Prof. V.Serdyuk (member of SICOT), Prof. Y.SuchinProf. V.Serdyuk (member of SICOT), Prof. Y.Suchin

e-mail: e-mail: magtherapy@gmail. commagtherapy@gmail. comwww.orthopedics.com.uawww.orthopedics.com.ua

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ODESSA NATIONAL MEDICAL UNIVERSITYODESSA NATIONAL MEDICAL UNIVERSITY

DEPARTMENT OF ORTHOPEDICS AND TRAUMATOLOGY DEPARTMENT OF ORTHOPEDICS AND TRAUMATOLOGY WITH CHILDREN`S SURGERY.WITH CHILDREN`S SURGERY.

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INTRODUCTION TO PROBLEM.INTRODUCTION TO PROBLEM. As we As we discovered, the nature of IS has a regular, discovered, the nature of IS has a regular, biomechanical and reflex origin, based upon biomechanical and reflex origin, based upon asymmetrical neurological activity of brains asymmetrical neurological activity of brains hemispheres.hemispheres.

One sided contracture of spine`s extensors One sided contracture of spine`s extensors leads to violation of correct balance between leads to violation of correct balance between spine and pelvis, its tilt to side of weak muscles spine and pelvis, its tilt to side of weak muscles and development of lateral spinal curves and development of lateral spinal curves (Fig. 1, (Fig. 1, 2)2). Such a wrong body`s position is then fixed in . Such a wrong body`s position is then fixed in Cerebellum as aCerebellum as a” wrong “ ” wrong “ reflex. reflex.

Since surgical treatment is often followed with Since surgical treatment is often followed with numerous complications, more and more doctors numerous complications, more and more doctors change their position from active surgery to change their position from active surgery to nonsurgical treatment (braces, massage, nonsurgical treatment (braces, massage, swimming, physical exercises).Unfortunately, swimming, physical exercises).Unfortunately, their efficacy is not high enough.their efficacy is not high enough.

MATERIALS.MATERIALS. From 1996 till 2014 about 250 From 1996 till 2014 about 250 children, mostly with infantile and juvenile IS children, mostly with infantile and juvenile IS were under our control and outdoor nonsurgical were under our control and outdoor nonsurgical treatment. We obtained 18 years experience with treatment. We obtained 18 years experience with 10-12 years of follow up.10-12 years of follow up.

Fig. 2. Fig. 2. Pelvis tilt to right side is Pelvis tilt to right side is linked with hypertone of linked with hypertone of m.erector trunci sinister m.erector trunci sinister

due to increased due to increased neurological activity of right neurological activity of right

cerebral hemisphere.cerebral hemisphere.

Fig. 1. Fig. 1. Pelvis tilt to left side is Pelvis tilt to left side is

linked with hypertone of linked with hypertone of m.erector trunci dexter m.erector trunci dexter

due to increased due to increased neurological activity of neurological activity of

left cerebral hemisphere.left cerebral hemisphere.

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Fig. 3.Fig. 3.

AA - - A boy of 4 A boy of 4 years. Kypho-years. Kypho-

scoliotic posture. scoliotic posture. Right sided Right sided

contracture of contracture of spine's extensors. spine's extensors.

Relative shortening Relative shortening of left leg for 3 mm.of left leg for 3 mm.

BB -- Orthopedic insole Orthopedic insole of 3 mm height, put of 3 mm height, put

under left heel, under left heel, excluded pelvis tilt, excluded pelvis tilt,

restored its horizontal restored its horizontal position. Axis of spine position. Axis of spine

became correct. became correct.

METHOD OF TREATMENTMETHOD OF TREATMENT.. Our Our method of balance therapy is method of balance therapy is based upon restoration of based upon restoration of horizontal position of pelvis, due to horizontal position of pelvis, due to abolishing single side spasm of abolishing single side spasm of spine`s extensors and spine`s extensors and consequently restoration of correct consequently restoration of correct spine`s axis. spine`s axis.

