Patients with scoliosis are more than 5 million, neglected primary and secondary school students

2022-07-21 0 By

The number of scoliosis in primary and secondary school students has exceeded 5 million, which has become the third major disease endangering the health of children and adolescents in China.What are the manifestations of scoliosis?How to self-check and discover in time?Writing/reporter Lu bing xin Graphic editor/Chen yongjie new media editor/Lai Tianying Sun Haolin (Peking University first hospital orthopedic physicians, the Chinese preventive medicine association, director of the committee member of spinal disease control and prevention) LiYanHu (state general administration of sports sports medicine institute, director of the physician, sports), director of the center for health and medical research in the past few years, almost every weekend.Ms. Xu would take her daughter from Dachang, beisanxian county, all the way to the rehabilitation hall of Peking University First Hospital.Here, the director of rehabilitation division Chen Hao will carry out special sports rehabilitation training for scoliosis.Ms. Xu’s 12-year-old daughter was diagnosed with scoliosis four years ago after accidentally hitting her sternum.She didn’t know anything about the disease until doctors told her it was serious.However, this is not a small number of cases among primary and secondary school students.In fact, after obesity and myopia, scoliosis has become the third most harmful disease for children and adolescents in China.First, let’s take a look at a set of data. The data from the Spine Disease Prevention and Control Committee of The Chinese Preventive Medical Association shows that the number of primary and secondary school students with scoliosis in China is estimated to be more than 5 million, and it is increasing at a rate of about 300,000 every year.”Five million is a conservative estimate, and sometimes I can go to a school with thousands of people and not find a child with a healthy spine.”According to the data, for many years engaged in adolescent spinal health study of the state sports general administration of sports medicine, sports director of the center for health and medical research institute chief physician LiYanHu admits, “according to the I in the national survey data in recent years, juvenile spinal abnormal rate is more than half, of which the proportion of scoliosis in at least 10%.”In stark contrast to the alarming data, it is the neglect and ignorance of students, parents, teachers and other social groups.Is the child just lazy if he doesn’t stand up?’How many times!Stand up straight, straighten your back, and don’t be lazy.”Ms. Sun does not know how many times a day this reminds her son, but apparently, this reminder is ineffective, “I have no choice but to hump or hump, all kinds of braces and electronic orthotics are useless.”Sensing something was wrong, Ms. Sun wondered how an 8-year-old boy could look so tired all the time.Finally took his son to the hospital for examination, only to find that he was sick, “scoliosis 20 degrees”.Peking University first hospital orthopedics chief physician, Chinese preventive medical association spine disease prevention and control professional committee member Sun Haolin said, this is a lot of children “do not stand, do not sit” the reason, caused by the structural curvature of the spine.Sun Haolin introduced that under normal circumstances, the human spine should be in a straight line when viewed from behind, and both sides of the trunk are basically symmetrical.Scoliosis, on the other hand, is a deformity caused by the deviation of the spine from the normal midline, which is actually accompanied by the rotation of the spine, like a “twist”, a three-dimensional deformity of the spine.A lateral curvature of more than 10 degrees is usually defined as scoliosis.”Hunched back, high and low shoulders, slanted pelvis, long and short legs, deep and shallow waist on both sides, asymmetrical shoulder blades, asymmetrical rib cage on both sides, razor back (different peaks on both backs when bent forward)…These physical abnormalities are all clinical manifestations of scoliosis.”Sun Haolin said.The Technical Guide for prevention and Control of Abnormal Spinal curvature in Children and Adolescents, organized by the National Health Commission and CDC, points out that scoliosis is mainly divided into non-structural scoliosis and structural scoliosis. Structural scoliosis is usually true scoliosis, and is usually divided into idiopathic scoliosis and other types of scoliosis.Idiopathic scoliosis is the most common type of scoliosis in children and adolescents, accounting for about 75% to 80%, mainly in adolescent females.Unfortunately, the cause of idiopathic scoliosis is unknown and there is almost no definitive etiology.”Bad posture for a long time, such as sitting sideways or crossing one’s legs, may be some risk factors.It is thought that the development of idiopathic scoliosis may be related to family genetics, biochemical factors, abnormal musculoskeletal and spinal growth, and abnormal secretion of growth hormone.”Like Ms. Xu’s daughter, Ms. Sun’s son’s spinal health examination is timely. Scoliosis within 20 degrees is considered mild. The sooner it is detected, the better the treatment effect.But there are also children who are found to have moderate or even severe scoliosis.It can be said that scoliosis is a quiet disease, the child’s seemingly calm appearance has long been the undercurrent.”Pay special attention to adolescence, the second peak of growth and development, when scoliosis progresses more rapidly.”Sun Haolin said, some teenagers if not timely treatment, a year of lateral curvature can even increase 10 degrees, and once more than 40 degrees, from the outside of the lateral curvature will be very obvious, some even affect the heart and lung, nerve function, you need to do surgery.Sun Haolin said that scoliosis within 20 degrees, if not carefully, parents can only see it with the naked eye, so many children are at 30 degrees, or even 40 degrees when the spinal anomaly is very obvious to the hospital.And as soon as the naked eye can see that something is wrong, the side bend is already serious.Scoliosis not only affects the image and temperament, part of the scoliosis with the growth and development of teenagers, the number of lateral curvature is increasing.Once the degree develops to more than 40 degrees, the physical and mental health of patients are greatly affected.Because the greater the number of lateral curvature, the more significant the imbalance of the spine, abnormal appearance will seriously affect the appearance of the patient, causing psychological burden.Malformation can also lead to long-term