scoliosis

Question 1

compare dextro and levoscoliosis

Answer 1

dextro - right convexity

levo - left convexity

Question 2

compare structural and non structural

Answer 2

structural - spine pathology

non - prob outside of spine

Question 3

compare major and minor curve

Answer 3

major - most significant deformity

minor - less severe; usually opposite the major

can be single or C or double or S curve

Question 4

compare transitional vertebra and apex of curve

Answer 4

transitional - neutral vertebra above and below

apex - vertebra farthest from midline

Question 5

discuss mild scoliosis

Answer 5

< 25°

asymptomatic pts

strengthening and stretching

Question 6

discuss mod scoliosis

Answer 6

25-45°

early structural changes are seen, pain and difficulty

bracing

strengthening and stretching

Question 7

discuss severe scolio

Answer 7

> 45°

significant deformity, pain, DJD, cardio pulmo problems

surgery

Question 8

discuss structural scoliosis

Answer 8

irreversible lateral curvature c fixed rotation

post rib hump on convex
anterior rib hump on concave

1. idiopathic
2. neuromuscular
3. osteopathic

Question 9

discuss non-structural scoliosis

Answer 9

postural or functional

(-) structural or rotational changes

reversible and corrected by
- forward or side bending
- pos changes of pelvis
- muscle contraction

1. LLD
2. unilateral spasm or MG
3. habitual assym postures

Question 10

sources of pain in scoliosis

Answer 10

muscle fatigue or strain on convex side

nerve root irritation on concave

joint irritation on facets

muscle imbalance

Question 11

discuss non op management

Answer 11

exercise
casts
traction
spinal bracing
NMES on convex side