Scoliosis
Scoliosis is atypical curvature of the spine affecting trunk alignment and posture. Scoliosis causes the spine to move to the side and turn. This condition can occur at any age but is more commonly detected during adolescence. In the elderly is as results of chronic degenerative changes.
Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis diagnosed in children aged 10 – 18 years. There is no clear cause in this age group, but family history may play a role.
Adult scoliosis maybe either degenerative in origin or secondary to individuals with AIS with now have fixed, mature bone structures.
At first, AIS maybe pain free, however as the curvature worsens than pain ensures as a results of stress to the surrounding muscles and joints. Pain symptoms are more common in adult scoliosis. Changes in the spine alter a person’s alignment and movement patterns and create muscle imbalance.
Common findings in a person with scoliosis include:
• Uneven shoulder height
• Uneven hip height
• An uneven waistline
• An uneven alignment of ribs
• An awareness that the 2 sides of the body don’t line up
• Pain in the areas surrounding the spine including the shoulder, pelvis, and hip
Treatment modalities for scoliosis is dependent on severity and debility:
• Physical therapy
• Bracing
• Surgery
Goals of physical therapy for scoliosis.
The treatment for scoliosis can include physical therapy, bracing, and surgery depending on the severity of scoliosis. Physical therapy can provide care
Goals of physical therapy for Scoliosis:
• Range of motion and flexibility exercises to prevent limitations in joints or muscles.
• Strength training for muscles surrounding the spine and other parts of the body.
• Manual therapy including hands-on treatment to restore motion to the joints and the muscle tissue and to reduce pain
• Functional Movement training to optimize spinal alignment and movement patterns.
• Education for continued home program for scoliosis.