Osteochondrosis

Fixed and unfixed scoliosis in recruits: with what form of the disease do not take on the army?

Kattery1: Robot86 is he probably fixed by something ?!

mummy: Robot86, this is when there is no difference between standing and lying down. If there is a difference, then a poor prognosis for scoliosis progression.

Kattery1: Mommy I had 2-4 cm before OP, and after 1cm

rischa: "fixed, non-fixed" - this is the definition for the IMHO military registration and enlistment office to confuse the conscripts with the 2nd degree. What is fixed is different from the structural, kill me, I do not understand. Especially here they are confused (it seems to be the old version) http://prizyv.net/rasp/rasp13/ Item “a” includes: fixed spinal curvatures, confirmed by radiological wedge-shaped deformations of the vertebral bodies and their rotation in places of greatest spinal curvature (kyphosis, scoliosis of IV degree, etc.) and accompanied by severe deformity of the chest (rib hump, etc.) and respiratory insufficiency of III degree restrictive type.Item “b” includes: osteochondropathy of the spine (kyphosis, structural and nonstructural scoliosis of III degree) with moderate chest deformity and respiratory insufficiency of II degree in restrictive type,Item "c" includes: fixed acquired spinal curvatures accompanied by rotation of the vertebrae (grade II scoliosis, osteochondropathic kyphosis with a wedge-shaped deformity of 3 or more vertebrae with a decrease in the height of the anterior surface of the vertebral body 2 or more times, etc.)

rischa: And it is possible lying on a stomach. further increase the correction http://www.spineinfo.ru/infosources/klinicstat/lechenskolioz/ The first radiographs in standing and lying compared Risser J.S. (209) to determine the prognosis of the progression of scoliotic deformity. For the same purpose, A.I. Kazmin proposed a "stability index" (11). When the patient is lying down, the effect on the axis of the spinal column is eliminated by the force of gravity, which determines some correction of the deformity, and in the position on the stomach, the correction increases to 31% (196). Radiographs in the prone position are used to assess natural mobility, but do not give an idea of ​​maximum mobility (241).

Just Guest: rischa writes: "Fixed, unfixed" is the definition for the IMHO military office to confuse conscripts with a second degree. What is fixed is different from the structural, kill me, I do not understand. the same as c-shaped from fixed, wide from green, i.e. nothing these are different characteristics. there are pairs: fixed (stable) - unfixed (unstable) is there a difference in the magnitude of the arc in the standing and lying position. This characteristic affects the progression, correction during surgery, and other points. It is believed that in most adults scoliosis is fixed, but there are exceptions, structural non-structural, respectively, there are or not structural changes such as rotation, torsion, etc., etc.

rischa: In my understanding - Fixed - Structural scoliosis, fixed by something (by rotation or other structural change.), Which may still be Unstable. Just Guest writes: fixed (stable) - unfixed (unstable) is there a difference in the magnitude of the arc in the standing and lying position. This characteristic affects the progression, It turns out that a recruit with unfixed (unstable) scoliosis of the 2nd degree (and with a possible progression?) Can easily get from category c) to category d)

Oksi: rischa writes: It turns out that a recruit with unfixed (unstable) scoliosis of the 2nd degree (and with a possible progression?) Can easily get from category c) to category d) And if it were not for the draft board, he might not know that he has a 2. degree and live all his life happily ever after. T. is not a commission itself, but the very need to go to the Supreme Court. In here and begin to look for excuses. Everything is legitimate of course!

rischa: Oksi writes: And if it were not for the draft board, he might not know that he has a 2. degree and live all his life happily And indeed the guys are lucky. Although examined The nature of the pathological changes of the spine should be confirmed by multi-axial, stress and functional radiological and other studies.

Just Guest: In my understanding - Fixed - Structural scoliosis, fixed by something (by rotation or other structural change.), Which may still be Unstable. Choy is all messed up. There are common concepts — pairs of which may be something one “progressive-non-progressive”, “fixed-mobile” and “structural-non-structural.” If you stick to these concepts, then there should be no problems. Simply the “fixed-mobile” dichotomy has a lot of synonyms. Perhaps they are confusing, but all the same, all these words reflect the same concept, namely, whether the magnitude of the arc changes in the prone and standing positions. Most adults with structural scoliosis are fixed, but not all. I have, for example, a structural unfixed scoliosis.

Gala: a pair of "rigid-mobile"

Just Guest: Gala writes: pair of mobile-rigid I did not understand yes, the pair “rigid-mobile” is more correct than fixed-mobile. But in general - it does not matter, because rigid - fixed are synonyms))

Gala: it seems more familiar to honey. ear))

rischa: Just Guest writes: I have, for example, a structural unfixed scoliosis. Write pzhl exactly what it means. And who gave you such a diagnosis.

Just Guest: rischa Classification of scoliosis 1. Depending on the origin: Group 1 - scoliosis of myopathic origin. Group 2 - neurogenic scoliosis. Group 3 - dysplastic scoliosis. Group 4 - cicatricial scoliosis. Group 5 - traumatic scoliosis. Group 6 - idiopathic scoliosis. 2. According to the form of curvature: C-shaped scoliosis (with one arc of curvature). S-shaped scoliosis (with two arcs of curvature). Sigma. Scoliosis scoliosis (with three arcs of curvature). 3. By localization of curvature: - cervicothoracic scoliosis (the top of the curvature at the level of Th3 - Th4), - thoracic scoliosis (the top of the curvature at the level of Th8 - Th9), - thoracolumbar scoliosis (the top of the curvature at the level of Th11 - Th12), - lumbar scoliosis (the top of the curvature at the level of L1 - L2) - lumbosacral scoliosis (the top of the curvature at the level of L5 - S1). 4. By changing the static function of the spine: - compensated (balanced) form of scoliosis (axial vertical line, lowered from the apex of the spinous process of the C7 vertebra, passes through the interyagic fold), - uncompensated (unbalanced) form of scoliosis (axial vertical line, lowered from the apex of spinous) the process of the C7 vertebra, deviates to the side and does not pass through the interyagic fold). 5. Radiological classification (according to the orders of the Ministry of Defense of the Russian Federation): 1 degree of scoliosis. The angle of scoliosis is 1 ° - 10 °. 2 degree of scoliosis. The angle of scoliosis is 11 ° - 25 °. 3 degree of scoliosis. The angle of scoliosis is 26 ° - 50 °. 4 degree of scoliosis. Scoliosis angle> 50 °. 6. Clinical and radiological classification of scoliosis (according to V. D. Chaklin): 1 degree of scoliosis. Weakly pronounced curvature of the spine in the frontal plane, disappearing in a horizontal position. Asymmetry of the shoulder ganglion and scapula in case of the cervicothoracic and thoracic scoliosis and the waist in the case of lumbar scoliosis, muscle asymmetry at the level of the arc of curvature. The angle of the scoliotic arch is 175 ° - 170 ° (the angle of scoliosis is 5 ° - 10 °). 2 degree of scoliosis. The curvature of the spine, more pronounced, and does not disappear completely when it is unloaded, there is a small compensatory arc and a small ridge hump. The angle of the scoliotic arch is 169 ° - 150 ° (the angle of scoliosis is 11 ° - 30 °). 3 degree of scoliosis. Significant curvature of the spine in the frontal plane with a compensatory arch, severe chest deformity and a large rib hump. The trunk is deflected in the direction of the main scoliotic arch. Correction when unloading the spine is insignificant. The angle of the scoliotic arch is 149 ° - 120 ° (the angle of scoliosis is 31 ° - 60 °). 4 degree of scoliosis. Pronounced fixed kyphoscoliosis. Impaired function of the heart and lungs. Angle of scoliotic arc 60 °). 7. By changing the degree of deformity depending on the load on the spine: - non-fixed (unstable) scoliosis, - fixed (stable) scoliosis. 8. According to the clinical course: - non-progressive scoliosis, - progressive scoliosis. http://spinet.ru/public/zhscolios.php and put it to me verbally in the CITO after comparing the X-ray lying and standing. Would write in the conclusion, but "verbally" I am more than satisfied)) because for some reason, fixed is considered worse than unfixed, but after all I am going to try to pass MSEC))

