Scoliosis

Question 1

What are the 2 types of curves found in people with scoliosis?

Answer 1

C curve

S curve

Question 2

The vertebrae of the spine will always rotate with lateral flexion of the spine esp in scoliosis. What direction will the SP of the rotated vertebrae point toward?

Answer 2

SP’s will always rotate into the concave side of the curve.

Question 3

With rotation of the vertebrae that will occur with scoliosis the anterior bodies of the vertebrae will face which side of the curvature of the spine?

Answer 3

The anterior bodies will always rotate into the convex side of the curve.

Question 4

When labeling scoliosis curves which side of the curve do you name the scoliosis after?

Answer 4

The convex side.

ie right sided c curve

Question 5

The scapula on the convex side of the curve will always move in which direction?

Answer 5

Elevate

Question 6

The ribs on the concave side of the curve will always be in what position?

Answer 6

crowded

Question 7

The scapula on the concave side of the curve will always move in what direction?

Answer 7

Depression

Question 8

The ribs on the convex side of the curve will always be in what position ?

Answer 8

Humped

Question 9

The Hips will compensate by doing what on the concave side of the curve?

Answer 9

Hip hike

Question 10

There are 2 types of scoliosis what are they? and what is the difference?

Answer 10

Structural - Not fixed by changing your posture

functional - postural cl can correct it if they try

Question 11

What is an easy test of where or not your cl scoliosis is functional or structural?

Answer 11

Client bends forward
observe for change in ribs
if it corrects = functional (even if it doesn’t fully correct its still func. so long as there is some change)
does not correct = Structural (no change what so ever)

Question 12

What are some reasons your client might develope functional scoliosis?

Answer 12

bony asymmetry (LLD)
Habitual Posture
soft tissue integrity and function
Antalgia - eg painful gait cause posture to be throne off.

Question 13

what are 3 further classifications of stuctural scoliosis?

Answer 13

Congenital
Neuromuscular
Idiopathic

Question 14

What is the main focus when treating someone with structural scoliosis?

Answer 14

Pain Management

compensating structures

Question 15

what curve is the most common curve see in scoliosis patients?

Answer 15

Right thoracic curve

Question 16

How do you tell if the scoliosis curve should be labelled right or left?

Answer 16

which ever side the convex side faces?

convex on right side = Right sided curve

Question 17

What are transitional vertebrae?

Answer 17

The vertebrae between the curves

Question 18

The vertebrae suck in the curve of the spine are hyper or hypo mobile?

Answer 18

Hypo

Question 19

The transitional vertebrae on each side of the curve or between curves are hyper or hypo mobile?

Answer 19

Hyper

Question 20

When thinking of doing some joint mobs on the vertebrae of the spine which vertebrae should you NOT perform joint mobs on?

Answer 20

Any transitional vertebrae ( the ones at the ends or between curves) because these are already hypermobile joints. you want to focus your attention on the hypo joints in the curve

Question 21

What is the span of a scoliosis curve?

Answer 21

Anatomical start and end points of the curve

Question 22

What is the apex of a scoliosis curve?

Answer 22

The vertebrae that is the furthest from the center.

Question 23

Is there pain associated with scoliosis?

Answer 23

Yes pain may develope. pain can be from :
muscle tension / imbalances
Trps
Mechanical pain

Question 24

Other then MSK what other complications can be associated with Scoliosis?

Answer 24

Pulmonary (in those with sever curves)
Neurological complications with severe curves
Gastrointestinal disturbances

Question 25

What symptom is a red flag, is NOT normal symptoms for someone with scoliosis and indicates that they MUST see there doctor.

Answer 25

Radiating leg pain | systemic complaints about bowel/ bladder

Question 26

bracing is used for what purpose?

Answer 26

To stop progression

Question 27

What considerations should you have for assessing and treating scoliosis?

Answer 27

``` mm imbalances gait abnormality rot pelvis Shoulder levels rib space scapular position ROM ```

Question 28

When treating a client with Scoliosis what focus does treatment have for a structural case verse a functional case?

Answer 28

``` Structural = pain managment functional = work to correct it ```

Question 29

What assessment is considered for someone with a scoliosis?

Answer 29

ROM testing of affected areas Muscle Length tests as warranted by postural observations / ROM findings Joint mobility testing Palpation Draw conclusions ( what are the structures that are causing my client to seek treatment... how can i help them today?)

Question 30

For scoliosis clients think what is happening in the concavity and convexity of the body what are some likely impairments that they might have?

Answer 30

Muscular/ fascial integrity and function ( tro contractures, weakness) pain (shear stress, compression, muscular fatigue/ Trps, stenosis) Joints ( hypo verses hyper mobility) (ribs especially!!!) (always think of compensating structures)

Question 31

Should you correct adaptive shortening and contracture before or after boney asymmetry is corrected?

Answer 31

after | You can work on it but do not attempt to FULLY correct it until after boney asymmetry is corrected by doctors.

Question 32

is it better to treat to shortened or lengthened structures first in someone who has scoliosis?

Answer 32

Treat shorten structures first unless pain is too much then try to treat shortened and lengthened structures the same.

Question 33

What is some self care for a client with scoliosis?

Answer 33

Full deep breathing Stretches ( specific to individual) core stability postural awareness and self correction