What Are the Best Exercises for Kyphosis?

It is caused by muscle ligament relaxation, osteomalacia, and skeletal deformity caused by gravity.

Posterior spine

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Affected area

whole body

Related diseases

Ankylosing spondylitis, spina bifida, scoliosis, spinal cord injury, idiopathic scoliosis, congenital scoliosis, scleritis, ankylosing spondylitis and its associated uveitis, spina bifida, and related ankylosing spina bifida Inflammatory scleritis in children with spina bifida

Affiliated Department

Orthopedic surgery

Related symptoms

Myelopathy Spinal Compression Scoliosis Scoliosis Paraplegia Coffee Spot

It is caused by muscle ligament relaxation, osteomalacia, and skeletal deformity caused by gravity.

Early diagnosis is important for early treatment. Therefore, it is necessary to improve the census work of primary and secondary school students, focusing on prevention.

(A) medical history

Ask in detail about everything related to spinal deformity, such as the patient's health, age, and sexual maturity. Also pay attention to past history, history of surgery and history of trauma. Children with spinal deformity should know the health status of their mother during pregnancy, whether there is a history of taking medication in the first three months of pregnancy, and whether there are complications during pregnancy and childbirth. Family history should pay attention to the spinal deformity of other people. In neuromuscular spine cases, family history is particularly important.

(Two) physical examination

Pay attention to three important aspects: deformity, etiology, and complications.

1. Fully exposed. Wear only shorts and loose-fitting coats on the back. Pay attention to pigmented lesions of the skin, whether there are coffee spots and subcutaneous tissue masses, and whether there are hair and cysts on the back. Pay attention to breast development, whether the thorax is symmetrical, whether there is funnel chest, chicken breast and rib bulge, and surgical scars. The inspector should observe carefully from the front, side and back.

Then the patient faces the examiner and bends forward to see if the back is symmetrical: a bulge on one side indicates a deformity of the costal canal and vertebral body. Then the examiner observes whether the waist is symmetrical from the back of the patient and checks whether the lumbar spine is deformed. At the same time, pay attention to whether the shoulders are symmetrical. You need to determine the distance between the quarterly rib angle and the sacrum. You can also put the plumb line from the 7 spinous process of the neck, and then measure the distance from the hip crack to the vertical line to indicate the degree of deformity. Then check the range of motion for spinal flexion, hyperextension, and lateral flexion. Check the flexibility of each joint, such as the approach of the wrist and thumb, overstretched fingers, and reflexion of the knee and elbow joints.

Finally, a careful neurological examination should be performed, especially on the lower extremities. Suspected mucopolysaccharidosis patients should pay attention to the palate. People with Marfan syndrome should pay attention to the cornea. The patient's height, weight, distance between arms, and length of both lower limbs must be recorded.

(Three) X-ray inspection

1. Upright full spine lateral view. In the X-phase, the upright position must be emphasized, and the supine position cannot be used. If the patient cannot stand upright, a sitting image should be used to reflect the true condition of scoliosis. Is the most basic means of diagnosis. The X-ray should include the entire spine.

2. Bend and traction image in supine position. Reflects its softness. Cobb's angle is greater than 90 degrees or neuromuscular scoliosis. Since there is no proper muscle correction for scoliosis, traction images are often used to check its elasticity to estimate the degree of correction of scoliosis and the length required for fusion of each column. The softness of the kyphosis needs to be taken through the lateral view of the extension.

3. Oblique image. Check the spinal fusion. The lumbosacral oblique image is used for patients with spondylolisthesis and isthmus.

4.Ferguson like. Check the lumbosacral joints. To eliminate lumbar lordosis, the male patient's bulb is tilted 30 degrees to the head side and the female is tilted 35 degrees.