rischa: Just Guest writes: 7. By changing the degree of deformity depending on the load on the spine: - non-fixed (unstable) scoliosis, - fixed (stable) scoliosis. The presence of a large number of all-possible definitions is not gud. It turns out as in the saying “The law is like a tongue, wherever you turn, there it went.” One more thing: http://medarticle14.moslek.ru/articles/38634.htm Sometimes the possibility of stretching the spine in limbo is assessed, for example, using the Glisson loop. The difference in height, measured in the usual way and with the load, is judged on the stability of the spinal deformity. If the curvature of the spine is eliminated by hanging or lying, then they are talking about unfixed S. (as a rule, this is a nonstructural deformation). Scoliosis, which can not be completely eliminated, is partially fixed, and if correction is impossible, it is fixed. With unstable S., in addition to the possibility of passive correction, the ability for active self-correction of the deformity is also revealed (Fig. 4, d). Just Guest writes: because for some reason, fixed is considered worse than unfixed, but after all I am going to try to pass MSEC)) Naturally worse, because fixed most likely - structural, and changes and limitations of spinal mobility have already occurred. http://www.rusmedserv.com/orthopedics/book/main15.htm Pathological changes of the spine are determined clinically by the presence of a) deformation or a number of other external signs, b) fixation of the spine and c) pain. Fixation of the spinal column is manifested by a restriction of mobility and the associated functional inferiority of the spine. By the way, the operated ones also have limited mobility, but they also do not give them disability. But at the same time Stability of deformation does not depend on its degree. Unstable S. are prone to progression - this is also bad. What prevents scoliosis to be "partially fixed and unstable" at the same time? In this case, adults generally generally negate the progression of scoliosis in our country. (it was personally told to me by several physicians, including respected ones) And, accordingly, if scoliosis is unstable in adults, then this is apparently good. Well this can only be for operations. IMHO. Speech about ITU and military registration and enlistment offices is generally a separate conversation. (On the ITU, operations at my age deny!) Life is beautiful!

Just Guest: rischa, I honestly do not understand what I mean. if you like this formulation, on health. I stick to the other. in my opinion, it is more logical and I don’t have similar questions with it)) I repeat once again - I have structural and at the same time mobile (non-fixed) scoliosis. Structurality does not interfere with the lack of fixity.

rischa: Just Guest writes: rischa, I honestly do not understand what I mean. You know, I don't understand either. I apologize to the author for a link to his message. http://skoleoz.borda.ru/?1-2-0-00000214-000-0-0 January 16, 2008. S-shaped scolysis in the n-thoracic region to the right. standing angle of 43 degrees, lying angle of 35 degrees. In the lumbar to the left standing angle of 50 degrees, lying angle of 36 degrees. Scoliosis of 3 degrees fixed. Rib hump on the right. The difference, as you can see, is lying and standing, and scoliosis is fixed. Another question is where the lower chest. I have about the same scenario of scoliosis in one of the extracts was written "in the lower thoracic to the left, and in the upper thoracic to the right," while the localization of the lumbar arch L2. But this is for the Localization theme. What am I sure for today - description of scoliosis is a creative process

Just Guest: There are only two options. 1) The doctor is incompetent. 2) (most likely) the difference is too small to consider scoliosis mobile. In my opinion there should be no less than 20-25-30 percent (the chest arch is taken, something that is not considered in the back). But it is necessary to look scientific works. Middle Thoracic is the apex on T8 and T9. here and consider what is upper and lower chest)))

rischa: Just Guest writes: (chest arch is taken, then what is not considered in the back). When S - shaped? Only the chest arch? When a large lumbar. Kidding me

rischa: http://www.radiomed.ru/publications/chastnyie-triebovaniia-voienno-vrachiebnoi-ekspiertizy-2 3. Examination of scoliosis also causes certain difficulties. Therefore, below we will dwell on the classification of the degree of scoliosis, the method of X-ray examination, the methods for determining the degree of curvature of the spinal column. For the classification of the degree of scoliosis, the classification of V.D. Chaklin is used: The first degree - curvature of the spine 1 - 10º, manifests itself while standing. In the prone position may disappear, the second degree - the angle of the curvature of the spine 11 - 25º. Lateral curvature is noticeable, but the deformation is not fixed. There is an initial form of torsion and rotation of the vertebral bodies. The third degree - the angle of curvature of the spine 26 - 50º. Severe scoliosis with fixed torsion and rotation of the vertebral bodies. Moderate rib hump. There is a compensatory curvature of the spine. The fourth degree - the angle of curvature of the spine more than 50º. Kyphoscoliosis with pronounced spinal deformity, severe torsion. Irreducible ridge hump, displacement of the chest cavity organs. Katenev Valentin Lvovich: For grade 2 scoliosis - "Lateral curvature is noticeable, but the deformity is not fixed." Could there be a “non-fixed” deformation in the second degree? Since it is not fixed, therefore it can be leveled or disappear? Katenev Valentin Lvovich: The following is completely incomprehensible to me: 1. Why do you advise to carry out an X-ray of the spine in the “lying” position. Indeed, in this position, the “physiological load” is leveled - the weight of the body on the spine, and consequently on the possibly modified intervertebral discs, and you can get a completely biased picture - the intervertebral slits that are normal in width, with “true degeneration of intervertebral discs”. 2. And below, you write that “for diagnostic purposes, an x-ray in a standing position is mandatory.” How is - lying or standing, what is the standard? Yermolaev: This applies to x-ray examinations and examination of scoliosis. Chaklin 1st degree of scoliosis is detected only in the study of standing. Lying scoliosis may disappear. Grade 1 scoliosis is not a reason for applying the article. Therefore, we are looking for fixed spinal curvature

rischa: Full ales! http://www.radiomed.ru/forum/opredelenie-stepeni-skolioza-rentgen-v-2h-proekciyah-ili-mrt Article 66 Regulates the determination of the angle of deformity (with scoliosis) from radiographs taken in the orthoposition and in the lying position. The term "fixation" refers specifically to scoliosis, namely, to those cases where the angle of scoliosis on a radiograph (straight line) produced in a standing position - there is evidence of 2 tbsp. scoliosis.Then, according to the requirements of the Ordinance, an x-ray should be taken in the prone position in a direct projection in order to prove the “fixedness” of the scoliosis arc, which in the prone position will correspond to 2 tbsp. As a rule, in a prone position, the angle is smaller than in a standing position. Matrona brought a good joke at the end of the discussion. A conscript calls the Minister of Defense and asks: Please tell me I have an S-shaped scoliosis, in the thoracic region 14 degrees, in the lumbar 6 degrees, unfixed. What article do I fall under? The Minister of Defense responds: Article 328, part 1. Evasion of conscription for military service in the absence of grounds for exemption from service. Scoliosis must be -fixed

Just Guest: rischa and what? This ruling applies to draftees. Released from 2 tbsp. But this degree must be confirmed by a photograph in the prone position. If the boy has unfixed scoliosis, but the pictures lying down will show 30 grams. No one will call him. All this canoe with “fixity” for lovers of a retreat with 14 questionable grams standing and 5 lying down. In my opinion, it is a reasonable approach, given that 2 st starts with 11 gr.

Just Guest: I decided to see the link. Oh my God ! From the first message it is clear that people are “not in the tooth with the foot” of Rish! MRI does not examine the bone structure. It is intended for another. For this there is a CT scan. There it is (for bone structure) analogue of X-rays, only more accurate. And it is precisely according to it that grams of scoliosis, osteochondrosis, etc. are determined. This kind of pathology.

