Scoliosis in children. Causes. Correct posture
Posture, which is formed in children almost from birth to 17-21 years, should cause the parents appropriate attention. After all, the back for any person is not only a support and the ability to move beautifully and easily, but also the aesthetic component of the image. An adult with back problems makes a titanic effort to look natural and healthy, and a broken posture is a whole problem. Meanwhile, it can be avoided by controlling the condition of the child’s back from an early age.
Back - support and functionality of internal organs
Infants, being born, have a flexible spine, physiologically curved to the outside. Their back with an immature muscular frame needs special attention until the baby learns to sit on its own without support. Sometimes in attempts to quickly teach a child to sit, seniors put a newborn in pillows, seesaws, hold them upright for a long time, or carry them in a sitting or upright position in a May-baby sling. This is absolutely impossible to do.
Holding the back of the baby with the palm is not enough, because the load on the spinal column of a child who still has a cartilaginous structure is too great, and this situation is unnatural and will cause many problems in the functioning of the growing body and the proper development of internal organs - in particular, the gastrointestinal tract. In addition, a large load on the lower back and pelvic bones can cause improper formation of the musculoskeletal system, the occurrence of hip dysplasia, as the innocuous diagnosis. And this will entail a lot of problems with the formation of walking. In addition, numerous nerve endings, clamped by the vertebrae due to the constant irregular load on the spine, can provoke problems even in the development of speech, various reflexes.
How the spine is formed
Gradually learning how to stay in a sitting position, the baby strengthens the back with movements, develops the active-crawling musculoskeletal system, and at the same time strengthens its muscular frame and ligaments of the back.
By five months, on average, children are able to sit, and posture begins to form thanks to constant muscle activity. The first natural bends in the spine appear, the abdominal muscles gradually develop, but only by the age of one (on average) the load on the spine is balanced with the total load on the body, legs, arms and back. Natural bends in the spine appear in the cervical, thoracic and lumbar spine, but from the back it should look even and without bends, bumps or curvatures on the left or right side.
Correct posture in young children
Under the influence of the forces of attraction, the child’s forming muscular corset is still very weak, therefore, the bends in the cervical, lumbar region are quite physiological. Kids, taking a vertical position, have lumbar lordosis, visually it looks like a bulging tummy. Over time, the more the child will walk, run, the higher his physical activity will be, the better and faster the physical health of the spine will develop. By school age, stretched to height, losing children's swelling in the shoulder and hip belt, the child looks completely formed. However, it is not.If children in preschool-school age have poor posture, adolescent scoliosis has great chances for development.
This disease develops for several reasons. We have already touched upon the improper care of a child under one year old. I would like to once again draw attention to this: it is categorically impossible to force a child to sit down or to constantly carry it in a vertical state until the baby starts to sit on its own. Many of the problems of the musculoskeletal system begin precisely from early childhood. Today, the correction of scoliosis in babies is possible with the help of regular gymnastics, massages and water procedures, more serious cases require the attention of orthopedists and the use of auxiliary simulators, complexes of physiotherapeutic procedures.
With what development of scoliosis is connected, the majority knows. This, of course, is an active growth of the organism and unreasonable loads during this period on the spine. After the child began to walk, of course, to protect from falls, bruises and injuries - the sacred duty of any parent. But there comes a time when the little man is already completely independent, and the parent's vigilance begins to slowly decline, but in vain.
In the period from five to eight years, children again require attention to their physiological development. This period was marked by rapid growth, from a younger age the child quickly and abruptly becomes pre-school or school. But the body needs time to adapt to sharply stretched limbs in length. At this time, there is scoliosis in children, which often goes unnoticed. The school program provides for daily physical exertion with textbooks, notebooks, but young schoolchildren often take extra weights into school - books, games, things.
Spinal curvature depends not only on abnormal loads, but also on the quality of nutrition, on how often a child is sick, that is, on reduced immunity, on regular irregular torso positions during classes.
The next stage of the age influence on the spine refers to the period of 11-12 years, when, in addition to all the above factors, scoliosis in children arises due to the lifestyle in the hypodynamic rhythm. This is caused by the influence of the abundance of computer games, gadgets that deprive teenagers of elementary walks in the fresh air and the movement necessary for the functioning of the body correctly, the stresses put on the body when walking.
The next and last stage of increased risk of scoliosis occurs in 15-18 years. During this period, often scoliosis in adolescents occurs against the background of growth complexes or in general physique, shyness, development of shape features. Therefore, it is important to pay attention to the child not only as a senior, but also as a psychologist.
All these causes of scoliosis should be monitored and eliminated to avoid problems with posture.
Forms of scoliosis
There are several forms of scoliosis, when the bends of the spine take the form of Latin letters C, S or Z. For children, s-shaped scoliosis is characteristic when the bend of the spine occurred in one direction, forming two lines of the direction of the spinal ridge. The z-shaped scoliosis is characterized by bending of the spine in two directions, forming three lines of the direction of the spinal column.
These types of scoliosis are dangerous to ignore. For example, curvature in the lumbar spine for girls in the future is fraught with pathologies of pregnancy, miscarriage of the fetus. The middle part of the spine, which has displaced vertebrae, will cause problems in the work of the internal organs, and scoliosis of the thoracic region can cause the formation of both costal and cervical humps.Fortunately, according to traditional medicine, the progression of the disease stops at the end of development, that is, about twenty years of age, but the unresolved problems with the curvature of the spine will definitely become a disaster after forty.
