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The term "side bend" is often mentioned and conclusive. However, many practitioners did not make the side bends and side shifts clear, and did not even know the side shift. There are also big differences in terms of timeliness, and there are also big differences in the cycle of exercise rehabilitation.
Before technical analysis, you need to understand the basic knowledge. In many trainings, there is no in-depth study and understanding of lateral and lateral shifts. They are not identified according to systematic evaluation. The manifestations of spinal changes are generally performed in accordance with postural scoliosis for rehabilitation training. Practicing practitioners in a short period of time.
There is a big difference between low back pain and scoliosis. Some people with scoliosis may not have pain for a lifetime, just affecting posture.
Scoliosis is mainly divided into congenital and acquired, congenital is caused by the influence of the baby in the mother, and acquired nature is caused by various factors of the day after tomorrow, then the scoliosis can be divided into several according to the cause class?
1. Malnutrition Scoliosis, scoliosis can also occur in children with rickets due to vitamin D deficiency.
2. Attitude scoliosis, often caused by some incorrect posture, is often found in school-age children and adolescents. This type of scoliosis is not serious, and the deformity can automatically disappear when the patient is lying flat or pulling the horizontal bar with both hands. (This type should pay special attention to this article)
3. Neuropathic scoliosis, caused by imbalance of muscle tension due to poliomyelitis, neurofibromatosis, syringomyelia, cerebral palsy. The younger the patient's onset age, the more severe the scoliosis.
4. Chest pathological scoliosis, juvenile irritable or tuberculous pleurisy, excessive pleural thickening and contracture in the patient; or thoracoplasty in childhood, disturbing the balance of the spine during development, can cause the spine Scoliosis.
Does the torso have a side shift? Such movement may be a vertical side shift or a side bend (or accompanied by a rotation). Vertical lateral shifts may be caused by mechanical dysfunction or muscle spasms.
Detection: Disappear when taking a lying position or hanging position.
Note: True scoliosis often has a compensatory bend that does not change in a lying position or in a suspended position. (see photo)
• This is the result of autonomous or involuntary avoidance of nerve root stimulation.
• Some painful people lean toward one side of sciatica, while others have leaned toward the healthy side.
• The possible cause is that the disc of the protrusion is on the side of the nerve root.
 Then in the above knowledge, we can have the phenomenon of scoliosis (the focus here is to analyze the postural problems of sideways and sideways. 1 , 3 , 4 as another article system analysis.) Divided into two Kind. One is lateral shift of the spine caused by low back pain; the other is postural scoliosis without any pain (most adolescents).
 Note that the recovery cycles of these two types of exercise rehabilitation are completely different. According to the actual case study of the united controlology professional technology clinical research center. The lateral shift of the spine caused by low back pain can be fully recovered in a short time. Because of the posture scoliosis ( <5° is normal, it is common with the customary hand), it can be trained by strengthening the posture function. (<20 °, 20 - 40 °) correction is to look at the age and severity, age, severity of scoliosis rehabilitation strategies and means to be different, to wear the brace while receiving exercise rehabilitation conservative treatment (special attention The age is under 16 years old, the effect is ideal). Re-heavy (over 40° ) requires surgery.
 However, the scoliosis of this type of problem (above 20° ) can be fully recovered in a few times, and this must be written realistically. However, the difference is that the lateral displacement of the spine caused by low back pain can be changed in a short time, and the side shift phenomenon of the spine disappears. In the problems of low back pain, there are many problems with low back pain. We have carried out targeted rehabilitation training for hundreds of patients with low back pain according to another classification. The effect has been significantly improved, and the rehabilitation effect (patients with low back pain) was discharged in the shortest 4 days.
The first classification is: soft tissue injury type low back pain.
The second classification is: vertebral body, disc type low back pain.
The third category is: superimposed coexisting type back.
The first type of problem: soft tissue injury type of low back pain. Systemic rehabilitation with acute lumbar sprain, low back muscle fasciitis, third lumbar vertebrae transverse syndrome, lumbar facet joint synovial incarceration, supraspinous and interspinous ligament injury, piriformis syndrome injury, etc. .
The second type of problem: vertebral body, disc type low back pain. Â Lumbar disc herniation is typical. Then it is divided into: degenerative, bulging, protruding, posterior longitudinal ligament, prolonged posterior longitudinal ligament (two types), free. The first four types of exercise rehabilitation techniques can achieve the desired results.
The third type of problem: superimposed coexisting low back pain. There is a structural change in the soft tissue, and there is a lesion in the vertebral body or intervertebral disc.
The pain performance of the first two types of low back pain is not particularly serious in the society, and some patients with severe pain are hospitalized. It must be noted that a large proportion of the symptoms of pain in the third type of superimposed coexisting problem are not the theoretical symptoms presented by X- ray imaging. That is to say, there is a disc problem, but the pain is not caused by the intervertebral disc problem.
Let's take a look at a set of actual case pictures, the comparison of postural scoliosis in different age groups, as well as the degree of scoliosis and the treatment options that should be chosen. (Select the actual side bend crowd for nearly 1 month)
 Remarks:
The picture is a comparison before and after the sports rehabilitation phase.
In summary, practitioners should first perform imaging examinations in the face of differences in posture and low back pain, and be diagnosed by a physician after diagnosis. In particular, it is necessary to distinguish between side and side shifts, and then perform targeted exercise rehabilitation training according to their respective characteristics and classifications. Ensure the value of personal technology applications. Poor posture in life causes muscles and fascia to be unbalanced, resulting in pain due to compensation. (In particular, it is necessary to distinguish between adolescents and adults. Adolescents often do not cause pain due to bone development. Adults suffer from muscle and fascia imbalance. The difference between the two is the nature of bone growth.) Modern society makes Many people increase the posture of the desk and the free "comfortable" position. Any incorrect posture can affect soft tissue damage and later cause spinal problems. The relationship between internal and external sources is an important knowledge point that practitioners must clearly understand. In the stage of growth and development, the spine will be formed into a side bend. If it is not corrected in time, the side bend will increase. In adulthood, the side bends are also formed and enlarged, but more are painful. How to grasp the relationship between the parties requires in-depth evaluation and analysis by practitioners.
Source: United Pilates
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