9 terms

Children's Health: Scoliosis

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Functional: Postural. It is painless and can be voluntarily corrected. Curve is absent during spinal ROM.
Structural: Happens due to fracture, disease, congenital.
Idiopathic: Accounts for 80% of all scoliosis. Subtyped into infantile idiopathic (onset 0-3 yoa) and juvenile idiopathic (onset 4-10 yoa)
What are the types of scoliosis?
75%
What % of structural scoliosis progresses to a clinically significant degree?
uterine position, sleeping/holding positions, or trauma
What might cause infantile idiopathic scoliosis?
Familial presdisposition. MC in girls 3:2
Who gets juvenile idiopathic scoiosis?
1. HIstory of trauma
2. Torticollis
3. Plagiocephaly
4. Foot deformities
5. Hip contracture (adduction on leg and abduction on right)
6. Pelvic subluxation
What are the signs/symptoms of scoliosis in an infant.
1. Poor posture
2. Spinal pain after exercise
3. History of trauma
4. Family history of scoliosis
5. Awkward gait
What are the signs/symptoms of scoliosis in an adolescent?
1. Family history
2. Low bone density
3. Early trauma
4. Nutritional deficits
5. Toxic exposure
6. Mitral valve prolapse
7. Low estrogen
Give as many risk factors as you can for scoliosis?
Adjust: Adjust primary fixation/restriction. If thoracic convexity on side of high occiput, atlas most often anterior on that side.
Cranial Adjusting: SOT, CST, AK, drop
Molding Techniques: This will stretch muscle and move bone
Logan Basic: Hold sacrotubercous ligament posterior, superior, and lateral
Exercise: Strengthen the weak side/concavity. Stretch tonic side/concavity. Engage proprioceptors. Hand-eye exercises for ocular reflex. Suspension. Cervical traction. Orthotics.
Supplement: Zinc, copper, selenium
How do we treat scoliotic patients?
If SP's rotate into the concavity on hyperflexion/extension, this indicates compensatory curvature and is typically responsive to chiropractic management.
What scoliotic patients respond well to chiropractic care?
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