Email this article 
Post a Comment Prevention of scoliotic spinal deformity in children with mild neuro-orthopedic pathology
- Authors: Schekolova N.B.1, Ladeischikov V.M.1, Nenakhova Y.V.1, Likhacheva L.V.2
-
Affiliations:
- E.A. Vagner Perm State Medical University
- Children’s City Polyclinic № 6
- Issue: Vol 37, No 3 (2020)
- Pages: 103-109
- Section: Preventive and social medicine
- URL: https://journals.rcsi.science/PMJ/article/view/44270
- DOI: https://doi.org/10.17816/pmj373103-109
- ID: 44270
Cite item
Full Text
Abstract
Objective. To describe in details the prevention of scoliotic spinal deformity in children with mild neuro-orthopedic pathology.
Materials and methods. The health status of 125 children aged 3 to 15 years was studied. To investigate in details the neuro-orthopedic pathology and estimate the efficiency of treatment, the method of computed optic topography and electroneuromyography was used.
Results. Clinical and functional features in children with mild neuro-orthopedic disorders were characterized by the combination of vegetative, topographic and electromyographic changes. Scoliosis and spinal deformity progressed in children, who were not treated. Computer-topographic method of diagnosis determines the degree of severity of spinal state. Electroneuromyographic study is the method that permits to assess and predict the muscular dysfunction degree. All the children had conservative complex treatment at ambulatory-polyclinic rehabilitation institutions. The total efficiency of treatment was 95 %.
Conclusions. 1. Mild neuro-orthopedic pathology is formed and progresses against the background of neuro-muscular and vegetative disorders while a child is growing and developing. 2. Computed optic topography is a reliable early diagnostic and prognostic criterion for estimation of scoliosis in the therapeutic program. 3. Purposeful conservative treatment and follow-up of children and adolescents prevent the progression of neuro-orthopedic pathology.
Full Text
##article.viewOnOriginalSite##About the authors
N. B. Schekolova
E.A. Vagner Perm State Medical University
Author for correspondence.
Email: nb_sh@mail.ru
MD, PhD, Professor of Department of Traumatology, Orthopedics and Neurosurgery
Russian Federation, PermV. M. Ladeischikov
E.A. Vagner Perm State Medical University
Email: nb_sh@mail.ru
MD, PhD, Head of Department of Traumatology, Orthopedics and Neurosurgery
Russian Federation, PermYa. V. Nenakhova
E.A. Vagner Perm State Medical University
Email: nb_sh@mail.ru
Candidate of Medical Sciences, Associate Professor of Department of Traumatology, Orthopedics and Neurosurgery
Russian Federation, PermL. V. Likhacheva
Children’s City Polyclinic № 6
Email: nb_sh@mail.ru
Candidate of Medical Sciences, traumatologist-orthopedist
Russian Federation, PermReferences
- Shchekolova N.B., Lihacheva L.V., Pecherskij V.I. The effectiveness of diagnostic and treatment technologies in the conservative treatment of orthopedic pathology in children.Ural'skij medicinskij zhurnal 2012; 7 (99): 96–100 (in Russian).
- Shchekolova N.B., Lihacheva L.V. Pathogenetic approach to the diagnosis and treatment of children with clinical and functional orthopedic disorders. Permskij medicinskij zhurnal 2013; 4 (30): 34–40 (in Russian).
- Shchekolova N.B., Kravcova E.YU., Nenahova YA.V., Lihacheva L.V. Diagnosis and rational treatment of mild neuroorthopedic pathology in children and adolescents. Voprosy kurortologii, fizioterapii i lechebnoj fizicheskoj kul'tury 2015; 2 (92): 23–27 (in Russian).
- Manganiello A. Asymmetrical lower limbs. Lumbosacral changes and scoliosis. Radiol Med Italian 1985; 71: 298–302.
- Gajduk A. A., Sarnadskij V.N. Classification of frontal spinal curvature in the background of pelvic skew in children and adolescents according to computer optical topography. Hirurgiya pozvonochnika 2011; 1: 33–40 (in Russian).
- Gajduk A.A., Potapchuk A A. Physical rehabilitation of children of primary school age with static disorders of the musculoskeletal system. Genij ortopedii 2011; 4: 58–62 (in Russian).
- Filatov V.V., Gajduk A.A. Manual therapy technique and objectification of examination results in case of static disorders of the musculoskeletal system. Lechebnaya fizkul'tura i sportivnaya medicina 2010; 12: 42–48 (in Russian).
- Shchekolova N.B., Lihacheva L.V. The dynamics of biomechanical and electromyographic changes in the conservative treatment of children with idiopathic shortening of the lower extremities. Permskij medicinskij zhurnal 2013; 1 (30): 73–78 (in Russian).
Supplementary files
