Recently, Ms. Wu, a citizen, found out
Her 12-year-old daughter Xiaoqian's shoulders are high and low
When she took Xiaoqian to the Rehabilitation Medicine Department of Wuhan First Hospital
The doctor found out after examination
Both mother and daughter had scoliosis
Video Clip: Zheng Jingjing Zhang Jian
Both mother and daughter detect scoliosis
Recently, the mother, Ms. Wu, found that her daughter's shoulders were not equally high, and when she walked, she took her to the Rehabilitation Medicine Department of Wuhan First Hospital for medical treatment.
Ma Yan, director and chief physician of the Department of Rehabilitation Medicine of Wuhan First Hospital, found that Xiao Qian's spine had scoliosis, a lateral bending angle of about 10 degrees, and pelvic shift and trunk rotation after detailed physical examination and X-ray examination.
After asking her, she learned that all along, Xiao Qian's sitting posture has not been very standardized, with flat feet, and often waist pain and leg pain. Ma Yan diagnosed that Xiao Qian suffered from adolescent idiopathic scoliosis, which was related to these structural problems plus poor sitting and standing posture.
Rehabilitation therapists are rehabilitating scoliosis children
"When I was a teenager, I also had high and low shoulders, and now that I have stood for a long time and walked for a long time, I often feel waist pain." After listening to Director Ma's explanation, Ms. Wu casually talked about her symptoms. This caught Ma Yan's attention, and she found that Ms. Wu also had scoliosis after examination.
For Xiao Qian, Ma Yan formulated a systematic rehabilitation training program, and after a period of rehabilitation training, Xiao Qian's rehabilitation condition is good.
Although Ms. Wu sought medical treatment late and missed the best treatment time, Ma Yan told her that adult scoliosis is also alleviated, and some rehabilitation training can be carried out by following the doctor's instructions to improve posture, relieve symptoms and improve quality of life.
Early detection and early treatment are required
"The data shows that more than 5 million primary and secondary school students on the mainland have suffered from scoliosis, and this number is increasing every year. Scoliosis became the third most common disease among adolescents on the mainland after obesity and myopia. Director Ma Yan talked about the current situation of scoliosis, as he said.
She introduced that scoliosis is divided into: non-structural scoliosis and structural scoliosis.
Non-structural scoliosis is a temporary scoliosis caused by some cause that returns to normal once the cause is removed.
Children's rehabilitation ward
Structural scoliosis, which in turn includes idiopathic scoliosis and other types of scoliosis. Scoliosis in adolescents is mostly idiopathic scoliosis, especially in girls, especially in slender girls.
High and low shoulders, long and short legs, and improper posture are the main symptoms of scoliosis. In the clinic, she can often receive some parents to bring their children to see the doctor, asking that the child is always "uncomfortable in the neck" and "waist discomfort". Through examination, doctors often find that there are different degrees of problems in the child's spine.
Scoliosis not only affects the posture and causes discomfort such as pain, but also may compress the organs and even have adverse consequences such as cardiopulmonary dysfunction. It will also cause a burden on the child's psychology and have an impact on the child's growth, so it should be detected early and treated early.
How is scoliosis detected early?
Director Ma Yan said that parents can easily judge whether their children have scoliosis through the following steps:
First of all, let the child stand up straight, do not shrug his shoulders, the hands naturally droop, see if the child's shoulders are on the same plane, and then look at whether the lower corner of the child's shoulder blade is in the same plane;
Then, let the child put his feet together, bend down and touch his toes with the tip of his hand, and the parents will touch whether the child's spine is straight;
Rehabilitation treatment area for children
While the child is bending over, parents can also see whether the child's back is a high and a low, or whether the waist is arched on one side and collapsed into it.
If the parents find that the child has inconsistent left and right shoulder height, asymmetrical left and right chest, and bulging on one side of the back; when the child makes a forward bending motion, the back of the two sides is not equally high; there are wrinkles on one side of the waist; and the left and right legs are not equally long.
Or wear clothes are not correct, walking posture is not correct, often appear waist pain, leg pain, etc., should be vigilant about the possibility of scoliosis, timely take the child to a regular medical institution for medical treatment.
How is scoliosis treated?
Director Ma Yan said that children with mild scoliosis (scoliosis angle is less than 20 degrees) and moderate scoliosis (scoliosis angle is 20 degrees to 40 degrees) can be treated conservatively; children with severe scoliosis (scoliosis angle is greater than 40 degrees) need to consider surgical treatment of deformity correction, supplemented by specific exercise therapy and braces to accelerate the recovery of function and consolidate the orthodontic effect.
There are also many types of scoliosis, and in general, surgery is recommended for congenital and neuromuscular scoliosis, but idiopathic scoliosis has a good chance of recovery through rehabilitation.
Experts remind that children with mild and moderate scoliosis, before doing rehabilitation, should go to a formal medical institution for systematic assessment, and the doctor will carry out targeted individualized treatment by understanding the age of the child, the degree of scoliosis, nutritional status, whether it is flat foot or high arch foot, etc.
Children's treatment area of Wuhan First Hospital Rehabilitation Medicine Center
Children with mild scoliosis can effectively prevent further progression of scoliosis with specific movement therapy for scoliosis, while children with moderate scoliosis need to be braced on the basis of exercise therapy to strengthen the correction effect.
Director Ma Yan said that the specific exercise therapy for scoliosis is mainly to carry out specific active correction modes, exercise therapy, and stability training (such as motion control, proprioception training and balance training).
Doctors also instruct patients to perform home rehabilitation gymnastics at home in conjunction with activities of daily living in adolescents. Rehabilitation training generally to maintain 2 years, is a long-term process, not only the child to be conscious, parents must also cooperate, in order to prevent the further development of lateral bends, we must persevere.
Scientific exercise and guidance can help prevent scoliosis
Ma Yan introduced that the Panlong Rehabilitation Medical Center of Wuhan First Hospital, located in Renhai Road, Panlong Avenue, Panlong City Economic Development Zone, currently has 5 wards, 212 open beds, and is building a garden-style rehabilitation medicine "hospital" with 300 beds, beautiful environment, complete sub-specialties and distinctive characteristics of traditional Chinese and Western medicine.
This year, the child rehabilitation ward of the center has begun to officially open a department to admit children. The center has greatly improved the rehabilitation treatment effect of scoliosis in adolescents through the combination of traditional Chinese medicine and Western medicine, such as traditional Chinese medicine chiropractic, Traditional Chinese medicine tuina, acupuncture, and scoliosis specific exercise therapy.
Every summer and winter vacation, the center will launch scoliosis summer camp and winter camp, parents can take advantage of the holiday to take their children to do intensive training, after correcting the posture, rehabilitation therapists can develop some rehabilitation exercises for children that can also be done at home, children train seriously at home, parents can supervise and cooperate.
She said that idiopathic scoliosis is often treated by "older children" after the age of 10, and children at this stage develop faster, deformities become obvious, and parents will come to the doctor after discovery. Most of the adolescents with abnormal posture caused by personal bad living habits are school-age children, mainly concentrated in primary school students and junior high school students above the fourth grade, which is related to their sedentary, poor sitting posture and long-term lying down.
Ma Yan reminded that 10 to 14 years old is the golden time for scoliosis correction. Once parents find that their child has scoliosis, they should take their child to the doctor as soon as possible and do not delay the condition.
At the same time, in ordinary life, help children develop a good sitting posture, participate in more sports, play more outdoor sports, increase exercise and balance ability, which can effectively prevent scoliosis.
Jimu news reporter Zheng Jingjing
Correspondent Zhang Mengshi Chen Lingling