Umbilical

Complex exercises for umbilical hernia

An umbilical hernia is a protrusion of elements of internal organs through the umbilical ring. The bulging can increase when the child is strained and shrink when he lies or is at rest. Umbilical hernia appears due to weakness of the muscles of the umbilical ring.

Massages and physical therapy to strengthen the muscles of the anterior abdominal wall are the main methods of treating umbilical hernia in children. Usually such treatment is recommended for children under 5 years of age, at a later age, surgery is likely to be required.

Massage for umbilical hernia in children

  1. The baby is lying on its back. Stroking the oblique abdominal muscles. Hand your baby's belly along the waistline from the sides to the navel. Repeat 10-15 times.
  2. Make a circular stroke of the abdomen in a clockwise direction. Repeat 10-15 times.
  3. Counter Stroking With the palm of your right hand, iron the child’s belly from top to bottom, and with the back of the fingers of your left hand, bottom up. In extreme positions, change the direction of movement of the hands. Repeat 10-15 times.
  4. Make pinching movements around the navel.
  5. Use your fingertips to gently and quickly press on the points around the navel (imagine that there is a square around the navel that is centered on the navel, press on the corners of this square). Perform for 30 seconds.
  6. Make pinching movements around the navel.
  7. Make a circular stroke of the abdomen in a clockwise direction. Repeat 10-15 times.

Exercises for children with umbilical hernia

  1. Standing, legs together, inhale to raise your arms through the sides up and slightly bend back. On the exhale, return to the starting position.
  2. Standing, legs together, bending the trunk to the right, to the left with arms spread to the sides.
  3. Standing, legs together, bend forward, trying to get the fingers of the feet or the floor.
  4. Standing, feet shoulder-width apart, turning the torso to the right, left, hands on the belt or set apart.
  5. Standing, legs together or slightly apart, crouch, holding hands in front of you.
  6. Standing, feet shoulder-width apart, hands in the lock behind the head, lower the head and tilt the torso forward, return to the starting position.
  7. Lying on his back, legs bent and spread wider than shoulders. Inhale and as you exhale, kneel towards yourself, trying to get the floor to your knees.
  8. Lying on his back, legs bent and spread wider than shoulders. Raise the lower body (pelvis) up, then return to its original position.
  9. Lying on your back, legs bent, feet and knees together, bend your knees alternately in different directions.
  10. Lying on your back, legs stretched out, grab your head with your hands, lift your head and upper torso, then return to the starting position.

The number of repetitions of each exercise on average is 10-20 times b depends on the age and physical fitness of the child.

When performing exercises, one should remember that such a gymnastics for a child should be a joy, therefore, it should be carried out in a playful way, helping and correcting it when performing difficult exercises. Physical therapy is carried out only if the child is healthy, it can not be done in the period of exacerbation of diseases. Try to stick to a particular regime, performing the complex daily at about the same time.

The benefits of gymnastics in the presence of a hernia

A hernia is a protrusion of the abdominal organs (usually the omentum or intestinal loops) through the wide umbilical ring under the skin. In childhood, this phenomenon is not uncommon, since the crumbs muscles are still weak and cannot hold the umbilical ring. Exercise therapy is most effective for umbilical hernia in children of the first year of life. They conduct passive or semi-passive gymnastics and massage. Usually, against the background of such treatment, the protrusion is reduced to six months already. Although it is possible and more later replenishment - up to 5 years.

Treatment of umbilical hernia in adults only surgical, spontaneous reposition is impossible. However, there are situations in which the operation is contraindicated, then physical culture can prevent infringement. Pinching a hernia is a dangerous complication in which the organs in the hernial sac are squeezed by muscles and surrounding structures. Their blood supply is disturbed, inflammation occurs, and if help is not provided in time, part of the organ dies and peritonitis develops.

Medical gymnastics should not be stopped after the operation. It helps prevent recurrence of abdominal hernia. In the postoperative period, it is recommended to wear bandages and at the same time gymnastics is carried out, which promotes the development of abdominal muscles and accelerates tissue healing.

General rules

  • The first few times you need to do under the supervision of an instructor LFK,
  • Regardless of the age of the patient, before training you need to check whether the protrusion is correct,
  • It is recommended to perform a special light massage of the anterior abdominal wall before class,
  • It is recommended to train the patient in a bandage in order to reduce the risk of injury,
  • All gymnastic elements are performed smoothly, slowly, without significant muscular effort,
  • Duration of classes is increasing gradually
  • During the muscular load, it is desirable to hold the palm in the navel,
  • With the appearance of pain and discomfort in the area of ​​the umbilical ring exercise should be stopped.

