EUROMEDICA 

Hanover

23-24  Mai 2011

Advanced methods of diagnosis,
treatment and prophylactics

European Academy of Natural Sciences, Hanover

European Scientific Society, Hanover


Lukyan Andriyk
Irina Magulka
MANUAL THERAPY IN THE COMPLEX OF TREATMENT AND REHABILITATION OF SCOLIOSIS IN CHILDREN
Danylo Halytsky Lviv national medical university, Lviv, Ukraine

Among the anomalies and malformations of the first place is occupied by various congenital disease of musculoskeletal system (scoliosis). It causes great theoretical and practical importance of the depth study, whose results can serve as a basis for the development of modern methods of diagnosis, prevention, and application of rational therapy.This work is dedicated to the principles of differentiated program of treatment and rehabilitation activities in the progression of the children`s scoliosis.

To improve the diagnostic, treatment and prevention of scoliosis are got for each child diagnostic and rehabilitation in time cards individually conducted the survey. The duration of the test about two hours. These cards are the basis for planning and individual programs for correction of children`s scoliosis.

Methods of diagnosing the physical condition of the child with scoliosis is to determine the level of development of motor skills and in-depth study of the spine to create an image map that indicated the violations found, allowing an individual to pick up and manipulate complex corrective exercises for each childand evaluate the comparative effectiveness of treatment over a period of time.

To determine the level of physical condition, motor activity and posture we use the following tests: endurance (by definition of maximal oxygen consumption using the technique treadmills for Azihapsi R.A), flexibility ( Eurofit), strength (method Oleshko), coordination skills (Lyakhov method).Building a graphics card musculoskeletal condition in the frontal and sagittal planes of the spine, causing the diagram layout, reflecting the normal spine, the visual inspection, fixing muscle rollers, edge hills, spastic and atrophic muscle, peak of the scoliosis, kyphosis, lordozis, shortened limbs and torticollis.

The «diagnostic card» contains recommendations and additional activities that child should do (physiotherapy procedures, usage of orthopedic products). After that, the diagnostic cad there is a possibility case to find an individual corrective exercises and manipulation, according to each. This is the «Card of rehabilitation», where the diagnostic conclusion and graphic images of the spine must be included.

As the сard of rehabilitation indicates the recommended amount of manipulation and dispensing, loading, taking into account the physical condition of the child, the way of treatment. Individually appointed special orthopedic products and devices that are necessarily used during manual therapy. We indicate stage and degree of difficulty during the manual correction of the child`s posture. Besides the important information is a list of prohibited activities for the child that may force a variety of reasons that can negatively affect on its general condition.

Therefore, the usage of manual therapy for correction of children`s scoliosis has preventative value. In many cases corrective exercises, mobilization, postisometric relaxation not only improves the results of correction, but also can eliminate the causes of the emergence of scoliosis. Especially it is important to restore supination of feet, toes form, reducing knee strain.