{"id":3783,"date":"2019-08-23T13:05:04","date_gmt":"2019-08-23T11:05:04","guid":{"rendered":"https:\/\/znajdzgabinet.pl\/?p=3783"},"modified":"2024-10-17T13:51:50","modified_gmt":"2024-10-17T11:51:50","slug":"problem-koslawosci-kolan-u-dzieci","status":"publish","type":"post","link":"https:\/\/blog.booksy.com\/pl\/fizjoterapia\/problem-koslawosci-kolan-u-dzieci\/","title":{"rendered":"Problem ko\u015blawo\u015bci kolan u dzieci"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\"><p class=\"ez-toc-title\" style=\"cursor:inherit\">Spis tre\u015bci<\/p>\n<\/div><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/blog.booksy.com\/pl\/fizjoterapia\/problem-koslawosci-kolan-u-dzieci\/#o-koslawosci-kolan\" >O ko\u015blawo\u015bci kolan<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/blog.booksy.com\/pl\/fizjoterapia\/problem-koslawosci-kolan-u-dzieci\/#koslawosc-kolan-i-jej-przyczyny\" >Ko\u015blawo\u015b\u0107 kolan i jej przyczyny<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/blog.booksy.com\/pl\/fizjoterapia\/problem-koslawosci-kolan-u-dzieci\/#koslawosc-kolan-u-dzieci\" >Ko\u015blawo\u015b\u0107 kolan u dzieci<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/blog.booksy.com\/pl\/fizjoterapia\/problem-koslawosci-kolan-u-dzieci\/#jak-to-sie-dzieje\" >Jak to si\u0119 dzieje?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/blog.booksy.com\/pl\/fizjoterapia\/problem-koslawosci-kolan-u-dzieci\/#koslawosc-kolan-%e2%80%93-i-co-dalej\" >Ko\u015blawo\u015b\u0107 kolan &#8211; i co dalej?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 align=\"justify\"><span class=\"ez-toc-section\" id=\"o-koslawosci-kolan\"><\/span>O ko\u015blawo\u015bci kolan<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p align=\"justify\">Je\u015bli dorastaj\u0105ce dziecko staje w rozkroku, jego kolana nie s\u0105 w osi ko\u0144czyn dolnych, a do tego ma p\u0142askostopie, to najpewniej ma<strong> ko\u015blawo\u015b\u0107 kolan<\/strong>, kt\u00f3ra zdecydowanie wymaga diagnostyki u fizjoterapeuty. O\u015b kolana rozwija si\u0119 od szpotawo\u015bci u niemowl\u0105t, poprzez faz\u0119 ko\u015blawo\u015bci w okolicy 4-5 roku \u017cycia, kt\u00f3ra stopniowo ulega redukcji do 12 roku \u017cycia, a\u017c po osi\u0105gniecie\u00a0fizjologicznej ko\u015blawo\u015bci u doros\u0142ych.<\/p>\n<p align=\"justify\">Bardzo cz\u0119sto ustawienie kolan odbiega jednak od normy i wtedy niezb\u0119dna b\u0119dzie odpowiednia diagnostyka, kt\u00f3ra wyja\u015bni, czy nieprawid\u0142owe ustawienie kolan wynika z uwarunkowa\u0144 genetycznych, czy na skutek nieprawid\u0142owo\u015bci zwi\u0105zanych z postaw\u0105 lub przebytm urazem. Z pewno\u015bci\u0105 taka diagnostyka wymaga wizyty u fizjoterapeuty.