pain in neck, chest, waist and back, limited thoracic activity and cardiopulmonary function, and even nerve compression, and sensory dysfunction of lower limbs.Treatment throughout development The treatment of scoliosis is a long and complex process, even throughout development, and the treatment varies according to the Angle of the scoliosis.Sun Haolin introduced that scoliosis not more than 20 degrees can be through targeted exercise therapy rehabilitation training.Between 20 and 40 degrees, braces are required.Those above 40 degrees are more likely to progress and require surgery.Specifically, sports therapy includes: swimming, hanging monkey bars, orthopaedic exercises and other targeted rehabilitation training.Brace therapy is to correct lateral bending by applying an inward-squeezing force to the body while wearing a brace.They weigh two to three kilograms and should be worn for more than 22 hours a day. “They have to wear them even when sleeping and cannot take them off even in hot summer,” he said. “It is a process for teenagers to adapt to and overcome specific difficulties.””At first, the skin will become swollen and red, and even blister. It’s hard to live in a shell like this for years on end.”Netizens who have experienced braces describe the pain.”And surgical treatment, the need for steel plate, nail steel nail in the spine, although it will have a great impact on the child’s body and mind, but if left unchecked the consequences may be more serious.”Sun Haolin said.How to check and prevent at home?Scoliosis focuses on prevention and early screening, the earlier the treatment effect is better.Why is scoliosis more severe in children in remote areas?”It is because of late detection that early treatment and prevention are not timely enough,” Sun said.Parents in urban areas are more health conscious, and school health check-ups also help early detection.In fact, the early detection of scoliosis in adolescents mainly relies on parents, teachers and school doctors to conduct self-examination with a simple bending test.▲ Children side bending side bending self-examination (drawing/Qin Tong) first let the detected shirt off, feet together stand, knees straight, arms naturally droop, two palms together, to prevent shoulder rotation, bending forward flexion 90 degrees.Parents or other examiners sit behind the child with eyes levelled and observe whether both sides of the child’s back are of equal height. If one side is high, it may indicate scoliosis with carina caused by vertebral rotation.Once found abnormal, should go to regular hospital orthopedics and related professional timely treatment.Sometimes changes in posture are imperceptible, but clothing abnormalities are the first visible sign of scoliosis.For example: Is the hem uneven?Is one leg lower than the other?Does one sleeve look longer than the other?Are the shoes wearing differently?It is also important for teenagers to take preventive measures in their daily life.Sun Haolin suggestions, usually to maintain the correct standing posture, sitting.Don’t stand sideways, don’t cross your legs, don’t do your homework sideways;Next, mattress can choose medium slant hard material as far as possible;Third, appropriate physical exercise is also helpful to spinal health, increase the amount of exercise, improve muscle endurance, can effectively improve the flexibility and flexibility of the spine.”It is a pity that most parents and school teachers do not have enough understanding of scoliosis.”It needs the attention and efforts of the whole society to reverse adolescent scoliosis.”Li yanhu said.However, some positive changes are taking place.For example, during the recent NPC and CPPCC sessions, NPC deputies proposed to promote and popularize movable desks and chairs in primary and secondary schools, so that each student can “customize” the height of desks and chairs according to their growth and development, so as to protect students’ spinal health.In fact, in order to strengthen the prevention and control of abnormal spinal curvature in children and adolescents, the Technical Guide for prevention and control of Abnormal Spinal curvature in Children and Adolescents, organized and compiled by the National Health Commission and Disease Control Bureau, was officially released last November to guide the standardized and scientific epidemiological prevention and control of abnormal spinal curvature in children and adolescents.According to the Technical Guide for prevention and Control of Abnormal Spinal curvature in Children and Adolescents, screening for abnormal spinal curvature in students should be carried out regularly, including including screening items for abnormal spinal curvature in the physical examination of each academic year or freshmen.The screening results of abnormal spinal curvature will be included in students’ health files to ensure that each student has one file, which can be transferred in real time with the change of school status. The spinal screening results of primary and middle school students can be connected to dynamically monitor students’ spinal health status.In addition, it is suggested that students should actively cultivate the consciousness of “everyone is the first person responsible for their own health” and actively learn and master spinal health knowledge and skills.According to the relevant national policies and standards of the family and school, easing the burden on students’ academic, according to the situation of child and adolescent growth, regularly adjust the height and the classroom desks and chairs seat position, strengthen the outdoor activities and sports, training and supervise the children develop a healthy lifestyle, establish protect spinal good behavior.Bring on February 19, 2019, the first adolescent spinal health winter camp held in the flower market Beijing guang qu men school affiliated elementary school gym (photo/visual China) for some of the less developed or relatively remote areas, and put forward to promote is given priority to with the family, the school at the beginning of the screen, and set up special spinal health prevention and control platform to provide online consulting,Expand and improve the coverage and service capacity of spinal health prevention and control.To reduce the number of scoliosis in teenagers and slow down the incidence of children, it is necessary for every individual, family, school, medical and health care and other social forces to actively participate in scientific cognition, scientific diagnosis and treatment.We expect every sapling to grow into a straight tree.Product: science central kitchen producer: Beijing science and technology news | beike media welcome share to friends declined reproduced without authorization