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Scoliosis Diagnosis and Classification
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Scoliosis Diagnosis and Classification

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Questions and Answers

What is the primary difference between functional and non-structural scoliosis?

  • Curve direction, with functional scoliosis curve to the right and non-structural to the left
  • The ability to straighten with forward bending, with functional scoliosis being correctable (correct)
  • The presence of wedge-shaped vertebrae, with functional scoliosis having more
  • The degree of lateral curvature, with functional scoliosis having a more severe curve
  • What is the minimum degree of curvature that may require surgical intervention?

  • 60° (Cobb's) (correct)
  • 50° (Cobb's)
  • 70° (Cobb's)
  • 40° (Cobb's)
  • What is the characteristic of wedge-shaped vertebrae in scoliosis?

  • They can be congenital or develop over time (correct)
  • They are a result of spinal mobilization
  • They are only found in non-structural scoliosis
  • They are only found in functional scoliosis
  • What is the name of the type of scoliosis that has a genetic or unknown cause?

    <p>Idiopathic Scoliosis</p> Signup and view all the answers

    What is the primary characteristic of structural scoliosis?

    <p>The curve has a lateral curvature with rotation of the vertebrae</p> Signup and view all the answers

    What is the purpose of the forward bending test in diagnosing scoliosis?

    <p>To determine if the curve is structural or functional</p> Signup and view all the answers

    What is the most common type of idiopathic scoliosis?

    <p>Adolescent</p> Signup and view all the answers

    What is the characteristic of Congenital Scoliosis?

    <p>Spinal, rib, scapular deformity or fusion</p> Signup and view all the answers

    What is the most common feature of Juvenile idiopathic scoliosis?

    <p>Female &gt; Male</p> Signup and view all the answers

    What is the underlying cause of Neuromuscular Scoliosis?

    <p>Poor muscle control or paralysis</p> Signup and view all the answers

    What is the characteristic of Degenerative Scoliosis?

    <p>Facet/IVD degeneration</p> Signup and view all the answers

    What is the underlying cause of Syndromic Scoliosis?

    <p>Asymmetries caused by a syndrome</p> Signup and view all the answers

    What is the primary indication for bracing in scoliosis treatment?

    <p>Severe cases or high risk of progression</p> Signup and view all the answers

    Which type of scoliosis responds better to treatment?

    <p>Functional scoliosis</p> Signup and view all the answers

    What is the purpose of Adam's Test in scoliosis treatment?

    <p>To observe the curve with forward bending</p> Signup and view all the answers

    What is the contraindication for HVLA in scoliosis treatment?

    <p>Levels that are fused</p> Signup and view all the answers

    What is the characteristic of the Copes Brace in scoliosis treatment?

    <p>It is a dynamic TLSO with air-filled pads</p> Signup and view all the answers

    What is the main difference between the Milwaukee brace and the Boston Brace?

    <p>The Milwaukee brace is a high-profile TLSO, while the Boston Brace is a low-profile TLSO</p> Signup and view all the answers

    What is the term for a lateral curvature of the spine to the right?

    <p>Dextroscoliosis</p> Signup and view all the answers

    What is the most common type of scoliosis?

    <p>Adolescent idiopathic scoliosis</p> Signup and view all the answers

    What is the characteristic of a hemivertebra in congenital scoliosis?

    <p>It is a wedge-shaped vertebra</p> Signup and view all the answers

    What is the primary cause of degenerative scoliosis?

    <p>Asymmetric vertebral degeneration</p> Signup and view all the answers

    What is the age range for early onset scoliosis?

    <p>Before the age of 10</p> Signup and view all the answers

    What is the primary symptom of Sheuermann's kyphosis?

    <p>Back pain and stiffness</p> Signup and view all the answers

    What is the goal of rehabilitation in the treatment of scoliosis?

    <p>To improve balance and proprioception</p> Signup and view all the answers

    What is the term for a lateral curvature of the spine to the left?

    <p>Levoscoliosis</p> Signup and view all the answers

    What is the risk factor for curve progression in adolescent idiopathic scoliosis?

    <p>Noticed/Dx before menarche/early onset</p> Signup and view all the answers

    What is the typical age range for the diagnosis of congenital scoliosis?

    <p>In early childhood</p> Signup and view all the answers

    Study Notes

    Types of Scoliosis

    • Scoliosis is a lateral curvature of the spine, which can be classified into two main categories: functional (non-structural) and structural
    • Functional scoliosis is a lateral curvature with rotation of the vertebrae, which can be corrected with spinal mobilization, stretching, and strengthening
    • Structural scoliosis is a curvature caused by spinal abnormalities, such as wedge-shaped vertebrae, which may be congenital or acquired

    Categories of Scoliosis

    • Idiopathic scoliosis: genetic or unknown cause, accounting for 90% of cases
    • Congenital scoliosis: caused by spinal, rib, or scapular deformity or fusion
    • Neuromuscular scoliosis: caused by poor muscle control or paralysis, often associated with diseases affecting the brain, spinal cord, and muscular system
    • Degenerative scoliosis: caused by facet or intervertebral disc degeneration, leading to spinal asymmetry

    Signs and Symptoms

    • Uneven shoulders or waistline
    • Head tilt or rotation
    • Rib humping on one side
    • Appearance of leaning to one side
    • Back pain or muscle spasm
    • More severe cases may experience loss of balance, history of falls, or low self-esteem

    Adolescent Idiopathic Scoliosis

    • Most common type of scoliosis, affecting up to 4% of adolescents
    • Onset in adolescence, often during growth spurts
    • Curve increases during growth spurts
    • Most common is a right thoracic dextroscoliosis

    Congenital Scoliosis

    • Caused by spinal defect present at birth, affecting the structure of the vertebrae
    • Vertebrae may be wedge-shaped or hemivertebrae
    • Usually detected at an earlier age than adolescent idiopathic scoliosis

    Neuromuscular Scoliosis

    • Less severe curves typically not painful
    • May notice a change in posture as the first sign
    • Inability to walk in more severe cases
    • Occurs secondary to neuromuscular disease, such as cerebral palsy, Duchenne and spinal muscular dystrophy, myelodysplasia, and spina bifida

    Degenerative Scoliosis

    • May be called adult-onset or de novo scoliosis
    • Patient's asymmetric vertebral degeneration
    • IVD degeneration causes structural changes
    • Most common in the lumbar spine

    Treatment of Scoliosis

    • Rehabilitation is extremely important, including:
      • Stretching exercises to improve concavity
      • Balance ball exercises to improve balance and proprioception
      • Chest expansion exercises
      • Postural retraining, including side shift exercises
    • Massage therapy and hydrotherapy may also be indicated
    • Bracing may be indicated in severe cases or if the risk of progression is high
    • Osseous mobilization and manipulation may be effective in reducing pain and spasm

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    Description

    Learn about the types of scoliosis, including lateral curvature of the spine, thoracic kyphosis, and the two main categories of scoliosis. Understand the difference between functional and structural scoliosis.

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