Когда у человека, как у взрослого, так и у ребенка, уплощается стопа, то есть, появляется плоскостопие, она перестает выполнять амортизирующую функцию. Фактически, когда человек идет или прыгает, весь вибрирующий удар, минуя стопы, приходится прямо на колени, таз, а также позвоночник, что чревато его искривлением. Ведь позвоночный столб лишь отчасти берет на себя функцию амортизации. Возникает нарушение осанки, появляется остеохондроз (на ранней стадии) и даже грыжа диска. Эти патологии могут дать о себе знать даже в молодом возрасте. И это притом, что многие люди считают плоскостопие не такой уж серьезной проблемой.
У малышей невозможно выявить плоскостопие и поставить диагноз. Можно выявить только склонность. Стопа маленького ребенка внешне выглядит плоской по причине того, что там находится жировая клетчатка, которая только к трем-пяти годам исчезает и начинает формироваться уже полноценный свод.
Причины возникновения плоскостопия у ребенка
Плоскостопие у детей в современном мире не редкость. Многие специалисты сходятся во мнении, что плоскостопие это все-таки болезнь современности, также как и остеохондроз, атеросклероз, а также ряд других болезней, с которыми не сталкивались наши предки, жившие активной жизнью на природе. Получается это плата за некую цивилизованность.
Замечено, что плоскостопие чаще возникает у детей, которые действительно мало двигаются или испытывают дефицит витаминов, например, в раннем возрасте, когда идет формирование суставов, связок и связочно-мышечного аппарата. Однако именно подвижность и обувь играет здесь ключевую роль.
Развитию плоскостопия у ребенка может способствовать неправильно подобранная детская обувь. Например, тесная обувь, которая деформирует стопу, слишком просторная или же слишком мягкая. Боясь развития плоскостопия, родители иногда выбирают ребенку какие-нибудь стельки в обувь, которые якобы нужны для проведения профилактики плоскостопия. Стельки, на самом деле, только расслабляют стопу. Не стоит также забывать, что лечебные стельки — это лечебные стельки. И носить их нужно тогда, когда действительно есть проблема и конкретный диагноз.
Желательно, чтобы у детской обуви (обычной, не лечебной) была жесткая пятка, и это больше нужно не из-за плоскостопия, а для полноценного формирования суставов. Маленький ребеночек еще не устойчиво ходит, ему нужна жесткая фиксация пяточки. Кроме того, обувь должна иметь более менее адекватную жесткость подошвы и элементарный маленький супинатор. На это нужно обязательно обращать внимание каждый раз при выборе новой пары обычной обуви для ребенка.
Как выявить плоскостопие в домашних условиях
Для того чтобы дома определить, есть ли у ребенка плоскостопие, потребуется двойной тетрадный лист или один лист формата A4 (альбомный), масло и спонж. Нужно усадить ребенка и смазать маслом при помощи спонжа его стопы. Затем попросить малыша встать на лист ступнями на несколько секунд, но не ерзать на нем. Масло должно успеть пропитать бумагу. В результате на листе проявятся два отпечатка ступней.
А дальше необходимо правильно трактовать отпечатки. Следует взять линейку и провести чернилами касательную линию от большого пальца, его холма к пятке. Далее через наиболее тонкую часть отпечатка стопы провести перпендикуляр к ранее проведенной линии. Получаем вторую линию, перпендикулярную первой. Эту линию разделяем условно на три части. И если первый отрезок, который попадает на отпечаток масла, больше одной третьей всего отрезка, у ребенка плоскостопие. И это повод сходить к врачу.
Кроме того, если заметно, что походка ребенка несколько косолапая, можно взять его обувь и осмотреть внутреннюю часть подошвы. Если она сточена, значит ребенок при ходьбе немножко косолапит.
Также дети в более старшем возрасте могут жаловаться на боль в ступнях. Некоторые детишки просто говорят, что ножки болят, но не могут конкретно назвать, показать, где болит. Если ребенок предъявляет такие жалобы, нужно показаться ортопеду.
Ортопедическая детская обувь только по рекомендации врача
Здоровому ребенку никакой ортопедической обуви не нужно. Настоящая лечебная детская обувь в магазинах не продается. Производители, изготавливающие для массового использования якобы ортопедическую обувь и именуя ее таковой, мягко говоря, имеют не совсем верное представление, о том, какой должна быть действительно ортопедическая обувь. Настоящую ортопедическую обувь может порекомендовать носить только врач, который провел определенные обследования и поставил ребенку диагноз.