<\/p>\n<h3 align=\"justify\"><span class=\"ez-toc-section\" id=\"koslawosc-kolan-i-jej-przyczyny\"><\/span>Ko\u015blawo\u015b\u0107 kolan i jej przyczyny<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p align=\"justify\">Ta wada postawy ma wiele przyczyn. <strong>S\u0105 nimi zar\u00f3wno wrodzona ko\u015blawo\u015b\u0107, nier\u00f3wnomierny wzrost ko\u015bci udowej lub goleniowej u dzieci<\/strong>, ale r\u00f3wnie\u017c choroby zwi\u0105zane ze starszym wiekiem i przeci\u0105\u017caniem kolan, takimi jak reumatoidalne zapalenie i choroba zwyrodnieniowa staw\u00f3w. Ko\u015blawo\u015b\u0107 kolan zazwyczaj pojawia si\u0119 u dzieci oko\u0142o 4-5 roku \u017cycia i zazwyczaj jest wynikiem przeci\u0105\u017cenia z nie do\u015b\u0107 mocnym aparatem mi\u0119\u015bniowo-wi\u0119zadlowym ko\u0144czyn dolnych. Ko\u015blawo\u015b\u0107 kolan mo\u017ce by\u0107 r\u00f3wnie\u017c nast\u0119pstwem p\u0142askostopia, co uwidacznia si\u0119 zw\u0142aszcza w pozycji\u00a0stoj\u0105cej.<\/p>\n<h3 align=\"justify\"><span class=\"ez-toc-section\" id=\"koslawosc-kolan-u-dzieci\"><\/span>Ko\u015blawo\u015b\u0107 kolan u dzieci<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p align=\"justify\">Kiedy dziecko jest noworodkiem, nieznaczna szpotawo\u015b\u0107 kolan jest zjawiskiem normalnym, bo jest to prawid\u0142owy stan fizjologiczny, kt\u00f3ry wykszta\u0142ci\u0142 si\u0119 po u\u0142o\u017ceniu n\u00f3g podczas \u017cycia p\u0142odowego. Taki stan utrzymuje si\u0119 do oko\u0142o 3 roku \u017cycia. Kiedy dziecko wchodzi w wiek przedszkolny, szpotawo\u015b\u0107 staje si\u0119 fizjologiczn\u0105 ko\u015blawo\u015bci\u0105, kt\u00f3ra zanika nieco szybciej u dziewczynek ni\u017c u ch\u0142opc\u00f3w\u00a0w okolicy 6 roku \u017cycia. Kiedy szpotawo\u015b\u0107 post\u0119puje, w okresie dojrzewania mo\u017ce mie\u0107 ju\u017c trwa\u0142y charakter. Os\u0142abione\u00a0wi\u0119zad\u0142a powoduj\u0105 zaburzenia osi ko\u0144czyn, wygi\u0119cie staw\u00f3w kolanowych w ty\u0142, a zwi\u0119kszony nacisk na chrz\u0105stki kolan powoduje spowolnienie wzrostu ko\u015bci udowej i piszczelowej, a przyspieszony po stronie przy\u015brodkowej. Je\u015bli dziecko ma obni\u017cone napi\u0119cie mi\u0119\u015bniowe, to jest bardziej nara\u017cone na wyst\u0105pienie ko\u015blawo\u015bci kolan. <strong>Szersze ustawienie n\u00f3g u dzieci z ko\u015blawo\u015bci\u0105 kolan zwi\u0119ksza obci\u0105\u017cenie wewn\u0119trznych kraw\u0119dzi st\u00f3p<\/strong>, co zaburza prac\u0119 \u0142uku stopy i prowadzi do p\u0142askostopia i ko\u015blawo\u015bci st\u00f3p.<\/p>\n<h3 align=\"justify\"><span class=\"ez-toc-section\" id=\"jak-to-sie-dzieje\"><\/span>Jak to si\u0119 dzieje?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p align=\"justify\">W ko\u015blawo\u015bci kolan nogi uk\u0142adaj\u0105 si\u0119 w kszta\u0142t litery X, czyli o\u015b podudzia z osi\u0105 uda tworz\u0105 k\u0105t otwarty na zewn\u0105trz. <strong>Ko\u015blawo\u015b\u0107 mo\u017cna oceni\u0107 mierz\u0105c odleg\u0142o\u015b\u0107 mi\u0119dzy kostkami przy ca\u0142kowicie\u00a0wyprostowanych kolanach<\/strong>, a wyst\u0119puje wtedy, kiedy mi\u0119dzy kostkami przy\u015brodkowymi tworzy si\u0119 odst\u0119p powy\u017cej 5 cm. Aby stwierdzi\u0107 t\u0119 dysfunkcj\u0119 kolan, wymagane jest r\u00f3wnie\u017c zdj\u0119cie RTG.