Just Guest: a, and the specialist himself confirms nothing healthy guys with a slight deviation of the spine from the ideal state to mow from the army. Unfortunately, I can’t read everything, I'm running away, but this Katenev is very good. competent specialist. he consults many radiologists on the forum and enters into some kind of high commission on conscription, where complex controversial cases are dealt with. At that forum, he often helped conscripts with obvious, rather than drawn pathology, and gave them valuable advice on how to push through the “system”. He can be trusted. He is not engaged, in my opinion.

Just Guest: By the way, if I am not mistaken, it was he who about 2 years ago, at my request, estimated the pictures of a patient from a well-known CR. and no difference before and after found

rischa: Just Guest writes: All this canoe with “fixity” for lovers of a retreat with 14 questionable grams standing and 5 lying down. And if 14 standing and 10 lying? And if 25 standing and 10 lying? And what does the dubious mean? I do not take into account the example from the link given by me. Perhaps there are doubtful .. And 25 standing and 10 lying, too doubtful? Just Guest writes: Risha! MRI does not examine the bone structure. It is intended for another. I did not claim this. Just Guest writes: but this Katenev och. competent specialist Maybe. I just did not understand, "where" is it regulated? Article 66 Regulates the determination of the angle of deformity (with scoliosis) from radiographs taken in the orthoposition and in the lying positionThis applies to x-ray examinations and examination of scoliosis. Chaklin 1st degree of scoliosis is detected only in the study of standing. Lying scoliosis may disappear. Grade 1 scoliosis is not a reason for applying the article. Therefore, we are looking for fixed spinal curvature Fixed - i.e. not completely disappearing in the prone position. Has something changed in a year? Maybe we all need a lying degree to measure?

Answer: rischa writes: Maybe we all need a lying degree to measure? this is for the army. and this is for grade 1. at grade 1, scoliosis is not yet structural and often almost disappears in the prone position. Probably, therefore, they do not take into the army starting from the 2nd degree, i.e. when the structural component appears. rischa writes: I just did not understand, "where" is it regulated? in what sense ? everything is clearly described in the relevant documents and applies only to draftees. rischa writes: And if 14 standing and 10 lying? And if 25 standing and 10 lying? for the army there is an instruction. according to her, if lying down 1 st, then they take to the army. if 2, then no. rischa writes: Fixed - i.e. not completely disappearing in the prone position. I do not know. I have always believed that fixed scoliosis in which the arch in the prone position is almost the same as in the standing position. Sorry, I'm not writing from home, so not under my nickname.

rischa: Well, in general, I see. A short summary Torsi is not able to define / do not want to Distinguish between structural and non-structural, they cannot / do not want They do not understand / (and don’t want? / Pretend they don’t understand?) Neither One nor the other Patience for us and them!

Liana79: Mommy writes: If there is a difference, then a poor prognosis for scoliosis progression. When I was 13 years old, I had a difference between standing and lying down, but scoliosis progressed only after pregnancy and melancholy on my hands.

Just Guest: Liana79 What's the question? a high probability of progression does not mean that it will necessarily be. You haven't been here. I have slow progressing with scoliosis that is still unstable. Exceptions only confirm the rules)))

Liana79: Just Guest writes: a high probability of progression does not mean that it will necessarily In principle, this was the question. Just did not know that the progression is not necessary. Thank you for explaining, I thought that the doctors again got it wrong

rischa: I'm all amazed. Those who wrote this when they read, the roof they themselves do not demolish from reading? http://www.radiomed.ru/publications/statya-66-raspisaniya-boleznei-bolezni-pozvonochnika-i-ikh-posledstviya Item "a" includes: - fixed spinal curvatures, confirmed by radiological wedge-shaped deformations of the vertebral bodies and their rotation in the places of the greatest spinal curvature (kyphosis, scoliosis of IV degree, etc.) The definition here is another type of "in the subject" http://www.radiomed.ru/publications/pozvonochnik-skolioz-diaghnostika-izmienienii-pozvonochnika-u-prizyvnikov-2 Determination of the stability of scoliosis If the angle of scoliosis in the patient lying and standing does not change, scoliosis is considered fixed or stable. If, when unloading the spine, i.e. when lying down, it decreases - non-fixed scoliosis (unstable). Lying and standing very often different angles! The degree of scoliosis does not even matter!

rischa: Everything looks much more logical: (the author, in my opinion, is no less respected) http://www.harms-spinesurgery.com/src/plugin.php?m=harms.SKO02D Man unterscheidet die aktiv und passiv nicht vollständig ausgleichbare strukturelle skoliose mit Deformation und Rotation der Wirbelkörper von der rein funktionellen Skoliose. Die funktionelle Skoliose findet sich meistens bei Haltungsschäden, wie zum Beispiel Beinlängendiffeferenzen. In diesen Fällen ist die Skoliose nicht fixiert, sie ist im Liegen ausgleichbar. I apologize the translation is free. In general, there is “structural scoliosis with deformation and rotation of the vertebral bodies, even though it is not completely, with active or passive manipulations”, from purely functional scoliosis, for example, due to the shortening of the leg. In this case, functional scoliosis is NOT FIXED, disappears in the supine position. German specialists do x-rays for standing scoliosis and all departments are immediately desirable. : ((They don’t take to the German police at 12 degrees.: ((Fixed / structural scoliosis, as I understand it, starting from 11 degrees (standing) should be noticeable even clinically

Just Guest: rischa Well, what are you confusing, after all you have written so many times ((there are pairs: structural-non-structural (functional) fixed (stable) -nonfixed (unstable) scoliosis can be structural non-fixed, structural fixed If the angle of scoliosis in the position of the patient lying and standing does not change, scoliosis is considered fixed or stable. If, when unloading the spine, i.e. when lying down, it decreases - non-fixed scoliosis (unstable). absolutely true written. The only thing: the difference of a few degrees is not considered - must be decent. Here I have a difference of more than 25 percent (in the chest). Scoliosis is structural and unstable (nefksirovanny).

rischa: Just Guest writes: what are you confusing Ya. Just Guest writes: After all, so many times they wrote (( Just Guest writes: (most likely) the difference is too small to consider scoliosis mobile. In my opinion there should be no less than 20-25-30 percent (the chest arch is taken, something that is not considered in the back). But it is necessary to look scientific works. So what's up with the loins? You never answered. The amount of writing does not always affect its quality. Explain at the same time what the "fixed curvature of the spine" is and where the 4 degree non-fixed scoliosis will go.

rischa: But it is necessary to look scientific papers I will help you. For the same link, Katenev gives a link to V. Belenky. 12 factors to recognize the progressive form of scoliosis: - Spinal instability. Instability with a Kazmin index of less than 0.8 and with a difference in the angles of curvature on radiographs taken in the prone position and standing, more than 10 degrees is a prognostically unfavorable sign. - Spinal rigidity A sign of instability (this is the very type of “non-fixed” scoliosis, between girls, this term is very annoying, especially incorrectly used) is also a prognostically unfavorable sign. And I have a difference between standing and lying - 12 degrees. The sign is unfavorable. Do you think my spinal curvature is fixed?

Oksi: rischa writes: And I have a difference between standing and lying - 12 degrees. The sign is unfavorable. Do you think my spinal curvature is fixed? yes .. with initial gadus of about 90, 12 "- this is what changes to rg, when there is no head weight on top and lying on the stomach, cc sneeu slightly compressed

rischa: Oksi writes: when on top there is no weight of the head and lying on the stomach squeezes out a little. You burn both of them. I did not understand about the abdomen at all. But I must explain to the account of the head that people should not be confused. My head is not immediately attached to the lumbar spine, there are several important parts of the body under the head, such as arms, shoulders and chest. Oksana, WE HAVE PACKAGES OF THE SPINE IN PARTS. I had a choice of which part I wanted to “take a picture of,” but at one time - strictly ONE part. We agreed on the lumbar.

Milla: rischa writes: WE HAVE PACKAGES OF THE SPINE WITH PARTS. you have nothing to do? Irradiation is the same. Is there really no place where you can shoot completely ?!

Olgin: Milla writes: Is there really no place where you can shoot completely ?! What are you hinting at?

Milla: Olgin writes: What are you hinting at?

