Scoliosis of the spine , stoop , incorrect posture in children and adults - Causes, Symptoms and Treatment .MF .
reminder for parents, caregivers and healthcare professionals kindergartens, health clinics and schools
decade have found Natasha A. curvature of the spine - scoliosis .The deformation of the spine was launched and resulted in the formation of the rib hump and a sharp restriction of mobility of the trunk.If you respond well to initial corrective form of spinal curvature, in such advanced cases, even under prolonged course lecheniya- unsuccessful.In such cases, to stop further progression of curvature of the spine and rib hump, necessary to carry out a major operation on the spine.This difficult surgery could be avoided if parents Natasha were more attentive to their child.
Here is another example.At eleven Yura K. doctors determined posture disorder (one shoulder higher than the other, defended the blade from the chest, walked hunched over).On the advice of a physician for a year Jura regularly engaged in the office of physical therapy at home and special corrective gymnastics and developed a corr
posture called a person's ability to keep your body in different positions.Posture can be right or wrong.
correct posture is called habitual posture relaxed standing person having the ability to without undue stress to keep straight the active body and head.A person with correct posture tripping, shoulders slightly lowered and laid back, chest out, stomach pulled up, legs unfolded in the knee joints (Fig. 1).
man who can not keep your body properly, and is walking on bent legs, shoulders hunched, his head and shoulders sticking out his stomach.This is not only ugly, but also harmful.With poor posture hindered the activity of internal organs.
Fig.1. Correct posture.
uniformly expressed physiological curves of the spine, shoulder girdle, nipples, iliac spine, scapula, gluteal folds at the same level.Triangles waist expressed equally on both sides.The line of the spinous processes of the vertebrae straight.
Violation of posture (slouching, excessive deviation of the spine forward - lordosis, or back - kyphosis, flat back) and lateral curvature of the spine - scoliosis are quite common among children of preschool and early school age especially.It is often physically weakened children who have had severe early childhood disease or suffering from any chronic disease.Therefore it is very important for these children to organize physical education from early childhood.It contributes to the normal development of the skeletal and muscular system of the child (especially the muscles of the back and abdomen).If there are deviations in the development of these systems, then there are various disturbances of posture, which can further cause a curvature of the spine.
Posture is produced in the process of growth and development of the child.The nature of human posture is greatly influenced by the spine.The spine provides the vertical position of the body, supports the gravity of the head and upper torso.
In utero fetal spine is a uniform arc.Immediately after birth the spine straightens out almost straight line.From that moment, the formation of posture.When the baby starts to hold his head in an elevated position, in the cervical part of the spine is formed bending forward (cervical lordosis);when the child starts to sit in the thoracic spine is formed bending, facing backward (kyphosis), and when it begins to walk, bend the spine is formed with the bulge facing forward in the loin (lumbar lordosis).
Defects in posture and spinal curvature can occur as early as infancy.The causes of the violation of posture, a lot.Some of them are determined by the state of health and the physical development of the child, the other - the surrounding environment.Among all the factors and causes an important role in the upbringing of good posture plays a good nutrition.Lack of dietary vitamins, mineral salts adversely affects the state of the child's skeleton and muscles and predisposes to the development of poor posture.
Fig.2.Such postures contribute to the formation of irregular posture.
most common cause of violations of posture is a weakness of the trunk muscles, or the unevenness of their development.Constant wearing of a baby in one hand, an attempt is too early to plant,
put on legs or learn to walk the baby is too soft and sagging bed, keeping a child while walking in one and the same hand, no corresponding increase in child furniture, clothing, improper seatat the table, reading and drawing in bed, wearing a portfolio in the same hand, children riding a bike for adults under the frame, the habit of standing with support on one foot, prolonged disease (rickets) or frequent diseases that weaken the body, insufficient common modechild (passive rest, no walks, insufficient motor mode) and much more contribute to the formation of irregular postures and posture.
most common violation of posture - slouching.In stooping man lowered his head, shoulder joints brought forward, the chest is flat, round back, wing-shaped blades.
kyphotic posture characterized by increased cervical and lumbar curvature.When lordotic posture pronounced curvature of the spine in the lumbar forward.A straightened posture (flat back) is characterized by low severity curves of the spine.At first, incorrect posture does not cause changes in the spine.But if the wrong posture becomes habitual, and the reasons that contribute to the maintenance of incorrect posture, not eliminated, then there are changes in the spine.The spine starts to curve, scoliosis appears.
