Friday, 22 November 2013

Teens Back Health: Gameboy Back - The next generation of pathology

Have you noticed a rise in children and adolescents with low and mid back pathology, headaches, neck and shoulder pain? It is happening globally. Our electronic devices and sedentary lifestyles are responsible. The good news is that with some public education and awareness this can be significantly reduced.

On November 1st, CBC News reporter, Kim Brunhuber, did a piece about an alarming trend for teens' back health as a result of electronics.  Dr Mark Erwin from the University of Toronto was interviewed about the effects of children’s developing spines and muscles being repetitively sustained in a “C” curve.


Many would agree that there is a vital role for PT’s and OT’s in schools and with parents providing patient education for correct postural mechanics in daily life. We need to get parents and kids thinking about their posture when they use electronics and when they aren’t using electronics. There has been a relaxed attitude about posture for a few generations and we are seeing it in the rise of hip, LBP, shoulder, neck and carpel tunnel patients. One of the key problems is external femoral rotation/ EFR which weakens psoas major immediately leading to kyphosis. From sitting cross legged on the floor to external rotation of hip while sitting these postures set us all up for pain and set the developing body up for a life of pain.

 A simple solution is to show parents, teachers and kids the importance of holding their devices up, sit with neutral or on the floor internal femoral rotation (like hero pose in yoga), and do their homework on the laptop or tablet at a table using correct ergonomics. The effects of poor posture are reversible in most instances.
From a therapy perspective, aligning the psoas major is a powerful first step in restoring hip flexion and extension through the thoracolumbar spine. We demonstrate this free technique on our website under courses/STAMINA® Rehabilitation Therapy. We encourage every therapist to learn the psoas technique as a main tool in their treatment protocol. This technique is only one of 38 techniques taught in the SRT courses for the full body protocol.  Once manual therapy assessment and treatment is performed STAMINA® Rehabilitation Therapy restores optimal function to 38 stabilizing load management muscles. This combined with the SRT patient education will put our youth back on track for ideal development and help them be more active.

Reference:
Brunhuber, Kim and Hurko, Marijka, CBC New, Nov. 15, 2013 6 am, Yoga can lead to hip injuries http://www.cbc.ca/player/News/TV+Shows/The+National/About+the+Show/Kim+Brunhuber/ID/2415699721/?sort=MostPopular

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