Если доктором-ортопедом поставлен диагноз, и выписан рецепт по ношению ортопедической обуви, то родитель вместе с ребенком приходит в ортопедическую мастерскую и предоставляет рецепт. Далее ребенок разувается и оставляет слепки-отпечатки стоп в мисочке со специальным материалом. Затем этот материал выпекается. Стельки обычно готовят из полипропилена. Он достаточно легкий, эластичный и прочный, что самое главное. Под слепок стоп изготавливаются индивидуальные стельки для ребенка. Возможно, каждую стельку придется дорабатывать под каждую обувь. Лучше, чтобы стелек было не одна пара. Ведь зачастую их приходится где-то обрезать, где-то подточить. Это делают в той же мастерской, где и готовят стельки.
Профилактика плоскостопия у детей
Специальные занятия будут помогать стопе ребенка оставаться здоровой. А если все-таки имеет место какое-либо какое-то нарушение, то они помогут подправить положение.
Для проведения процедуры понадобится галька. Когда ребенок ходит по гальке босыми ногами, камешки хорошо массажируют стопы. Удобно это делать в тазике. Можно просто поставить ребенка в тазик с галькой и попросить потоптаться по камушкам. Гальку можно заменить какой-то крупной крупой, бобовыми, или чем-то иным похожим. Принцип действия одинаков: неровности будут массировать внутренний свод, усиливая тем самым кровообращение и тренируя мышцы стопы. В результате происходит округление свода стопы. Делать такое упражнение достаточно десять-пятнадцать минут.
Следующее упражнение. Взять палку круглой формы (как черенок от лопаты) и попросить ребенка по ней походить, но не боком, а прямо, с одного конца на другой и т. д. Эффект тот же самый. Происходит массаж и стимуляция мышц свода стопы.
Если есть дома старые деревянные счеты, можно проводить занятия и с их помощью. Острые краешки счетов также делают прекрасный массаж. Если нет счетов, можно приобрести массажный коврик и постелить его, например, в ванной, детской комнате. Ребенок просто привыкнет по нему ходить, и процедуры будут происходить автоматически.
Следующая более интересная игра. В тазик нужно собрать различные предметы, игрушки. Перед игрой ребенку завязать глаза, а затем высыпать на пол перед ним содержимое тазика и попросить его, ощупывая стопами предметы, узнать, что перед ним находится.
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Плоскостопие — это не отмазка от армии, а серьёзная проблема, из-за которой больно ходить и даже сидеть. Лайфхакер разобрался, как провести простейший тест на плоскостопие и как не превратить ноги в ласты.
Что такое плоскостопие и откуда оно берётся
Плоскостопие — это деформация стопы. У здорового человека кости образуют два свода: продольный и поперечный. Выглядят они как арка в средней части стопы. Такая арка служит амортизатором, помогает распределять нагрузку при ходьбе.
У больного человека стопа соприкасается с полом при ходьбе. От этого страдают кости и суставы.
У всех маленьких детей есть плоскостопие в той или иной степени. Оно не связано с отклонениями, а проявляется потому, что ребёнок ещё растёт и формируется. Поэтому до 5–6 лет диагноз «плоскостопие» не ставится.
Свод стопы состоит из костей, связок и мышц. Когда связки и мышцы не могут нормально работать, они не поддерживают кости в правильном положении, развивается плоскостопие. Чаще всего плоскостопие начинает формироваться в детском и подростковом возрасте и со временем становится только сильнее.
Основные причины плоскостопия:
- Ногам не хватает нагрузки. Если не ходить, не бегать, не тренироваться и вообще постоянно сидеть, то мышцы не будут работать, ослабнут и не смогут выполнять основные функции.
- Нагрузка на ноги слишком высока. Это бывает из-за лишнего веса или если приходится много стоять без движения. Сюда же относится неудобная обувь и высокие каблуки: нельзя всегда держать ногу в неудобном положении.
- Травмы и болезни. Это переломы, параличи, рахит в детстве.
Впрочем, иногда плоскостопие — это генетический привет от родителей, когда нормальный свод стопы не формируется из-за наследственности.
К чему приводит плоскостопие
Если степень плоскостопия небольшая, то оно не доставляет неудобств. Но если стопа деформировалась сильно, проявляются неприятные последствия: ноги быстро устают и отекают, начинают болеть.
Как сказано выше, своды стопы нужны, чтобы пружинить и распределять нагрузку при ходьбе и в вертикальном положении. Когда стопа этим не занимается, нагрузка ложится на другие суставы: коленные, тазобедренные. Они болят, у человека меняется походка. Позвоночник тоже страдает. Плоскостопие может привести к серьёзным проблемам вплоть до грыжи межпозвоночных дисков.
