Scoliosis Treatment

Question 1

Progression of the curve in scoliosis can be increased in:

Answer 1

Patients <12

Girls

Premenarchal women

Curves with initial Cobb ≥20˚

Double/thoracic curves

Risser grade 0 or 1

Question 2

The Hueter-Volkmann principle states that increased ________ on a vertebral growth plate retards growth.

Answer 2

Pressure

Question 3

The most popular modern underarm brace is known as the ________. It is prescribed for curves in the ________ or ________ spine.

Answer 3

Boston brace, lumbar, thoracolumbar

Question 4

On the osteopathic structural exam, ________ and ________ should be used to evaluate if someone has scoliosis.

Answer 4

Gait, static asymmetries

Question 5

The only group that suggests that screening for scoliosis has insufficient evidence regarding benefits/harms is the ________.

Answer 5

US Preventative Services Task Force

Question 6

How do you calculate a Cobb angle?

Answer 6

Identify the most cranial vertebra that has the greatest tilt from horizontal, draw a line parallel to superior end plate

Identify the most caudal vertebra that has the greatest tilt from horizontal, draw a line parallel to inferior end plate

Draw lines perpendicular to both parallel lines and measure angle between the intersection

Question 7

Intersegmental motion testing will reveal rotation ________ the convexity (ALWAYS).

Answer 7

Towards

Question 8

Both the Boston brace and the Charleston bending brace are types of ________.

Answer 8

Thoracic-Lumbar-Sacral Orthoses

Question 9

The best osteopathic techniques for scoliosis patients are ________, ________, and ________ techniques.

Answer 9

soft tissue, myofascial release, indirect

Question 10

The Milwaukee brace is also known as the ________. The goal of this brace is to ________.

Answer 10

Cervico-Thoraco-Lumbo-Scaral Orthosis (CTLSO), prevent progression in skeletally immature patients

Question 11

Within the musculoskeletal and neurological exam, you could use ________ test and measure the angle of trunk rotation using a ________.

Answer 11

Adam’s forward bend, Scoliometer

Question 12

A ScoliScore™ of ≤50 equates to ________ risk of curve progression. A score of 51-180 equates to ________ risk and a score of 181-200 equates to ________ risk.

Answer 12

Low, intermediate, high

Question 13

The ________ is used to assess skeletal maturity and evaluates the degree of ossification and fusion of the iliac apophysis.

Answer 13

Risser Sign

Question 14

Osteopathic techniques will help optimize structure and function in scoliosis patients, but it is not intended to ________.

Answer 14

Straighten curves

Question 15

The ________ brace targets neuromuscular dysfunction, growth asymmetry, postural disorganization, and spinal deformation. The best results are seen in patients who are ________ and who have Cobb angles of less than ________ degrees.

Answer 15

SpineCor, skeletally immature, 30

Question 16

Severity of scoliosis is best diagnosed by ________.

Answer 16

X-ray

Question 17

Patients with scoliosis will generally have pain less than ________ percent and is ________ after activity.

Answer 17

50%, worse

Question 18

Intersegmental motion testing will change above and below the ________. Above will be ________ mechanics and below will be ________ mechanics.

Answer 18

Apex, type I, type II

Question 19

The most common type of scoliosis is ________.

Answer 19

Adolescent Idiopathic Scoliosis (AIS)

Question 20

In general, there is a greater risk for curve progression as the Risser Sign grade ________.

Answer 20

Decreases

Question 21

The Charleston bending brace bends the patient towards the ________ of the curve and overcorrects. It is recommended for spinal curves of ________ degrees.

Answer 21

Convexity, 20-35