Short Leg/Scoliosis Flashcards
What happens to the lumbar spine in the C shaped scoliosis pattern?
The lumbar spine has a type I group curve which is side-bent away from the short leg.
What is the shoulder height in the C shaped pattern?
The shoulder is higher on the short leg side.
What happens to the pelvis in short leg syndrome?
The pelvis side-shifts and rotates towards the long limb side.
What is the rotation of the innominates in short leg syndrome?
There is an anterior innominate rotation on the short leg side to functionally lengthen it and a posterior innominate rotation on the long limb side.
What happens to the long leg in the C shaped pattern?
The long leg is internally rotated and pronated.
What happens to the lumbar spine in the S shaped pattern?
The lower vertebrae remain side-bent away from the short leg side while a secondary curve develops superiorly that is side-bent towards the short leg side.
What is the shoulder length in the S shaped pattern?
The shoulder is lower on the short leg side.
For heel lift therapy what are the indications for a “fragile” patient? (elderly, osteoporosis, acute pain, ect).
Begin with a 1/16 inch left and lift no faster than 1/16 an inch every two weeks.
For heel lift therapy what are the indications for a patient who is flexible and has mild-to moderate strain?
Begin with a 1/16 inch and lift at a rate of either 1/16 inch a week or 1/8 inch every two weeks.
For heel lift therapy what are the indications if there was a recent and sudden loss of length on one side and there was a level sacral base prior? (as might occur with a fracture, ect)
Lift the full amount that was lost.
What happens to the paraspinal tissues in regards to the scoliotic curve?
The paraspinal tissues are lengthened on the side of the side of the convexity and shortened on the side of the concavity (makes sense due to the ipsilateral side-bending being due to muscle contraction).
