Structural Scoliosis Flashcards
If you see the patient on the PPT , what type of curve does she have?
Compensatory because her inion is on the plumb line but her back is ways off while her PSIS midline is back on it.
If the scoliosis is like this “ C” then it is a right or left scoliosis?
Left scoliosis
What can OMT do for scoliosis?
it can halt the progression of scoliosis *
What is Fryette’s 3rd law?
if you move it in one plane then it moves it in all 3.
What is the Adam’s test?
Where you you have the patient bend over to check and see if the curve adjusts or not
What is a normal angle for Cobb and what is surgery requirements?
10-15 is fine but 40-50 will be surgery
What would a 50 degree curve cause in a patient?
What would a 70 degree curve cause in a patient?
increased risk of SOB
impair respiratory function and impair venous return to the heart ( heart and lung)
What is wolfs law?
Bone is laid down along the lines of stress
Progression of a curve is ________ and will advance ______ a year.
rare, 1-2 a year
What can cause progression of a curve and eventually a collapse?
Degenerative Spondylosis
The effects of Degenerative spondylosis are?
rib cage sits on the pelvis side, contact with the liver, and curve collapse
There are 4 causes to structural scoliosis?
Neurologic, congenital, connective tissue disease, and idiopathic
Neurologic has reversible and irreversible types. What are the 3 reversible types?
Chiari malformations, Neurofibromatosis, tethered spinal cord
What are the 2 irreversible types?
Cerebral and muscular dystrophy
What is Chiari malformations and what is an key example?
a congenital deformity of the brain stem and upper spinal cord. Ex syringomyelia ( hole in spinal cord)
What is neurofibromatosis?
a benign tumor on the spinal cord that can impinge nerve roots. (matosis=many)
If one of your friends asked you what it means to have a n irreversible scoliosis, you would tell them it means______
a neurologic or myopathic disease has made the spine unable to to support itself
3 examples of irreversible examples shown in Ppt ?
Morquio disease, paralytic scoliosis, and Polio*
What can cause a congenital scoliosis?
hemivertebrae
2 types of connective tissue diseases and definitions?
marfan syndrom: heart issues but will have lens displacement, extremely long fingers and very flexible
Ehlers-Danlos Syndrome: stretchy skin
Your friends ask you what in the world is an idiopathic scoliosis? You tell them_______
This type of scoliosis is most likely genetic in origin. It is a rare, X link mostly in females that has a very RIGID spine
What is a characteristic of an idiopathic curve?
The curve will not straighten out but compensatory curves will.
Again, what can OMT do for a curve?
OMT may halt the progression of mild curves and prevent from getting worse.
Bracing is proven. That is all you need to know
–none
The Risser scale measures what? Can you draw the pic?
judges end of bone growth by the fusion of the iliac crest apophyses.
Risser scale for girls
1- age 13.8 2- 14.3 3- 14.7 4-16.0 5-16.1
Risser scale for boys
1- 15.2 2-15.2 3-16.3 4-16.3 5-18.0
You can use a harrington rod to ?
Correct a scoliotic curve