Cracklings: Damn hwaaaaatit annealed! I laugh it hurts

rischa: Milla writes: you have nothing to do? Irradiation is the same. Is there really no place where you can completely ---?! I wiped it out, so that Milla wouldn’t bellow, to be honest, I don’t need them at all, either in parts or entirely. You can already salt the pictures. Actually nobody is interested in anything. Forced to do just to prove disability once again. And where, by the way, you can make high-quality images I do not know. By OMS we go Vreden. But there I have never done.

Oksi: rischa oh, that's what you're talking about. I apparently lost the habit of starting “world problems” of vertebrology, and then you slide back onto your private ones and if you think a little, my weight explanation can be easily transferred to the lumbar section, although it is not directly attached to pop. indirectly too

rischa: Well, shkvarku even cheered! Fat, and again I did not take the corner! Well, of course, let's measure everything at home. They scribbled and even perpendiculars correctly drawn, but again they took the angle from the intersection of perpendiculars.

rischa: Oksi writes: and if you think a little, my weight-bearing explanation can be easily transferred to the lumbar region. I just thought so. Can! Only with the rest of the load is even more on the lumbar is obtained.

ledi-dozhdja: Greaves writes: Damn hwaaaaatit anneal! I laugh it hurts Natasha, you have not tried to sneeze

Oksi: rischa writes: Only with the rest of the load is even more on the lumbar is obtained. what are you can not be

Just Guest: I. exactly you. how can I constantly raise an elementary question - I really do not understand. rischa writes: So what's up with the loins? what don't you understand? The arc in the lower back is a priori more mobile. Accordingly, a decrease of 20 percent in the lumbar and 20 in the chest is two big differences. and X percent in the lumbar may not be enough to consider it unfixed, while these same X percent is enough for the chest arch. So clearer? rischa writes: I will help you. For the same link, Katenev gives a link to V. Belenky. Rish, your help was 25 years late, so. The book of Belenky in my house is about so many years)) And it was there that everything was described and scaled perfectly. No wonder co-authored by con. And I have a difference between standing and lying - 12 degrees. You are kidding ? You say about interest. And I have a difference between standing and lying - 12 degrees. The sign is unfavorable. Do you think my spinal curvature is fixed? I have already told you - it is necessary to look at the difference with which it is considered unfixed, and with which fixed. My 25+ in the chest is enough. I don't know yours. and this, stop confusing: non-fixed = unstable = mobile fixed = stable = regenable SYNONYMS

rischa: Just Guest writes: I already told you - you need to watch So far, blah blah. So I want to say: "Well, look!" Just Guest writes: your help was late for 25 years. The book of Belenky is in my house for about so many years 25 years after all already passed. A lot of water has flowed away. Just Guest writes: You are kidding ? Yes! I understood that this is your reference book. If Belenky and Kon knew how they would manipulate the notion of "fixed". would not write, probably, such. About a fixed torsion there they have nothing by chance? Also very interesting. Just Guest writes: and this, stop confusing: non-fixed = unstable = mobile I'm just not confused. To determine the mobility, by the way, there are some other manipulations. Lying down is not enough. And let's make a proposal to the draft board. Let the guys still pull properly. You look and all the first degree elongated. This is black humor. And these authors from the military registration and enlistment office are used in a completely different sense. There is no interest on anyone there. They "catch" torsion, apparently also fixed.

oleg: rischa writes: And the “fixed” of these authors from the military registration and enlistment office is used in a completely different meaning. There is no interest on anyone there. They "catch" torsion, apparently also fixed. In military registration and enlistment offices nobody is interested, fixed or unfixed. Only degrees are interested.

What are the differences between the two types of disease?

Remember that you should always rely on the recommendations of the doctor

Fixed scoliosis has three special features:

  • twisting of the vertebrae along the vertical plane (rotation),
  • vertebral deformity
  • lack of pronounced changes in the scoliotic arch.

The patient has a persistent scoliotic arch with a constant angle of curvature (deformation remains at the same level for some time, but progresses without treatment). That is, when performing radiography in different positions, the angle of curvature will be the same or have minor deviations.

The fixed form of the disease makes the recruit unsuitable for service in peacetime (in a martial situation, a man with scoliosis of II degree may be called in, the category “c”).

Quote from article 66:

"Fixed acquired spinal curvature, accompanied by rotation of the vertebrae (Scoliosis 2 degrees.)"

However, it is believed that Article 66 of the Disease Schedule is misunderstood, and the presence of a curvature of the second degree is a contraindication for military service, regardless of the nature of the disease, since in this context the word “fixed” indicates not the nature of the disease, but refers to the general definition scoliosis.

Unfixed scoliosis is accompanied by regular displacement of the vertebrae, which means that the data on X-ray images will differ. For example, in the first year of surveys, the angle of curvature will be about 15 degrees, and next year it may change to 9 degrees.

With this type of disease, radiography is performed in several positions:

  • with a bent and unbent back,
  • lying down
  • standing up

This allows you to determine the degree of displacement of the vertebrae in the non-fixed form of scoliosis.

With regard to draftees with non-fixed curvature, the doctors of medical commissions act on the basis of factors relevant at the time of the examination.

For example, if the survey results show a regression of the curvature, then a young man may fall into the category “a” (with a limited choice of group of troops), otherwise (no change, progress), the recruit may be considered unfit for military service.

Regardless of the nature and extent of scoliosis, it must be treated to prevent the development of the disease. Remember that you should always rely on the recommendations of the doctor and pay attention to the slightest changes in the state of their own health.

We offer correction of scoliosis 2-4 degrees in children with the help of special gymnastics. For two months of treatment, you will reduce the deformity by 5-15 degrees and strengthen the health of your child.

What is the difference between fixed and non-fixed scoliosis?

Fixed scoliosis shows rotation and deformity of the vertebrae, because the data obtained from X-rays in different periods of time at different positions remain the same.

Non-fixed, respectively, manifested by different data on the angle of curvature in different positions and at different times. Usually when lying down, the angle of curvature decreases.

Causes, provoking factors

The reasons for this condition are many. Among them are the following:

  • Systematically incorrect posture,
  • Shortening one of the limbs,
  • Myositis
  • Disc herniation, sciatica, osteochondrosis,
  • Pathology of the gastrointestinal tract and kidneys.

For these reasons, the disease is corrected quite easily - by eliminating the influence factor. Much more complicated with another group of causes, that is, with structural deformations in the body:

  • Hereditary pathologies of connective tissue: Marfan syndrome, neurofibromatosis, mucopolysaccharidosis,
  • Organic type lesions in syringomyelia, polio,
  • Parathyroid pathologies, osteoporosis, rickets and other similar diseases,
  • Congenital abnormalities in the structure of the chest: the presence of additional ribs or the absence of the required,
  • Dystrophic changes in the muscle tissues of the neck and back,
  • Tumors and spinal injuries,
  • Damage to the spinal column due to infection with syphilis or tuberculosis.

Signs, manifestations, symptoms at different stages

Symptomatology of non-fixed scoliosis is primarily manifested by a change in the angle of curvature, as seen in radiographic images. Symptoms appear depending on the stage.

  1. At stage 1, the symptoms may be completely absent, but the deformation of certain parts of the spine begins to peep.
  2. In the second stage, you may already experience discomfort in the back. At the same time the chest begins to deform - intercostal bulging gaps bulge out and internal ones sink down. In the lumbar region, a lumbar spine is formed, caused by abnormal muscle tension. At this stage, children can observe asymmetry of skin folds in the legs and buttocks.
  3. In the third stage, the vertebrae are twisted. It is at this stage that pathology can become a fixed type. Flatfoot develops, gait is disturbed, one of the limbs is shortened.
  4. At this stage, the most serious symptoms are already manifested: problems with childbirth and childbearing, emotional instability, depression. Functional abilities of organs are affected due to changes in the volume of the peritoneum and chest. Disturbed blood circulation and nerve conduction in the tissues. Due to brain hypoxia, the brain is affected. At this stage, complications are progressing in full swing.