5.Stagnara like. In patients with severe scoliosis (greater than 100 degrees), especially those with kyphosis and vertebral body rotation, it is difficult to see the deformity of ribs, transverse processes, and vertebral body with ordinary X-ray. You need to take a rotation image to get a true anterior and posterior image. Rotate the patient under the perspective, take a picture when the maximum curvature occurs, the cassette is parallel to the inner side of the rib bulge, and the tube is perpendicular to the cassette.

6. Tomography. Check for congenital malformations of unclear lesions, fusion of bone grafts, and some special lesions such as osteoid osteoma.

7. Cut the image. The patient bends forward with the tube tangent to the back. It is mainly used to check ribs.

8. Myelography. Not routinely used. Indications are compression of the spinal cord, spinal mass, and suspected lesions in the dural sac. X-rays showed widened pedicle distance, incomplete spinal canal closure, longitudinal spina bifida, and syringomyelia. Myelography is needed to understand the spinal cord compression when planning a hemivertebra resection or a wedge resection.

9. CT and MRI. It is very helpful for patients with spinal cord disease. Such as spina bifida, syringomyelia and so on. Understanding the plane and extent of the epiphysis is important for surgical orthopedics, resection of the epiphysis, and prevention of paraplegia. However, it is expensive and should not be used for routine inspections.

10.X Essentials of Reading Images

Vertebral vertebrae: The most vertebral body in the curvature of the scoliosis.

(1) Scoliosis: Part of the spinous process of the spine deviates from the midline of the body and is called scoliosis.

(2) Kyphosis: refers to those whose kyphosis of the thoracic segment exceeds the physiological curve range.

(3) Saddle back: refers to the destruction of a vertebral body, and the vertebral body suddenly bulges backward.

(4) Round back: refers to the entire spine protruding backward like an arch

(5) Deformed breast: There are two types, one is the sternal bone protruding outwards, and the other is the sternal bone inward depression.

(6) Rotation (distortion): It is formed because the lumbar transverse process is high on the low side or twisted on the sternum. This kind of bending is the most complicated and difficult to treat.

The key to preventing spinal protrusion is to be active. Life is movement. The health of the spine also lies in sports, especially those who are engaged in sedentary occupations.Usually pay attention to strengthening physical exercise. Stand up every hour in the office to move the lower limbs and restore the support of the lumbar muscles. This is a white-collar race to prevent spinal process Recipe for disease.

1. Improve working posture and pay attention to work and rest. Maintaining the correct posture is very important to reduce the pressure in the lumbar disc. Pay attention to self-regulation, avoid repeated monotonic movements for a long time, prevent excessive fatigue, and avoid spinal overload, so as not to promote and accelerate degeneration. Persons engaged in long-time bending or long-term desk work can change the sitting posture by adjusting the height of the chair and the table, and regularly stand up to stretch the waist. Generally, it is recommended to work in a sitting position for 45 minutes and stand for 15 minutes to restore fatigued muscles.

2. Strengthen lower back muscle exercises. Strong low back muscles can maintain and protect the lumbar spine. Therefore, strengthening the low back muscles is an important measure to prevent spinal process. Some sports, such as: swimming, aerobics, etc. can exercise the lower back muscles. When doing the prone position, raise your head, legs, and arms as much as possible, and let them fall into one beat together, 4 8 beats per exercise, 1 per day. To 2 times. If you have the conditions, regular swimming is the best exercise method to train the lumbar spine and prevent spinal protrusion.Swimming is suitable for people of any age.It is a non-weight-bearing activity.It has a large amount of exercise, is not easy to fatigue, does not easily cause accidental damage, and can also relieve the spirit. pressure.

3, regular life, reasonable diet. To develop a good way of living and working, you must eat and eat regularly and reduce all night.Especially do not sit and work at the computer all night or play games; many young people do not eat breakfast. This habit is very unscientific and should be eaten regularly. Pay attention to breakfast intake, eat more high protein and high vitamin diet, eat more fruits and vegetables. At the same time, pay attention to regulating psychological pressure and maintain a pleasant work and life mood.