Children's Health: Scoliosis
Terms in this set (9)
: Postural. It is painless and can be voluntarily corrected. Curve is absent during spinal ROM.
: Happens due to fracture, disease, congenital.
: 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?
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?
HIstory of trauma
Hip contracture (adduction on leg and abduction on right)
What are the signs/symptoms of scoliosis in an infant.
Spinal pain after exercise
History of trauma
Family history of scoliosis
What are the signs/symptoms of scoliosis in an adolescent?
Low bone density
Mitral valve prolapse
Give as many risk factors as you can for scoliosis?
: Adjust primary fixation/restriction. If thoracic convexity on side of high occiput, atlas most often anterior on that side.
: SOT, CST, AK, drop
: This will stretch muscle and move bone
: Hold sacrotubercous ligament posterior, superior, and lateral
: Strengthen the weak side/concavity. Stretch tonic side/concavity. Engage proprioceptors. Hand-eye exercises for ocular reflex. Suspension. Cervical traction. Orthotics.
: 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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