Visual manifestations of deformity with scoliosis

Treatment depends on the stage. Apply drug therapy, if there is acute symptoms, as well as in the presence of the root cause of scoliosis. Drug treatment consists of:

Next, a general type of therapy is conducted with the use of alternative methods (acupuncture, manual therapy, hirudotherapy, etc.), as well as physiotherapy. At the same time, treatment is carried out with the help of exercise therapy, which corrects the condition of the muscular frame and the position of the spine.

But a specific range of exercises is considered by a specialist, based on the state, associated pathologies and other nuances. Sometimes it is decided to use a Schantz collar and stretch the spinal column.

Surgery for scoliosis, photo before and after

Forecasts are positive at the first stage. In this case, drug therapy for unfixed scoliosis is not required. Doctors are usually limited to physiotherapy and exercise therapy. At the second and third stages, the decision on the further course of therapy is made on the basis of the patient's state of health.

At the last stage, the predictions are already bad, since the therapy often does not give pronounced results and is conducted to maintain the patient’s condition and prevent further development of complications.

The program of exercise therapy for children with scoliosis:

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surgeon scoliosis posture

This essay is devoted to the description of the classification and symptoms of one of the most common diseases faced by pediatric orthopedic surgeons - scoliosis. The initial phenomena of scoliosis can be detected already in early childhood, but at school age (10 - 15 years), it manifests itself most pronounced. Scoliosis in literal translation from the Greek language means a curve. Simply speaking, this is a curvature of the spine in one direction or another. In some cases, the axis of the spinal column may deviate to both sides in different departments.

It is noteworthy that in healthy and physically developed people the spine is not ideally even, otherwise walking, running, lifting and carrying weights would be impossible. Normally, the spine of each person has 4 curvatures - 2 anterior (lordosis) and 2 posterior (kyphosis). These curvatures with a small degree of their manifestation can be called physiological, that is, normal. But the lateral curvature of the spine, scoliosis, cannot be called physiological, it is always a pathology.

Curvature can be localized in the cervical, thoracic, lumbar, or simultaneously in several parts of the spine. Breast scoliosis is most common. He is right or left. Scoliosis can be simple, or partial, with one side arc of curvature, and difficult - if there are several arc of curvature in different directions and, finally, total, if the curvature captures the entire spine. It can be fixed and unfixed, disappearing in a horizontal position, for example, when shortening one limb. Along with scoliosis, torsion is usually observed, i.e. rotation around the vertical axis, with the vertebral bodies facing the convex side, and the spinous processes in the concave. Torsion contributes to the deformation of the chest and its asymmetry, while the internal organs are compressed and displaced.

Scoliosis can be C-shaped when there is a curvature only in one direction - to the right or left, and only in one part of the spine - in the lumbar or thoracic (in the middle of the back).

Fig. C-shaped scoliosis

In addition, it is often found S-shaped scoliosis, when, for example, in the thoracic spine deviates in one direction, and in the lumbar - in the other (as a counterweight). And the spine in shape (as viewed from behind) becomes really similar to the English letter S.

Fig. S-shaped scoliosis

In addition to C-shaped and S-shaped scoliosis, there is another, rather rare form of scoliosis - the so-called Z-shaped scoliosis, in which 3 arcs of curvature are formed in the spine at once. This form of scoliosis is less common.

Fig. Z-shaped scoliosis

This pathology has 4 degrees, each degree corresponds to the magnitude of the deviation angle from the median axis of the spinal column, expressed in degrees.

1 degree - the deflection angle does not exceed 10 °

2 degree - 10 ° - 25 °

3 degree - 26 ° - 50 °

4 degree - more than 50 °.

In ordinary life, deformations caused by second-degree scoliosis are not noticeable, they are masked by clothing and movement. Therefore, in the overwhelming majority of cases, certain standardized conditions of examination are necessary, and they make it possible to identify the disease. Symptoms only in this case will appear most obvious.

When carrying out inspection of the child put exactly, the weight of his body should be evenly distributed on both legs, hands should be freely lowered along the body. When viewed pay attention to the following:

Triangles waist. This is the name of the free space between the arm and the waist, with arms lowered loosely along the body. In about 90% of cases with grade 2 scoliosis, they will not be symmetrical.

In case of grade 2 scoliosis, the level in the thoracic region will be different with respect to the floor of the shoulders and shoulder blades. Depending on whether the right or left-sided scoliosis is above or below the right or left scapula or shoulder. But it should be noted that although it is an important, but not a specific sign of deformity, it is characteristic not only of scoliosis.

Attention is also paid to the symmetry of the gluteal folds. The second degree of lumbar scoliosis is manifested by the fact that the folds will be asymmetrical. This symptom is especially evident in children, but at the same time it is an optional sign.

The most important thing that people pay attention to during the inspection is the presence of significant torsion. In general, torsion is the rotation of a vertebra around the longitudinal axis of the spine, it is a specific characteristic of scoliosis. That it leads to the most significant external changes - to the muscle roller and costal hump.

The most common test - test with a slope. The description of this method is not difficult to find, it is available in almost all materials devoted to the study and diagnosis of scoliosis. The essence of the method is simple - the patient must perform a smooth bend forward, alternately rounding first the cervical, then the thoracic and lumbar spine. Observation is carried out with the symmetry of the left and right half of the body, mainly the line that can be drawn along the tangent to the extensor muscles located in the lumbar spine and to the back of the ribs in the thoracic spine. When performing this test, it is clearly seen that the ribs on the one hand will act more, or the muscles in the lumbar region will stand out more on the one hand than on the other.

Also one of the symptoms of grade 2 scoliosis is retraction on one side of the chest. This may also be due to vertebral torsion.

There are also unfixed and fixed 2nd degree scoliosis. Unfixed scoliosis differs in that under load the curvature increases. This fact can be detected only by X-rays taken in the standing and lying positions - in the standing position, the angle of curvature will be greater.

The symptoms of scoliosis are diverse, as are the causes of its occurrence. By nature, scoliosis can be congenital and acquired. Congenital scoliosis develops due to improper insertion and development of the spinal column. The share of congenital scoliosis accounts for approximately 25% of all cases of this pathology.

Acquired scoliosis most often occurs in children and young people from 5 to 16 years, that is, during the period of growth and the final formation of the spine. Depending on the nature of the anatomical changes, scoliosis can be non-structural and structural. In the first case, the spinal curvature occurs without anatomical changes in the vertebrae. In essence, such scoliosis is secondary and always acquired. The causes of scoliosis in this case are as follows:

Systematic posture in schoolchildren

Anatomical shortening of one of the lower limbs

Injuries to the pelvis and lower limbs

Muscle Inflammation - Myositis

Radiculitis and herniation of intervertebral discs due to osteochondrosis

Diseases of the kidneys and gastrointestinal tract.

In most cases, such spinal curvatures are easily corrected — to do this, it is necessary to cure the underlying disease, which acts as an etiological factor. With structural scoliosis, the situation is somewhat different. These spinal deformities are caused by changes in the structure of the vertebrae, muscles, ligaments, and nerve fibers. In these cases, spinal curvature is often combined with pathological changes in other parts of the musculoskeletal system, internal organs, as well as mental retardation. These scoliosis can be either congenital or acquired. Below are the main causes of scoliosis with structural changes:

Hereditary pathology of connective tissue - mucopolysaccharidosis, neurofibromatosis, Marfan syndrome

Organic lesions of the spinal cord in polio, syringomyelia

Diseases of the parathyroid glands, rickets and other conditions leading to osteoporosis - calcium deficiency in bone tissue

Congenital abnormalities with structural changes in the chest (absence of one or several ribs, additional ribs)

Dystrophic changes of the muscles of the neck, back

The defeat of the spine tuberculosis, syphilis.

