Category: English Articles
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处理青少年脊柱侧弯时，请避免这些错误
随着青春期的身体变化很快，医生通常会在那时候注意到患者的脊柱侧弯——弯曲的脊柱。如果及早发现，大多数情况下都可以简单有效地处理。如果放置不管，脊柱侧弯可能会导致需要进行背部手术或终身面临脊柱侧弯所带来的挑战。 父母和医生必须迅速注意并解决脊柱侧弯症状，这一点至关重要。为了避免不必要的问题，请忽略网上经常出现的误导性讯息，并遵循每个误导性讯息背后所提供的常识性提示。 错误一：摆脱不良姿势 是的，如果您的女儿只用一个肩膀背着她的背包，她会向右倾斜。自然的，您的儿子在看电视时懒散地坐在沙发上。这两者看似都没有问题。但要注意，奇怪的站姿、不平衡的肩部或臀部，或左右侧腰部区域之间的差异都可能是脊柱侧弯。研究表示，十分之四的青少年皆患有青少年特发性脊柱侧凸，这是最常见的类型。 在下次就诊时，询问您的脊椎按摩师。他们比任何人都更容易看到弯曲的脊椎，您孩子的医生会知道是否该咨询专家了。您的医生可能会在青少年的年度身体检查时，注意到其脊柱弯曲。学校护士也可能会在全校进行身体检查时发现脊椎曲率。但请也不要依赖别人告诉您，应该主动观察并注意。 错误二：认为还有很多时间 请立即采取行动。时机决定一切。脊柱侧弯在大约 10 到 18 岁时开始变得明显。那时的骨骼因为还是处于柔软状态，所以脊柱仍然具有延展性——更容易移回原位，或者至少不再弯曲。医学界有很多方法可以防止脊柱侧弯恶化……直到骨骼成熟。如果错过最佳治疗时期，手术可能是唯一的选择。 疼痛也是一个问题。脊柱侧弯极有可能在早期时不会不适。但这都可以改变。在身体感觉开始疼痛之前开始治疗至关重要。 错误三：认为脊柱侧弯只能在背部的一个部位 脊柱主要有三个部分，其中任何一个都可能发生脊柱侧弯： • 颈椎，在颈部区域 • 胸椎，沿肋骨 • 腰椎，表示下背部区域 错误 4：只尝试单一治疗方案 单纯只做物理治疗或其他相似的单一治疗，足以阻止脊柱侧弯的进展。但是，配合两个或更多的治疗方案可能会更好地进行治疗。以下为您提供您可以与医生讨论的选项： 物理治疗练习，可能会使脊柱对齐或至少加强腹部力量，从而保持脊柱更直。 施罗特训练法，一种涉及运动和镜子的特定物理治疗方案。此选项仅适用于青少年，不适用于无法表达所看所见的年幼儿童。 将单肩书包换成双肩背包，或者手提或带轮的书包，以避将身体倾斜于同一个方向。 瑜伽，因为它可以加强核心，这有助于保持脊椎更直。可在网上寻找适合患者年龄的视频。 运动不能治愈脊柱侧弯，但多运动可以增强核心肌肉，所以这也是一个选择。骑自行车和游泳特别好，但其实任何体育活动都可以增强体力。 减肥。肥胖会加重脊柱侧弯，虽然比起青少年，这更针对成年人。如果体重是个问题，请尽力引导您的孩子选择更健康的食物。 矫正支架——每天佩戴几个小时的身体矫正支架。 错误 5：对于矫正支架抱有犹豫态度 在同意让您家里的青少年佩戴身体矫正支架前，您可能会所犹豫。治疗有数百种选择，而且都听起来比较好，您的孩子可能会游说反对这个选择。矫正支架可能穿起来笨重或不舒服，它们肯定不会符合出大多数青少年想要的酷炫形象。 不过，我们无可否认矫正支架的有效程度。它可以完全解决或减缓弯曲的情况。是的，您的孩子必须每天佩戴 12 到 18 小时至少一段时间。然后，您多数也需面对孩子投诉的情况——每天让您的孩子戴上矫正支架并坚持佩戴。但是去做吧。每个支架都是根据弯曲程度及其位置定制的。大多数儿童的畸形还是具有延展性，因此矫正支架可以在有需要时，通过移位、推动和拉直脊柱。 有犹豫是正常的。所以请让您的孩子知道您选择的是最不具伤害性且有效的矫正支架。详细与他们解释为什么需要定期佩戴它的重要性，说明并分享有关矫正支架如何可以长期帮助脊柱的讯息。清楚地告诉他们，如果不依从，脊柱侧弯的情况可能最终需要动手术才能解决。 然后让整个体验尽可能是愉快的：可为矫正支架涂上颜色、融合在游戏里面，甚至利用它来打造成漫威角色。什么方法都行。 错误 6：省略专家 一旦您的青少年被诊断出患有脊柱侧弯，您应该要去看专科医生。寻找专门研究脊柱侧弯并接受过脊柱侧弯管理培训的人至关重要。大多数是脊椎按摩师和物理治疗师没有接受过小儿脊柱侧弯方面的深入培训，因此无法为您提供知识性的指导。 有时，也可能需要另一方面的专家，例如外科医生。 错误 7：认为您已经完成了 由于脊柱侧弯不会消失，因此您需要监测您家青少年的脊柱。而青少年自己本身，作为一个成年人，也应该接下去自己承担这一份责任。 一般来说，一旦骨骼停止生长，脊柱侧弯就会停止恶化，并且情况会一直保持不变直到 35 到 40 岁。不过，你不可能摆脱脊柱侧弯的命运。随着身体的老化，身体零件会磨损，就像汽车零件一样。进行监督至关重要。弯曲的脊柱在弯曲 10 度或更多时，正式为脊柱侧弯。如果此后曲率每年变化 5…
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11 Subtle Signs Of Scoliosis To Watch Out For
You’d think back pain would be the most obvious sign of scoliosis, but there are plenty more subtle, seemingly unrelated symptoms to watch out for, too. Most of them don’t seem like a big deal, on paper. But since a curvature of your spine can impact the rest of your health by throwing your whole…
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Effective therapeutic control of curve progression using calcium and vitamin D supplementation for adolescent idiopathic scoliosis – a randomized double-blinded placebo-controlled trial
Bone Abstracts (2017) 6 OC8 | DOI: 10.1530/boneabs.6.OC8 Objectives: Adolescent Idiopathic Scoliosis (AIS) is associated with low bone mass. This study aimed at evaluating the therapeutic effect and its determinants of Ca+Vit-D supplementation in improving bone strength and preventing curve progression in AIS. Methods: This was a randomized double-blinded placebo-controlled trial recruiting AIS girls (11–14…
