posture and child locomotive syndrome shohiro hayashi hayashi orthopaedic clinic

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Posture and child locomotive syndrome Shohiro Hayashi Hayashi Orthopaedic Clinic

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Posture and child locomotive syndrome

                                     

  Shohiro HayashiHayashi Orthopaedic Clinic

                   

Children nowadays well-balanced

physically flexible

have good reflexes

always cheerful ,not tired

Really?

tripping and hitting theirfaces   unable to breakthe fall with   their hands

sitting on the floor because ofnot being able to stand for a longtime at a morning gathering

What happens to children now?

What happens to children now?

stumbling on their faces and losing their tooth while moppingthe floor with a floor cloth  

being unable to perform handstandsor support others doing so duringgymnastics

基本動作チェック4項目 Check 4 basic movements

① standing on one leg   (for more than 5 seconds without swaying)② vertical extension of arms

③ squatting (without raising heels)

④ bending over (until the fingers reach the floor)

More than 40% of the children were unable to perform any of 4 basic movements.   The state of being poorly balanced and physically stiff is dysfunctions of locomotive organs.         

nearly15%

23%

>40%

7%

Saitama school medical examination of locomotive organs(2010~2013)

 

• Kindergartener  (192)

• Preschool   children   (237) • Elementary school 5 ~ 6 th grader   (520) • Junior high

school   students   (394)• Total  

( 1343 ) 

Subject ( number )%

swaying

stiffness stiffness

Saitama school medical examination of locomotive organs(2010~2013)

 

Change by the growth%

One-leg st

and

squatti

ng

Arms e

xtensio

n

Bending over

Unable even one

The background cause for this condition is the social factor

lack of walking due to motorization

over-convenient societynot even have to turn a faucet

fewer playgrounds for children to play and exercise outside

No injury career  →  loss of ability for danger evasion  

  Group game (3 DS )

indoorsInner playoutdoors

The background cause for this condition is the social factor: smartphones ・ games

Such situation is same in Korea?

       Posture

1 year old girlgood posture withoutparticular instruction

When does posture worsen from? Around 7 years old because of long-time study?

Mobile devices such as smartphones have become widespread among young children, inducing poor posture at an early age

Good posture

Ear lobe

Great trochanter

Lareral malleolus

Acromion

Top of the head - human trunk - foot gravity line becomes straight

Bad   posture

Pushed outjaw Round

back

Passing awayRound back

Pushed outstomach

Pushed outchest

normal

Pelvic retroversion

Kenneth K. Hansraj, SURGICAL TECHNOLOGY INTERNATIONAL 25th EDITION Oct, 2014 一部改変

Force To Cervical Spineby Posture and Position of the Head

15degrees 30degrees

45degrees

60degrees

Neutral

2 times 3times

4 times 5times

1 time

4.5 ~ 5.5kg12kg

18kg

22kg27kg

27kgBW: 8 year old child

5kgAdult head

12kg 18kg 22kg

Educational training【躾3原則: 3 principles of educational training 】                                                                                   森 信三( 1896 ~ 1992 )哲学者・教育者 Mori   Shinzo Philosopher ・ Educator

①Greeting [How are you!]

立腰 Anteversion of pelvis

③Settlement  「 prepare footwear 」

②Response    「 Yes!]   

+

Correction of posture  ー by sitting device ー

Easily corrected by sitting deviceTo keep good posture without it

動画

立腰( Anteversion of pelvis )

Old children

Present children Children after the instruction

before after

5 year old boy,  low back painHe is addicted to a game on his smartphone.

 

Round back

Pushed outstomach

Posture correctedby knee standingposition.

But restored after standing up again

Pushed outjaw

Pelvicretroversion

5 year old boy,   low back painbend a body forward

before after

bend a body with a hip joint not the backbone

×〇

before after

Vertically extended arm, after instructinghim to move scapula

5 year old boy,   low back pain extend arm vertically

6 year old boy, shoulder discomfortHe is addicted to a game on his smartphone,too

 

Pushed outstomach

Round back

6 year old boy, shoulder discomfortHe is addicted to a game on his smartphone,too

 

before after

6 year old boy, shoulder discomfortHe is addicted to a game on his smartphone,too

 

before after

Fracture of wrist

  

    2013.6.25

  

    2013.11.19

No injury career  →  loss of ability for danger evasion  

15 year old boy跳箱 Vaulting horse →Colles Fx

  10 year old girl 馬跳 Leapfrog→Smith Fx  

Check 4 basic movements

① standing on one leg   (for more than 5 seconds without swaying)

② vertical extension of arms

③ squatting (without raising heels)

④ bending over (until the fingers reach the floor)

Static balance

Stiffness of upper limbsposture

Stiffness of lower limbs

Stiffness of whole bodyposture

Posture and movement function

get tired easily Dysfunction oflocomotive organs

Break of the posture

Injury

Disorder of the lifestyle

Locomotive syndrome   【 Adult 】

【 Child 】  

Poorly balancedMuscle weakness

Poorly balancedStiffness of the body

運動器障害  disturbanceof locomotive organs

寝たきり  more likely to become bedridden

運動器機能不全 dysfunctionsof locomotive organs

ロコモ予備群 prone to injury and may suffer locomotive syndrome in the futureWe name this condition child locomotive syndrome

Poor posture

If posture was bad, have you been warned?

Koshigaya elementary school 2012

Questionary survey to 495 primary schoolchildren

Are you unfit of body?

Koshigaya elementary school 2012

Questionary survey to 495 primary schoolchildren

Whom do you eat breakfast or dinner with?

Koshigaya elementary school 2012

Questionary survey to 495 primary schoolchildren

Locomo measures from a child     Enlightenment, the prevention of locomo       Front-loaded measures to a child              Importance of the school medical examination of locomotive organs

     Check lifestyle of children (meal, exercise)

 

Posture instruction

Prior check by the protector

Prevension of locomo ,metabo and dementia Final target is

Conclusion

To keep good posture is the basisfor the health of children

To keep the health of children is the duty of adult

Thank you!!