The first visit to the orthopedist of
the First orthopedic inspection of the child is performed, as a rule, in 3 months - up to this point to the orthopedist usually difficultly to draw any conclusions on his development. However there are borderlines which can be revealed on the first week of life, in these cases the early beginning of recovery treatment will become guarantee of further wellbeing of the child.
Let`s perform joint orthopedic inspection of your kid. I will explain to you what the doctor pays attention to, and I will prompt what symptoms have to guard parents. At first we will look how the child lies in a bed: whether the body is exactly located, we will be convinced that it is quiet, and we investigate it that is called from top to toe.
the Head and a neck
Attentively examine a head of your kid, pay attention to its form, it has to be symmetric. But not only the form, but also position of the head has to draw attention of adults. Whether the kid turns it or strives to watch all the time in one party? In the latter case the orthopedist can state formation of habitual turn of the head - a borderline which if in time not to take the appropriate measures, can lead to development of unilateral deformation of a skull (a so-called “sloping nape“). The reasons of formation of habitual turn of the head can 6yt various - and patrimonial injuries (a kefalogematom, a clavicle fracture), and maloperation with the child when parents constantly approach a bed on the one hand, without shifting the child the head in different directions.
But, perhaps, the most unpleasant diagnosis connected with the wrong position of the head is a muscular wryneck (the injury of a kivatelny muscle of a neck holding the head in the wrong situation). It is not always diagnosed in maternity hospital, however on the first week of life mother can already pay attention to the compelled position of the head of the child (an inclination in sick side, turn of a chin in healthy). In attempt to change position of the head the kid begins to show concern signs, on its face the painful grimace appears. A bit later parents can notice asymmetry of the person: from a wryneck reduction of volume of a shchechny muscle is noted. In attempt to probe a cervical muscle from the sick party it is possible to find dense education (from 1 to 3 cm), painful to the touch. The congenital muscular wryneck demands the immediate qualified treatment consisting of courses of physical therapy, massage, application of special laying (small pillows, rollers, etc.) for the head. At early identification and timely treatment the wryneck is eliminated without surgery.the Backbone and a thorax
Having finished with
survey of the head and neck, we pass to a backbone and a thorax, however this stage of survey needs to be preceded by small digression to anatomy. A backbone of the adult not of a straight line, it has physiological bends - kifoz (an external bend - if to look at the person sideways, this bend is directed back, towards a back) and lordoza (internal - directed towards a breast):
All these bends are formed by
- cervical lordoz;
- chest kifoz;
- lumbar lordoz.
in the first months of human life. At the correct formation of vertebral bends there is an effect of a spring, and further the backbone easily transfers axial loadings due to good depreciation of vertebras, but at a smoothness at least of one of bends this effect disappears, and the backbone should experience irrational strain that promotes development of many diseases, such as scoliosis (a lateral curvature of a backbone), osteochondrosis (restriction of mobility of a backbone), etc.
So, we will return to survey. Let`s put the kid on a stomach with the legs (“a frog pose“) bent in knees, and we will be convinced that the backbone settles down on the average line. At the child infantile scoliosis “ can sometimes be noted so-called “by , it most often accompanies neurologic symptomatology (muscular dystonia, a hyper tone), at its elimination also normal situation of a backbone is redeemed.
Sometimes at survey in this situation at the child the backbone axis deviation back - so-called kifoz lumbar department a backbone comes to light and; it occurs generally at the children who were born rather large and quickly enough passes if the first three months of life of the child correctly hold on hands, do not try to put, put on legs (many parents like to arrange with the child of “fidget“ - it cannot be done).to Parents should know
that formation of bends of a backbone goes step by step: the child starts anew to hold the head - it promotes formation of a cervical lordoz. Here pertinently to remind that use of pillows at children breaks the correct formation of this bend. When the kid begins to sit down (and he does it gradually if it is not disturbed by adults), are formed chest kifoz and lumbar lordoz. If to put the child in a chair ahead of time, then instead of the put bends at it it can be created by grudopoyasnichny kifoz (a so-called “round back“).All this I write
not to frighten you and that every time as you want to test inventions of the modern industry on the child, you at first tried to present how it will be reflected on kostno - muscular system of the kid. You do not hurry to get for the child a chair, walkers, prygunka, an arena 1 . First of all take care of the correct mattress: it has to be elastic, dense, on it there should not be dents after a dream.
the First 2 - 3 months of life the child has to lie on a back or a stomach. You should not turn it sideways as poorly developed lateral muscles still badly hold a body, all loading falls on a backbone, and at position of the child on one side there can be scoliosis.
From 3 - 4 months the child begins to turn over independently and from this point itself chooses situation, convenient for himself: on a back, a stomach or a side.mother has to track
During this period whether with an identical frequency the kid turns over through the left and right parties. The preference of one party can testify to the residual phenomena of muscular dystonia (a different tone of muscles at the left and on the right). These phenomena need to be eliminated until as the child will begin to sit down: in - the first, the different force of muscles of the left and right half of a body will complicate development of skills when landing (the child will be filled up in one party and can lose desire to continue attempts), and in - the second, landing in such situation can provoke formation of scoliosis.
It is possible, during this period it is expedient to conduct a massage course, to allow the child to swim for a while in a big (adult) bathtub, it will help to get rid of undesirable asymmetry of a tone of muscles.
Coxofemoral joints and legs
we Will return to orthopedic survey of our kid. Following, not less important, a stage - coxofemoral joints.
to estimate function of coxofemoral joints, the child it is necessary to put on a back, to bend to it legs in knee joints and to try to part them in the parties.should not be done to
it sharply, with use of force. It can not be pleasant to the kid, he will strain muscles and will not allow to part legs. At the correct carrying out this test usually it is possible to take away legs so that knee joints touch a table on which the child lies.Restriction of assignment can be connected by
with various reasons. (And easily removed) the reason the spasm bringing (internal femoral) is the most frequent of muscles . In this case broad swaddling (that is it at which hips of the child do not nestle to each other, and get divorced on some distance), swimming in warm water, remedial gymnastics will help. If mother notes that assignment of hips on the one hand is limited more, it is necessary to pay attention of the doctor to it.
the Following stage of survey - check of symmetry of buttock folds and length of legs, for its carrying out put the kid on a stomach. It is necessary to address the expert if you noticed asymmetry of buttock folds or the different length of legs .
Similar symptoms happen at various diseases, and only the correct diagnostics will help to carry out the necessary treatment in time and to grow up the kid healthy.Having convinced by
that coxofemoral joints are created correctly and function them is not broken, look at feet. Pay attention to the provision of foot, it has to be on average situation. If you noticed that foot is directed not strictly forward, and is a little turned in the horizontal plane inside or outside (that is so-called rotation of foot ) takes place, it is necessary to begin massage of feet as soon as possible. The special course of massage will eliminate the wrong provision of foot on the first month of life of the child. At more expressed deformation of feet use corrective steak is possible that gives the chance to correct foot until the child started walking yet. You remember: any insignificant deformation of feet easily is eliminated during the early period of life, but much more efforts should be spent for the treatment begun after the child went.
So, I hope, as a result of our survey you understood how it is important to watch closely a condition of the child, to note disturbing symptoms and to carry out timely treatment. However development of the kid is not less important not to hurry, not to adjust it, not to try “to help“, and patiently to wait when he wants and is able - to sit down, to rise, go... The parental love has to be attentive and patient, only then it will bear worthy fruits, and your child will grow up healthy and happy.