Contraindications

It should be remembered that physical activity is contraindicated in:

  • Acute infectious and inflammatory processes,
  • Severe disorders of the cardiovascular or respiratory system,
  • Any chronic diseases of the internal organs in the acute stage,
  • High risk of pinching hernial protrusion,
  • Abdominal pains,
  • Pregnancy in the II and III trimesters.

Exercises on the abdominal muscles in some cases lead to the pinching of the hernia, so they are contraindicated in this disease.

The first exercises for babies

Babies are prescribed a special passive gymnastics, aimed at increasing the strength of the anterior abdominal wall. All elements of therapeutic gymnastics are performed with the help of a mother or a children's instructor of exercise therapy.

  1. In the first months of the baby's life, it is important to lay him before each feeding on the tummy on a hard surface. First for a short period of time (about a minute), and then longer - for 7-10 minutes. Note. The presence of an unhealed umbilical wound is not a contraindication for putting it on the stomach. On the contrary, it will grow faster.
  2. While the baby is lying on his stomach, place your palm on his feet so that he reflexively tries to push off and crawl.
  3. Train yourself turning the baby on his tummy and back, support him, direct the movements of his arms and legs to form a correct movement pattern.
  4. Turn the child on the flank and hold in this position for 7 seconds, then finish the turn.
  5. Lift the baby up to the armpits so that the legs are fully upright, hold for 10 seconds.
  6. Still holding the baby on weight, imitate squats by “putting” the feet on a hard surface. Raise and lower it up and down up to 10 times.
  7. When the child learns to lean on the legs, he can be put on his lap and, holding the handles, lean back, then return.
  8. Put the child on the back, firmly hold the handle. Gently lift it to a vertical position. Repeat 5-7 times.
  9. When the children are just beginning to crawl, the following exercise will suit them: turn the baby on his stomach and place a bright toy in front of him out of reach. The child will try to crawl to the thing.
  10. Put the baby on the back and show him different colored objects so that he reaches out to them.
  11. You can also practice with baby on fitball by putting it on the ball with your belly and rolling it back and forth. Baby while holding the legs.

Engaging with infants is necessary before feeding, to prevent regurgitation and not to disturb the processes of digestion. The abdominal muscles should be prepared for training, for example, it is important to do a light massage clockwise in the navel area before starting the session.

Exercise games

Older kids can already practice independently, under the supervision of adults. However, they need to inspire workouts so that they are not distracted and engaged with pleasure. For this game, developed exercise options:

  1. "Machine". Do a tummy massage, telling that circular movements around the navel are turns of the steering wheel, and light clicking on the navel is a sound signal.
  2. "Sausage". Have your child ride on the floor, turning over face down face down, then to the other side, and so on. Just make sure that the exercise was performed not too quickly and without sudden movements.
  3. "Helicopter". The kid spreads the handles to the sides and turns to the right, then to the left. Then it bends down and reaches to the floor with one hand, then with the second hand, while the other is pulled to the ceiling.
  4. "Pendulum". Ladoski set on the belt, legs spread shoulder width apart. Tilts are made to the right, then to the left.
  5. "Mushroomer". The baby leans forward, lowering his arms and down, and pretends to be picking mushrooms. Then straightens to put the "mushroom" in the basket and bends over the next.
  6. "Grow big." Invite a child to show how he grew up. First, the baby squats, then gradually rises, straightening the legs - grows. Younger children can be helped to rise.

All tasks are repeated 5-7 times.

Exercises for adults with umbilical hernia

Exercises for umbilical hernia for adults include physical exercises that strengthen the muscular system. You need to repeat each task 10 times.

