10-B, Bul’varno Kudriavs’ka
Str., Kyiv City, Ukraine.
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Sat: 9 a.m. – 1 p.m.
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Call center
044 299 44 94
Взрослое отделение
044 272 11 81
Детское отделение
044 272 11 82

Posture disorders in children

Posture is a natural habitual posture of a person, which depends on the spine condition, muscular-ligament apparatus, environment, general well-being, and heredity. This is a complex notion determined by a variety of factors and revealing not just the physical condition of a person, but also a psychical one.

Correct posture is the most important health indicator; it is possible to judge the health state from the person’s appearance. The posture can be learned from afar and judge the correctness or incorrectness of statics.

The spinal column formation begins at an early age of a person. Cervical lordosis (bending of the spine at the front) is formed first; it is associated with the skill to keep the head straight. When the child begins to sit, a thoracic kyphosis (bending behind) is formed, and the lumbar lordosis and sacral kyphosis appear at the same time as the onset of walking. All the physiological spine curvatures entirely develop by age of 8. Therefore it is very important to pay attention to the body posture and control its correct formation yet in early childhood. It is the responsibility of parents, pre-school and school institutions employees, and health workers. The prevention of posture disorders will help your child to form the spinal column and prevent round back, scoliosis, etc. If the spine curvature is still remained, we recommend you to visit our paediatric neurologist.

There are certain periods in a child's life, which are accompanied by posture changes, - the period of early childhood and adulthood associated with an intensive growth. During these periods of time, child needs a particularly close attention of the parents. By the termination of the puberty, normal posture establishes, the abdominal wall flattens, and the lumbar lordosis finally forms.

How to distinguish correct and wrong posture?

A correct or normal posture is a position, in which person keeps the body and head straight, stands with slightly lowered and laid back shoulders, with a belly tight. The legs are bent at the knee joints, the gait is light, and the chest is pointing forward.

A person with an incorrect posture is stooping, standing or walking on half-bent legs, bulging his stomach forward, lowering his shoulders and head down. Posture curvature can lead to a child’s chronic stoop, scoliosis or abnormal musculoskeletal system development.

Various disorders of posture in children are very common in preschool and school age. According to the disappointing statistics, the number of such children reaches 30-60%. And the posture curvature in children is not just an aesthetic problem: the further harmonious development of the child, its health and its future depend on the spine condition.

We always recommend parents to keep a close eye on the position of the child’s back and regularly go in for sports, therapeutic massage, etc. In most cases, posture disorders are acquired and are associated with an incorrect day regimen and the systematic physical activity absence.

Asthenic type children are more predisposed to scoliosis; they are often ill and physically poorly developed. Back curvature in children can also lead to a rapid child’s fatigue at school or kindergarten, back pain and other adverse symptoms associated with bad posture in children of preschool age.

Bad posture contributes to an early degenerative-dystrophic spine diseases development and creates unfavourable conditions for the chest and abdominal organs functioning.

The main types of posture disorders in children

  1. Stoop – is based on the strengthening of thoracic kyphosis with simultaneous smoothing of the lumbar lordosis. This is the most frequent form of posture disorder, arising from the wrong sitting at the desk. The stoop inflicts a great harm to the child’s health: the stooped back deforms the thorax, displaces the internal organs, which leads to the lungs and diaphragm patency disorders. As a result, the child gets tired quickly, suffers from colds, and complains of headaches, its development is getting worse.
  2. Sway-back - a postural disorder with a significant total increase of thoracic kyphosis and absence of lumbar lordosis. The round back is often combined with winged shoulder blades. The center-of-gravity-shift arises, and the child stands and walks on slightly bent legs. In this case, the head is tilted forward, the abdomen protrudes, the rib cage falls, and the arms are slightly anterior to the body.
  3. Round back - arises as a result of an increase in all physiological sagittal spinal bends.
  4. Flat back - the wrong back position, characterized by smoothing of all the physiological spinal curves. The rib cage is shifted forward.
  5. Flat-bent back - posture position consisting in the reduction of thoracic kyphosis with normal or increased lumbar lordosis.

Quite often there are mixed types of posture disorders, combining several options.

