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KYPHOSIS
Excessive rounding of the back is referred to as kyphosis. Everyone’s spine is anatomically curvedtowards the front of the body at the cervical and lumbar portions, and a backward curve at the thoracic junction.

Thoracic vertebrae linked at the ribs are naturally rounded backward, forming an angle of 20-30 degrees. If this angle exceeds 50 degrees, it is referred to as kyphosis or hunchback.

Types

These might be congenital (present from birth) or acquired.

  • Postural: The most prevalent kind is postural, which develops primarily throughout adolescence. It is most common in the upper dorsal spine and arises when bones and muscles develop improperly as a result of bad posture or slouching, as well as a spinal anomaly. It is treatable with posture training and physiotherapy.

  • Compensatory: If the lumbar lordosis is excessive due to any reason, the thoracic spine may develop compensatory kyphosis.

  • Scheurmann's illness: It is characterised by a circular kyphosis in the lower thoracic spine. It frequently happens during a growth spurt, particularly during puberty. The vertebral bodies appear wedge-shaped, narrower in front than normal rectangular vertebral bodies. Conservative treatment is sufficient; but, in extreme cases, surgical intervention is indicated.

Other causes include metabolic, neuromuscular, osteogenesisimperfecta (brittle bones that fracture easily), spina bifida, infections such as tuberculosis, and muscular dystrophy.

Symptoms

  • Stooped stance with forward-bent head.
  • Height disparity between the shoulders and the shoulder blades.
  • When leaning forward, the upper back becomes more noticeable than usual.
  • Back ache that radiates down the legs.
  • Tight hamstrings muscles (muscles in the rear of the thigh).
  • In certain situations, bowel and bladder control are lost.

Treatment at SNEH

Sneh offers a holistic approach to the treatment of spinal disorders. The rehabilitation programme may consist of:

  • A child-friendly strengthening programme for the back, core, shoulders, and shoulder blade muscles, as well as respiratory muscles.

  • Traction or hanging exercises, along with manual mobilisation techniques, that should be used early on to restore the curvature of the spine or prevent additional injury.

  • NDT (Neurodevelopmental therapy): a method of working on the child's functional status and reducing any functional limits imposed by the condition, including posture training.

  • Dynamic strapping techniques for correction- dynamic strapping allows the body to work with the location of the strap to obtain optimal muscular performance and prevent permanent loss of spinal movements, as opposed to stiff orthoses, which prohibit any mobility to the spine.

  • Therabandsexercises to maintain and improve the strength of the muscles surrounding the spine, specifically the shoulder, shoulder blades, and hip muscles. Therabands play an important role in effective strengthening of the muscles surrounding the spine, which can helpmaintain the curvature of the spine and prevent further damage.

  • We also assist in working on the child's cardiorespiratory endurance- mainlybecause the capacity of the respiratory muscles decreases due to the increases intra-abdominal pressure- a by-product of kyphosis, leading to breathing issues. Our breathing programmes may consist techniques such as spirometry, chest PT, and rib cage mobilizations to help preserve cardiorespiratory endurance.

  • We also offer medium to high level endurance training to help maintain and improvecardiorespiratory capacity.

Treatment at Home