Working out of new examination method and dynamical assessment of primary school-aged children with postural abnormality based clinical-instrumental analysis

Aim. To evaluate the efficacy of a comprehensive survey of children with bad posture by using routine method combined with the non-standard functional test.

Materials and methods. We examined 91 children with bad posture aged from 7 to 10 years undergoing treatment in a rehabilitation center. Before treatment, all children were examined using the methods of visual diagnostics and functional tests. We then conducted a nonstandard test to determine the mobility of the sacroiliac joint using computed optical topography (COMET), developed in Novosibirsk research Institute of traumatology and orthopedics. A comparative assessment of the clinical results and hardware examination methods before and after treatment was done.

Results. Using computer topographic survey revealed abnormalities in 19 children (21 %), not detected during visual diagnosis on the primary admission. Using non-standard functional test in 34 children (37 %) was first identified functional block of the sacroiliac joint. During re-examination, the positive dynamics was revealed in 68 (75 %) children.

Conclusion. The conducted comprehensive survey in children has allowed to put a correct diagnosis at admission to treatment and to monitor the dynamics during the treatment course. Use of computer optical topography in combination with a number of standard and non-standard functional tests enhanced the accuracy and objectivity of the assessment of the musculoskeletal system of the patients, including allows to detecting functional blocks of the sacroiliac joint.