  1. Lie on your back. Slowly bend your knees and place them on the floor on the right side of the body. Reach to the right with your left hand, fully moving to the side position. Duplicate to the left.
  2. In a horizontal position, leave the legs bent. Rest the floor with your shoulder blades and feet, and raise your pelvis.
  3. From the previous starting position, bend your knees alternately left and right.
  4. Lie down straight, pull your feet towards you. Raise your head and chest above the floor, trying to see the toes. At the same time, only the upper abdomen should be strained.
  5. Make circular movements in the hip joint, taking turns with one or the other with a bent leg.
  6. Sit on the stool, brush put on the belt. Rotate the housing alternately right and left.
  7. In a similar pose, tilt the torso left and right.
  8. Stand up straight, place your palms on your waist, put your legs shoulder-width apart. Perform classic deep squats, stretching your arms in front of you.
  9. From the same position, lean forward, reaching down with your feet.
  10. Leaning your arms lightly on the back of the chair, swing your legs backwards.
  11. Spread your arms to the side. Bend forward and alternately reach the floor with one, then with the second straightened arm, turning the body.

Prevention of umbilical hernia

To prevent the formation of umbilical hernia in infants, do not forget to regularly lay their tummy down. In this position, the baby usually tries to turn, crawl, raises the head. All this contributes to the formation of a strong muscular frame.

In addition, babies need to regularly perform a tummy massage, slightly pressing on it and running the fingers around the navel in a clockwise direction. Another way: put your thumb and forefinger 1.5 cm from the navel and squeeze it 10 times into the skin fold. Repeat a similar manipulation, placing the fingers above and below the umbilical fossa.

Make sure your child has a regular chair, without constipation. Do not leave your baby for a long time crying - while doing so, the abdominals are strained.

In adults, preventive measures include:

  • Wearing a bandage with loads, in the postoperative period, during pregnancy,
  • Body weight control
  • Constipation prevention,
  • Timely treatment of cough for respiratory diseases
  • Restriction of lifting heavy objects
  • Daily walks for at least 2 hours
  • Regular physical training.

When the umbilical hernia in children, physical therapy is the main treatment method to avoid surgical intervention. However, one should not underestimate the role of gymnastics in adults. It helps, if necessary, to delay the operation and prevent recurrence of the hernia after its suturing.

Why young children suffer from this disease

The causes of umbilical hernia can be both congenital and acquired. One of the main factors is weakness of the connective tissues (for example, due to prematurity). Possible genetic predisposition to weakness of muscle fibers. Also among the causes of the disease include:

  • prolonged tear-crying
  • problems associated with digestive processes (flatulence, constipation, colic),
  • strong long cough
  • malnutrition and rickets
  • change in the wall of the peritoneum associated with pathology.

Therapeutic gymnastic exercises and massage procedures contribute to the strengthening of muscle tissue and the elimination of hernia protrusion. Perform a set of simple exercises necessary daily. It takes a little time and is training the abdominal muscles of the baby.

It is also necessary to take measures to normalize the work of the gastrointestinal tract and monitor the motor activity of the child. During the period of treatment of the umbilical hernia, the child is observed by the surgeon.

When massage is contraindicated and what are the indications for the procedure

There are a number of contraindications to massage for umbilical hernia:

  • febrile acute illness
  • purulent and acute skin lesions,
  • acute rickets and acute stage,
  • congenital heart defects
  • severe forms of atrophy,
  • diathesis (hemorrhagic), hemophilia,
  • with large organ prolapses with hernias, tendency to incarceration,
  • acute hepatitis and nephritis.

The subtleties of massage in newborns with navel hernia

For each child, the massage complex and the duration of the session are selected individually, taking into account the time of feeding (20-30 minutes before meals). In the room where the procedure will be carried out, there should be a comfortable temperature of 22-24 ° С (for hypotrophies and premature babies - 25-27 ° С). The massage should be carried out on a changing table or table covered with a fabric blanket.

Medical massage for newborns from umbilical hernia is performed on the condition that the child is healthy and calm. For this, parents should master the massage technique and independently carry it out at home.

How to prepare for a massage procedure

Before a massage session, it is necessary to correct the hernia and fix it with a bandage. Massage movements should be light, and the child during the procedure should not feel discomfort.

In order not to interfere with the digestive processes, it must be remembered that the directions of the manipulative movements must necessarily be clockwise. The exception is the navel zone, which is worked out by the index finger.

Technique and features of massage techniques

A session begins with circular stroking of the baby’s abdomen with the palm of the hand, with the capture of the abdominal oblique muscles. Receiving stroking with rubbing is performed by opposing palms, while the left palm is in the lower zone of the navel, the right palm - in the upper. Rubbing of the oblique abdominal muscles is carried out with the index fingers from the sides of the baby to the navel cavity, then the passage is in a spiral. On the midline of the tummy a series of touches is performed acupressure with a pad of the index finger.

