Structural Scoliosis

Question 1

If you see the patient on the PPT , what type of curve does she have?

Answer 1

Compensatory because her inion is on the plumb line but her back is ways off while her PSIS midline is back on it.

Question 2

If the scoliosis is like this “ C” then it is a right or left scoliosis?

Answer 2

Left scoliosis

Question 3

What can OMT do for scoliosis?

Answer 3

it can halt the progression of scoliosis *

Question 4

What is Fryette’s 3rd law?

Answer 4

if you move it in one plane then it moves it in all 3.

Question 5

What is the Adam’s test?

Answer 5

Where you you have the patient bend over to check and see if the curve adjusts or not

Question 6

What is a normal angle for Cobb and what is surgery requirements?

Answer 6

10-15 is fine but 40-50 will be surgery

Question 7

What would a 50 degree curve cause in a patient?

What would a 70 degree curve cause in a patient?

Answer 7

increased risk of SOB

impair respiratory function and impair venous return to the heart ( heart and lung)

Question 8

What is wolfs law?

Answer 8

Bone is laid down along the lines of stress

Question 9

Progression of a curve is ________ and will advance ______ a year.

Answer 9

rare, 1-2 a year

Question 10

What can cause progression of a curve and eventually a collapse?

Answer 10

Degenerative Spondylosis

Question 11

The effects of Degenerative spondylosis are?

Answer 11

rib cage sits on the pelvis side, contact with the liver, and curve collapse

Question 12

There are 4 causes to structural scoliosis?

Answer 12

Neurologic, congenital, connective tissue disease, and idiopathic

Question 13

Neurologic has reversible and irreversible types. What are the 3 reversible types?

Answer 13

Chiari malformations, Neurofibromatosis, tethered spinal cord

Question 14

What are the 2 irreversible types?

Answer 14

Cerebral and muscular dystrophy

Question 15

What is Chiari malformations and what is an key example?

Answer 15

a congenital deformity of the brain stem and upper spinal cord. Ex syringomyelia ( hole in spinal cord)

Question 16

What is neurofibromatosis?

Answer 16

a benign tumor on the spinal cord that can impinge nerve roots. (matosis=many)

Question 17

If one of your friends asked you what it means to have a n irreversible scoliosis, you would tell them it means______

Answer 17

a neurologic or myopathic disease has made the spine unable to to support itself

Question 18

3 examples of irreversible examples shown in Ppt ?

Answer 18

Morquio disease, paralytic scoliosis, and Polio*

Question 19

What can cause a congenital scoliosis?

Answer 19

hemivertebrae

Question 20

2 types of connective tissue diseases and definitions?

Answer 20

marfan syndrom: heart issues but will have lens displacement, extremely long fingers and very flexible

Ehlers-Danlos Syndrome: stretchy skin

Question 21

Your friends ask you what in the world is an idiopathic scoliosis? You tell them_______

Answer 21

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

Question 22

What is a characteristic of an idiopathic curve?

Answer 22

The curve will not straighten out but compensatory curves will.

Question 23

Again, what can OMT do for a curve?

Answer 23

OMT may halt the progression of mild curves and prevent from getting worse.

Question 24

Bracing is proven. That is all you need to know

Answer 24

–none

Question 25

The Risser scale measures what? Can you draw the pic?

Answer 25

judges end of bone growth by the fusion of the iliac crest apophyses.

Question 26

Risser scale for girls

Answer 26

1- age 13.8
2- 14.3
3- 14.7
4-16.0
5-16.1

Question 27

Risser scale for boys

Answer 27

1- 15.2
2-15.2
3-16.3
4-16.3
5-18.0

Question 28

You can use a harrington rod to ?

Answer 28

Correct a scoliotic curve