In daily life, many parents often worry about whether their children have scoliosis when they discover problems such as poor sitting posture and hunchback. What is the correlation between poor sitting posture, hunchback, and scoliosis? How should parents scientifically identify and respond? Firstly, it should be clarified that long-term poor sitting posture and hunchback do not necessarily equate to scoliosis, but should be highly valued. ”Jiang Xieyuan, chief physician of Beijing Jishuitan Hospital affiliated with Capital Medical University, told reporters that if a child has conditions such as crooked sitting, hunchback with chest, etc., and can be corrected in a timely manner after being reminded, most of them belong to poor posture or postural scoliosis, and there is no need to panic excessively; But we need to be vigilant about structural scoliosis, which is the true meaning of spinal scoliosis and requires timely intervention. Jiang Xieyuan reminds parents to start from the following three aspects: scientifically identifying scoliosis, grasping the key period of treatment, and choosing appropriate intervention methods. One is to learn to recognize early signals and conduct preliminary screening. Parents can determine whether their child's spine is abnormal through two simple observations: standing observation, asking the child to take off their shirt and check from behind whether the shoulders are of equal height, whether the shoulder blades are symmetrical, whether the waist lines on both sides are consistent, and whether the torso is offset. If there are unequal shoulder heights, asymmetrical waist lines, asymmetrical shoulder blades, etc., they need to be vigilant; Forward bend test, having the child's feet together and their body bend forward, observing whether there is unevenness on both sides of the back and whether there is any waist or back bulge, in order to complete the preliminary screening. The second is to seize the golden treatment period of adolescence and avoid delaying intervention. Jiang Xieyuan introduced that girls aged 11 to 12 and boys aged 12 to 13 are in the peak period of growth and development. This stage is not only a period when scoliosis is prone to occur and worsen, but also the best window for conservative treatment. Adolescence and adolescence have strong plasticity, and through regular conservative treatment, further development of scoliosis can be effectively avoided; If this critical period is missed, with age, it may develop into severe scoliosis or adult scoliosis, which may not only cause symptoms such as lumbar spinal stenosis and nerve compression, affecting normal life, but also damage cardiovascular function. The third is to scientifically choose intervention methods and avoid blind treatment. Jiang Xieyuan introduced that not all children with scoliosis need to wear braces, and accurate judgment should be made based on the degree and growth of scoliosis. Mild scoliosis is mainly treated with rehabilitation training and regular follow-up observation; Children with moderate scoliosis and in the growth stage usually require braces for treatment. Standardized wearing can effectively control the progression of the condition; When there is severe scoliosis and the angle is large, surgical intervention may be necessary. The specific surgical plan needs to be comprehensively judged by professional doctors based on imaging examinations and the child's growth and development. Regarding the maintenance of adolescent spine health, Jiang Xieyuan suggests that adolescents and parents should actively learn about spine health knowledge, control the time spent watching electronic products and television, maintain a correct sitting posture of "one fist, one foot, one inch", avoid reading books and excessive use of electronic products while lying down, and reduce the burden on the spine; At the same time, actively strengthen physical exercise and enhance the strength of muscles around the spine. It is worth noting that abnormal spinal curvature has been included in adolescent health examinations in China. If abnormalities are found during school examinations, parents are advised to promptly take their children to professional medical institutions for treatment to avoid delayed treatment. (New Society)
Edit:WENWEN Responsible editor:LINXUAN
Source:Economic Daily
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