Posture disorders and treatment in children

Posture disorders and treatment in children

Improper posture in children due to incorrect sitting in front of the computer and inadequate school desks. PRIVATE 29 MAY HOSPITAL Physical Therapy and Rehabilitation Specialist Dr. Ayla Özlem İNCE conveys important points on the subject.

What is posture disorder in children?

Posture disorder is defined as the deviation of the posture of the spine from normal. When we look from the side in a normal posture, there is a slight hump (kyphosis) on our back and a slight depression (lordosis) on our waist. Increasing or decreasing these curvatures may lead to posture disorder and pain. In addition, the curvature of the spine when viewed from the front and back is called scoliosis. Scoliosis should not be present in normal posture.
Good posture training starts from childhood. The source of low back, back and neck pain is the bad posture habits acquired many years ago.
After several studies, the incidence of low back pain in school-age children is reported to be between 8% and 74%. These rates are quite high.

Why are posture disorders increasing?

- Wrong sitting in front of computer, inadequate school desks,
- Children sitting at school desks that are not suitable for their size,
- Carrying a heavy backpack from a very young age,
- Improper sitting, standing and sleeping (inappropriate bed selection),
- Visual impairment
- Being overweight (changing diet, fast food nutrition)

In most of these positions, our back is bent forward. It explains why humpback or scoliosis is the most common postural disorder in children with a rapidly developing spine structure.

What are the main complaints in posture disorders?

The first complaints of people with posture disorder are pain or tension in the neck, back and lower back. In particular, the back-loaded weights (school bags) can change the body's center of gravity and disrupt normal posture. In this way, it is observed that joint, muscle and ligament structures are caused in the forward-lean spine. In the early stages, scoliosis does not affect life at all if it remains large enough to progress. If the child has reached serious dimensions, it may create a feeling of disability in the child. In advanced scoliosis, heart and lung problems may also occur due to narrowing of the rib cage.

When should posture be taken to prevent posture?

The most common posture disorder is posture disorder, which is also known as humpback among the people and is expressed in medical language as kyphosis or scoliosis. Scoliosis can be detected with a very easy test. This can be done in children aged 9-10 years by repeating every 6 months until the end of puberty. Scoliosis scans are conducted in schools, especially in some countries. Parents can do this at home easily.
Look at the back of the child from the head or hips when bending, telling your child to lean forward by hanging his arms down. If the back is symmetrical, the probability of scoliosis is very low. If there is a difference of more than a few millimeters between the right and left, then it is necessary to suspect a scoliosis and consult a doctor.

What are the other causes of posture disorders in children?

Scoliosis can occur for a variety of reasons. We can classify scoliosis as structural or non-structural in the spine.
Congenital scoliosis and idiopathic scoliosis of unknown origin are frequently seen in the structural group. The most common scoliosis is idiopathic (80%) of unknown origin. It occurs mostly in the 10s. Congenital scoliosis is thought to be caused by infections, diabetes, some vitamin deficiencies during pregnancy.
Non-structural scoliosis may be due to posture disorder, leg inequality or hip deformities.
Progress in scoliosis has been observed, particularly during periods of rapid growth. These periods coincide with puberty and sex characters. The incidence of girls and boys in school screenings was equal (approximately 1%). More progression of scoliosis is seen in girls.
* Carry heavy goods (backpack):
Backpacks should never be used for a long time.
. It should be ensured that the sum of the backpacks and the weight in it is less than 10-15% of the body weight of the carrier.
. Where long-term use of heavy bags is mandatory wheeled bags should be preferred.
. Orthopedic / ergonomic (with two wide and supported shoulder strap and waist belt, lightweight) bags, fashion or child's preferred color, etc. bags should be preferred.
. Backpacks should be carried properly by hanging from both shoulders and weight-balancing equipment such as waist belt should definitely be used.
* Emotional changes in adolescence:
In adolescence, many young people cannot adapt to the rapid growth of their body. Especially in the development of breasts in girls, shoulders and head of the posture is seen in front. In boys, the walking pattern may deteriorate as they cannot adapt to the growth of hands and feet.