The most important method for identifying violations of posture – scoliosis is computer-optical topography. This is a safe and highly effective method for verifying the spine, which allows you to determine the violation of posture, skewing of the pelvis, deformation of the spine at an early stage, and further evaluate the effectiveness of treatment and determine the prognosis of the disease.
Scoliosis conditions, like the methods of their treatment, are different. Scoliosis was originally a Greek word meaning curved or curved. Today, this word is used to describe the most common types of curvature of the spine. Scoliosis is simply a descriptive term, not a clinical diagnosis, the same as a headache. With the development of scoliosis, the spine tilts to the side, and rotation occurs around its vertical axis. These changes have both cosmetic and physiological effects with long-term effects, which can lead to significant health problems (with pronounced curvatures).
Idiopathic Scoliosis: Scoliosis The idiopathic word also has Greek roots and denotes pathology in itself. Simply put, idiopathic means a condition not associated with any other disease or disorder. Unfortunately, the term idiopathic is widely used in the medical literature to refer to a disease whose causes are unknown. There are three main types of idiopathic scoliosis, which are classified according to the age at onset of the disease.
Infantile scoliosis is a curvature that begins to develop at the age of up to two years. In 9 cases out of 10 this type of scoliosis disappears spontaneously. This type of scoliosis is very rare.
Juvenile idiopathic scoliosis – curvature of the spine develops at the age of two to ten years. This type is also quite rare.
Adolescent idiopathic scoliosis – this type appears in early adolescence and is much more common in girls than in boys. While a slight curvature occurs equally often in girls and boys, a curvature requiring treatment is found in girls in adolescents 8 times more often in girls than in boys.
Functional scoliosis: With this type of scoliosis, the spine is normal, but the curvature develops due to other problems in the body. This may be due to the difference in the length of the lower limbs or because of muscle spasm in the back (eg, antalgic scoliosis).
Neuromuscular scoliosis: This type of scoliosis causes problems in the formation of the spine. Either the bones of the spine are not able to completely form, or they are not able to separate from each other during intrauterine development. This type of scoliosis develops in people with other genetically determined diseases, including congenital anomalies such as muscular dystrophy, cerebral palsy, or Marfan’s disease.
Patients with such diseases develop an elongated C – shaped curvature of the spine, and weak muscles cannot keep it straight. If the curvature is present at birth, it is called congenital. This type of scoliosis is often much more serious and needs more active treatment than other forms of scoliosis.
Degenerative scoliosis: unlike other forms of scoliosis, which occurs in children and adolescents, degenerative scoliosis occurs in the elderly. This is caused by changes in the spine due to inflammatory changes in the joints of the spine (spondylosis). The weakening of ligaments and other soft tissues of the spine in combination with the growth of bone tissue (osteophytes) can lead to a curvature of the spine. The spine can be twisted due to osteoporosis, vertebral fractures, disk degeneration.
This is one of the examples.
Treatment of scoliosis is always a difficult task, requiring high qualification of doctors, active participation of parents and the child. If the spine is curved less than 10 degrees (1-2 degree of scoliosis), the treatment is to strengthen the muscles and develop good habits for the child. The complex treatment program includes Detensor therapy, therapeutic gymnastics, physiotherapy and massage. Treatment is selected individually, depending on the age of the patient, his condition and how pronounced changes in the spine.
If the curvature is more than 10 degrees, the spine should be fixed using a corset. In this case, all activities to strengthen the muscles are also carried out.
While the child is growing, strengthening the muscles in combination with the correct distribution of the load on the spine allows you to straighten or sufficiently reduce the curvature. A child needs to create certain conditions: a comfortable place for classes, a hard bed or an orthopedic mattress. The portfolio should be replaced with a knapsack. Therapeutic exercise is effective only when the child is engaged regularly. You need to teach him to perform daily exercises and constantly monitor his posture.
Of all sports in the treatment of scoliosis (and most other diseases of the spine), swimming can best strengthen the back muscles without burdening the spine. Floating, the child trains the respiratory and cardiovascular system, which is also important in scoliosis. Sports are not recommended, mostly developing one half of the body (for example, tennis) or overloading the spine (running, jumping, lifting weights).
The main thing to remember about, the treatment of scoliosis is always a long and complex process. A good result can be achieved if as soon as possible to begin treatment, be consistent and patient.
The most effective method of treatment is physical rehabilitation with the use of all the diversity of its capabilities. In this case, special physical exercises are performed, both on the simulators, and without their use. This method is especially effective in combination with the course application of Detensor therapy and massage. This method is used by doctors long and very effectively, it allows to achieve stabilization of the spine, namely – cessation or serious slowing down of the progression of deformation. Moreover, this method proves effective almost always. Physical exercises with a given degree of scoliosis are almost always aimed at balancing the muscles, with proper exercise, the muscles themselves will stop the progress of the disease and begin to level the spine.
With scoliosis of the second degree, treatment with surgical methods is not considered, for him there is simply no evidence. At the same time, it is important to remember that the therapeutic mat Detensor (with the correct choice of rigidity) and exercise therapy for scoliosis of the 2nd degree should accompany the child constantly, otherwise there is a risk of further development of this deformation.