Assessment of the state of the musculoskeletal system and postural balance in adolescents

V. Dolich, N. E. Komleva, V. A. Medentsov, S. Mazilov, I. Zaikina
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Abstract

The aim of the study is to analyze the prevalence of functional and structural disorders of the musculoskeletal apparatus (MSA) and postural balance in adolescents in the Saratov region. Material and methods. The condition of the musculoskeletal system in adolescents of the Saratov region (n = 555) was studied as part of a one-stage study. The prevalence of pain complaints in various structures of the musculoskeletal system, body type, posture, shape of the pelvis and feet, the presence of trigger points, the function of the hip and shoulder joints, the volume of movement in various parts of the spine were analyzed. To assess the postural balance, the indicators of the statokinesiogram were studied. Results. A high prevalence of complaints of pain in the structures of the musculoskeletal system has been established. The most common structural changes are: scoliotic posture disorder, the shape of the shoulders, chest, shoulder blades, pelvis, feet. Among the functional disorders – limited mobility in the hip and shoulder joints, in the thoracic and lumbar spine. Trigger points were found mainly in the trapezius, pectoralis minor, scalenus, quadratus lumborum, sternocleidomastoid muscles. Statistically significant correlations were found between the parameters of the statokinesiogram and complaints of pain in the spine, structural and functional disorders of the musculoskeletal system. Conclusions. The results of the study indicate the need for an interdepartmental integrated approach to the prevention of diseases of the musculoskeletal system in adolescents. An important condition is the quality of preventive medical examinations, a personalized approach to physical education, optimization of the ergonomics of classrooms in schools, training the population in movement hygiene, and increasing commitment to a healthy lifestyle.
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评估青少年的肌肉骨骼系统和姿势平衡状况
本研究旨在分析萨拉托夫州青少年肌肉骨骼装置(MSA)功能性和结构性紊乱以及姿势平衡的发病率。材料和方法对萨拉托夫州青少年(n = 555)的肌肉骨骼系统状况进行了单阶段研究。研究分析了肌肉骨骼系统各结构疼痛症状的发生率、体型、姿势、骨盆和脚的形状、触发点的存在、髋关节和肩关节的功能、脊柱各部位的运动量。为了评估姿势平衡,研究了静态肌电图的指标。研究结果肌肉骨骼系统结构疼痛的投诉率很高。最常见的结构变化是:脊柱侧弯姿势失调、肩部、胸部、肩胛骨、骨盆和脚的形状。功能性障碍包括:髋关节、肩关节、胸椎和腰椎活动受限。触发点主要出现在斜方肌、胸小肌、头皮肌、腰四头肌、胸锁乳突肌。统计发现,静态肌电图的参数与脊柱疼痛的主诉、肌肉骨骼系统的结构性和功能性紊乱之间存在明显的相关性。结论研究结果表明,预防青少年肌肉骨骼系统疾病需要采取跨部门的综合方法。其中一个重要的条件是预防性体检的质量、个性化的体育教育方法、优化学校教室的人体工程学设计、对居民进行运动卫生方面的培训以及加强对健康生活方式的承诺。
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