<\/p>\n<h3 align=\"justify\"><span class=\"ez-toc-section\" id=\"koslawosc-kolan-%e2%80%93-i-co-dalej\"><\/span>Ko\u015blawo\u015b\u0107 kolan &#8211; i co dalej?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p align=\"justify\">Je\u015bli dziecko bardzo cz\u0119sto siedzi w liter\u0119 W, czyli w siadzie kl\u0119cznym, z podudziami i stopami skierowanymi na zewn\u0105trz, mo\u017cna mie\u0107 spore obawy, i\u017c kolana po pewnym czasie b\u0119d\u0105 mia\u0142y tendencj\u0119 do ko\u015blawo\u015bci. Na skutek nieprawid\u0142owej postawy zmianom ulegaj\u0105 wi\u0119zad\u0142a i mi\u0119\u015bnie &#8211; te od wewn\u0105trz (m. in. mi\u0119sie\u0144 krawiecki, g\u0142owa przy\u015brodkowa mi\u0119\u015bnia czworog\u0142owego uda) rozci\u0105gaj\u0105 si\u0119, a zewn\u0119trzne &#8211; skracaj\u0105.<\/p>\n<p align=\"justify\"><strong>Ko\u015blawo\u015bci kolan nie sprzyja r\u00f3wnie\u017c d\u0142ugie chodzenie<\/strong> lub stanie w rozkroku, jazda na \u0142y\u017cwach i nadwaga. Z t\u0105 wad\u0105 postawy wi\u0105\u017ce si\u0119 r\u00f3wnie\u017c nieprawid\u0142owy ch\u00f3d, dlatego bardzo wa\u017cna jest nauka poprawnego stania i chodzenia, jak najcz\u0119stsze siedzenie po turecku, ale r\u00f3wnie\u017c praca ze stopami, kt\u00f3re na skutek zniekszta\u0142cenia kolan mog\u0105 mie\u0107 wiele dysfunkcji, takich jak p\u0142askostopie czy nadmierna pronacja.<\/p>\n<p align=\"justify\"><strong>W leczeniu ko\u015blawo\u015bci kolan istotne s\u0105 \u0107wiczenia<\/strong>, kt\u00f3re zaleci fizjoterapeuta, polegaj\u0105ce na wzmocnieniu rozci\u0105gni\u0119tych mi\u0119\u015bni i rozci\u0105gni\u0119cie przykurczonych, a tak\u017ce prac\u0119 z dysfunkcjami st\u00f3p i nauk\u0119 prawid\u0142owego chodzenia.<\/p>\n<p align=\"justify\">Na www.booksy.com\u00a0z pewno\u015bci\u0105 znajdziesz specjalist\u0119 w swoim regionie.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>O ko\u015blawo\u015bci kolan Je\u015bli dorastaj\u0105ce dziecko staje w rozkroku, jego kolana nie s\u0105 w osi ko\u0144czyn&#8230;<\/p>\n","protected":false},"author":26,"featured_media":3792,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"default","_kad_post_title":"default","_kad_post_layout":"default","_kad_post_sidebar_id":"","_kad_post_content_style":"default","_kad_post_vertical_padding":"default","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":"","_ppma_block_editor_authors":""},"categories":[85],"tags":[],"ppma_author":[280],"class_list":["post-3783","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fizjoterapia"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Problem ko\u015blawo\u015bci kolan u dzieci - Booksy.com<\/title>\n<meta name=\"description\" content=\"Czym si\u0119 objawia ko\u015blawo\u015b\u0107 kolan? 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