What Is Scoliosis
Idiopathic Scoliosis is a disorder of the shape of the Spine during it's growth in adolescence. It causes or not know, although there have been several suggestions about it's etiology. Scoliosis is treated consvervatively, unless the condition is severe, Cobb angle more than 45o, that is referd for surgery. Conservative treatment consist of bracing and Physical Therapy. The main Physical Therapy interventionis a structured exercise program that creates "muscle bracing" that will eventually correct the shape of the spine. In yound patiens with Scoliosis, muscle atrophies and imbalancinces are usually observed.
The Symptoms of Scoliosis
Idiopathic Scoliosis has symptoms such as :
- Change in the shape of Spine during growth
- Spine pain syndrome
- Respiratory disorders
- Worsening symptoms
- Functional restrictions
- Difficulty partitipating in sports
- Poor psychology due to the shape of the body
- Deterioration of quality of life
Risk Factors for Scoliosis
Although there aren't any know risk factors, muscle atrophies and imbalancies are observed in young patients. It is believed that genetic factors may be responsible for Scoliosis.
What if I do not treat Scoliosis
Scoliosis, if not treated properly and early, causes symptoms such as :
- Chronic pain
- Difficulty breathing
- Functional restrictions
- Poor psychology
- Quaity of life deterioration
- Worsening shape until surgery is inevitable
How Can Physical Therpy Help
Physical Therapy is essential for treating Scoliosis. Pain is treated with specialised massage therapy, then a structured exercise program is prescribed, that builds a "muscle bracing" to achive postural correction. Interventions applied :
A structured exercise program for Scoliosis includes :
- Deep muscles of the spine strengthening
- Rotators strengthening
- Lateral flexors strengthening
- Symmetry exercises
- Respiratory exercises
- Core exercises
- Aerobic program
Did you have surgery for Scoliosis ?
Physical Therapy can help you maximize the benefits of a surgery.Together with Physical Therapist Mr. Danalis you will customise your rehabilitaion, so that post-surgery pain is addressed quickly, and with exercise your body will once again be strong and with full range of motion.
For Postural Rehabilitaion Contact PhysioDanali today for expert consultation.
References
Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, Diers H, Grivas TB, Knott P, Kotwicki T, Lebel A, Marti C, Maruyama T, O'Brien J, Price N, Parent E, Rigo M, Romano M, Stikeleather L, Wynne J, Zaina F. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186/s13013-017-0145-8. PMID: 29435499; PMCID: PMC5795289.
Park JH, Jeon HS, Park HW. Effects of the Schroth exercise on idiopathic scoliosis: a meta-analysis. Eur J Phys Rehabil Med. 2018 Jun;54(3):440-449. doi: 10.23736/S1973-9087.17.04461-6. Epub 2017 Oct 2. PMID: 28976171.
Trobisch P, Suess O, Schwab F. Idiopathic scoliosis. Dtsch Arztebl Int. 2010 Dec;107(49):875-83; quiz 884. doi: 10.3238/arztebl.2010.0875. Epub 2010 Dec 10. PMID: 21191550; PMCID: PMC3011182.
Gámiz-Bermúdez F, Obrero-Gaitán E, Zagalaz-Anula N, Lomas-Vega R. Corrective exercise-based therapy for adolescent idiopathic scoliosis: Systematic review and meta-analysis. Clin Rehabil. 2022 May;36(5):597-608. doi: 10.1177/02692155211070452. Epub 2021 Dec 28. PMID: 34962437.
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