Scoliosis is a lateral deviation of the vertical axis of the spine. If the physiological curves (lordosis and kyphosis) protect the spine from overloads and evenly distribute the load along its entire axis, then any, even small, lateral bends are always pathology. Timely prevention or correction of posture in children will help to avoid this deviation.

There exists such notion as “scoliotic posture”, which means a pathological lateral curvature of the spine that disappears in horizontal or inclined position. This is the main difference from the real scoliosis.

If your child complains about back-, chest-, feet pains; stoops his/her shoulders while sitting at the table; if you notice a change in the spine bends - please, visit a specialist. In order to avoid more serious consequences, you should immediately start the posture disorders treatment .

Prevention and treatment of posture disorders

Prevention of posture disorders in children will help to avoid problems that are associated with spine or chest pathology. In case of several, even mild, symptoms that may indicate a bad posture, you should immediately contact a pediatric neurologist. In our clinic, along with the classical neurological examination, a metameric approach is used in the diagnosis of spine and nervous system diseases.

The correction and treatment of posture should be complex and lengthy and begin as early as possible. In “Bersenev's Medical Centre” the metameric methods of treatment are used to eliminate such disorders.

The doctors of our clinic develop an individual treatment program of posture correction for each child; this program includes both drug-free and medicinal methods of treatment.

Our long-term experience shows that paravertebral metameric acupressure, which is performed by our massage therapists (with the further education of parents), has high efficiency. If necessary, the metameric reflexotherapy can be combined with the treatment, which allows normalizing of sensory, reflex and trophic disorders in a compromised metamer. Moreover, it is necessary to competently organize the medical-motor regime of the child, to ensure proper nutrition and accurate selection of shoes, to do everything possible to form the correct motor stereotype and development of a full-fledged muscular system. The posture correction in children of preschool age due to the qualified help of our neurologists will give you an advantage in your child proper development.

Mild posture disorders diagnosed at early stages can be easily corrected; therefore, the earlier complex treatment is started, the more chances for a positive result and a quick recovery you have.

To make an appointment for a consultation or a posture correction treatment session, please, call (044) 272-11-82 (children’s department) or (044) 238-22-31 (call centre).

Cost of treatment with additional services
Consulting appointment
Primary neurological examination of a child/adolescent by V.O. Kulyk
Primary neurological examination of a child/adolescent
Secondary neurological examination of a child/adolescent
Individual program of home treatment for a child/adolescent
Prolongation of the individual program of home treatment for a child/adolescent
Outpatient treatment
Outpatient treatment of a child/adolescent with posture disorders by the neurometameric reflexotherapy and metameric medicinal treatment
Kinesio Taping
Kinesio Taping (1 zone)
Metameric massage
Metameric back massage
Metameric collar and head zones massage
Metameric arms massage
Metameric legs massage
Our staff
Vladyslava Kulyk
Children’s department head physician,
Candidate of Medical Science,
high level certificate pediatric neurologist
Iuliia Biliuk
Pediatric neurologist,
first level certificate neurologist
Kseniia Maister
Psychologist, speech therapist,
Olena Bielievtseva
Speech therapist
Oleksandr Shevchuk

Oleksandr Shevchuk

Massage therapist
Stanislav Kurtosmanov

Stanislav Kurtosmanov

Massage therapist
Child neurology
Никто не может вернуться назад и изменить свой старт, но каждый может стартовать сейчас и изменить свой финиш. Когда семья решает иметь ребенка, все представляют, какой  он будет красивый, умный, счастливый. Едва ли чье-то воображение   рисует будущего малыша больным, беспомощным и несчастным. К сожалению, жизнь преподносит не только приятные сюрпризы. Радость рождения, может омрачиться сообщением о болезни. Среди причин детской инвалидности лидируют заболевания нервной системы , 75%   которых возникают в период внутриутробного развития или же в процессе родов.
Children’s department
About metameric treatment Documents for admission Questions and answers
What we treat
Child neurologist

Child neurologist specializes in the treatment of diseases associated with the central and peripheral nervous system affliction, as well as functional disorders of children.

Usually, during the first month after the child’s birth, doctors send parents to the compulsory consultation of a child neurologist, even if the child was born completely healthy and does not have any disorders related to the nervous system. Moreover, the regular follow-up visits are also necessary during the next stages of life.


