.e. as active (healthy) parts, and spazmirovannah (the patient). The power voltage should not exceed 30% of the barrier restricting movement. With a uniform distribution of force healthy fibers pulling patients, increasing the voltage of the latter. The first phase of the exercise must be painless, resistance of the patient muscle should be enough to make the rest of the body remained motionless. Isometric tension is held on the breath for 7-10 seconds.

Next breath is delayedfor 1-3 seconds, then slow exhalation (phase isometric relaxation).

provedenie postizometricheskoj relaksacii myshc dlya shejnogo otdela

In the second phase the muscle is not affected physically. She relaxes and begins to independently stretch. The duration of isometric relaxation is disputed: some say that 1-3 seconds is sufficient, while others believe a short second phase is impractical, as the subsequent isometric cycle will give a smaller effect due to insufficient relaxation of the muscle.

A relaxed muscle is subjected to tension to pain. Now this point is a new barrier restrictions of movements. Cycle exercise is repeated 3-4 times, starting from the new barrier and always in the same direction of reduction as the previous times.

It is important to consider the accompanying contraction of the muscles of the neck when changing the direction of gaze. The effect of PIR is much higher if you use oculomotor synergy.

Point and direction of impact

Exercise with the goal of post-isometric relaxation designed for different neck muscles:

  • The muscle area of the upper, middle and lower divisions of the cervical vertebrae;
  • Trapezoidal;
  • Sternocleidomastoid;
  • Ladder.

Methods postisometric relaxation of muscles for the cervical spine is made in the direction of the lateral flexion or rotation.

Home postisometric relaxation

Exercises help to relax, lighten the mind, to achieve feelings of General well-being. As at the reception, at the doctor, home edition postisometric relaxation of the cervical requires a straight back, fixed fixed shoulder girdle.

In this position, are head tilts to the side and down, and in contrast to flexion movements made exercise "singing serpent". However, in order to carry out these exercises at home, should initially consult a chiropractor.