Ortopedická protetika Praha sro - Společnost pro pojivové tkáně

– Active sport practice in schools and
in “sport clubs” – stretching exercises
like Karate, Taekwon do, Aikido,
Judo, Kung fu, Tai chi, ballet, dance
etc.
– Special kind of sleep positions.
Foetus position on one side – with
maximally flexed legs and spine
–with knees at the chin – is a very
important protective position against
scoliosis.
– Free stand position only on the left
leg for all years (previous X-ray examination
of hip joint). This requires
good cooperation with parents –
because the free stand position on
the right leg at many children is very
difficult to change even over half or
one year.
New treatment is very effective in the
second and third (II nd & III rd ) etiopathological
groups of scoliosis and very effective
in the beginning phase of the first (I st )
etiopathological group of scoliosis. The
lecture will give all the details of the new
exercises and inform about “many forms
of proper exercises”. In summary we can
say that in prophylaxis and treatment it is
correct: a) standing position with weight
only on the left leg, b) all active exercises,
while standing, with legs apart, with two
phases, bending to the left leg and then
to the right leg for 5–8 seconds and then
returning to the upright position, c) sleeping
on the side with spine and legs flexed
as in a foetal position, d) exercises while
lying on back and lifting legs as far as on
can toward head, e) sitting in a relaxed
position – not upright, f) active sport exercises,
g) about 20 % of children with scoliosis
(mostly from the I–epg) need corset
therapy. We use mostly Chêneau corset or
Lublin model W-K”.
Material and Methods. Screening
examination for the so-called
idiopathic scoliosis
Screening examination was performed
in kindergartens and primary schools in
2000–2003 (it is still continued). Age of
children 4–6–8 years. There were 436 children
examined in total. In detail 130 children
(66 boys and 64 girls) with danger of
scoliosis were repeatedly examined, including
X-ray and photo documentation. The
applied examination consisted of clinical
tests(1): a) checking of symmetry/asymmetry
of movement of both hips. Especially
of adduction in strait position of both
joints; b) checking of flexion contracture
of right/both hips (Elly-Duncan test, Thom
test, Staheli test); c) checking of shape
of spine in flexion position (during the
Adams/Meyer “bending test for scoliosis”);
d) using the new “side bending test for
scoliosis” (Karski/Lublin); e) looking at the
“habit to stand on free of left or right leg”;
f) looking at the “habit during the sleeping”;
g) body build; h) anomalies – e.g.
spina bifida occulta (yes, no); i) accompanying
illnesses (e.g. rikets); j) sport – yes/
no and radiological and computer tests (2):
a) X-ray pictures, b) computer gait analysis,
c) photographic documentation.
Results
Results of new treatment and of screening
examination will be presented in
tables. In the I st etiopathological group
of scoliosis we observed progression of
scoliosis only at 13 % of children and in the
II nd etiopathological group only at 3 % of
children.
POHYBOVÉ ÚSTROJÍ, ročník 14, 2007, č. 3+4 243