Causes in children

It is depressing that scoliosis most often affects children and adolescents. The most common causes of scoliosis in children are a sedentary lifestyle, improper posture during cooking lessons, long sitting at the computer. As a result, scoliotic posture is observed in 80% of schoolchildren. Not the last role in the curvature of the spine in children plays a wrong diet.

When it comes to scoliosis, numerous scammers of all stripes and traffickers from medicine often impose their “exclusive ideas” on people who suffer from scoliosis (and their concerned relatives) about what causes scoliosis and how to treat it now. Treat, of course, offer their services or goods. And under this product comes up with a theory of the onset of scoliosis.

Here are examples of the most common theories about the causes of scoliosis, literally "sucked from the finger."

Theory number 1 (distributed by sellers of various insoles): scoliosis - a consequence of flatfoot. But this is not so, because flat-footedness in no way can lead to scoliosis - curvature of the spine to the side. In fact, in this idea there is a substitution of cause and effect. In children who are physically underdeveloped, have a sluggish posture, or are sick with hypermobility syndrome, parallel to the development of scoliosis or kyphosis often also flatfoot occurs (since the cause of flatfoot is the same - weakness of the muscular-ligamentous apparatus). That is, the development of scoliosis and flatfoot often has one common cause, but these two diseases do not directly affect each other.

Theory number 2 (distributed by manual therapists - dropouts): scoliosis - a consequence of osteochondrosis. This is not true, since osteochondrosis is an age-related restructuring of the spine, usually in people over 40 years of age. And scoliosis often begins at a young age. So how can scoliosis occur due to osteochondrosis?

Theory No. 3 (distributed by some large clinics where intervertebral disc hernias operate): scoliosis occurs due to disc herniation. Here again we are talking about the substitution of concepts. Indeed, sometimes in the event of a disc herniation, a painful spasm of the back muscles and a distortion of the body occur. In fact - very similar to scoliosis. But this is, so to speak, temporary scoliosis. Remove the pain and spasm - and it will disappear overnight, without a trace. That is, a herniated disc will not lead to persistent scoliosis, to scoliotic disease.

Theory No. 4 (distributed by sellers of dietary supplements containing calcium): scoliosis is a consequence of osteoporosis, and calcium is supposed to be taken to treat scoliosis.

Osteoporosis is an age-related disease, a disease of the elderly (with very few exceptions). And it means that osteoporosis cannot cause scoliosis that began in adolescence. Perhaps illiterate sellers of supplements confuse osteoporosis with rickets, which also has the inferiority of bone tissue.But rickets causes osteoporosis not so often, and rickets is not treated with calcium, but with preparations containing vitamin D.

The basic set of exercises LFK consists of exercises that have a corrective nature and a strengthening effect on the muscles of the body, and those who carry out a metered stretching of the spine, which helps to get the correct posture. Among the basic rules that should be followed when doing physical therapy for scoliosis, when performing any exercise, there are:

you need to start with a minimum load, which should grow gradually,

exercise dosage should be carried out taking into account the patient's well-being,

only passive stretching of the spine is allowed, so you should not hang on the crossbar - such an exercise can cause irreparable harm to the body,

Exclusion of all exercises that are aimed at increasing the flexibility of the spine and include vertical rotation of the body is an important task of the exercises used.

Be sure to alternate exercises that affect the muscles of the shoulder girdle and arms with exercises that determine the load on the leg muscles.

5.Mainregulationsrunbasicexercise

Basic exercises for scoliosis should include a warm-up, the main and final part. During the warm-up it is important to try to maintain correct posture. To do this, you can become to the wall, touching it with heels, tibial muscles and buttocks, then take 2 steps forward, maintaining the correct posture. It is important to breathe without delay. With scoliosis, children perform simpler spine exercises.

Then you should put your legs shoulder-width apart, raise your arms up, inhale, stretch and lower your arms while exhaling. It is also important to maintain correct posture.

For a warm-up, you can apply circular movements of the shoulders, bending the legs at the knee joint with their simultaneous attraction to the stomach, and bending the body forward with arms outstretched. You can also use simple squats, which should be performed at a slow pace, which is important when applying exercises - another type of exercise therapy for scoliosis in children, in patients with shallow breathing is undesirable, because too intense squats can provoke dizziness, headache, tachycardia and deterioration of health .

The main section should include a list of exercises that are compiled by an experienced doctor - a specialist in posture correction. They depend on the degree of curvature of the spine and the anatomical and physiological characteristics of the patient. In this case, special attention should be paid to the correct execution of the selected exercises, respect for their consistency and systematic training.

The final part in most cases includes walking on toes and heels, as well as walking with lifting the thigh or with the "overwhelming" of the lower leg.

Currently, scoliosis is commonly thought of as scoliotic disease. Scoliotic disease is a severe progressive disease of the spine, characterized by arcuate curvature in the frontal plane and torsion (twisting) of the vertebrae. Exercises should be applied against the background of restorative exercises. Corrective exercises in the form of execution are divided into symmetrical, asymmetrical, detorsion. When performing exercises, in no case can the resulting pathological abnormalities be increased, the spine should be “rattled” (not to increase its flexibility), and the strengthening of muscles contributes to the immobilization of the spine. Perform corrective exercises should be in those initial positions, when the spine is the most unloaded from the static load.

Symmetric corrective exercises. An important advantage is the relative simplicity of the procedure and selection, which does not require consideration of the complex biomechanical working conditions of the deformed musculoskeletal system in scoliosis. These are exercises in which the median position of the spinal column is maintained. The corrective effect is associated with unequal muscle tension when trying to maintain the symmetrical position of body parts during scoliosis: the muscles on the convexity side tighten up more intensively, and on the side of the concavity they stretch somewhat. In this case, there is a gradual alignment of the muscular draft on both sides, its asymmetry is eliminated, the muscular contracture on the concavity side of the scoliotic arch is partially weakened and amenable to reverse development.

Asymmetric corrective exercises allow concentrating their therapeutic action locally, in this part of the spinal column. They need to be selected specifically for this patient in order to train only the weakened and stretched back muscles, while contraction of these muscles the scoliotic arch flattens and flattens. Thus, these exercises can be applied in cases where scoliosis has one arc of curvature or two arcs, located far from each other.

For example, one arc formed in the thoracic spine, and the other in the lumbar spine. When performing asymmetrical exercises for one arc, it is possible to fix a part of the spine with another arc so that the existing deviations do not increase there.

Fig. 4. Asymmetric corrective exercises

Dehortion corrective exercises are used in cases where torsion of the vertebrae prevails during scoliosis. Children's exercises perform several tasks:

· Rotation of the spine in the direction opposite to the torsion,

· Correction of scoliosis by the alignment of the pelvis,

· Stretching the contracted and strengthening the stretched muscles in the lumbar and thoracic regions.

Fig. 5. Deleted corrective exercises

The detortion exercises are carried out taking into account the fact that with right-sided scoliosis, torsion is performed clockwise, and with left-sided - against.

The detonation exercises are performed from different starting positions: lying on an inclined plane, hanging and standing. In the thoracic region, the exercises are performed by the work of the muscles of the upper limb girdle, and in the lumbar region by the work of the muscles of the lower limb girdle. The amplitude of exercise movements should be strictly controlled and carried out until the arc of curvature is aligned, but no more. A contraindication to the use of asymmetric and detorsion exercises is the progression of scoliosis. Selection of asymmetric exercises should be carried out with a strict account of the localization of the process and the nature of the action of selected exercises on the curvature of the spine. Spinal unloading in the treatment of scoliosis is a necessary condition for a special and local effect on it. Active stretching is achieved with the help of special exercises (Fig. 6.1-6.4):

· Self-stretching with the support of hands on the wings of the iliac bones,

· Pulling up, standing on a gymnastic stick,

· Hanging on the gymnastic wall,

· Chin spinal extension.

It is obligatory to include static and dynamic breathing exercises in the exercise, since the scoliotic process is often combined with respiratory diseases and marked disorders of the respiratory function.

Fig. 6. Special exercises for active stretching of the spine

At all stages of the treatment of scoliosis, great attention is paid to the upbringing and consolidation of the skill of correct posture.

