DANCE AND SCOLIOSIS
what to do?
Fabio Perissinotto
(physiotherapist, doctor of Sciences, Osteopathic Manual Therapy Specialties in Mézières Method and graduated from the Paris Cerdag
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Scoliosis scares many parents, but often it is an undue alarm related to poor knowledge of the problem. then try to frame this issue and make concrete suggestions.
Vista front the spine should appear almost straight. When there is a lateral deviation greater than 10 degrees was in the presence of scoliosis.
The clinical signs are obvious: higher shoulder and shoulder blade on one side than the other, asymmetric basin, space between the arm and upper body (triangle size) mixed. In fact
scoliosis has three-dimensional nature as the turning front is automatically accompanied by the rotation of the vertebrae on their longitudinal axis: scoliosis means "twisted." If scoliosis occurs in the chest, the lateral inclination is accompanied by a rotation of the vertebrae but also the costs related to these (rib cage) that is highlighted with present a hump on one side of the chest, which is called the hump. And 'the hump component of scoliosis aesthetically less pleasing.
It should not be confused with scoliosis scoliotic attitude. scoliotic attitude is characterized by a postural imbalance and / or an asymmetry true (they are rare) or the appearance of the lower limbs, because it tends to disappear when the body is not loaded, or when lying down. Also
scoliotic attitude is never present the hump. Often the diagnosis of scoliosis is given too superficial. The observation of the parameters just cited clarify any doubts.
Be advised that in the young growth is normal in the presence of differences in leg length (dysmetria), which can then be at the end of the period of growth itself. In many cases, the asymmetry is not real but due to problems of joint function (micromobilità) and restrictions related to the physiology of the muscle chains. In these cases, after the doctor's ok, an intervention aimed osteopathic accompanied by postural balance type Mézières is highly effective.
instead Scoliosis is a disease (SD learning), characterized as a deviation from that lateral and dorsal vertebral rotation at the level that manifests itself through the hump. The dance teacher can make an early diagnosis by bending forward the bust of the young dancer with his legs stretched out to see signs of the presence of the two indicators.
The aura of mystery often associated with scoliosis is primarily due to the fact that it is a disease idiopathic or of unknown origin. It is thought that genetic factors are involved, are not insignificant cause of a psychosomatic nature, whilst in the field of osteopathic emphasis is placed on the trauma suffered by the baby during birth that can alter the structure of the skull and consequently that of the column spine that has continuity with it. Regardless of what in recent years have made great strides in the prevention and treatment in the past.
Scoliosis affects mainly girls debuting around 8-9 years and develops in adolescence, or when the body is growing rapidly in musculoskeletal and psychological (personality).
Definitive diagnosis is made through X-ray standing with antero-posterior and lateral. Radiography is also important because it allows the assessment of bone age of the basin regardless of age details of the party, known by Risser test. If you are in Risser 3, the bones have finished growing and scoliosis does not evolve anymore.
Predicting the evolutionary of scoliosis is not easy. Some prognostic factors on a statistical basis are:
- Age of onset of scoliosis: early onset if you tend to develop more;
- type curve: the lobar scoliosis are more evolutionary even if those chest, accompanied by the hump, they are less aesthetically pleasing;
- degree of angular deviation: greater the deviation, the more likely the initial evolutionary.
MUST DO TO STOP DANCING?
According to the medical opinion expressed in the context of the Dance Medicine Conference held in Rome in December 2005:
If scoliosis is 20-25 degrees below it is treated through corrective exercises and regular checkups to monitor the operation. In this case it makes no sense to stop dancing and you can also attend professional courses with the necessary precautions.
If scoliosis is between 25 and 45 degrees is necessary to use a regular medical corset associated with corrective exercises. Again 2-3 episodes of dance as a hobby not a contraindication, rather they are a help as it is shown that the dancers develop a better control of proprioceptive back and pelvis, a key element in iterating rehabilitation of scoliosis.
addition, the use of the bust is definitely a little boy in psychological trauma and the frequency of a dance class can help a lot not to make them feel "different" and overcome this difficult moment.
If scoliosis exceeding 45 degrees the situation is complicated and we resort to surgery, although fortunately these cases are ultimately less and less frequent.
In the first two cases the technique Mézières with his action at 360 degrees for muscles and joints and respiration (vital the problems of scoliosis) arises as a means of choice and extremely effective. It appears increasingly clear that in case of scoliosis should not focus only on the area where you have the issue, but the organism as a whole, on the relationships that develop between the different tissues and body awareness.
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