Degrees of scoliosis
Determination of the severity of curvature for the appointment of appropriate treatment is necessary, for this, patients undergo X-rays. According to the system of the American orthopedist J. Cobb, four degrees of scoliosis are distinguished on X-rays.
The first degree is not always determined visually, because the curvature is very slight. The second degree of scoliosis is already visually noticeable in the form of an asymmetric posture, different sizes of muscles and an obvious hump in the costal part when bending forward. Degrees of scoliosis on X-rays already make up about 20, such a deformation may begin to change in the chest. The third degree is already strongly noticeable and even in a standing position, the curvature causes great discomfort both to the respiratory tract and to the overall activity of the child. Fading behavior, low immunity, frequent illnesses and lack of mobility are characteristic features of this degree,Scoliosis in adolescents here sometimes has idiopathic (that is, unclear genesis) origin, and it is worthwhile to pay more attention to your child during puberty to avoid problems with the spine in the future. After all, the development of the disease is dangerous: the greater the angle of spinal deformity, the more devastating effect it has on the body.
Manifestations of scoliosis are caused by the fact that adverse factors affect the spine of a growing child. Missed in early childhood orthopedic problems can affect just as a teenager in the form of weak muscle areas, causing improper growth and development of muscle tissue, bone and cartilage. And this is of great importance for the formation of posture.
In order for scoliosis in children not to have deplorable consequences, it is necessary to observe the child's activity and the postures in which he dwells during monotonous occupations.
For example, in a sitting position, the child should sit at a table, the height of which should correspond to his height and not provoke bending or reclining in a chair.The optimum is the position in which the angles below the knees and between the body and the thighs of a sitting child are 90 degrees, that is, a right angle. Watch that he does not throw his legs, does not put one leg under the buttocks, bending in the lumbar, thoracic and cervical regions, does not slouch, leaning on his elbow.
In the standing position, the habit of standing in an asymmetric posture can affect an already acquired spinal curvature, aggravating the course of the disease.
The great influence of the information volume, which today is given in developmental occupations, from a very early age determines the hypodynamic way of life, so you should take care that the child’s development is nevertheless harmonious, and pay attention to his physical development.
Not all types of scoliosis are acquired as a result of poor posture or increased load on the spine. A huge part of the practice of orthopedists is the work on correcting the curvature of the spine and the treatment of curvature by different methods. The causes of scoliosis are diseases such as pleurisy, tuberculosis, rickets, therefore, it is especially important that children more often stay in fresh air and walk in the sun, providing the body with vitamin D.
But scoliosis in children is also congenital, it is associated with a violation in the processes of prenatal development and the formation of the fetus. Such cases are very severe and are diagnosed with varying degrees of spinal column injury. In some cases, assistance to a child is possible, but in some cases all measures are powerless, and a person remains wheelchair-bound for life. Preventive measures in the form of exercises and gymnastics are very useful, but in serious cases they have no effect, therefore they resort to surgical intervention.
Scoliosis of the spine, treatment
The indisputable truth is that it is much harder to cure a disease than to prevent it. Preventive measures will make fear of the occurrence of scoliosis in vain, the disease, if any, is turned into a regressive stage, and all this at the minimum cost with maximum benefit. If your child is diagnosed with scoliosis, the orthopedic surgeon, and possibly the surgeon, gives advice on how to treat the spine. If the disease has the first or second degree, the main thing is not to be lazy, not to start the ailment, but urgently to take simple but effective measures.
Signs of scoliosis
How to determine on your own whether there is a suspicion of scoliosis, how to treat it in the initial stages and is it difficult? The most important thing is to recognize the disease on time. If your observations of the child suggest that it is worth referring to an orthopedist, you can independently conduct a test to determine deviations in the position of the shoulders and shoulder blades relative to each other.
The first thing to do is to inspect. From the side you can notice a stoop. The curvature can be determined by a suspended pendulum. The load suspended from the thread from the seventh cervical vertebra (most bulging) in a free fall will show a strict vertical. The load should be at the level of the tailbone, if it is displaced - there is a spinal displacement.
You can hold another horizontal test. In the supine position, face down, hold the child's pelvis on the bed, and the upper part of the body is out of it, you need to keep the child horizontal and without support under the breast for 30 seconds. (preschoolers) up to 2.5 min. (teenagers).
How to help your child fix scoliosis
On the part of parents, it is important to create favorable conditions for the full development and growth of the body.This is a sleep mode, regular and full meal, hygiene, walking, sports and rest, hardening.
From a very young age, gymnastics is shown, for very young children, it should be in a playful way: lift the handles up, lower down, spread out to the sides, describe the circumference with a straight arm and bent at the elbow, towards the shoulder. For older children, excellent exercises with a stick are suitable, for which the child takes two hands and performs bends, swings, shakes the press, without releasing the ends of the stick from his hands.
In case of insufficiency of prophylaxis, treatment is prescribed in the form of a course of manual or therapeutic massage, acupuncture, electrophoresis of the back muscles, and wearing special corsets. Do not forget about the activity and sports exercises, swimming and walking. To teach a child to monitor his posture is from early childhood, and then his life at a respectable age will not bring many problems associated with the spine.
Take care of your children!