Correction of the existing spinal defect cannot be solved without increasing the mobility of the spine, its mobilization. To do this, use the exercise in crawling on all fours, mixed visas and exercises on an inclined plane.

The construction of therapeutic gymnastics classes is subject to the same principles as the construction of therapeutic physical training classes in general. This includes the observance of the physiological stress curve, the principle of distraction of the load and the use of breathing exercises to relieve fatigue. I. n. Child - lying on his back. Breathing exercises. Repeat 3-4 times. I. p. Child - lying on his back, arms behind his head, legs together. Alternately bend the legs at the knee and hip joints - “pistol”. Follow ”to ensure that the heels do not touch the floor when performing the exercise, the movement of the lower leg should be parallel to the floor (Fig. 7.5). Repeat 6--8 times for each leg. I. p. Child - lying on his back, arms bent at the elbows. Bend with emphasis on the elbows and heels - "bridge".

Repeat 3-4 times. After doing the exercise, you should relax 4.I. n. child - lying on the stomach, arms bent at the elbows, legs straight. Extend your arms forward, slightly raise straight legs. Then slowly spread straight arms to the sides and at the same time spread straight legs. Arms bend to the shoulders, legs together. Return to the original position. Do not hold your breath repeat 4-5 times. I. n. Child - lying on his back. Breathing exercises. Repeat 4--6 times. I. p. Child - lying on his back, legs straightened, arms behind his head. Alternate lifting of straight legs. When performing the exercise, make sure that the legs do not touch the floor, perform the exercise at an average pace with effort. Repeat 10-12 times. I. n. Child - lying on his back. Breathing exercises. Repeat 4--5 times. I. p. Child - lying on his stomach, in his outstretched arms medical ball, legs shoulder-width apart. Lifting outstretched hands. Monitor the correct position of the head. Repeat 5--6 times. I. n. Child - lying on his back. Bend the right arm at the elbow and at the same time the left leg at the knee and hip joints, straightening the right hand

Fig. 7. Corrective exercises in violation of posture and scoliosis.

Four exercises that help 2-3 times a day before meals or 2 hours after meals help the students to correct defects in their posture.

Exercise 1. Standing, perform several breaths with an accentuated exhalation (drawing in the abdomen in the second half of the exhalation). 1 - deep breath, 2 - exhaling, sit on the heels (Fig. 8, 1), 3 - perform a breath on your knees with your arms down, 4 - exhale, sit on the heels. Repeat 6--8 times in a row.

Exercise 2. Sit down between your heels (Fig. 8, 2), bend your arms behind your back, fold your palms up with your fingers (head up). Hold this position for 10-30 seconds, then stand, walk and again take the same position. Repeat 6-12 times. This exercise is easier to perform while walking, and as you strengthen your back muscles alternate exercise, standing and sitting.

Exercise 3. First, while standing, and then, while walking, join the fingers of the hands as shown in fig. 8, 3. Every 5-10 to change the position of the hands. If there is a lateral curvature of the spinal column, then you should check at what position of the arms its curvature decreases, and in this position perform the exercise multiple times. Breathing is arbitrary.

Exercise 4. Sit on the rug "in Turkish" or as shown in Fig. 8, ^ 4 (legs bent, feet folded, head upright chin slightly matched). Breathing is arbitrary, shallow.

6.Indicationsandcontraindicationsforoccupationsphysicalcultureandsportsatscoliosis

Running is a relative contraindication. You can run only with a slight and moderate curvature of the spine. Prohibited from running with scoliosis of 3-4 degrees, as well as during a rapidly progressing process.

All exercises performed on one leg, whether standing, forward or outward with dumbbells and without them. These exercises adversely affect the configuration of the pelvis, which is already curved during scoliosis.

For the same reason, it is forbidden to sit in the lotus position. This pose with the inversion of the legs at the knee joints.

Somersaults are too dangerous in terms of injury, even for a normal spine. Therefore, with scoliosis, they are categorically contraindicated.

Dancing and gymnastics create a high uneven load on the spine. Therefore, it is contraindicated in its curvature.

Prohibited all exercises involving vertical axial load on the spine and circular movements with turns.

Outdoor sports (football, badminton, volleyball) are also contraindicated. Some of them are associated with a quick run, and others - with quick corners of the body.

A set of exercises is most relevant for curvature 1-2 degrees and is the main type of treatment, whereas for scoliosis 3-4 degrees, this method is only an auxiliary. The main objectives of the use of exercise therapy in the treatment of scoliosis are: eliminating the imbalance of muscles and ligaments, maximally relieving the spine, strengthening and proper development of the muscles and ligaments of the back, correcting and forming the necessary posture, improving the general condition of the body. The complex of physical therapy includes such methods as massage, physical and manual therapy, gymnastics, as well as yoga and swimming. The combination of all these methods in the early stages of scoliosis allows you to achieve results in a short time, prevent functional impairment of internal organs and eliminate all defects of posture.

Exercises in a standing position: We carry out walking on a place, trying to keep a straight posture. We rise on the socks and stretch our arms as high as possible, then smoothly lower. We stretch our arms upward, but at the same time our feet remain on the floor, just as slowly lower our arms.

Exercises in the supine position: In the supine position, we pull the right elbow to the left knee, then change positions. We tighten each knee to the chest alternately, fix it, count to 5, slowly lower it. Fixing hands on the floor, raise both legs and slowly try to tilt them to the left and then to the right side. Slowly raise the legs, bent at the knees, to the stomach and do one clap with your hands behind the knees. We press the shoulder girdle tightly to the floor, at the same time we stretch the legs and the back and count to 30.

Exercises in the prone position: We stretch our arms in front of us, then lift our legs off the floor, while pulling the back muscles, fixing in this position for a few seconds. You can swing back and forth. We put our hands in the lock behind the head, then we try to slowly raise our heads up and bend in this position, fix them for a few seconds. Lean in front of us in the palm of the hands and lift each leg in turn, as far as possible from the floor.

Exercises in a standing position on all fours: Straighten the right arm and pull it forward, while raising the left leg and fix the body in this position for a few seconds. We bend back muscles, while trying to raise the head as high as possible, fix the back in a bent state for a few seconds. Raise the back, while trying to reach the right knee to the head, then slowly change the leg and repeat the movement.

This topic remains relevant, as the development of diseases of the back and at the same time a variety of methods for detecting these diseases and treatment, together with the elimination of side effects of treatment with modern medicine are not fully opened. As mentioned above, these problems have worried humanity in all the time of its development since the very origins.

So, summing up my work, I would like to note once again that scoliosis is a complex, but treatable disease. Treatment depends on the age of the patient, the type of scoliosis and the degree of spinal deformity. But the main thing is from the very desire of the patient to heal and correct his way of life from negative to healthy.

The most important thing in treatment and prevention: morning gymnastics, wellness training, and active rest are the motor minimum necessary for everyone and consists of walking, running, gymnastics and swimming. And this is a normal and typical (healthy) lifestyle.

Differences of the disease

What is the difference between fixed scoliosis and unfixed? The differences between these two types of spinal disease are quite significant.

At the fixed type it is observed:

  • twisting of the vertebrae in the vertical plane, their deformation is observed.
  • the disease does not change for a long time, does not depend on the position of the patient.
  • the pictures have the same angle of curvature.
  • pathology is treatable with the help of gymnastics and manual therapy.

The unstable type is characterized by:

  • constant mobility of the vertebrae and frequent changes in the angle of curvature.
  • to determine the unstable disease, lateral deformity and the degree of fixation of the spine are studied.
  • for diagnosis, it is necessary to study the X-ray images with a bent and straight back.

What is fixed and unfixed scoliosis becomes clear from the above definitions. Depending on the form of expression of one or another pathology, the degree of fitness for conscription to military service is determined.

