OMT Review - Savarese - Chapter 05 - Scoliosis and Short Leg Syndrome

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These are review questions recommended to be used with: OMT Review, 3rd Edition, Robert Savarese, 2003.

Rotoscoliosis

An appreciable lateral deviation of the spine from the normally straight vertical line is called what?

Females

Who are most likely to have scoliosis?

Dextroscoliosis

Scoliosis with the apex at the right is called what? (sidebent left)

Levoscoliosis

Scoliosis with the apex to the left is called what? (sidebent right)

Structural Curve

A spinal curve that is relatively fixed and inflexible and will not resolve with sidebending the opposite direction is called what?

Functional Curve

A spinal curve that is flexible and can be partially or completely corrected with sidebending to the opposite side is called what?

10-15

What age group should be screened for scoliosis?

Standing X-rays

If suspicious, what can be done to screen for scoliosis in addition to the physical exam?

Cobb Angle

What is used to measure the degree of scoliosis?

Cobb Angle

What is described by perpendicular lines originating from horizontal lines from vertebral bodies of extreme ends of the curve?

5-15 degrees

Mild scoliosis is:

20-45 degrees

Moderate scoliosis is:

>50 degrees

Severe scoliosis is:

>50 degrees

Respiratory function is compromised if the thoracic curvature is:

>75 degrees

Cardiovasuclar function is compromised if the thoracic curvature is:

PT, Konstancin Exercises and OMT

What is the treatment for mild scoliosis?

Bracing with spinal orthotic

What is the treatment for moderate scoliosis?

Surgery

What is the treatment for severe scoliosis?

Hip Replacement

What is the most common cause of anatomical leg length discrepancy?

Short Leg

In short leg syndrome, the sacral base will be lower on which side?

Short Leg

In short leg syndrome, the Anterior innominate rotation will be on which side?

Long Leg

In short leg syndrome, the Posterior innominate rotation will be on which side?

Short Leg

In short leg syndrome, the lumbar spine will sidebend away and rotate toward which side?

Standing Postural X-rays

What is used to diagnose Short Leg Syndrome?

1/2-3/4 Discrepancy

Unless the cause was recent and sudden, how much should the final heel lift height be?

1/16" every two weeks

In the "fragile", how often should you increase the heel lift in short leg syndrome?

1/8" every two weeks

In the "flexible", how often should you increase the heel lift in short leg syndrome?

1/4"

What is the maximum heel lift that can be placed inside the shoe?

Anterior Sole Lift

If more than 1/2" is needed in short leg syndrome, what should be used in place of a heel lift?

5%

What percentage of school-age children develop scoliosis by age 15

10%

Of those who develop scoliosis, what percentage experience clinical symptoms?

Idiopathic

What is the most common etiology of Scoliosis?

2-3 degrees

How much can the lumbosacral angle increase in short leg syndrome?

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