This time, the teacher will take you to the micro-classroom of literacy-"scoliosis"
Have you ever encountered these problems? Have you ever thought of this?
Question 1: Scoliosis does not need to be ignored, and it will recover when it grows up.
Question 2: Exercise can correct scoliosis.
Question 3: Small-angle lateral bending can be prevented by hanging horizontal bar and traction.
Speaking of "scoliosis" on weekdays, many people know C type or S type. Xiao Kangkang has to remind you that if you only know the preliminary classification, then your understanding of scoliosis is relatively shallow, and you have to continue to learn!
I don't know how much you know about scoliosis. Are all your answers correct? Is the principle of your judgment consistent with medical knowledge? Xiao Kangkang takes you to start a "literacy" journey!
Xiao Kangkang reveals the answer: The above three views are all wrong!
As early as 200 years ago, the Greeks had defined this disease. Now, after hundreds of years of research, the medical profession has standardized definitions and diagnostic standards internationally.
Do you know the diagnostic criteria of scoliosis?
Why don't you be reminded that even if you have slight scoliosis, you must be treated? But to remind you of your living habits?
It is precisely because the degree of scoliosis does not reach the index of treatment intervention that there may be no treatment intervention without any symptoms.
However, doctors will skillfully explain their own self-healing methods: pay attention to their usual posture and habits.
Sometimes, Xiao Kangkang often thinks, then why do you get scoliosis? Is it only caused by external factors such as poor sitting posture of "low-headed people"? Is there no other reason?
Teacher Yan dispelled the doubts in Xiao Kangkang's mind. Scoliosis is a spinal deformity caused by many reasons, which may be caused by a single factor or a mixture of many factors.
Congenital: refers to the abnormal development of fetal vertebral body in uterus, which often requires surgical treatment;
Secondary: often caused by other diseases (tumor, cerebral palsy, polio, etc. ), usually manifested as large-angle scoliosis, can only be treated surgically;
Idiopathic: it is the most common type, with an incidence rate as high as 80%. Excluding the above-mentioned congenital vertebral body abnormalities and unexplained scoliosis caused by neuromuscular skeletal diseases is called "idiopathic scoliosis".
When the angle is small, it can be controlled and recovered through conservative treatment intervention; When the angle is too large, surgical treatment should be considered.
The onset period mainly comes from adolescence, and the ratio of male to female is about 1: 4. Generally, there is no pain and it is often ignored, but when the growth potential reaches its peak, the consequences will be more serious. There may be scoliosis behind the symptoms such as high and low shoulders, pelvic tilt and abnormal body shape.
Do you have the following conditions?
The head is not straight, not in a straight line with the hips? Protrusion or asymmetry of scapula
? One hip or shoulder is higher than the other, resulting in inconsistent hem.
? Do developing girls have different breast sizes? When the knees bend forward together and the arms droop naturally, there is a height difference between the two sides of the back.
If yes, please see a doctor in time!
If not, I hope you can prevent it in time!
What Xiao Kangkang wants to tell you is the scoliosis screening experiment, which is a simple and objective screening method:
Adams test: bend your hands forward 90 degrees and observe whether the height of both sides of your back is equal; If the height is not equal, it is recommended to see a doctor.
In addition to the above methods, you can also choose the screening method of visual evaluation:
Whether the shoulders are the same height,
Whether the scapula is on the same level,
Whether the lateral scapular protuberance is higher,
You can also observe whether the pelvis and lumbar vertebrae are symmetrical.
You can also use your fingers to slide down the spine to see if it is straight.
……
You can also choose medical AIDS to assist screening!
Physical screening of high and low shoulders and razor back: whole spine X-ray;
COBB angle was measured, vertebral rotation was detected, and growth potential was graded.
The first step of scoliosis examination: COBB angle measurement.
First, observe the spinal structure,
Secondly, determine the upper and lower terminal vertebrae of the spine, draw the upper and lower lines, and finally make the angle formed by the intersection of the vertical lines of the upper and lower terminal vertebrae, which is called COBB angle. It is very important to choose the appropriate treatment according to COBB angle.
Check scoliosis step 2: check the rotation of vertebral body through imaging.
Normal spinous process is located in the middle of vertebral body, with spinous process as reference. When the vertebral body rotates, the spinous process moves to the right, and the distance to the right becomes narrower. The greater the vertebral rotation, the more severe scoliosis.
When we deal with large-angle scoliosis, we deal more with spinal rotation than scoliosis.
In the treatment of scoliosis, bone age assessment is particularly important! This is the best time to intervene and treat scoliosis. Bone age can be tested by clapping, but the bone age of limbs does not represent the real bone situation.
Bone age maturity: Generally speaking, due to individual differences, men are around 18 years old, and women are a little earlier, ranging from 16 to 17 years old.
When mild scoliosis is found, but there are no symptoms, do you need treatment or correction?
Conservative treatment is caused by active treatment and dynamic treatment to improve the wrong posture and prevent scoliosis from worsening.
Scoliosis is a disease that races against time!
Lack of health education for scoliosis.
Many parents have a wrong understanding of scoliosis.
Myth: children are still young, and when they grow up, bones can grow back on their own-luck.
Some parents let their children develop because of their academic problems, and when they have time to see a doctor, they find that the degree of lateral curvature has also increased.
Myth: Many informal channels are promoting that scoliosis can be corrected through exercise.
Exercise is really important, but for some bad postures caused by scoliosis, exercise can make the posture look more perfect.
In fact, the improvement of posture is equal to the recovery of lateral bending.
Many people want to strengthen the strength of weak muscles through some exercises, which is impossible.
Exercise can increase the mobility and flexibility of the spine, and also strengthen the brain's cognition of correct posture through exercise.
These exercises are carried out under the guidance of doctors, not blindly by themselves. The effect of exercise has a great relationship with the cooperation of patients.
Question 3: Xiao Kangkang has to tell you that small-angle lateral bending can be prevented from getting worse by hanging horizontal bars and traction. This statement is also wrong.
Myth: When many people know that they have scoliosis, doctors will tell them about it and remind them to rest!
For scoliosis, no matter the angle, as long as the spine is scoliosis and it is just in the period of releasing growth potential, if it is not intervened, the scoliosis angle will deteriorate rapidly.
It may also deteriorate to 10-20 degrees within one year.
When scoliosis occurs, the peak growth period of children can not be ignored, and it is easy to get worse during this period.
Therefore, even a small lateral bending angle cannot be taken lightly.