Unfixed scoliosis

I apologize for creating the hundredth topic on scoliosis, but I am interested in a question that I haven’t found yet a clear answer to.
My son has a 2nd degree scoliosis with a standing angle of 15 degrees. But he was also taken a snapshot, and on it an angle of 10 degrees. In conclusion, the rennologist diagnosed “non-fixed scoliosis of the 2nd degree”. Son made pictures at will, even before the conscription company in the district clinic. He was also registered for scoliosis in the children's clinic with 12 years.
I began to look for info about fixed-unfixed and opinions are different. Who calls unfixed, if the pictures standing and lying on the degrees differ. Other sources say that unfixed is considered if it disappears completely without a load. Some doctors say that completely fixed 2nd degree scoliosis with identical angles is only found in old people, and such as my son falls under the definition of "partially fixed". What to believe?
Again, here on the forum I saw recommendations to take a picture only while standing. But after all on VK can once again force to make both pictures. How to act here? Can the military. Do doctors try to recognize fit for service based on the difference in the pictures? Although if such a corner remains lying, what kind of it is unfixed? In addition, if you read Article 66 "g" (which may try to assign), then there about the second degree of scoliosis is not said at all, it is worth just "curvature of the spine."
In general, tell me further tactics - how to act and is there a chance to win the case in court, if it comes to that?
Agenda for honey. The commission from a military registration and enlistment office yet was not.

First degree scoliosis

For scoliotic curvature of the 2nd degree, conservative treatment is quite suitable, but it will have to be applied for a rather long time. In this case, children should be observed by a specialist before the end of the development of the musculoskeletal system.

When prescribing treatment to patients with second-degree scoliosis, the doctor first of all recommends taking a course of special physical education, including gymnastic exercises and the use of special simulators.

Each type of scoliosis (c-shaped, s-shaped) requires specific exercises aimed at straightening the spinal column and developing muscles in the right direction.

Exercises therapeutic gymnastics spend long courses under the supervision of a physician.

For children and adolescents, treatment is limited to preventive actions. This is enough for effective therapy. At the initial stage of scoliosis, using general strengthening methods, the posture is leveled, the back muscles are strengthened.

For adults, other treatments are used: conservative, manual and drug. In the first two cases, physiotherapy, wearing a corset, massages, physical therapy and manual therapy are applied.

In the medical method of treatment, drugs are used to strengthen and restore the cartilage tissue between the vertebrae (chondroprotectors), which strengthen the blood flow to provide muscle tissue with nutrients and minerals.

Events prescribed for the treatment of scoliosis of 1 degree:

  • Healing Fitness
  • massage
  • simulator classes
  • physiotherapy
  • swimming
  • balanced diet.

Healing Fitness

Physical therapy classes are prescribed by a doctor, and a set of exercises for a particular person is selected. The localization and shape of the bend is taken into account. At the initial stage simple basic exercises.

The first degree of scoliosis is the initial stage of the disease, which is characterized by subtle displacement of the vertebrae due to severe muscle weakness. Muscles do not keep the vertebrae in a physiologically correct position, because of which they begin to move.

Main features

In ordinary life, deformations caused by second-degree scoliosis are not noticeable, they are masked by clothing and movement. Therefore, in the overwhelming majority of cases, certain standardized conditions of examination are necessary, and they make it possible to identify the disease.

Symptoms only in this case will appear most obvious.

Symptoms of deformity caused by the second degree of scoliosis, in ordinary life, the degree is not visible - they are easily masked by clothes. The most obvious signs of the disease are detected during a general medical examination.

Such an inspection requires that the patient stand evenly, evenly spreading the weight on both legs and arms down along the body.

With scoliosis of 1 degree, there are inherent symptoms. Pronounced are the asymmetric arrangement of the shoulders or pelvis.

At the same time the posture is disturbed, the slouch is clearly visible and the lordosis is increased. Not to be confused with another disease asymmetric or lethar posture.

Seemingly the same symptoms, but caused by an imbalance of the muscles. Placing the person in a horizontal position, external defects disappear.

Spinal curvature and military duty

Do they take to the army with non-fixed scoliosis? The question of this type of disease is still open.

This is due to the fact that when you pass the medical examination for the first time, the offset can be more than 1 degree or even 2 degrees, but when you re-examine the curvature can be reduced. This is the difference between fixed and non-fixed scoliosis.

If at the time of the call the degree is sufficiently large, then the draftee will receive a deferment to military service. If changes are identified at the re-examination, a decision may be made on the restriction in the choice of troops for military service for health reasons.

Fixed curvature is stable. With a pronounced disease of the second degree or more, the draftee is unfit for military service.

Signs of curvature

Left-side unstable thoracolumbar scoliosis of 1 degree is considered the most common type of curvature. It is characterized by the following manifestations:

  • shoulder asymmetry,
  • pelvic asymmetry,
  • slouch,
  • violation of posture.

The unfixed form at the initial stages can be characterized by the fact that the curvature disappears when the additional load on the back is removed.

Most often, this phenomenon is observed in children. For example, when the baby is standing, the curvature is visible, and if he lays down, the back straightens. In this case, it is necessary to undergo a full examination and take pictures in several projections.

The first two forms are determined by the deformation, the angle of which does not exceed 40 degrees. With a greater angle of curvature, put degree 3 or 4.

Most often there is a pathology of the thoracic spine. And if a stable (fixed) can be treated conservatively, then the unstable must be treated surgically. Although some methods will help support the health of the back.

How to support the spine

In an unstable position, you can support your back with the help of conservative methods, which include:

  • gymnastics, aimed at strengthening the muscular system,
  • electrophoresis that stimulates blood circulation
  • acupuncture, affecting the biologically active points and improving the work of the whole organism,
  • breathing exercises, effective in thoracic scoliosis,
  • massage to help relax and tone up the muscles
  • wearing a variety of supporting corsets.

Any conservative treatment method should be agreed with a specialist. Gymnastic exercises should include only gymnastics, aimed at improving the condition of the back muscles.

If it is impossible to influence the posture with conservative methods, the progression of the disease, as well as the deterioration of a person’s condition and quality of life, surgical treatment may be prescribed.

Complications of the disease

Serious health problems are fixed in a person when unfixed scoliosis enters stage 3–4. In this case, the work of the internal organs is affected, which, due to a strong displacement of the spine, begin to shift, which violates their functionality.

Surgical intervention is prescribed in the event that the angle of displacement is more than 45 degrees. Among the main complications arising on the background of scoliosis, can be identified:

  • heart diseases,
  • diseases of the respiratory system
  • circulatory disorders.

For women with an unstable type of pathology, it will be difficult to bear a child, since the load that increases during pregnancy can cause an increase in the angle of curvature.

In addition, the constant carrying of a child in her arms after childbirth will also affect the health of the back.

In order to improve health, it is necessary to follow all the recommendations of a specialist, be examined for the progression of the disease, lead an active lifestyle and give up bad habits.

Saline compresses and pine baths will help get rid of muscle spasm, which causes strong painful sensations.

Types and degrees of scoliosis

If you are wondering, “how to cure scoliosis of 2 degrees,” then you should not conduct independent experiments, but rather go to a doctor who will determine the course of treatment for you.

As a preventive measure, you can do general physical training, taking care that there are no asymmetric loads that can aggravate the situation.

It is worth noting that physical rehabilitation is one of the main methods of treatment, but even it should be carried out systematically and under the guidance of a knowledgeable person.

With the question of how to cure scoliosis of 2 degrees, it is better to consult a doctor, as the treatment in each case requires an individual approach. To do this, use physiotherapy, massage, exercise and breathing exercises.

Summarize

In the second stage of the disease, the curvature becomes more noticeable. However, the prognosis for treatment is favorable. In children and adolescents, scoliosis responds well to treatment at any stage of the disease. Adults can also easily be cured, as the disease progresses slowly.

Treatment at home is in the daily performance of therapeutic exercises, breathing exercises. Massage and physiotherapy should be performed in specialized rooms, under the supervision of a specialist.

Watch the video: Indian Army Medical Procedure. Diseases for Rejection. Check up Doctors (April 2020).

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