scoliosis Flashcards
% has slight scoliosis between
75%between t6-8
the % that has scoliosis is on what side and why
on right cause heart pushing and dominant side
when you have a lateral bending you also get
rotation of the body
when check for scoiliosis
7th-8th grade
functional scoliosis
cause of overuse of muscle soft tissue (we can help_
structural scoliosis
deals with bones nad embryological development with migrationn anterior to posterior and cephalic to caudal
righting reflex
like if have a wedge vertebrae the body will make you stand up so that you can still see straight
two subclassifications of structural scoliosis
congenital/developmental and acquired
congenital/developmental scoliosis
ossification centers not occuring so could have malformation so thers no bone
acquired scoliosis structural
surgery, accidents, wolfs law comes into play ,
how find scoliosis
palpation to find it, xray find the degree
scoliosis is most prominent in
thoracic
wedge vertebrae
one side didnt form
block vertebrae
two vertebrae fused together because no ivd
hemivertebrae
when only half vert body forms during migration of sclerotomes
what are the types of hemivertebrae
semisegmented, fully segmented, wedge
unsegmented bard vert
two vert connected on one side
unsegmented bar with hemivertebrae
connected vert with a partially developed vert
what do u do with scoliosis the muscles
side of concavity: stretch those muscles
fatigue muscle on lengthened convex side
gaurding/splinting
when area is injured the areas around it gaurd the area
what do they put in people with scoliosis
harrington rods
test for scoliosis
adam’s test
how do adams test
have person slowly touch toes, i stabilize psis and observe, if it straightens when lowered its functional. if goes down and rocks and wasnt straight its structural.
how name what scoliosis is
the apex is the name C this is a left scoliosis
how confirm its structural from adams
do lat bend to right C and if curve increases its structural
lovett positive
sp’s on concavity side
what do lovett point of reference
sp’s
lovett negative
sp’s on convexity
what are lovettes classifications off of
short legs?
lovett static
midline sps with the curve
lovett failure
midline sps but no curve
lovett excess
sps on concavity and on high side of sacrum
lovett reverse
sps midline, lumbar goes opposite to sacrum
lovett relates to
whether on side of convex or concave and what side of sacrum its on
lovett positive symptoms
seldom symptomatic and least offending
lovett negative sympt
patient has severe pain
lovett static sympt
patient has moderate to severe pain
lovett failure sympt
associated with lumbar disc prolapse
what are the 5 things consider with pain patterns
bones muscles nerves organs vascular supply
scleretogenous pain pattern
inside: bone w/ ligs (scleretome)
dull ache that is localized, deep and boring (think of stubbing toe)
myotogenous pain pattern
muscle tendon and ct
dull ache thats diffuse NOT LOCALIZED, cant pin point
dematogenous pain pattern
SPINAL NERVE ROOT AND PERIPHERAL NERVES
sharp shooting shocklike pain (hit funny bone)
whats a dermatome
nerve root sensory nerve innervation of skin
vascular pain
throbbing or pulsing
visceral pain pattern
refer pain
ex. appendix to right lower quadrant, liver to right shoulder
if you have a deficiency in vascular probabl
cold pain
what could happen if have a penjalum stomach
facets jamm
3 components in physiological jt
nerve muscle and tendon
butterfly vertebrae
malformation in post vert specifically lamina. lat ossification centers fail to grow
how tell a congenital and acquired block from one another
xray, congenital has flat smooth peripheral surface, surgical appear prominent and irregular at the disc level
spina bifida
10% of pop, l5/s1 failure of fusion of lamina
what kind of pain pattern would be functional scoliosis
myetologous
can functional scoliosis cause structural
no
pain pattern for structural
scleretogenous pain and myetogenous
when have scleretogenous pain u also have
myetogenous pain
ivd pain pattern if have ivd problems
sclertogenous, myetogenous and when fully blown gets dermatogous
