Supplementum 3+4/2007 - Společnost pro pojivové tkáně

etiopathological (epg) classification of scoliosis
(see below). Each type of scoliosis
begins as the child starts to stand and to
walk in 2–3–4 year of life! Material for
research were 1450 children in age from
3 to 18 years.
Three models of development
of scoliosis
Etiological factor found in children
is limited adduction or abduction contracture
of right hip (often with flexion
and external rotation contracture). Next
in development of spine deformity is
asymmetry of movements between right
and left hip which influences growth
of spine through “asymmetrical loading
during gait” and stand position “at ease”
only on the right leg which means also
asymmetrical loading.
Which children and in which
countries do not have so-called
idiopathic scoliosis Why the blind
children do not have this spine
deformity
Biomechanical models of scoliosis give
answers to many questions. First explanation
is that scoliosis develops in context of
“gait” and of “standing position “at ease” on
the right leg. It was confirmed in October
2006 by Professor Josef Hyanek – biochemical
doctor & pediatrician from Prague/
Czech Republic (during Prague-Sydney-
Lublin Symposium – Organizer Prof. Ivo
Marik): he during his stay in Mongolia/Asia
for 2 years never noted scoliosis in children.
Why – my answer – “because in
children in Mongolia does not react the
“biomechanical model of development of
scoliosis”. The children in Mongolia mostly
ride on horses and they do not walk”.
There was also question (Professor
Veikko Avikainen from Finland and
Professor Jacques Boulot from France –
discussion on International Orthopaedic
Congress in Cairo – 4–9. 12. 2006) why
there is no scoliosis in blind children My
answer from January 2007: blind children
walk differently than children who see
normally and because of this – they do not
have scoliosis. Blind children walk without
“eye control” but with the big “thinking-
-muscles control”, with careful every step,
which changes “the manner of walking”.
Their walk is with short steps, slowly and
with “great caution” and without normal
lifting of legs. Also ophthalmologists (Dr
Jolanta Karska) confirm that blind children
in Outpatient Clinics stand mostly
carefully in abduction, with loading symmetrically
on both legs what protects against
scoliosis.
Conclusions
1. Etiology of so-called idiopathic scoliosis
is strictly biomechanical. Connection
with right hip contracture/limitations
resulting in asymmetry of walking,
asymmetry of loading and asymmetry
of growth of pelvis and of spine. The
asymmetry is connected with the “syndrome
of contractures” described by
Prof. Hans Mau.
2. There are three groups (“S” scoliosis –
I epg, “C” scoliosis – II/A epg & “S”
scoliosis – II/B epg, “I” scoliosis – III
epg) of development of these secondary
spine deformities depending on
range of asymmetry of movements of
hips (biomechanical models of development
of scoliosis), connected with
ambul_centrum@volny.cz
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