SCOLIOSIS AND POSTURAL ALIGNMENT
In daily life, we often have to stand for more than a few minutes while we are talking to someone, waiting in line, or in our work life. During such natural postures, the body continuously shows low amplitude, slow oscillation and postural changes characterized by whole body movements. Body posture; It is the product of controlling several body segments by flexible joints and controlling with nerve-muscle system. When the other definitions related to posture were examined, the posture; It refers to the body posture which is provided by tension reflex and is protected against gravity.
What are the causes of postural disorders?
Among the most common postural disorders are scoliosis with lateral curvature of the spine, kyphosis with the anterior curvature of the spine, pes planus (base collapse), expressed as a decrease in the long arch of the foot.
What is Scoliosis?
Scoliosis is a disorder that causes an abnormal curve in the spine or spine. The spine has normal curves when viewed from the side, but should be straight when viewed from the front. Kyphosis is a curve in the spine on the side where the spine is leaning forward. There is a normal kyphosis in the middle spine. The Lordoz is a curve seen from the side where the spine is bent backwards. There is a normal lordosis in the upper (cervical) spine and lower (lumbar) spine. In people with scoliosis, they curve on each side of the body and with the spine bending, they develop on each other by forming a ‘C’ or an ‘S’ shape in the spine.
What are the symptoms of scoliosis?
The most common symptom of scoliosis is an abnormal curve of the spine. Often this is a slight change, and it can first be noticed by a friend or family member or a child doing routine screening for school or sport. The change in the curve of the spine is typically very slow, so it is easy to overlook until a heavier physical deformity occurs. It can also be found in a routine school screening examination for scoliosis. Affected people may notice that their clothing does not fit as before, and one of the trousers may be longer than the other. It may also cause the head to protrude from the middle line, lean on one side, or notice that a hip is higher than the opposite side of the shoulder. It may have a more prominent curve than the bending of the spine and ribs on one side of the rib cage. If scoliosis is more severe, it can make it more difficult for the heart and lungs to function properly. This may cause shortness of breath and chest pain. In most cases, scoliosis is not painful. However, there are some types of scoliosis that can cause back pain, rib pain, neck pain, muscle spasms and abdominal pain. In addition, there are other reasons for these non-specific pains that a doctor would like to look at to exclude other diseases. There are three basic treatment methods such as physical therapy, corset and surgery in scoliosis. Pains usually respond to regular sports and exercise programs, but if no longer responds or is not satisfied with the appearance and the life becomes more diffucult etc. , then surgery is recommended.
What is Pes Planus?
Pes planus, ie flat footing, is a foot deformity characterized by the fact that the inner long arch (the medial longitudinal arch) of the foot should be lost and that the heel slips outwards. There are three types, flexible, hard (rigid)and physiological. When the weight is given on the inner long arch (medial longitudinal arc) of the foot with a flexible flat bottom, the arch curves again when the weight is removed. By the hard flat footing whenever with weight or without weight the shape of the arch does not change and the height of the arc is below normal. In children, depending on the adipose tissue under the foot, there is a natural flatness appearance up to the age of 5-6 years, which creates physiological flatness ie the third type and this appearance should be lost until the age of 7 years. If it does not begin to form an inner long arch at this age, it shows a tendency to pes planus. According to the studies; pes planus was more common in males than females. In addition, obese individuals and in the familial history, those with loosening of the ligaments of the joint 27 showed more pes planus symptoms than those who did not. In addition, in a study conducted in the children of India and Congolese, pes planus prevalence is higher in those who were wearing shoes in the early childhood period than in those who weren’t wearing shoes.
- The first step in the treatment of flatness is shoe modification. First of all, orthopedic shoes that support the arches of the broad-toed and low-heeled feet should be selected.
- The use of insoles has no effect on the foot or corrective or deformity. This has been scientifically proven. However, in individuals with flatfoot pain, individual insoles may be given.
- Stretching the Achilles tendon is an important part of the treatment.
- Exercise and other methods of treatment does not raise the flat arc. The aim of these treatments is to reduce pain, prevent secondary foot problems, and prevent the formation of secondary problems in the musculoskeletal and spine.
- Apart from these, there are various treatment modalities used in kinesiological banding, electrotherapy methods and physical therapy.