Physical rehabilitation of primary school age children with static disorders of the locomotor system

Aim of the study consists in the optimization of rehabilitation programs for primary school age children with static disorders of the locomotor system (LMS). We have performed the study of primary school age children on a scientific research center base in Problems of childhood vertebrology laboratory in 2008-2009. 137 primary school age children (7-10 years old) took participation in the study, there were 52 boys and 85 girls among them. All the children had functional static disorders of LMS (pelvic tilts in the frontal plane, postural disorders, planovalgus feet). The assessment of LMS initial condition, as well as the effectiveness assessment of restorative treatment was made using computer optical topography (COT) developed at the Novosibirsk Scientfic Research Institute of Traumatology and Orthopedics [7] and Dia-Sled (DS) stabilographic complex developed in FSI The Saint Petersburg Scientific and Practical Center of Medical and Social Expertise, Prosthetics and Rehabilitation of the Disabled named after G. A. Albrecht of Federal Medical and Biological Agency of Russia [8]. We have worked out the algorithm of therapeutic physical training (TPT) in view of static disorder type of the spine as the spine scoliotic arc and axis slope through pelvic tilt in the frontal and horizontal planes. The differentiated TPT prescribed for a patient in combination with mechanical correction using uneven orthopedic insoles contributes to prevention of the spine structural disorders. The creation of the muscular corset, as well as the skill of correct posture with the help of physical exercises in the process of TPT is considered by us to be a fundamental guideline for the outcome achievement.