Упражнения с «опрокидыванием» таза (см. рис. 49.12 в следующей главе Руководства) наряду с растягиванием околопозвоночных мышц укрепляют мышцы живота. Дальнейшее укрепление мышц живота достигается выполнением упражнений на переход из положения сидя в положение лежа и наоборот (см. рис. 49.13, а-в). Физические упражнения на откидывание корпуса следует выполнять медленно. Сильные мышцы живота берут на себя от 30 до 50 % нагрузки, приходящейся на мышцы, поддерживающие позвоночник [45, 92].

Физические упражнения на растягивание поясничных мышц и разгибателей бедра начинают с поочередного подтягивания руками коленей к груди сначала попеременно (см. рис. 48.14, а), а затем вместе (см. рис. 48.14, б). О постизометрической релаксации см. разд. 12.

ДОПОЛНИТЕЛЬНЫЕ КОММЕНТАРИИ И ИСТОРИИ БОЛЕЗНИ

Д-р Travell сообщила об общей организации лечения больных с миофасциальными триггерными точками, находящимися в околопозвоночных мышцах [132, 135].

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_{3. Ibid. (p. 238, Fig. 4.54).}

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_{30. Ibid. (Fig. 529).}

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_{42. Ibid (Fig. 59).}

_{43. Ibid (Fig. 62).}

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