Diagnosis, symptoms, treatment, exercises disease at Chairman Mau

The Disease Chairman Mau (juvenile dorsal kyphosis) is a disease that occurs mainly in adolescence and accompanied by a wedge deformity of multiple vertebrae with the formation of the vertebral hump (outer protrusions in the thoracic region).

The Main cause of the disease is the weakness of the muscular-ligamentous apparatus that does not cope with functionality during the period of intensive growth of bones and vertebrae.

The incidence of pathology – 1%. Occurs with the same probability, both boys and girls. Found most often in adolescence, when hormonal changes there is an active growth of bones.

In some cases, the pathology can be detected only in adulthood, as in childhood curvature the axis of the spine was not accompanied by a strong curvature of the back. For this reason, the person in a timely manner was not carried out x-ray examination of the spine, which is the main method of diagnosis of pathology.

Symptoms and diagnosis of the disease

The Classic disease of Chairman Mau accompanied by an increase in the thoracic kyphosis to angle 45-75 degrees (normally about 20-30 degrees) due to the wedge-shaped deformation of more than 3 vertebrae and hyperextension of the anterior longitudinal ligament (located in front along the entire vertebral axis).

Such changes are accompanied by violation of posture and the appearance of excessive protrusion of the thoracic spine (spinal hump). Over time there is flattening of the lumbar lordosis, which leads to incorrect posture type flat back, but with excessive protrusion of the thoracic kyphosis.

The Human spine normally has 4 bending

1. Cervical lordosis – the inward deviation in cervical region;
2. Thoracic kyphosis – offset posteriorly in the thoracic region;
3. Lumbar lordosis – the inward deviation in the lumbar spine;
4. Sacral kyphosis is offset posteriorly in the sacral region of the Department;

This structure of the spinal column is intended to reduce the depreciation pressure during walking and lifting weights.

The Angle of the bulges and depressions in norm does not exceed 40 degrees. When a person increases the magnitude of the thoracic kyphosis, there is a pinching of the nerve root in the damaged segments of the spine (compression syndrome).

The Syndrome Chairman Mau in the initial stages can be detected. Not there are a number of clinical symptoms and radiological signs that allow to do it.

Diagnosis of the pathology is based on the following principles:

• examination of the patient with the identification of specific disorders of posture (spinal hump, flattening of the lumbar lordosis);
• medical history to detect hereditary predisposition to weakness of the muscles;
• perform x-ray studies to identify the sphenoid vertebrae and precise measure of the magnitude of vertebral curvatures;
• Magnetic resonance study to assess changes in the soft tissues of the vertebral column;
• Electromyography to determine muscle strength back.

What is the difference between wedge vertebrae from normal

Features wedge-shaped vertebrae syndrome Chairman Mau:

• Decreased body height in the anterior ½ of physiological dimensions;
• Structural elements of bone tissue are damaged, resulting in decreased stability of the vertebra to stress;
• Possible rotation of the damaged segment in the horizontal axis (torsion).

amid these changes in the spine there is a thickening of the ligaments that prevents normal functioning of the spinal column and enhances the probability of a wedge-shaped deformation of the vertebrae of the other.

The causes of the syndrome Sherman-Mau to date remain outstanding. The most likely factors in the emergence of pathology scientists include:

• genetic predisposition to weakness of the muscular-ligamentous apparatus of the back;
• Traumatic damage to the vertebrae in the area of growth zones;
• Necrosis (cell death) of hyaline cartilage that covers the peripheral portion of the lower and upper vertebral contact surface;
• Depression of the bone structure (loss of calcium salts, vitamin D deficiency);
• Pathological changes in the muscle tissue;
• Rapid bone growth;
• Frequent microfractures of the vertebrae.

Thus, the disease Sherman-Mau – polyetiological disease. As a result, its treatment should be aimed at addressing all the factors that trigger the disease.

the Main stages of the disease

The Doctors are the following stages of juvenile dorsalkyphosis:

1. Latent (8-15 years). In this stage the child does not complain about changes in health. Recurrent pain after exercise quickly and are "written off" fatigue. By external examination the doctor can detect the flattening of the lumbar lordosis and increased thoracic kyphosis. There is a positive test for mobility of the spine: tilt forward when the child does not reach the floor;
2. Early (from 15 to 20 years). Step is accompanied by neurological manifestations (lumbodynia, compression syndrome). Lower back pain and upper back appear periodically or constantly there;
3. Late (after 25 years). In this stage appear threatening complications with the formation of degenerative changes in the spinal column. Appears spondylosis, fixed hyperlordosis, ligaments, spondylarthrosis (disease with the deposition of calcium in the ligaments, impaired mobility in the vertebral joints and the increase of physiological curves of the spine).

How to treat juvenile kyphosis

X-ray image of the patient with disease of Chairman Mau before and after the installation of supporting structures

In the early stages of the disease the complex of therapeutic exercises helps to strengthen skeletal muscles and to prevent deformation of the sphenoid. Suspect pathology helps only of intermittent pain between the shoulder blades that occur in children after exercise.

The Appointment of a special complex of exercises you need to trust the orthopedist-the traumatologist, who will conduct a thorough investigation of the health status of the child.

Appears In the later stages the spinal hump and other violations of posture, which eliminated with one only exercises cannot. Requires a comprehensive treatment including anti-inflammatories, stretching, therapeutic exercises, physiotherapy and massage.

The detection of the disease the child is not allowed some types of exercises are contraindicated and the lessons of school physical education. Assigned classes in the treatment group walking, swimming, Cycling.

At home the patient to perform daily exercises to strengthen abdominal muscles (they are antagonists of the muscles of the back).

Also, the child classes is shown at the chiropractor and osteopath. If the angle of curvature of thoracic kyphosis over 50 degrees, you need surgical treatment system installation "bridge", allowing to straighten the spine.

During the deformation over 75 degrees is assigned 2 operations:

• For removal of pathological vertebrae;
• the Installation of a supporting structure.

Exercises for syndrome

To Self-treat the disease Sherman-Mau is impossible, since the pathology is characterized by extensive symptom complex of pathological changes. The main method of its treatment in the initial stages of pathologies – orthotics. In between wearing of orthopedic corsets, experts recommend physiotherapy. Here is an list of exercises for the treatment of disorders such as:

• Exercise 1. Stand straight, and feet position shoulder width apart. Straighten your shoulders and pull his head up. As you do, rotate your head to the side, the vertebral column and hold it steady. The number of repetitions – 5
• Exercise 2. Stand up straight and straighten your back. Throw your head back at first, and then gradually tilt it forward. The number of repetitions – 5
• activity 3. Stand straight and rotate the head maximally to both sides. Increase the amplitude gradually. The number of repetitions – 5
• Exercise 4. Lie on the floor and grasp your knees with your hands. Perform wiggle on the back, first forward and then back. The number of repetitions – about 15-20
• In a standing position, place feet shoulder width apart. Follow the movements of the pelvis first one way and then the other. With each turn, try to perform a deep slope.

The daily repetition of this treatment prevented the progression of the disease. For the treatment to complement a range of specialized therapeutic exercises that will choose an attending physician.

do with the syndrome of Chairman Mau in the army

If the disease is diagnosed in a child at an early age and carried out qualified treatment, he may be found fit for military service because of pathological changes in the spinal column when the x-ray does not exist.

If the disease is detected late (at 17-18 years), or treated poorly, a young man released from military service, as physical activity will contribute to the progression of spinal curvature and shape pain.

While deciding the appeal of the person with this pathology to military service, specialists focus on the data of clinical-laboratory and instrumental investigations (radiography, computed tomography and MRI).