Scoliosis - is a lateral curvature of the spine.In addition to the lateral curvature in scoliosis formed rib hump.
Scoliosis can be congenital or acquired.Congenital scoliosis is most often associated with an abnormality of the spine (abnormal development) -.. Extra vertebrae, extra rib anomaly transverse processes, merger arches and processes, cleft arches, wedge-shaped vertebrae, etc. Congenital scoliosis is around 5%, while the remaining 95%arise in the process of development and growth of the organism.
Fig.4. Fig.3. Fig.5. Fig.6.
kyphotic Stoop lordotic
flat back posture.posture.(Straightened posture)
Among acquired scoliosis stand:
a) rachitic owing suffering rickets;
b) the usual or, as they are called, school scoliosis occurring against the backdrop of wrong habitual postures and incorrect posture:
c) static scoliosis, occurs when the wrong side standing pelvis;it is often observed in the unequal development of the lower limbs (one limb shorter than the other);
g) paralytic scoliosis that occurs on a background of destruction of the body muscles;it is often associated with a history of polio.
Other forms of acquired scoliosis (scar - after the surgery on the chest, after extensive tightening of scars resulting from burns, traumatic - after various injuries; reflex pain - often on the basis of the nerve roots) occur less frequently.The magnitude of curvature of the spine are three degrees of scoliosis:
First degree scoliosis is characterized by a slight lateral deviation of the spine from the midline.
second degree is characterized by a marked deviation from the midline of the spine, and beginning rib hump.
third degree scoliosis is characterized by persistent and more pronounced deformation of the chest, the large edge-spinal hump and a sharp restriction of mobility of the spine.
First degree Second degree scoliosis scoliosis
Fig.9.Third degree scoliosis
diagnosis of scoliosis spine, stooped posture, incorrect posture
method to identify scoliosis and poor posture is the examination of the child.Inspection must be carried out in good light, with the different situation of the child, if sufficiently baby body exposure.Inspection must be done slowly and in sequence: the front and rear surface of the body, the side with the body tilted forward, lying.
should not be aloud to express opinions about various deviations from the posture, marked in the child.Hearing such comments, the child is trying to correct the wrong position, thereby confuses and complicates the diagnosis of early forms of scoliosis.
When viewed from the front of the child draws attention to the position of the head, shoulder girdle and the level of the nipple, the shape of the chest and abdomen, the position of the body, symmetrical triangles waist (the distance between the hand and lowered a notch waist), foot shape.
When viewed from the back of the child is necessary to pay attention to the position of the head, shoulder girdle level, the position of the blades (their level, the distance of the spine, a perfect seal of the chest), waist symmetrical triangles, symmetry line of the spinous processes, the level of the iliac bone.
When tilted body (the chin should be pressed against the chest, and arms hanging freely) draws attention to the line of the spinous processes, on the symmetry of the relief of the chest, in the presence of muscle cushion in the lumbar region and the rib hump.
When viewed from the side is determined by the position of the head, flattening or strengthening the physiological curves of the spine in the thoracic and lumbar spine.
Fig.10.A pronounced rib hump on the right and muscle cushion in the lumbar region on the left.The line of the spinous processes is curved.The dotted line shows the form with the correct posture.
With proper posture and lack of curvature of the spine in the survey of children found a direct holding head symmetrical arrangement of blades, sheynoplechevyh lines, axillary folds, the iliac bone on both sides, and in the presence of scoliosis and incorrect posture symmetry of their disrupted to varying degrees, depending on the degree ofscoliosis and posture defects.
is important to determine the length of the lower extremities (the distance from the anterior superior iliac spine to the end of the lateral malleolus).In a normal limb length should be the same.Our observations show that the majority of children sent for consultation in the medical and sports clinic, have defects in posture and spinal curvature it is due to the shortening of one leg (about 35%).limb length measurement is performed lying on your back, feet together;It must be borne in mind that the tip of the nose, navel and feet line connections are on the same straight line.Under this condition the shortening of the limbs sometimes can be seen on the eye.
In identifying the spine curvature and posture disorders should immediately begin treatment, for violation of posture and scoliosis can progress quickly and lead to serious consequences (costovertebral hump, disability).
