ПАРАМЕТРЫ СТАБИЛОМЕТРИИ У ДЕТЕЙ С СУТУЛОЙ СПИНОЙ НА ФОНЕ ДИСПЛАСТИЧЕСКИХ ПРОЦЕССОВ

Abstract

The aim of the work was to assess the advantage of therapeutic measures in children with a stooped back against the background of dysplastic processes, based on the stabilometric method of examination. From 2013 to 2023, the examined patients were registered at the dispensary. The groups are presented as follows: 132 patients – the main group, 122 patients – the comparison group. At the beginning of the follow-up, the age was 5.5±0.7 years. Patients of the two groups were offered back massage No. 10 1 time in 4 months for 20 minutes, physiotherapy, electrical stimulation of the muscles of the paravertebral No. 10 1 time in 6 months, a therapeutic and physical training complex to strengthen the muscles of the anterior abdominal wall and back. Patients of the main group were additionally recommended exercises on the "Swedish wall", swimming in the water, group classes at the educational school of health "Posture Correction", dosed individual corseting, additional courses of physiotherapy treatment. Based on the results of computer stabilometry in children with incorrect posture against the background of dysplastic manifestations, we note that during the dynamic observation in patients of the main group, the parameters were statistically better than in the comparison group. Physiological posture, a developed muscular corset were formed, and the number of complications significantly decreased. This was not noted in the comparison group (p<0.001). According to computer stabilometry, it was found that the equilibrium function for all statbilometric indicators improved significantly after comprehensive rehabilitation treatment. In patients in the comparison group who were prescribed standard treatment, changes in stabilometric parameters were statistically lower, unreliable, and had negative dynamics. The main criteria for stabilometric evaluation of the effectiveness of treatment are a decrease in the displacement of the center of pressure of the feet, an improvement in the quality of the balance function. During the stabilographic examination after 12 months from the start of classes, positive dynamics (normalization of the projection of the center of gravity relative to the area of support) in children who were engaged in complex functional programs was noted in 49.3% of patients. In children who were engaged in standard schemes, positive dynamics was noted in 15.6% of patients (p<0.001). In the process of dispensary observation, the parameters of the stabilometric method in children were evaluated. The expediency of prescribing therapeutic measures in the main group of patients has been proved.