posture and child locomotive syndrome shohiro hayashi hayashi orthopaedic clinic
TRANSCRIPT
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?
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
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
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