The term “cerebral palsy” combines a group of syndromes resulting from underdevelopment or brain damage (often combined with spinal cord injury in the cervical spine) during the prenatal, intranatal and early postnatal periods.

Perinatal CNS involvement

Perinatal involvements of the central nervous system are those pathological conditions that arise under the influence of many negative factors affecting the growth and fetus development in the perinatal period.

Organic lesion of the central nervous system

Organic central nervous system lesions are a group of various neuropsychic disorders resulting from the influence of pathological factors upon the brain at different stages of ontogenetic development. This pathology has many behaviour options and various pathogenesis.

Birth trauma of cervical spine

During the birth the infant experiences a great physical exertion when passing through the maternal passages. The newborn’s skeletal system is different from the adult person skeletal system – it is characterized by special flexibility in order to go through this passage without consequences. Thus the newborn babies have an increased chance of receiving a birth trauma of cervical spine during the process of delivery.

Peripheral nervous system trauma

Peripheral nervous system birth trauma is the damage of nerve roots, nerve plexus, peripheral and cerebral nerves affected by an external mechanical agent during childbirth.

Psychoverbal development delay

In recent decades, more and more children have a diagnosis “Psychoverbal development delay”. The statistics are inexorable. And the sooner a psychoverbal development delay or speech delay is detected, the greater the chances for child’s treating are.

Muscle tone disorders

Muscle tone is a slight muscle tension, which is necessary for their quick inclusion in working condition. It is the level of tone that determines the readiness of the muscle complex to perform motor functions. For each period of child’s development there exist physiological standards of tonic activity.

Spinal amyotrophy

The spinal amyotrophies are genetic disorders of an anterior horn motor neurone disease; they are characterized by the progressive muscle weakness and twitching. Spinal amyotrophies are not characterized by sensational, motion coordination and oculomotor disorders. This is due to the spinal cord motoneurons affection.


Myopathies are hereditary diseases, which are based on the muscle fiber damage and, as a consequence, the emergence of a progressive musclular dystrophy (atrophy).


Myelopathy is a neurological term used to describe all kinds of spinal cord lesions. Myelopathy is usually a chronic disease.

Neurotic disorders

Among the mental disorders that occur in childhood, neurotic disorders account for 65%. Neurotic disorders (neuropathy, neurosis, neurasthenia, childish nervousness) in children manifest themself with a wide range of clinical symptoms, among which autonomic dysfunction and emotional disorders are the first.

Juvenile osteochondrosis

Juvenile (adolescent) osteochondrosis is a disease that is based on degenerative-dystrophic changes of intervertebral discs in adolescence. These changes are caused by the teens’ rapid growth, possible skeleton formation disorders, as well as inadequate physical activity on the growing spine. Osteochondrosis can develop in case of wearing a heavy bag on one shoulder and long sitting in an unnatural pose while studying.

The compulsive movement syndrome

The compulsive movement syndrome is a children’s nervous system disorder, which appears as a series of simple repeating motions. Such movements include finger sucking, nibbling, frequent blinking, wiggling, rocking or turning, grinding of teeth, shoulders twitching, forehead skin wrinkling, etc.

Psycho-Speech Delay in Genetic Diseases

With the development of a number of natural sciences (genetics, biochemistry, embryology, general biology, etc.), more and more importance is attached to genetic factors, which are considered to be the cause of more than half of cases of psycho-speech development disorders. This primarily includes the chromosome set pathology. Currently, more than 200 types of chromosomal aberrations are being described, causing psycho-speech development delay and mental retardation.

The autonomic dysfunction syndrome

Autonomic dysfunction is the common name for all the autonomic nervous system (ANS) dysfunctions, which lead to a “failure” in the work of internal parts and body systems.

Attention Deficit Hyperactivity Disorder

Attention deficit hyperactivity disorder is a quite common disease that is based on the central nervous system dysfunction (mainly the brain reticular formation).


The autism is a child’s mental development disorder, which is characterized by a lack of communication and speech and motor disorders.

