Analysis of the frequency of manifestation of isolated and combined developmental defects of the musculoskeletal system of primery school-aged children

Authors

DOI:

https://doi.org/10.15574/SP.2024.137.52

Keywords:

developmental abnormalities, primary school age, musculoskeletal system, scoliosis, flat feet, chest deformity, lower jaw

Abstract

Over the past few decades, there has been a significant decrease in the number of healthy children, while the number of children with chronic illnesses, developmental disorders, various forms of postural issues, and scoliosis has significantly increased.

Purpose - to determine the frequency of manifestation of developmental abnormalities in the spine, chest, foot, and lower jaw, as well as detection of variations and characteristics of their combinations in younger school children to develop new and improve existing criteria for early diagnosis of musculoskeletal development disorders and the correct selection of methods for their correction.

Materials and methods. In order to conduct the study as part of preventive check-ups with parental informed consent, 200 children (100 boys and 100 girls) aged 6-9 years were examined. The working group was formed using the randomization method. The groups of boys and girls were further divided into 4 age groups, (6 years, 7 years, 8 years and 9 years) each consisting of 25 children. We determined the shape of the chest , the symmetry of processus mastoideus, claviculae and fossa supraclaviculare, scapulae, cristae illiacae, maleolus medialis, the condition of the foot arch and the lower jaw development.

Results. Among the total number of examined children, isolated or combined variations of the following developmental abnormalities of the musculoskeletal system were found in 21.5% of cases. Isolated developmental abnormalities of the musculoskeletal system were found in 10% of examined boys and 8% of examined girls. Various combinations of detected abnormalities were found to manifest in 13% of boys and 12% of girls. Thoracic scoliosis is present in 16% of boys and 14% of girls; developmental issues of the lower jaw affect 9% of boys and 8% of girls, scoliosis of the cervical spine affects 4% of boys and 3% of girls; 6% of boys and 5% of girls have chest deformities and lumbar spine scoliosis.

Conclusions. Developmental musculoskeletal abnormalities were found in 21.5% of children of. The frequency of combined developmental abnormalities increases with age.

The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies.

No conflict of interests was declared by the authors.

References

Annushak O. (2015). Harakterystyka fizychnogo rozvytku ta funkcionalnogo stanu ditej molodshogo shkilnogo viku zi skoliotichnoyu deformaciyeyu hrebta I-II stupeniv Fizychne vyhovannya, sport i kultura zdorov'ya u suchasnomu suspilstvi. Zbirnyk naukovyh prac. 3(31): 104-108.

Araújo CL, Moreira A, Carvalho GS. (2023). Postural Education Programmes with School Children: A Scoping Review. Sustainability. 15: 10422. https://doi.org/10.3390/su151310422

Bermio VS, Jos HG. (2014). Congenital Foramen in the Body of Sternum. International Journal of Anatomy and Research. 2(3): 545-548.

Cheng J, Castelein R, Chu W et al. (2015). Adolescent idiopathic scoliosis. Nature Reviews Disease Primers. 1(1): 1-20. https://doi.org/10.1038/nrdp.2015.30; PMid:27188385

Gerasymenko VV, Kolisnyk PF. (2006). Somatometrychna programna ocinka zmin pry porushenij postavi ta skoliozah pershogo i drugogo stupeniv, rozrobka metodiv yih efektyvnoyi korekciyi. Visnyk Vinnyckogo nacionalnogo medychnogo universytetu. 10(2): 330-331.

Gorzov LF, Melnyk VS, Gorzov VV. (2019). Vzayemozv'yazok idiopatychnogo pidlitkovogo skoliozu hrebta ta zuboshelepnyh anomalij. Lik. sprava. 7-8: 30-34. https://doi.org/10.31640/JVD.7-8.2019(4)

Guzak OYu. (2022). Stan vyyavlennya porushen postavy ta skolioziv pry provedenni shorichnyh profilaktichnyh oglyadiv ditej v Zakarpatskij oblasti. Ukrayina. Zdorov'ya naciyi. 3(69): 81-85.

Jin J. (2018). Screening for Scoliosis in Adolescents. JAMA. 319(2): 202. https://doi.org/10.1001/jama.2017.20372; PMid:29318279

Kashuba VA. (2003). Biomehanika osanky. Monografiya. Kiyiv: Olimp. lit: 280.

Klymenko YuS. (2008). Fizychna reabilitaciya ditej zi skoliotichnymy vadamy hrebta. Zagalna patologiya ta patologichna fiziologiya. 1: 30-33.

Kocur NI, Tovkun LP. (2019). Porushennya postavy v uchniv serednogo shkilnogo viku ta yiyi korekciya zasobamy fizichnoyi reabilitaciyi. Molodyj vchenyj. 4.1 (68.1): 47-52.

Komar TV, Hmara TV, Kovalchuk PYe, Ryznychuk MO, Biryuk IG, Zamorskyj II. (2022). Ontologiya urodzhenyh vad hrebta Ukrayinskyj zhurnal medycyny, biologiyi ta sportu. 7; 1(35): 32-41. https://doi.org/10.26693/jmbs07.01.032

Ministerstvo ohorony zdorov'ya Ukrayiny. (2022). Oficijnyj sajt Derzhavnogo zakladu. Centr medychnoyi statystyky Ministerstva ohorony zdorov'ya Ukrayiny. URL: http://medstat.gov.ua/ukr/statdanMMXIX.html.

Myronyuk I, Guzak O. (2019). Vplyv zasobiv tehnologiyi korekciyi porushen postavy yunyh sportsmeniv na stan biogeometrichnogo profilyu. Molodizhnyj naukovyj visnyk Shidnoyevropejskogo nacionalnogo universytetu imeni Lesi Ukrayinky. 36: 97-106.

Rusnák R, Kolarová M, Aštaryová I, Kutiš P. (2019). Screening and Early Identification of Spinal Deformities and Posture in 311 Children: Results from 16 Districts in Slovakia. Rehabilitation Research & Practice. 3 (17): 1-9. https://doi.org/10.1155/2019/4758386; PMid:31007956 PMCid:PMC6441526

Sasiuk AI, Pogoriliy VV, Loyko EE, Konoplitskyi VS, Konoplitskyi DV. (2018). Goniometry of the sternum and parasternal areas in treatment for pectus carinatum in children. Paediatric surgery. Ukraine. 3(60): 41-45. URL: http://nbuv.gov.ua/UJRN/Khdv_2018_3_10. https://doi.org/10.15574/PS.2018.60.41

Sereda L, Lyannoj Yu. (2013). Porushennya funkcij oporno-ruhovogo aparatu v ditej doshkilnogo viku yak suchasna problema. Fizychne vyhovannya, sport i kultura zdorov'ya u suchasnomu suspilstvi. Zbirnyk naukovyh prac. 1(21): 306-310.

Zviryaka OM, Korzh YuM. (2007). Praktykum z teoriyi i metodyky likuvalnoyi fizychnoyi kultury. Sumi. SumDPU im. A.S. Makarenka: 184.

Published

2024-02-28

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Section

Original articles