Scoliosis - Treatment and Condition Flashcards
What are the types of “Scoliosis”?
Functional & Structural
What is Functional Scoliosis?
AKA postural or non-structural curves may be altered or reversed by positional changes or muscular action.
What is Structural Scoliosis?
Fixed due to bony changes and cannot be corrected by positional changes or voluntary effort.
Scoliosis curves are described based the side the concavity is on?
1 curve = C-curve
2 curves = S-curve
What are the anatomical terms of the different parts of the Scoliosis?
Apex, Major, Minor, Transitional.
What is the “Apex” of the Scoliosis?
The Apex vertebra is the one in any curve that is farthest from the midline.
What is the “Major” of the Scoliosis?
The Major curve in an S-curve scoliosis is the largest curve with greatest angulation.
What is the “Minor” of the Scoliosis?
The minor curve is smaller that the major curve.
What is the “Transitional” of the Scoliosis?
The transitional vertebra is the one that marks the end of one curve and the beginning of the next.
What are the Causes for Scoliosis?
Idiopathic - Scoliosis comprises of 85% of all reported causes and occurs in 8% of the population.
Biomechanical Factors could cause imbalances.
Muscular Imbalances.
What are things below the hip that may be a cause for Scoliosis?
Bony asymmetries below the pelvis such as Leg length inequity due to unilateral Pes planus, a short tibia/femur length or any fractures can causes scoliosis.
What short mm’s can causes raised pelvis to give the appearance of short leg scoliosis?
If a client has QL shortening this would causes elevated pelvis on one side.
When would the vertebral bodies in scoliosis rotate around this axis towards the —— of a curve?
It rotates Towards the convexity of a curve.
What side of Scoliosis is the Scapula more prominent?
The shoulder on the Convex side of the Thoracic curve is elevated by the actions of the Upper traps and lev scap, The scapula is more prominent in this side.
What would be done to test the ROM of a client with Scoliosis?
AF rom - of the spine in lateral bending and flexion reveals decreased range towards the convex side.
PR rom - of the hip reveals decreased range in extension with an anterior pelvic tilt.
AR rom - Testing reveals weakness in the abdominals and in the mm on the concave side of the curve.
What Special test could be done for a client with Scoliosis?
Functional Leg length, SI motion assessed with Gillets, Functional or structural scoliosis test is positive, as are scoliosis small hemipelvis and scoliosis short leg test.
What side of Scoliosis curve do you use Heat hydrotherapy on?
Heat to tight structures on the concave side.
Used as patchwork so you can work on one area while another is heating.
Where and when is cool hydro used on a client with Scoliosis?
Cool hydro is used on the Convex side on the curve (Weak mm’s).
Used only after tight Concave side is treated.
When treating Scoliosis, after heating a area with Hydro what would you do?
Facial work would be used on the pre-heated areas in the short and tight concave sides.
Zig-zags across body, inferior to superior.
Stripping and potential TP work would also be used.
After short and tight mm’s are treated in the concave parts of the Scoliosis, what would be done?
Stimulating techniques such as Tapotement.
Cool washes are used.
Active resisted exercises on intercostals are used.
