Adolescent Scoliosis: Causes, Treatment, and Prevention Strategies

2023-12-05 00:38:00

Entered 2023.12.05 09:38 Views 0 Entered 2023.12.05 09:38 Views 0

When you enter puberty, you grow taller. Entering the ‘second growth period’. It grows by regarding 10cm every year.

As a result, the spine often becomes curved. In order for the vertebrae to sit properly, the surrounding muscles must grow along with the bones. However, at this time, bone growth is rapid, but the surrounding muscles cannot keep up with the speed.

[사진=클립아트코리아]During puberty, scoliosis, a curve of the spine of more than 10 degrees, occurs in 10-14% of girls and 5% of boys. These days, children spend more time sitting at desks at academies than doing outdoor activities, so their spines are more often bent. When you look at your phone too much and end up with a turtle neck, the spine underneath it is also affected.

Children with short stature, who are relatively shorter, have more severe scoliosis. These people usually receive hormone treatment because they grow rapidly due to growth hormones. This is because the imbalance between bone and muscle growth is more extreme. Moreover, even the bones were less ripe.

The same goes for children with precocious puberty, who reach puberty regarding two years earlier than other children.

Kang Han-wook, a specialist at Kabul Noksan Hospital (Pediatrics and Pediatric Growth Clinic), has been paying attention to this problem from early on. He said, “When children of short stature receive growth hormones, they grow rapidly and are prone to developing scoliosis.” He also said, “Children with precocious puberty also reach puberty at a young age, so their spine is less stable and the likelihood of bending is higher than other children.”

Most hospitals and clinics do not consider adolescent scoliosis a big deal. “It gets better as you get older,” or “If it’s uncomfortable, you can just wear a brace.” If the spine is so curved that it is difficult for the heart or breathing, then only then will surgery be recommended.

However, when there is low growth rate or precocious puberty, this problem is not so simple. It is fortunate if the spine becomes properly aligned as one grows into an adult, but there is a high possibility that scoliosis will remain as it is even as one gets older. This is why people complain of “my back hurts all the time” even though there is no particular reason at a young age.

Short stature that causes scoliosis, precocious puberty… You should carefully check the chest X-ray during your health checkup.

That’s why he always took spine x-rays first while treating patients with low growth rate or precocious puberty and monitored the progress. He said, “If you detect scoliosis early and start treatment for scoliosis, the prognosis will definitely improve,” and “Because the bones are still soft, the correction effect will be seen more clearly.”

Here, various physical treatments are applied in combination. Schroth exercise method, muscle strengthening exercise using a sling, rotation manipulation, balance taping, etc.

‘Air Balance’ 3D exercise equipment that moves like a game and tests body balance and core strength<사진>There is also.

PNF Physical Therapy-Air Balance 3D.

These are all ‘proprioceptive neuromuscular stimulation treatments’ (PNF) that correct the distorted body by stimulating the body’s sensory and motor nerves. The concept is to promote the body’s efforts to achieve correct alignment.

Last month, at the Korean PNF Society, they also received the grand prize in the excellent paper contest for ‘The effect of exercise methods that stimulate proprioceptive sense organs on changes in scoliosis angle in children’ (Jae-man Yang, Han-wook Han). This is because clinical cases have confirmed that better results can be obtained in scoliosis correction when PNF treatment is applied in combination.

On the 4th, specialist Kang Han-wook said, “I continue to feel in the clinical field that scoliosis in children and students is increasing. If we pay more attention to chest X-rays when conducting health checkups for students at school, we will be able to detect more scoliosis at an early stage. “He said.

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