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Journal: Art of Medicine (Vol.4, No. 1)

Publication Date:

Authors : ;

Page : 175-179

Keywords : rehabilitation diagnosis; postural impairment; diagnostic tests; functional tests;

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The concept of impaired posture implies unstable changes of the musculoskeletal system in two planes: sagittal and frontal. Pathological changes occur in the spinal column and in the paravertebral tissues, that is, in the neuromuscular, bone, and connective tissue of the body. The emergence of new conditional reflexes, entails fixing the wrong position of the body. Analyzing statistics from various sources, we can conclude that, to date, approximately every four people have a violation of posture. It is important to note that with untimely diagnosis and rehabilitation of postural disorders, scoliosis can develop, which leads to clinical manifestations and complications, also it causes that at an earlier age spine dorsopathy develops, over time, disc protrusion, and intervertebral scarring can develop. Therefore, early detection of postural impairment and timely start of rehabilitation is very important. The article provides an analytical review of the literature, which covers issues of diagnosis of postural disorders and scoliosis in young people. Carrying out a visual-palpatory examination allows revealing the tonal-power imbalance of muscles, to study the mechanisms of triggering of new statodynamic disorders. Kinematic and kinetic changes between the torso, pelvis and lower ex-tremity segments, as well as at the lumbar-sacral level, must be measured while standing and walking. In prac-tice, the issues of visual diagnostics and disorders of biomechanical motor stereotype are not given due atten-tion. In addition, such a diagnosis allows you to properly assess the compensatory capacity of the body and to build the right therapeutic tactics with biomechanical correction of the spine and adequate impact on certain groups of muscles. A comprehensive clinical study of functional tests allows the separation of postural disorders from early-stage deformity and idiopathic diseases. The use of stabilometry makes it possible to identify and analyze the biomechanical data of the body in the process of maintaining a certain position and helps to identify the cause of instability, to determine the function of human equilibrium. According to International Classification of Functioning, Life and Health Limitations (ICF), changes in body function in patients with scoliosis (eg, muscle strength and muscle tone function, muscle endurance and proprioception function, pain sensation) can cause limitations in «activity» (limited mobility, gait, maintaining body posture) (employment, training, social reintegration). That is, forming a categorical profile for each patient with the help of ICF provides a complete, comprehensive, comprehensive characterization of the patient's functioning status. This characteristic gives a complete picture of the functioning of the organism, taking into account the clinical situation, environmental factors, and personal factors. Based on analysis of publications, it is conclud-ed that the conduct of visual diagnostics, manual muscle testing, functional tests, diagnostic tests, scoliometry, and stabilometry in young people can detect not only postural disorders, but also muscular dysfunction and pathobiomechanical motor disorders. The use of the ICF in clinical practice in rehabilitation helps to formulate a rehabilitation diagnosis and to use components of the diagnosis for rehabilitation activities.

Last modified: 2020-04-08 05:01:55