With proper care, the umbilical hernia in children closes on its own until the age of three to five.

Massage for umbilical hernia in children aged five to 12 months should be carried out at least three times a day. Added methods of "twisting": the middle finger is located in the navel, the rest - in a circle in this area, held turns to the left and right. From the position of the “palm under the loin of the child”, the surrounding movement is carried out through the obliques of the abdomen to join the palms above the navel center.

Useful reception "bike", which strengthens the abdominal muscles and improves the removal of gases. The legs of the baby are bent alternately, then both legs are pressed against the tummy. After that, the legs are straightened and fixed with one hand, massaging circular movements along the abdomen are made with a free palm. The procedure ends with stroking.

Gymnastics after massage

After the massage, it is recommended to perform therapeutic exercises:

  • alternately laying out the baby on the sides (left-right),
  • raising a child with backward abnormalities (with support for the chest),
  • support under the back with uplift - "soaring",
  • rolling on the belly from the back,
  • crawling on your tummy
  • exercise with vykladyvaniem back on the ball (fitball).

For children older than six months, the complex of exercises is supplemented with coups, leg raising (independent), squats and bending with support.

Therapeutic method for children from one year

At the age of one, children become more mobile. Therefore, massage from the umbilical hernia should be like a game, repeated three times a day.

To the previously practiced exercises, soft tapping and tingling around the navel area with finger pads are added. The circular technique will be new: on the left below the abdomen, through the top (above the navel), gentle stroking movements are held down to the right. At the end of the session - light tapping and stroking the umbilical region.

The prophylactic complex of exercises that strengthens the abdominal muscles includes:

  • laying on the tummy
  • in the supine position, bending and raising the legs (alternately and together),
  • dilution of bent and straight legs on the back in the prone position,
  • imitation of running and walking
  • crawling
  • pulling up hands from a prone position.

As an additional procedure, swimming can be shown.

In the event of a pinching or rupture of the hernia, an emergency operation can be performed. Practice shows that umbilical hernias in preschool children are successfully treated surgically and are considered simple operations.

Massage and therapeutic exercises for umbilical hernia in children 4-6 years

Massage and gymnastics are performed 20-30 minutes before a meal or 2 hours after a meal. First, do a massage, and then exercise. Before doing the massage, the hernia should be straightened (gently press on the protrusion with your finger) and sealed with adhesive tape. The following complex is performed 2-3 times during the day.

Massage for children with umbilical hernia

The baby is lying on its back.

  1. Stroking the oblique abdominal muscles. Hand your baby's belly along the waistline from the sides to the navel. Repeat 20-30 times.
  2. Make a circular stroke of the abdomen in a clockwise direction. Repeat 20-30 times.
  3. Counter Stroking With the palm of your right hand, iron the child’s belly from top to bottom, and with the back of the fingers of your left hand, bottom up. Movement with both hands are performed simultaneously. In extreme positions, change the direction of movement of the hands. Repeat 20-30 times.
  4. Make a navel around the navel.
  5. Use your fingertips to gently and quickly press on the points around the navel (imagine that there is a square around the navel that is centered on the navel, press on the corners of this square). Perform for 30 seconds.
  6. Make a navel around the navel.
  7. Make a circular stroke of the abdomen in a clockwise direction. Repeat 20-30 times.

General recommendations

Before massaging the child, parents should consider some rules and features:

  1. Hernia massage involves the use of gentle and light pressure. A strong effect on the stomach is contraindicated.
  2. The procedure has a positive effect if the baby is calm, does not cry and does not strain the abdominals.
  3. A newborn without a well-established sleep pattern and feeding massage is performed during wakefulness half an hour after meals. In other cases, the medical procedure is carried out at least an hour before meals, after putting the child on the stomach.
  4. Gymnastic exercises and general massage should be used to eliminate the hernia along with massaging the navel.
  5. It is recommended to stimulate the activity of children older than six months, since the movements strengthen the abdominal muscles. But it is necessary to use a plaster or umbilical belt.
  6. Massage is carried out after the healing of the umbilical wound. Prior to this, stroking and tingling around the navel.
  7. The procedure is repeated several times during the day.

