Treatments Classes

Scoliosis

Scoliosis refers to an abnormal curvature of the spine, this usually a 3-dimensional condition causing a sideways curve, abnormal thoracic curve and spinal rotation. It can be present from birth or develop during growth, the cause is most commonly idiopathic. Scoliosis can be non-structural, occurring due to posture and muscular compensation which can be corrected or structural, which cannot or may only be partially corrected. It is most common in adolescent girls aged 10-12 years old. Scoliosis can additionally cause an impact on lung capacity due to decreased thoracic space

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Symptoms

1. Sideways curvature of the spine
2. Sideways body posture
3. One shoulder raised higher than the other
4. Localised muscle pain
5. Chronic back pain

Treatments

1. Exercises to derotate, deflex and elongate the spine can be beneficial at managing idiopathic scoliosis and reducing curvature progression [1] [2]. Breathing exercises are beneficial at increasing lung function [3]. Pilates can be an effective treatment for correcting non-structural scoliosis and has been found to decrease spinal curvature [4]. A brace may be recommended to control the curvature, prevent further deterioration and reduce the need for surgery [5]. However, surgical intervention is considered for deformities where the curve is over a certain angle, conservative management has failed and the deformity is affecting quality of life [6].

References

1.https://journals.sagepub.com/doi/abs/10.1177/0269215515575745 Kuru, T., Yeldan, İ., Dereli, E.E., Özdinçler, A.R., Dikici, F. and Çolak, İ., 2016. The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial. Clinical rehabilitation, 30(2), pp.181-190. Balanced DO NOT OFFER the Schroth method, this is only mentioned to ref the article.
2. https://www.ncbi.nlm.nih.gov/pubmed/21198407 Fusco C, Zaina F, Atanasio S, Romano M, Negrini A, Negrini S. Physical exercises in the treatment of adolescent idiopathic scoliosis: an updated systematic review. Physiotherapy theory and practice. 2011 Jan 1;27(1):80-114.
3. http://www.nsj.org.sa/PDFFILES/Oct05/4Theeffficacy20050384.pdf Otman, S., Kose, N. and Yakut, Y., 2005. The efficacy of Schroth's 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey. Neurosciences (Riyadh), 10(4), pp.277-283.
4. https://www.sciencedirect.com/science/article/pii/S1360859211000672 de Araújo, M.E.A., da Silva, E.B., Mello, D.B., Cader, S.A., Salgado, A.S.I. and Dantas, E.H.M., 2012. The effectiveness of the Pilates method: reducing the degree of non-structural scoliosis, and improving flexibility and pain in female college students. Journal of bodywork and movement therapies, 16(2), pp.191-198.
5. https://www.ncbi.nlm.nih.gov/pubmed/21198404 Maruyama T, Grivas TB, Kaspiris A. Effectiveness and outcomes of brace treatment: a systematic review. Physiotherapy theory and practice. 2011 Jan 1;27(1):26-42
6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994631/ Helenius IJ. Treatment strategies for early-onset scoliosis. EFORT open reviews. 2018 May;3(5):287-93.
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