This method includesThis method includes: :

11..Prolonged wearing of orthopedic Prolonged wearing of orthopedic insoles of necessary height for insoles of necessary height for compensation of relative shortening compensation of relative shortening of one of the legs for restoration of of one of the legs for restoration of vertical position of the body and vertical position of the body and formation of formation of “correct” “correct” reflexion. reflexion. This new body position Is then This new body position Is then fixed in the brain and preserved in fixed in the brain and preserved in later life later life (Fig. 3).(Fig. 3).

2.2. Magneto-acoustic therapy with Magneto-acoustic therapy with its anti-swelling, anti-inflammatory its anti-swelling, anti-inflammatory and analgesic effects, restoring and analgesic effects, restoring microcirculation in affected areas, microcirculation in affected areas, stimulating normalization of spinal stimulating normalization of spinal cord function, cerebral and spinal cord function, cerebral and spinal blood circulation . blood circulation . (Fig. 4)(Fig. 4)..

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Fig. 5.Fig. 5. Complex of detorsional Complex of detorsional exercises in cervical, thoracic exercises in cervical, thoracic

and lumbar-sacral areasand lumbar-sacral areas

Fig. 4.Fig. 4. Application of Application of magneto-acoustic device magneto-acoustic device on thoracic and lumbar-on thoracic and lumbar-

sacral areas of backbone.sacral areas of backbone.

3.3. Reduction of spinal muscles contracture, correction of their balance and axis of spine using complex of Reduction of spinal muscles contracture, correction of their balance and axis of spine using complex of detorsional exercises detorsional exercises (Fig. 5)(Fig. 5)..

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Clinical case 1Clinical case 1

A -A - a child of 2 years. a child of 2 years. Scoliotic posture. Scoliotic posture.

Relative shortening of left Relative shortening of left leg for 3,5 mm. Thoracic leg for 3,5 mm. Thoracic

curve is 10 degreescurve is 10 degrees

B -B - same patient. same patient. One year after treatment. One year after treatment. Axis of spine is correct. Axis of spine is correct.

Length of legs is identicalLength of legs is identical

СС - - same patient. Ten years after treatment. same patient. Ten years after treatment. Axis of spine is correct. No signs of ScoliosisAxis of spine is correct. No signs of Scoliosis

RESULTS.RESULTS. Achieved results are based on creation of the new Achieved results are based on creation of the new “correct” “correct” reflex of vertical position of the reflex of vertical position of the body, which is preserved in further life.body, which is preserved in further life.

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Clinical case 2Clinical case 2

B -B - same patient. 1,5 years same patient. 1,5 years after starting treatment. after starting treatment.

There is no shortening of There is no shortening of the left leg. Axis of spine is the left leg. Axis of spine is

correct.correct.

C -C - same patient. Follow up same patient. Follow up period 12 years. Body is period 12 years. Body is symmetrical. No signs of symmetrical. No signs of

Scoliosis. Length of legs Scoliosis. Length of legs is identical.is identical.

A -A - A boy of 10 years. Scoliosis A boy of 10 years. Scoliosis deformation -18 Kobba degrees. deformation -18 Kobba degrees. Relative shortening of left leg Relative shortening of left leg

for 10 mm.for 10 mm.

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THANK YOU VERY MUCH THANK YOU VERY MUCH FOR ATTENTION !FOR ATTENTION !

CONCLUSIONSCONCLUSIONS:: 1. Balance therapy of infantile and 1. Balance therapy of infantile and juvenile Scoliosis is effective juvenile Scoliosis is effective nonsurgical method of treatment nonsurgical method of treatment based upon creation of based upon creation of “correct” “correct” reflex of vertical body position, reflex of vertical body position, preserved in future.preserved in future.

2. Detailed information about this 2. Detailed information about this method of treatment you may find method of treatment you may find in our book in our book “Scoliosis and spinal “Scoliosis and spinal pain syndrome. New approach to pain syndrome. New approach to the old problem”the old problem”..

Conflict of interest.Conflict of interest. The authors The authors declare that they have no conflict of declare that they have no conflict of interest.interest.