Hunan Daily all-media reporter Zhou Wei, correspondent Tao Yan, Yuan Bincai, He Yuan
"Alas! Unfortunately, the 16-year-old child's development is basically complete, and he has missed the best opportunity for rehabilitation exercises and brace orthopedics..." On June 1, Ruan Hongliang, deputy chief physician of the Department of Bone Injury (Spine Department) of the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine (Hunan Provincial Hospital of Traditional Chinese Medicine), told reporters a regrettable case.
Not long ago, Yingying (pseudonym) came to seek treatment under the leadership of her parents, because recently Yingying's parents found that her shoulders were not equal, even if she stood straight, she had obvious high and low shoulders. Ruan Hongliang combined with the examination report and found that Yingying had obvious severe scoliosis (Cobb's angle >45°), but it came too late, and she could only recover through surgery.
"Today is a festival for children. Throughout June, the scoliosis research society established the 'Scoliosis Awakening Month', advocating people to pay attention to scoliosis and better achieve early detection, early diagnosis and early treatment. Ruan Hongliang believes that this issue is worth talking about and letting more parents know.
This is the third "killer" of health problems among children and adolescents on the mainland
Ruan Hongliang said that in recent years, due to lack of exercise and sleep combined with high-intensity study pressure, the number of mainland teenagers suffering from scoliosis has risen sharply, and the severity has also intensified. This situation has become the third "killer" of health problems among children and adolescents in mainland China, after obesity and myopia.
"But unlike obesity and myopia, scoliosis does not feel pain and discomfort when it occurs, and many parents find it difficult to detect the problem in time." Deeply engaged in the profession for many years, Ruan Hongliang has seen too many people's regrets - when many parents find that their children have problems, they often have missed the best time for treatment, and many parents will regret it, saying "We should have known it earlier..."
"In fact, a correct understanding of scoliosis and early intervention can achieve good results, and major surgeries such as orthopedics can be completely avoided." Ruan Hongliang said.
First of all, we need to find out, what are the main causes of scoliosis?
1. Genetic factors: Scoliosis can be related to family inheritance, with some families having multiple members with scoliosis or other bone deforming disorders.
2. Poor body posture: Postures such as sitting, standing or bending over for a long time may cause scoliosis, especially if adolescents are in the growth period, and incorrect posture for a long time will lead to abnormal bone development.
3. Chest deformation: Chest deformity can cause scoliosis. For example, thoracic deformities can affect the development of vital organs such as the lungs and heart, leading to deformation of the spine.
4. Muscle imbalance: Muscle imbalance on both sides of the spine is also one of the causes of scoliosis. If the muscles on one side are too tense and the muscles on the other side are too relaxed, it can lead to curvature of the spine.
5. Neurological problems: Abnormalities in the nervous system may lead to weakened and uncoordinated muscles, which in turn can lead to scoliosis.
Scoliosis can have many health effects. Such as: affecting the shape and function of the spine; It may cause pain in the shoulders, back, lower back, lower back, etc., and even cause nerve damage and limb sensory impairment; Or affect cardiopulmonary function, make breathing difficult, poor blood circulation, and may also cause negative effects on the gastrointestinal system.
The sooner it is detected, the better, and the "6-step screening method" should be mastered
Ruan Hongliang introduced that scoliosis mainly occurs at the peak of spinal development 6-7 years old and 11-16 years old, after 6-7 years old and adolescence two development peaks, adolescent epiphysis closure, spine will be basically fixed. In fact, a correct understanding of scoliosis and early intervention can achieve good results, and major surgery such as orthopedics can be completely avoided.
Correct interventions, including guiding children to develop correct sitting and standing postures (avoid Jiro's legs and long tummies!). ), exercise properly, maintain a proper weight, pay attention to sleep posture and avoid standing or sitting for long periods of time, and strengthen the muscles around the spine. Pay attention to moderate exercise, avoid excessive exercise, and maintain the correct balance of the spine.
"You can also judge through the '6-step screening method', but as long as one of these 6 steps finds abnormalities, you should take the child to the hospital spine specialist as soon as possible, take X-rays to further confirm the diagnosis, and once diagnosed, it should be treated promptly and systematically." Ruan Hongliang reminded.
The specific method is to first let the child take off his clothes or wear tight underwear, stand barefoot naturally, and parents stand behind the child to observe the following 6 aspects:
1. See if the child's shoulders are of equal height;
2. Touch the shoulder blade of the child's back with your hand, whether one side of the shoulder blade is raised backwards;
3. Touch the shoulder blades of the child's back with your hands to see if the bottom ends of the two shoulder blades are of equal height;
4. Then let the child bend over and look at the ground, hands naturally droop, touch and compare whether the child's back is raised and symmetrical;
5. Touch and compare whether the child's waist is raised and symmetrical;
6. Hold the spinous process between the middle and index fingers to see if it can draw a normal straight line.
"Of course, if this disease is really affected, it can still be cured." Ruan Hongliang introduced that the treatment principle of scoliosis is "early conservative, late surgery", parents can learn different types of treatment.
When mild scoliosis (0°<Cobb's angle≤20°) occurs, rehabilitation training can be carried out, which can have a certain rehabilitation effect. The way of rehabilitation can be roughly divided into three parts, such as changing breathing patterns, improving poor posture, and improving muscle balance.
When moderate scoliosis (20°<Cobb's angle ≤40°) occurs, rehabilitation can be performed and treatment is required with a brace.
When severe scoliosis (Cobb's angle >40°) occurs, surgery needs to be considered according to the actual situation (such as age, height, weight, high-risk risk, etc.).
Well, parents, the phrase "how do you sit or not sit, stand without standing" is usually simply mistaken for children "do not know how to be polite" or "naughty", as everyone knows, this may be a distress signal after the child is ill, you can be careless!