Именно поэтому с плоскостопием не берут в армию: высокие физические нагрузки во время службы могут привести к травмам позвоночника.
Если плоскостопие не лечить, деформация стоп усиливается, появляются пяточные шпоры, болезненные косточки на больших пальцах, мозоли.
Как обнаружить плоскостопие
Плоскостопие бывает продольным и поперечным. Но в чистом виде такое встречается редко. Чтобы узнать, есть ли у вас проблемы, нужно посмотреть на изгибы сводов стопы.
Для этого проведите элементарный тест. Такое измерение условно и приблизительно, зато не требует вычислений. Смажьте стопу красителем (например, пальчиковыми детскими красками, которые легко смываются) или жирным кремом. Потом встаньте обеими ногами на лист бумаги (ноги должны быть на расстоянии 10–15 см друг от друга) и проанализируйте отпечаток.
Для начала проведите прямую линию между выступающими частями внутреннего края стопы. Потом найдите середину этой линии и опустите перпендикуляр к противоположному краю стопы. Разделите полученную линию на три равных отрезка.
В норме отпечаток свода должен занимать одну треть линии, максимум — половину. Если отпечаток перевалил за эти значения, то пора собираться к доктору, который проведёт более точную диагностику, направит на рентгенографию и выдаст рекомендации.
Как лечить плоскостопие
Полностью избавиться от плоскостопия почти невозможно, особенно если его заметили поздно: деформация затрагивает кости, а их так просто не переделаешь. Но лечение сдерживает заболевание, не даёт ему развиваться. Что помогает при плоскостопии:
- Операция. Хирургическое лечение требуется в тяжёлых случаях.
- Лекарства. Их выписывает врач, чтобы снять боль и напряжение.
- Физиотерапия. Направление на курс также выдаёт врач.
- Массаж. Разминайте стопы самостоятельно и не забывайте несколько раз в год проходить курсы лечебного массажа.
- Специальная обувь и стельки-супинаторы. При лёгкой степени плоскостопия они неплохо помогают затормозить развитие болезни. Но их нельзя постоянно носить для профилактики, чтобы не ослабить мышцы. Для сложных случаев ортопедическую обувь изготавливают на заказ.
- Лечебная физкультура. Это эффективный способ исправить плоскостопие, но заниматься нужно регулярно.
Упражнения для лечения и профилактики плоскостопия
У упражнений для лечения и профилактики плоскостопия есть большой плюс: они забавные и их не скучно выполнять. Некоторые похожи на школьную физкультурную разминку.
- Ходите на носках и на пятках, на внутренних и внешних сторонах стоп.
- Ходите с поджатыми пальцами ног и с поднятыми пальцами.
- Снимите обувь и стопами перекатывайте небольшой плотный мяч или бутылку с водой.
- Поднимайте с пола мелкие предметы, захватывая их пальцами ног.
- Стоя на месте, перекатывайтесь с носков на пятки.
- Сидя или лёжа, вращайте стопами в разные стороны.
Часть этих упражнений выполняйте в течение дня. Например, сидя за рабочим столом, вращайте стопами или по дороге с работы пройдитесь на носках и на пятках.
Есть и такие упражнения, которым стоит посвятить 5 минут после работы.
- Сядьте на стул, разведите колени и соедините стопы. Прижмите носки ног друг к другу, а пятки отводите и соединяйте. Представьте, что вы лягушка, которая хлопает пятками.
- Погладьте ногу от носка до колена стопой другой ноги.
- Приседайте на носочках. Возьмите гимнастическую палку (круглую), встаньте на неё и приседайте.
- Сядьте на стул, положите на пол бумажную салфетку. Соберите её пальцами ног, не отрывая стоп от пола.
- Рисуйте ногами: хоть пальчиковыми красками, хоть карандашами.
Как не допустить плоскостопия
Детей регулярно осматривает хирург, поэтому не пропускайте обязательные приёмы: доктор заметит, если с развитием ребёнка что-то не так.
Взрослым придётся следить за ногами самостоятельно. Это не так сложно: дозируйте нагрузку на ноги, поддерживайте здоровый вес и носите удобную обувь. Правильная обувь устойчива и довольно свободна, чтобы не пережимать ногу. Она имеет небольшой каблук (до 3 см), высокий и твёрдый задник.
А если вы не можете без красивой, но неудобной обуви, то хотя бы не носите её с утра до вечера и почаще делайте разминку для стоп.
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