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Parents’ Roles in Helping Their Children with Scoliosis
Parents can find it overwhelming if their child is diagnosed with scoliosis. Both Mom and Dad may experience stress. And, they may have a hard time coping with emotional and financial problems. If you have a child with scoliosis, it is important to handle the situation with care. What Is Scoliosis? Scoliosis is a curvature…
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5 Surprising Facts About Adult Scoliosis
You may have more options and control than you think You may have more power over adult scoliosis than you think. Doctors can offer you various treatment options, and there are things you can do to help yourself. Here are five things you might be surprised to hear about adult scoliosis. Surprise #1: If you…
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Choosing the Right Exercises for Scoliosis
Carefully tailored exercise program can improve strength, function, and endurance. I work with many clients and some of them are suffering from scoliosis which is an abnormal lateral curvature of the spine. If you look at the back of a person having scoliosis, you’ll notice that their spine curves to one side. The angle of…
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Scientists Identify First Gene Linked to Scoliosis
Physicians have recognized scoliosis, the abnormal curvature of the spine, since the time of Hippocrates, but its causes have remained a mystery — until now. For the first time, researchers have discovered a gene that underlies the condition, which affects about 3 percent of all children. The new finding lays the groundwork for determining how…
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Learn More About Thoracic Hyperkyphosis
Thoracic hyperkyphosis or hunchback is a condition that makes the upper or the thoracic spine of a person to curve forward. It causes the patient to slouch unusually and it may affect people of all ages. The reasons for thoracic hyperkyphosis however may vary from person to person. We all have some curvature in our…
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Diagnosis of Scoliosis in Children
Scoliosis, which is a common spinal deformity, generally affects the normal spinal development in a child. Every year, nearly 3 million new cases of Scoliosis are diagnosed. This biomechanical deformity is usually observed in children when they are 10 to 15 years old. Most have unknown causes, involving hereditary factors. Other triggers include birth defects,…
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Scoliosis and What to Look for In Your Child
Scoliosis, a condition you don’t often hear about is the reason behind your child’s doctor is checking their back. Scoliosis and What You Need to Know • Scoliosis is a spinal deformity, a sideways curvature that can occur in both males and females. The curve may be an S curve or a C curve. •…