title: BIOMECHANICS OF THERAPEUTIC RIDING DURING THE DISEASES OF I-II DEGREE DYSPLASTIC LUMBAR AND STATIC (SHORT LEG) SCOLIOSIS.
abstract: The goal of the paper is to substantiate the essence of ridetherapy biomechanics as the pathogenetic therapeutic and prophylactic method at lumbar dysplastic (the I and II degrees) and static (short-legged induced) scoliosis. Uneven lower extremities caused by any reason and asymmetric support induce the change in the arrangement of trochantin to the vertebra and correspondingly the uneven loading of lumbar muscles. The asymmetric strength of lumbar muscles evoked by the change in rotator condition becomes the cause of the formation of scoliosis primary arc which, in its turn, causes a compensatory spinal curvature. In case of dysplastic scoliosis a leading role belongs to the beginning of dystrophic changes in intervertebral discs and its further decentration. At riding position the lower extremities are completely disengaged from the antigravity redistribution, the child is in direct contact with vibrations and jolts coming from the horseback; the antigravity loading is distributed on the muscles of the torso and thus, it creates an opportunity to purposefully affect the correction of the spine. During scoliosis the pathogenic essence of ridetherapy is due to the comprehensiveness of its procedures, expressed in the fact that during one procedure several factors are influenced simultaneously: nucleus pulpous, the torso and iliopsoas muscles, the antigravity system, etc. According to the clinical-functional and radiographic studies carried out in the dynamics on 11-16 years old adolescents it has been established that in those groups where the rehabilitation was conducted in a complex with ridetherapy the authentically higher results were obtained as compared to the groups where the rehabilitation was held using therapeutic exercises and massage.
authors.affiliation: Petre Shotadze Tbilisi Medical Academy, Georgia.
authors.forename: E
authors.initials: E
authors.lastname: Sheshaberidze
authors.affiliation: Petre Shotadze Tbilisi Medical Academy, Georgia.
authors.forename: I
authors.initials: I
authors.lastname: Merabishvili
authors.affiliation: Petre Shotadze Tbilisi Medical Academy, Georgia.
authors.forename: M
authors.initials: M
authors.lastname: Loria
mesh_terms: D000293:Adolescent; D000818:Animals; D001696:Biomechanical Phenomena; D002648:Child; D056147:Equine-Assisted Therapy / Q000379:methods*; D005260:Female; D005269:Femur / Q000002:abnormalities / Q000503:physiopathology; D019417:Hindlimb Suspension / Q000379:methods; D006615:Hip / Q000002:abnormalities / Q000503:physiopathology*; D006736:Horses; D006801:Humans; D007403:Intervertebral Disc / Q000002:abnormalities / Q000503:physiopathology; D008159:Lumbar Vertebrae / Q000002:abnormalities / Q000503:physiopathology*; D008161:Lumbosacral Region / Q000002:abnormalities / Q000503:physiopathology; D008297:Male; D018482:Muscle, Skeletal / Q000503:physiopathology; D012600:Scoliosis / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D012720:Severity of Illness Index; D016896:Treatment Outcome; D016474:Weight-Bearing