Additional services
Speech therapist appointment

A speech is a reflection of thinking; it is a system. If there are problems with oral speech, then there will be difficulties with the thoughts formation, the ability to analyse, speculate, build logic chains, and also there will be some difficulties with reading and writing. A violation in one speech link is enough to make the whole system start to function incorrectly.

Metameric massage

Many articles have already been written about the undoubted massage benefits, and it has long been known that this is one of healing means, along with sports and nutrition. Massage helps to recover from stress quickly and avoid diseases associated with constant nervous tension, relieves pain points, and relaxes tense muscles. It also reduces anxiety, normalizes the blocked energy flow, enhances the immune system functions, and restores a sense of calm and well-being. This is an important component of a healthy lifestyle.

Psychologist consultation is your chance to change your life for the better


The spine, keeping the whole skeleton in an upright position, is the core of both the whole organism and our Personality.

Family physician appointment

At the “Bersenev’s Medical Center” all patients can get a qualified individual consultation of the family physician Petlytska Victoria Vitaliivna, a specialist with decades of experience in this field.

Victoria Vitaliivna had gotten a special multi-field speciality training of “family medicine”.

Infusion therapy

Infusion therapy (intravenous administration of solutions of various drugs into the body) is currently one of the most important medical measures aimed to solve a wide range of medical problems. This method of treatment exists since the 30s of the XIX century.

This method of treatment allows you to achieve a rapid therapeutic effect, as the medicine enters directly into the bloodstream, and also allows you to control its action more effectively.

Kinesio Taping

Kinesio taping is the imposition and fixation of special elastic bands on the child’s skin for several days in order to provide physiological movements of the joints and muscles, activating the processes of recovery and movement control. Kinesio tapes are elastic cotton tapes coated with an acrylic-based hypoallergenic adhesive gel.

Orthoses Making

In our Medical Centre you can get an expert advice from a physical rehabilitation specialist, as well as make individual ORTHOSES from Turbocast material.

Corrective insoles making

Neuropsychology arose at the intersection of medicine and psychology. This is a section of psychology that studies the brain organization of mental processes: attention, memory, perception, speech, motor skills, thinking, and emotional responses.

Metameric speech apparatus massage

Массаж артикуляционного аппарата или логопедический массаж — это метод механического воздействия, который изменяет  состояние мышц, нервов, кровеносных сосудов и тканей речевого аппарата.

Doctor Bersenev explains
Double hemiplegia as a form of cerebral palsy
Double hemiplegia as a form of cerebral palsy
Double hemiplegia is the rarest form of cerebral palsy. It occurs in 1.9% of patients. The most common form is spastic diplegia. Usually, motor function is affected, in some children intellectual abilities may suffer as well.
Hemiparetic cerebral palsy
Hemiparetic cerebral palsy
Hemiparetic cerebral palsy is one of the most common forms of cerebral palsy. This condition arises due to abnormal fetal development, which leads to brain damage.
Atonic-astatic form of cerebral palsy
Atonic-astatic form of cerebral palsy
This form of cerebral palsy has several names: atonic, atonic-astatic, ataxic. Along with double hemiplegia, it is one of the rarest and most difficult forms of treatment.
Cerebral palsy: spastic diplegia
Cerebral palsy: spastic diplegia
Spastic diplegia is the most common form of cerebral palsy. It is diagnosed in 40% of patients, mainly in babies born prematurely. Disorders of the arms and legs are most characteristic of the disease, that is, tetraparesis is observed, but the legs suffer more than the hands
Knee joint arthrosis
Knee joint arthrosis
Knee joint arthrosis is a disease in which all joint elements suffer, but the most affected is a cartilage. This type of arthrosis is the most common disease. Another name for this is gonarthrosis.
Constant Fatigue: Causes and Solutions
Constant Fatigue: Causes and Solutions
Many women (especially aged) trat chronic fatigue safely, saying, it’s a normal, common situation. So it is in some cases. For example, if a person goes in physical labor.
Spinal muscular atrophy
Spinal muscular atrophy
Spinal muscle atrophy (SMA) is a severe neuromuscular disease caused by damage to motor neurons (motor neurons), which are located in the front horns of the spinal cord, as well as neurons of the motor nuclei in the brain stem.

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