Idiopathic Scolosis Flashcards
prevalence of idiopathic scoliosis
most common spinal disorder
1/10 children has it
when does scoliosis typically occur
periods of growth spurts
6-24 months or 5-8 years
what is observed in scoliosis
asymmetry of
- shoulders
- chest
- pelvis
- hunched back
- lumbar bulging
- possible rib hump
how is scoliosis named
for the convex side
- ie rightward c curve
–> concave side on L/convex side on R
explain gender and its relation to scoliosis
more prevalent in women
- 3:1
when the cobb angle is >40 degrees, explain the incidence of IS between genders
females more often (7:1)
what qualifies a diagnosis of idiopathic scoliosis
Cobb Angle >10 degrees
what is the diagnostic tools used in scoliosis
frontal radiograph
adams forward bend test
scoliometer
what makes prognosis worse for those with scoliosis
if there is a long period between diagnosis and growth completions
explain postural vs structural scoliosis
postural = can be fixed w/adjustments
structural = cannot, need equipment
explain structural scoliosis prognosis for those with:
<20 degree
20-40 degree
>40 degree
<20 - rarely have issues
20-40 = risk of progression
>40 = surgery to protect organs
– >50 greatest likelihood to progress,
– >60 = major structural deformation and lung compromise
interventions for scoliosis include
stretching
strengthening
postural training
respiratory training
manual therapy
bracing
explain schroth method
using new movement patterns to correct posture with repetitive strength training as well as postural alignment
explain 3D approach to scoliosis
sensorimotor and kinesthetic principles focused on:
- muscle symmetry
- rotational angular breathing
- awareness of your posture
what surgical options are there for scoliosis
spinal fusion
hemi-epophysiodesis
why would a spinal fusion be done
to stop progression of curvature
- instrumentation = no bracing
- no instrumentation = bracing
what is a hemi-epiphysiodesis
surgery that stops abnormal bone growth on one side
– removal of growth centers / fuse spine on convex side
when is a hemi-epiphysiodesis indicated
for those with congenital scoliosis due to bones not being fully formed
goals of treatment related to those with idiopathic scoliosis
stop curve progression
prevent respiratory dysfunction
prevent spinal pain syndromes
improve posture
explain POC for those with:
- postural scoliosis
- mild/asymptomatic scoliosis
- mod/severe scoliosis
postural = education, functional training
mild = maintenance, limit progression / improve posture and symptoms
severe = surgery
