DEGENERATIVE SCOLIOSIS AND PHYSICAL THERAPY Amanda Hong Lauren Davidson.
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Transcript of DEGENERATIVE SCOLIOSIS AND PHYSICAL THERAPY Amanda Hong Lauren Davidson.
Introduction
Amanda Hong Major: Nutrition Career Goal: Registered Dietitian
Lauren Davidson Major: Health Psychology Career Goal: Public Health Educator
Objective: how to prevent degenerative scoliosis through exercising and proper nutrition
A.S.P.I.R.E. Physical Therapy
Athletic Spinal Preventative Industrial Rehabilitation Ergonomics
Location: 894 Meinecke Avenue, San Luis Obispo
Practitioner: Tyrone G. McSorely Interview Overview:
Elderly patients Scoliosis and treatment Posture
Why?
Scoliosis
An abnormal, side-to-side, curvature (single “C” or double “S”) of the spine
4 Main Types: Idiopathic Congenital Neuromuscular Degenerative
Prevalence: Idiopathic is in 2% of population More prevalent in girls than boys Girls are 8X more likely than boys to need treatment
Degenerative Scoliosis: Overview A spinal deformity with a Cobb angle >10°, which develops
after skeletal maturity without any previous history of scoliosis.
Risk Factors: Life-style, intrinsic mediators, hormonal factors, genetic factors
Causes: Gradual deterioration of facet joints; same process as
osteoarthritis of spine Osteoporosis, or other degenerative diseases of the spinal
column Diagnosis:
X-ray, changes in height & motor function, presence of pain, medical history
Prevalence: 2013: 6% in Americans 50+ years
Primary Research Article
Title: Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomized controlled trial.
Purpose: to see how active self-correction and task-oriented exercises affects spinal deformities and health-related quality of life
Methods
Participants: Adolescents [10-12 years] Cobb angle 10°-25°
Experimental Group: Active self-correction tailored to the type of curve of
scoliosis Control Group:
General exercises aimed at spinal mobilization IV:
Physical exercises Education sessions
DV: Cobb angle
Results, Limitations, & Strengths Results
Experimental Group: Had a decrease in Cobb angle >5°
Control Group: Cobb angle remained stable
Limitations Exercise compliance and adherence could not be
fully guaranteed Mixing rib humps with lumbar humps may lead to an
incorrect interpretation of the results Strengths
Focused on individual differences in spinal curve
Treatment Overview Types of treatment:
Surgical Lumbar decompression
plus fusion surgery Non-Surgical
Pain relievers, epidural/facet injections
Chiropractic/Osteopathic manipulation
Bracing Pool/water therapy Weight loss Yoga PHYSICAL THERAPY
Interferential therapy Manual therapy Exercises
Physical Therapy
Manual Therapy Massage Manipulation Mobilization
Exercise and Stretching Innercore strengthening http://www.choc.org/orthopaedics/index.cfm
?id=P00550
Interferential Therapy
Central Nervous System
Interferential therapy Crisscross electrical currents targeting
sympathetic nervous system Helps improve blood circulation,
musculoskeletal pain, and edema Corrects imbalance of neurotransmitters
Norepinephrine/epinephrine Uses: burn victims, GI system, edema,
scoliosis and more
Class Survey: Physical Therapy and Degenerative Scoliosis
Question 6) Scoliosis is
An exaggerated curve in the spine resulting I a rounded or hunched back (45%)
An abnormal side-to-side spinal curve (55%) 7) The main difference between idiopathic scoliosis and
degenerative scoliosis is that idiopathic scoliosis has no known cause, while degenerative has a known cause
True (44%) False (55%)
8) What is the cure for degenerative scoliosis? There is no cure, only maintenance (55%)
10) Physical therapy is a common treatment that is recommended by physicians for scoliosis
True (78%) False (22%)
Conclusion
Highly recommended! Additional Research Needed:
Nutrition + Scoliosis Degenerative + Physical Therapy
Learn By DoingIf it looks good, try it
Learn By BeingIs the ability to take the knowledge you
learn and turn it into wisdom
References 1. Active self-correction and task-oriented exercises reduce spinal
deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomised controlled trial. (n.d.). Retrieved May 17, 2014, from file:///C:/Users/Amanda/Downloads/exercises reduce deformity (1).pdf
2. Treatment of pain and of the nervous system. (1999, November 30). Retrieved from http://www.google.com/patents/US5995873
3. Association between regulating synaptic membrane exocytosis 2 gene polymorphisms and degenerative lumbar scoliosis. (n.d.). Retrieved May 17, 2014, from file:///C:/Users/Amanda/Downloads/Article 3.pdf
4. Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation. (n.d.). Retrieved May 17, 2014, from https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Assets/ProviderStaticFiles/ProviderStaticFilesPdf/Tools and Resources/Policies and Protocols/Medical Policies/Medical Policies/Electrical_Stim_Tx_Pain_Muscle_Rehab.pdf