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Scoliosis Handout

Scoliosis Handout

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Published by Le Chu
This brief handout teaches us on proper exercises to help relieve back pain.

I got this handout through an email sent by my sister.

I hope this will help a lot.
This brief handout teaches us on proper exercises to help relieve back pain.

I got this handout through an email sent by my sister.

I hope this will help a lot.

More info:

Published by: Le Chu on Oct 01, 2008
Copyright:Attribution Non-commercial

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09/05/2013

Aramos, PTRP, MAEd Nightsoul0128@yahoo.

com

SCOLIOSIS
I. Introduction
Since the Stone Age, man has recognized the obvious deformity of curvature of the spine. In the normal spine, the neck goes into a forward curve (lordosis); the thoracic spine develops a normal posterior curve (kyphosis); and the lumbar region then again develops a normal lordosis. A lateral curvature of the spine is called SCOLIOSI, and its major deformity is a rotation of the spine and ribs. AN increased forward curvature, especially in the thoracic regions, is called KYPHOSIS. In the majority of cases, the etiology of scoliosis is unknown, an it is therefore called idiopathic scoliosis. Scolisois is a complicated deformity characterized by lateral curvature and vertebral rotation. As the disease progresses, the vertebra and spinous processes in the area of the major curve rotate toward the concavity of the curve.

The rotating vertebra push the ribs on the convex side of the curve posteriorly and cause the ribs on the concave side to crowd together. Scoliosis is often associated with kyphosis (hunchback) and lordosis (swayback). In addition to rotation, scoliosis also causes other pathologic changes in the vertebrae

Aramos, PTRP, MAEd Nightsoul0128@yahoo.com and related structures in the area of the curve. The disc spaces become narrower on the concave side of the curve and wider on the convex side. Idiopathic scoliosis is by far the most common. About 90% of all the idiopathic curves are probably genetic, and thus the two terms are used synonymously. Four distinct curve patterns are found in idiopathic scoliosis. The right thoracic curve is one of the most common idiopathic patterns. The curve usually extends from the upper end or the lower end of the thoracic region. Although the right thoracic curve is always a major curve, there are usually smaller curves in the opposite direction above and below that curve. These curves are secondary or compensatory, and are usually referred to as minor curves. A compensatory curve tends to keep the individual’s head over the pelvis in an effort by the body to keep the spine in “balance”. The thoracolumbar curve is a fairly common idiopathic curve pattern. It is a longer curve and may be to either right or left. The double major curve consists of two structural curves of almost equal prominence. They can be either a right thoracic – left lumbar curve, as most frequently seen, or a double thoracic curve such as a high right thoracic – lower left thoracic curve. Scoliosis is most likely to progress during adult life in patients with a strong genetic “dose” of scoliosis, a curve pattern that throws the trunk out of balance, or extremely poor muscle tone, especially in women who have become sedentary and overweight. An adult with a mild curve of less than 30o is generally not in danger of progression. Patients with curves greater than 45p to 50p are usually at high risk for curve increase, especially when the patient nears the menopause and develops osteoporosis. The lumbar major curve is quite common. 65% of cases, thee curve is to the left. Lumbar major curves are not very deforming but become quite rigid and can lead to severe arthritic pain in later life and during pregnancy & child bearing.

Aramos, PTRP, MAEd Nightsoul0128@yahoo.com

II.

Clinical Evaluation & Physical Examination
Following the general examination, a more specific examination of the deformity is done. This starts with an evaluation of trunk alignment, used to gauge balance or displacement of the torso. The shoulder girdle should be examined for symmetry. Both the scapular prominence as well as the neck shoulder angle should be noted. Pelvic obliquity must be carefully evaluated as well as leg length discrepancy.

Exercises. Exercises are mentioned under treatment only to be strongly recommended as a sole cure for scoliosis. The best treatment for scoliosis is early detection and prompt referral for complete scoliosis care.

IV.

Exercises
While exercise will not cure your condition, it will maintain

your strength and overall body health. Some helpful forms of lowimpact exercise are: Swimming is an ideal form of exercise for many complaints that involve the spine as it frees the joints from bearing weight, allowing the body to stretch and can be done as gently or as vigorously as your condition allows. Hydrotherapy is another ideal form of exercise, performed in water, will relieve pressure, and a warm pool can help soothe muscle inflammation. Walking is low impact and has the added benefit of increasing your overall health. Walking can be done vigorously over long distances, or casually as an alternative to more intensive exercise.

III.

Treatment
School screening. The best treatment for scoliosis is early

detection. Most curves can be treated nonsurgically if detected before they become too severe.

Aramos, PTRP, MAEd Nightsoul0128@yahoo.com

Specific Exercises
Wall slides to strengthen back, hip, and leg muscles Wall slides to strengthen back, hip, and leg muscles Stand with your back against a wall and feet shoulderwidth apart. Slide down into a crouch with knees bent to about 90 degrees. Count to five and slide back up the wall. Repeat 5 times. Lie on your back with your arms at your sides. Lift one leg off the floor. Hold your leg up for a count of 10 and return it to the floor. Do the same with the other leg. Repeat five times with each leg. If that is too difficult, keep one knee bent and the foot flat on the ground while raising the leg. Partial sit-up to strengthen stomach muscles

Leg raises to strengthen back and hip muscles. Lie on your back with knees bent and feet flat on floor. Slowly raise your head and shoulders off the floor and reach with both hands toward your knees. Count to 10. Repeat five times. Back leg swing to strengthen hip and back muscles Lie on your stomach. Tighten the muscles in one leg and raise it from the floor. Hold your leg up for a count of 10 and return it to the floor. Do the same with the other leg. Repeat five times with each leg. Leg raises to strengthen stomach and hip muscles

Stand behind a chair with your hands on the back of the chair. Lift one leg back and up while keeping the knee straight. Return slowly. Raise other leg and return. Repeat five times with each leg.

Exercises to decrease the strain on your back

Aramos, PTRP, MAEd Nightsoul0128@yahoo.com Lie on your back with your knees bent and feet flat on your bed or floor. Raise your knees toward your chest. Place both hands under your knees and gently pull your knees as close to your chest as possible. Do not raise your head. Do not straighten your legs as you lower them. Start with five repetitions, several times a day. Back Pain Exercises retrieved May 4, 2006 from http://orthoinfo.aaos.org/fact/printer_page.cfm?topcategory=Sp ine&Thread_ID=17 Keinm, H.A. & Hensinger, R. N. Spinal Deformities Scoliosis & Kyphosis. Clinical Symposia, Vol 41, No. 4, 1989 Some Helpful Exercise retrieved May 4, 2006 from www.scoliosissupport.org.au

REFERENCE

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