Massage preparation

If the massage is performed at home, then parents need to prepare for the procedure:

  • cut your nails short, wash, dry and warm your hands,
  • apply a cream or oil on your fingers that does not cause an allergic reaction in a child,
  • to ventilate the room and ensure a stable air temperature of + 23 ... + 25 ° C,
  • prepare a flat surface for a massage (changing table or changing board, bed mattress or sofa of medium hardness),
  • lay a waterproof material and a flannel diaper on top.

It is necessary to ventilate the room.

Types of techniques

To eliminate a hernia, the following procedure is followed:

  1. Strokes around the navel in a clockwise direction. Massage is performed with your fingertips.
  2. Counter strokes: the tips of the fingers of two hands are below the protrusion. The fingers move slowly, performing a semicircle and closing at the top of the navel. Reception is repeated in the opposite direction.
  3. Light gliding movements with palms along oblique abdominal muscles. Massage strokes are performed from bottom to top with the right hand, from top to bottom - with the left, and then vice versa.
  4. Pressing the tips of 3 fingers around the navel. To do this, place your fingers 3-4 cm above the umbilical hole, slowly press on the stomach and gently release. Exercise contributes to the discharge of gases and reduce intra-abdominal pressure.
  5. Tingling around education.

During the procedure it is necessary to monitor the condition of the hernia, it should not swell or bulge.

After the baby's umbilical wound heals, it is recommended to lower the formation before the massage, and to glue the navel with a plaster.

After the healing of the wound, the massage of the umbilical hernia includes other techniques:

  1. Direction of formation: the index finger gently press on the hernia so that it is inside the umbilical ring.
  2. The reduction of the umbilical circle: finger left hand crank out the formation. In this case, the index and thumb of the right hand are placed on two opposite edges of the navel. Then, they pinch and hold the fingers for a few seconds so that the hernia does not come out.

Doctors recommend using preventive and therapeutic methods of massage in the first month of a child’s life. Each of these techniques is performed 5-10 times.

After the procedure, the baby should be put on the stomach.

Massage for umbilical hernia in adults

Conservative treatment of umbilical hernia in adults is used in the following circumstances:

  • education has a small size
  • pathology was detected in the early stages of development,
  • there are no adhesions and complications
  • there are contraindications for surgical operations (pregnancy, diabetes, neurological diseases).

Physical culture with hernia of the umbilical hole consists of yoga.

Physical education with hernia of the umbilical hole consists of twisting, lifting the body, yoga and breathing exercises. But does not allow excessive tension of the abdominal muscles.

Techniques for eliminating and preventing umbilical hernia:

  • tilts to the floor and in different directions from a standing position
  • the slopes of the knees bent and kneeled together to the right and left from the supine position,
  • rotational movements of the hips,
  • squats,
  • exercises with raising the pelvis and chest from the prone position,
  • slow twists and turns of the body when lifting.

Before exercise therapy is recommended to set and fix the umbilical hernia with a bandage.

Before exercise therapy is recommended to set and fix the umbilical hernia with a bandage.

Polina, 27 years old, Kazan

My daughter had a large hernia. Sticking and massage helped, which was prescribed by the pediatrician. The doctor warned that the hernia could crawl out again as the baby began to sit and walk. At 8 months, this happened, but the education was small and disappeared 3 days after the start of the massage procedures and the use of the patch.

Inna, 29 years old, Nizhny Novgorod

Faced this problem when the son was 5 months old. From what helped: laying out on the stomach, gymnastics and massaging movements, adhesive plaster. Navel stuck for 12 days, but the result appeared after a week.

Varya, 24 years old, Samara

My husband and I used this method: we took a piece of adhesive plaster 4 cm wide, then formed a cotton ball. They put the child on his back and fixed his straight legs. They fixed the hernia, put a cotton ball and connected the skin on both sides of the navel. Pasted a plaster and left for 2 weeks. At this time, the son was bathed, but the sticker was not touched until she unstuck herself. The procedure was repeated 2 more times, and the hernia was gone.

Rita, 30 years old, Voskresensk

4 years I go with a hernia, I try not to lift weights and not to perform complex physical exercises. At the same time, the doctor said that abdominal exercises will not cause infringement and expansion of the ring if the muscles have already been pumped. When asked about the feasibility of the operation, I advised to first give birth to my second child, and then to do laparoscopy and netting the mesh. But after the procedure, you can give birth naturally.

Watch the video: Recovery from Abdominal Hernia Repair Often Takes Longer Than Patients Expect, Study Finds (January 2020).

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