Early detection of bearing defects, early forms of scoliosis early treatment and long-term use corrective gymnastics gives a beneficial effect.Scoliosis initial degree and violation of posture corrected by exercise of a special nature, contributing to the removal of the spine from the vicious circle and strengthen certain muscle groups.
Curvature of the spine associated with a shortening of the lower limb, corrected compensation of leg length.It's enough to knock the heel or put under the heel of the insole by the amount of shortening.We must remember that it is necessary to heel shoe on street and home baby shoes.
Late detection of scoliosis is often not possible to correct the perverse position of the spine and even stop the progression of the curvature of the spine exercise.In such cases it is necessary to resort to major surgery for spinal fixation.
DEAR PARENTS!Caregivers and healthcare professionals of kindergartens and schools!The detection and elimination of violations of posture and scoliosis plays an important role the relationship between you.BE CAREFUL!FOLLOW posture CHILDREN!
Only you can promptly notice the initial posture disorder and scoliosis (drooping shoulder and the blade with one hand, stoop, lateral curvature of the spine, protrusion of the ribs).
In identifying these children immediately send them to the doctor.
REMEMBER THAT BEST treatable initial form of spinal and incorrect posture!
Treatment of scoliosis spine, stooped posture, incorrect posture
Before starting scoliosis need to get not only the clinical but also radiological evidence of the degree of scoliosis.According to the X-ray can reveal the cause of scoliosis is determined by torsion, the magnitude of scoliotic arc, structural changes, signs of osteoarthritis.
scoliosis engaged orthopedic doctors.Manipulation of the spine (physiotherapy, chiropractic, massage) can be done only highly qualified specialists without harm to health.In some forms of chiropractic scoliosis is contraindicated.Scoliosis Treatment starts with preventive measures for the proper organization of life.This includes the organization of the working space (to the workplace with scoliosis do not stoop or peretruzhdaetsya spine), sleep organization (soft bed contraindicated), proper diet, regular walking.All this is useful for the prevention of scoliosis.
Generally, treatment for scoliosis consists of three stages: an active influence on the curvature, the curvature correction, securing the correct position of the spine.The third stage is the most difficult.Relaxed or not working the back muscles to be trained with special medical gymnastics, which assigns a specialist, depending on the extent and nature of the disease in this patient scoliosis.Help comes derotiruyuschego wearing a corset, swimming, balance training, training with scoliosis of the spine relaxation techniques and back muscles.Formation of a correct posture in the treatment of scoliosis normalizes function of internal organs.
Methods of treatment of scoliosis
Methods of treatment of scoliosis can be divided into 3 groups: corrective physiotherapy, the use of special redressiruyuschih devices, surgical treatment.The choice of treatment depends in the first ochored, the degree of development of scoliosis.Surgical treatment is recommended starting with the II degree.Devices recently used much less frequently, astheir use in the early stages of scoliosis is inappropriate, and later - maloeffektivno.Veduschim treatment is physiotherapy, aimed at increasing muscle tone of one half of the back and relax the other, the strengthening of the ligamentous apparatus, etc.
complex exercise therapy for scoliosis:
1 - starting position standing on tiptoe with raised and clasped his hands in the castle;produce swinging torso from side to side.
2- original standing position, feet shoulder width apart, arms down;sliding movement of the hand along the trunk lift up his hand to his shoulder and torso simultaneously tilted in the opposite direction, and the other hand to slide the leg, then the same in the other direction.
3- original standing position, feet shoulder width apart, arms down;one arm raised up and pulled back, while the other arm is retracted;Repeat several times, changing the position of the hands.
4- original standing position, feet shoulder width apart;lift up the arm while leaning in the opposite direction.The other hand give birth behind.Repeat several times, changing the position of the hands with slopes in one and the other side.
5- standing sideways to a wall and holding hands (one below and one above) for the bar, spend reinforced slope side.
6- original position while standing on one knee, hands on waist, one hand lifted up and tilted at the same time in the opposite direction.
7- starting position lying on his stomach.Dilute hand in hand and bend at the same time.
8- starting position lying on his stomach.Hands stretched forward, lift the upper torso and one leg at a time.Repeat several times, changing the position of the feet.
9- starting position lying on his stomach.